WorldWideScience

Sample records for current issues survey

  1. Surveying clinicians by web: current issues in design and administration.

    Science.gov (United States)

    Dykema, Jennifer; Jones, Nathan R; Piché, Tara; Stevenson, John

    2013-09-01

    The versatility, speed, and reduced costs with which web surveys can be conducted with clinicians are often offset by low response rates. Drawing on best practices and general recommendations in the literature, we provide an evidence-based overview of methods for conducting online surveys with providers. We highlight important advantages and disadvantages of conducting provider surveys online and include a review of differences in response rates between web and mail surveys of clinicians. When administered online, design-based features affect rates of survey participation and data quality. We examine features likely to have an impact including sample frames, incentives, contacts (type, timing, and content), mixed-mode approaches, and questionnaire length. We make several recommendations regarding optimal web-based designs, but more empirical research is needed, particularly with regard to identifying which combinations of incentive and contact approaches yield the highest response rates and are the most cost-effective.

  2. A Study of Current Trends and Issues for Graphics Education: Results from a Five-Year Follow-Up Survey

    Science.gov (United States)

    Clark, Aaron C.; Scales, Alice Y.

    2006-01-01

    During the 1998-1999 academic year, a survey was conducted to look at current trends and issues in the profession of graphics education (Clark & Scales, 1999). The survey solicited information from the membership of the Engineering Design Graphics Division of the American Society for Engineering Education related to their view of future areas of…

  3. Current Issues in Cosmology

    Energy Technology Data Exchange (ETDEWEB)

    Barbour, J B [Department of Physics and Astronomy, University of Rochester (United States)

    2007-02-07

    These colloquium proceedings will be valuable, the blurb says, for graduate students and researchers in cosmology and theoretical astrophysics. Specifically, the book 'looks at both the strengths and weaknesses of the current big bang model in explaining certain puzzling data' and gives a 'comprehensive coverage of the expanding field of cosmology'. The reality is rather different. Conference proceedings rarely compare in value with a solid monograph or good review articles, and Current Issues in Cosmology is no exception. The colloquium was convened by the two editors, who have both long harboured doubts about the big bang, and was held in Paris in June 2004. The proceedings contain 19 presented papers and relatively brief summary comments by four panel speakers. The questions and answers at the end of each talk and a general discussion at the end were recorded and transcribed but contain little of interest. The nature of the colloquium is indicated by panellist Francesco Bertola's comment: 'While in the 1950s it was possible to speak of rival theories in cosmology, now the big-bang picture has no strong rivals. This is confirmed by the fact that out of 1500 members of the IAU Division VIII (Galaxies and the Universe) only a dozen, although bright people, devote their time to the heterodox views.' This was largely a platform for them to give their views. At least half of the dozen, all the 'usual suspects', were present: Geoffery and Margaret Burbidge, Jayant Narlikar, Halton Arp, Chandra Wickramasinghe and, in spirit only but playing a role somewhat like the ghost of Hamlet's father, the late Fred Hoyle. Doubters presented 12 of the 19 papers. Orthodoxy should certainly be challenged and the sociology of science questioned, but I found two main problems with this book. The papers putting the orthodox view are too short, even perfunctory. The most that a serious graduate student would get out of them is a reference

  4. The Olympia Proceedings. Section III: Pre-Olympia Survey Results. Current Issues in School Psychology: Opinion x Impact Matrices.

    Science.gov (United States)

    Benson, A. Jerry; Coulter, W. Alan

    1982-01-01

    Crucial issues in the future of school psychology, regardless of the opinion rating in a questionnaire were found to be the role definition of school psychologist, influences of PL 94-142, assessment practices, intervention techniques, political and economic forces and legal-ethical conflicts. The survey of psychologists was an information base…

  5. Current issues and actions

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report summarizes the progress that has been made toward achieving full regulatory compliance at the Hanford Site. Ongoing compliance self-assessments, implementation of the Tri-Party Agreement, and public meetings continue to identify environmental compliance issues. These issues are discussed openly with the regulatory agencies and with the public to ensure that all environmental compliance issues are addressed.

  6. Algeria: Current Issues

    Science.gov (United States)

    2011-04-13

    exports and a concomitant drop in revenues. An International Monetary Fund (IMF) evaluation in December 2010 concluded that the government’s expansionary ... Policy , coordinated by John Rollins. President Bouteflika’s tenure has produced an energized foreign policy . Strains in ties with neighboring Morocco...Issues for U.S. Policy ............................................................................................................3 Background

  7. Clopidogrel Resistance: Current Issues

    Directory of Open Access Journals (Sweden)

    NS Neki

    2016-05-01

    Full Text Available Antiplatelet agents are mainly used in the prevention and management of atherothrombotic complications. Dual antiplatelet therapy, combining aspirin and clopidogrel, is the standard care for patients having acute coronary syndromes or undergoing percutaneous coronary intervention according to the current ACC/AHA and ESC guidelines. But in spite of administration of dual antiplatelet therapy, some patients develop recurrent cardiovascular ischemic events especially stent thrombosis which is a serious clinical problem. Antiplatelet response to clopidogrel varies widely among patients based on ex vivo platelet function measurements. Clopidogrel is an effective inhibitor of platelet activation and aggregation due to its selective and irreversible blockade of the P2Y12 receptor. Patients who display little attenuation of platelet reactivity with clopidogrel therapy are labeled as low or nonresponders or clopidogrel resistant. The mechanism of clopidogrel resistance remains incompletely defined but there are certain clinical, cellular and genetic factors including polymorphisms responsible for therapeutic failure. Currently there is no standardized or widely accepted definition of clopidogrel resistance. The future may soon be realised in the routine measurement of platelet activity in the same way that blood pressure, cholesterol and blood sugar are followed to help guide the therapy, thus improving the care for millions of people. This review focuses on the methods used to identify patients with clopidogrel resistance, the underlying mechanisms, metabolism, clinical significance and current therapeutic strategies to overcome clopidogrel resistance. J Enam Med Col 2016; 6(1: 38-46

  8. Medicare Current Beneficiary Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Characteristics and Perceptions of the Medicare Population Data from the 2010 Medicare Current Beneficiary Survey is a series of source books based on the...

  9. Current issues with research support

    Energy Technology Data Exchange (ETDEWEB)

    Russell, W.T.

    1996-03-01

    It would be difficult to condense current issues in nuclear reactor regulation to just a few minutes. So, let me start off by saying that I have not tried to give a comprehensive listing of issues that are currently facing the reactor program, but rather to select those that I thought were relevant as they relate to research activities. Use of probabilistic risk assessment in regulatory decisions; materials aging issues concerning steam generators and reactor vessels; high burnup fuels; accident management; and digital instrumentation and control, are just a sampling of the important issues that I want to talk about.

  10. Current trends in research and clinical issues in the study of personality and its disorders: a survey of the presentations at the ISSPD anniversary congress.

    Science.gov (United States)

    Simonsen, Erik; Sørensen, Per; Pedersen, Liselotte

    2014-10-01

    The International Society for the Study of Personality Disorders (ISSPD) celebrated its 25th anniversary in September 2013 in Copenhagen and commemorated the First International Congress at the same site. The overall theme of the congress was "Bridging Personality and Psychopathology: The Person Behind the Illness." More than 400 abstracts were submitted, and the program included 8 keynote presentations, 18 invited symposia, a debate on current controversial issues in the classification of personality disorders (Fossati, Tyrer, Livesley, and Krueger), an ISSPD award lecture (Silk), a jubilee lecture (Simonsen), a young researchers' symposium (Hopwood, Sharp, and Kaess), and special lectures on the Danish philosopher Soeren Kierkegaard and the poet Hans Christian Andersen. In this article we will survey the presentations and highlight the important issues in order to underline the current trends in research and clinical interests in personality disorders. The keynote video presentations, invited symposia, and slide presentations are freely available at www.isspd2013.com.

  11. Current Issues in Maritime Health

    DEFF Research Database (Denmark)

    Wagtmann, Maria Anne

    2008-01-01

     In the early part of 2008, Maria Anne Wagtmann had the opportunity to interview the former president of the International Maritime Health Association, Dr. Tim Carter, in London about a number of current maritime health issues. In this interview, Dr. Tim Carter, who is cur­rently employed...

  12. Current Issues Affecting the Practice of Pediatric Orthopaedic Surgeons: Results of the 2014 Workforce Survey of American Academy of Pediatrics Section on Orthopaedics.

    Science.gov (United States)

    Hosseinzadeh, Pooya; Copley, Lawson; Ruch-Ross, Holly; Schwend, Richard M; Sawyer, Jeffrey R

    2016-09-22

    The opinions of the pediatric orthopaedic workforce are shaped by market forces, regulatory processes, and local experience. The purpose of this report is to summarize the findings of the recent Workforce Survey of the American Academy of Pediatrics (AAP) Section on Orthopaedics (SOOr). This submission has been reviewed and approved by the Board of Directors of the Pediatric Orthopaedic Society of North America (POSNA). In 2014, the AAP generated a survey to assess perceptions of pediatric orthopaedic surgeons about current issues that affect practice. The survey was sent to 856 POSNA and 141 AAP-SOOr members. Responses were topically organized to report current workforce composition, practice patterns, and perceptions about electronic medical records (EMRs). Responses were collected from August to December, 2014, from 496 (50%) survey recipients including 83 of 141 (59%) AAP-SOOr members and 413 of 856 (48%) POSNA members. Analyses were restricted to the 397 respondents who reported that they are currently practicing pediatric orthopaedics. Nearly all of these (390/391, 100%) indicated that they provide direct patient care and work an average of 60 hours per week. Many (105/378, 28%) indicated that they would soon limit their practice or retire. A majority (299/394, 76%) indicated that they face competition in their geographic area, predominantly due to pediatric orthopaedic subspecialists (269/299, 90%). Major business changes had recently occurred or were anticipated by 21% of participants. Respondents reported that use of EMR makes them less efficient (252/397, 63%) and interferes with the patient-physician relationship (172/397, 43%). This workforce survey suggests that pediatric orthopaedic surgeons are concerned with challenges of competition despite concurrent increasing volume and complexity of referrals. External processes such as EMR changes are perceived to negatively impact practice efficiency and satisfaction.

  13. Power quality issues current harmonics

    CERN Document Server

    Mikkili, Suresh

    2015-01-01

    Power Quality Issues: Current Harmonics provides solutions for the mitigation of power quality problems related to harmonics. Focusing on active power filters (APFs) due to their excellent harmonic and reactive power compensation in two-wire (single phase), three-wire (three-phase without neutral), and four-wire (three-phase with neutral) AC power networks with nonlinear loads, the text:Introduces the APF technology, describing various APF configurations and offering guidelines for the selection of APFs for specific application considerationsCompares shunt active filter (SHAF) control strategi

  14. Galactic Archaeology: Current Surveys

    CERN Document Server

    Wyse, Rosemary F G

    2016-01-01

    I present an overview of the science goals and achievements of ongoing spectroscopic surveys of individual stars in the nearby Universe. I include a brief discussion of the development of the field of Galactic Archaeology - using the fossil record in old stars nearby to infer how our Galaxy evolved and place the Milky Way in cosmological context.

  15. Sampling survey methodology issues of SBS- survey

    OpenAIRE

    Liljana Boci; Elona Berberi

    2015-01-01

    This paper aims at providing an insight on what is required to build an efficient and high quality business statistics from sample survey procedures, and on the effective and appropriate use of survey data in analysis. It aims at describing a general overview of what is required to have a good survey estimate. It shows in practice how to estimate characteristics of the population in SBS considering: weighting, non-response adjustments, post stratification, estimating a population totals, the ...

  16. Sampling survey methodology issues of SBS- survey

    Directory of Open Access Journals (Sweden)

    Liljana Boci

    2015-07-01

    Full Text Available This paper aims at providing an insight on what is required to build an efficient and high quality business statistics from sample survey procedures, and on the effective and appropriate use of survey data in analysis. It aims at describing a general overview of what is required to have a good survey estimate. It shows in practice how to estimate characteristics of the population in SBS considering: weighting, non-response adjustments, post stratification, estimating a population totals, the identification and treatment of outliers, and analyses of coefficient of variation. It provides sources of errors and gives recommendations of how to improve them throw sample survey techniques.

  17. Current bioethical issues in parasitology.

    Science.gov (United States)

    Boury, D; Dei-Cas, E

    2008-09-01

    Parasitic diseases constitute the most common infections among the poorest billion people, entailing high mortality rates and leading to long-term infirmities and poverty. Although the setting-up of public health programs implies many ethical consequences, the range of specific questions in parasitology that can be attributed to bioethics remains, to a large extent, unexplored. From the present analysis, it emerged three main issues which characterize ethical stakes in parasitology: accounting the complexity of the field of intervention, putting the principle of justice into practice and managing the changing context of research. From the research angle, medical parasitology-mycology, as other biological disciplines, is undergoing tensions derived from biological reductionism. Thanks to its links with the history and philosophy of the sciences, bioethics can help to clarify them and to explain the growing hold that technologies have over scientific thinking. On the whole, researchers as well as clinicians are called on to assume a specific responsibility, proportional to their competence and their place in the making of scientific, health, economic and social decisions.

  18. Current issues in peripheral neuropathy.

    Science.gov (United States)

    Brannagan, Thomas H

    2012-05-01

    Twenty million people in the United States are estimated to have peripheral neuropathy. However, many patients are not aware of their diagnosis, are not given the diagnosis or being treated, or the diagnosis is delayed. Currently, the only treatments available for neuropathy are aimed at treating the underlying medical conditions that cause the neuropathy or treating symptoms such as pain. Neither treats the actual nerve fiber dysfunction or fiber loss, or helps nerve fibers regenerate. Idiopathic neuropathy, that is neuropathy for which a cause is not identified, is common, accounting in referral series for 25% in all neuropathy patients and 50% or more of patients with small fiber neuropathy. Currently, there is only one FDA-approved medication for a specific neuropathy (chronic inflammatory demyelinating polyneuropathy) while there are two FDA approved medications for diabetic neuropathy pain and four that are approved for post-herpetic neuralgia pain. For many patients with painful neuropathy, these medications are ineffective or not tolerated. Continued research into the underlying mechanisms of neuropathy and an increased understanding of nerve regeneration and neuropathic pain are needed to address this unmet medical need among patients with neuropathy.

  19. [Current issues in medical liability].

    Science.gov (United States)

    Kaatsch, H J

    1987-01-01

    Currently, liability discussions are being dominated by AIDS and the legal problems associated with birth and death. The introduction of routine AIDS tests without the knowledge of those concerned is disputed heatedly and, in fact, may well constitute bodily assault and render those responsible liable to prosecution. In AIDS cases, the apparent breach of the Hippocratic oath of secrecy by Physicians can be justified on the grounds of both the extraordinary circumstances prevailing and conflicting duties. The transmission of AIDS could give rise to prosecution for causing bodily injury or manslaughter. The drawing up of a law to protect embryos is designed to establish legal constraints in the fields of reproduction and gene technology. In reframing section 168 StGB, which provides protection to the dead embryo, legislators assume that the head of a medical clinic is the lawful custodian of the corpse of a person who has died in his institution. This should help to resolve many of the problems arising from post-mortem examinations. The questions of euthanasia and medical assistance in cases of suicide were raised at the 1986 Conference of German Lawyers. Whereas medical treatment that could be considered as interference with the natural process of dying may be withdrawn in the case of irreversible terminal suffering, active euthanasia, i.e. the deliberate killing of a terminal patient, was rejected. With regard to noninterference in a suicide attempt by a third party, the free decision of the person wishing to commit suicide should be respected. In general, however, the maxim in dubio pro vita should be respected and where any doubt exists, an attempt should be made to save the person's life.

  20. Electromigration Issues in High Current Horn

    CERN Document Server

    Zhang, Wu; Hseuh, Brigitte; Sandberg, Jon; Simos, Nikolaos; Tuozzolo, Joseph; Weng, Wu-Tsung

    2005-01-01

    The secondary particle focusing horn for the AGS neutrino experiment proposal is a high current and high current density device. The peak current of horn is 300 kA. At the smallest area of horn, the current density is near 8 kA/mm2. At very high current density, a few kA/mm2, the electromigration phenomena will occur. Momentum transfer between electrons and metal atoms at high current density causes electromigration. The reliability and lifetime of focusing horn can be severely reduced by electromigration. In this paper, we discuss issues such as device reliability model, incubation time of electromigration, and lifetime of horn.

  1. Canada - gas supply, demand and current issues

    Energy Technology Data Exchange (ETDEWEB)

    Vollman, K.W. [National Energy Board, Calgary, AB (Canada)

    1996-12-01

    This paper examines the trends in natural gas supply and demand during the decade since deregulation, and provides an assessment of the degree to which the goals of the deregulation agreement have been met. The author then turns to a discussion of current issues in the natural gas industry as seen from a regulator`s perspective. The issues discussed include: excess deliverability and price; pipeline integrity; the Canadian Environmental Assessment Act; new pipeline certification; pipeline jurisdiction; export licensing; financial regulation; and electronic information exchange. (Author)

  2. Current health issues in Korean adolescents

    Directory of Open Access Journals (Sweden)

    Chang Ho Hong

    2011-10-01

    Full Text Available During the adolescent period, they experience rapid physical, emotional, cognitive developments while they establish their lifestyle and habitual routines that strongly influence adult health and life. Recent rapid economic growth in Korea, and the earlier onset of physical, sexual, and psychological maturation of adolescents, has resulted in changes in the health status of adolescents from many years ago. Risk-taking behaviors such as drinking alcohol, smoking, and sexual experiences are critical issues that affect the health of, adolescents. Therefore, it is important for pediatricians to note the that risk-taking behaviors of adolescents in Korea that are caused by individual psychosocial factors. This review article illustrates the current health status of Korean adolescents and provides an overview of risktaking behaviors, to inform pediatricians about some of the key issues.

  3. Reforming health care in Canada: current issues

    Directory of Open Access Journals (Sweden)

    Baris Enis

    1998-01-01

    Full Text Available This paper examines the current health care reform issues in Canada. The provincial health insurance plans of the 1960s and 1970s had the untoward effects of limiting the federal government's clout for cost control and of promoting a system centered on inpatient and medical care. Recently, several provincial commissions reported that the current governance structures and management processes are outmoded in light of new knowledge, new fiscal realities and the evolution of power among stake-holders. They recommend decentralized governance and restructuring for better management and more citizen participation. Although Canada's health care system remains committed to safeguarding its guiding principles, the balance of power may be shifting from providers to citizens and "technocrats". Also, all provinces are likely to increase their pressure on physicians by means of salary caps, by exploring payment methods such as capitation, limiting access to costly technology, and by demanding practice changes based on evidence of cost-effectiveness.

  4. Module Technology: Current Practice and Issues (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Wohlgemuth, J.

    2010-10-05

    PV modules must provide mechanical support for the cells, protect the world from the voltages inside, protect the cells, diodes and interconnects from the weather outside, couple as much light as possible into the PV cells and minimize the temperature increase of the cells. The package must continue to serve these functions for at least 25 years as that is the typical module warranty period today. Furthermore the package must do all this for as low a cost as possible since the key to large scale PV growth is a reduction in cost while retaining excellent module reliability and durability. This paper will review current module construction practices for both crystalline silicon and thin film PV with emphasis on explaining why the present designs and materials have been selected. Possible long term issues with today's designs and materials will be discussed. Several proposed solutions to these issues will be presented, highlighting the research efforts that will be necessary in order to verify that they can cost effectively solve the identified issues.

  5. Current ethical issues in animal biotechnology.

    Science.gov (United States)

    Thompson, Paul B

    2008-01-01

    The present paper reviews the current status of opinion and debate regarding ethical issues in three broad categories of relevance to animal biotechnology. The first is scientific integrity, where the focus has been on scientific fraud and the integrity of the research process. The second concerns possible harms or risks to parties affected either directly by research (including animals themselves) or through the eventual commercialisation or development of products from animal biotechnology. The final category concerns a responsibility to serve as a guardian of the public interest with respect to application and development of technologies derived from new genetic sciences. It is plausible to see the scientific community as a whole having such a fiduciary obligation to the broader public in virtue of the technical complexity of the issues and owing to the public funding and institutional support for scientific research. The overall conclusion is that in the latter two categories especially, there is an urgent need for new participation in deliberative consideration of ethical issues by working scientists.

  6. Medicare Current Beneficiary Survey - Limited Data Set

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medicare Current Beneficiary Survey (MCBS) is a continuous, multipurpose survey of a representative national sample of the Medicare population. There are two...

  7. Current Issues of Engineering Education under Globalized Society

    Science.gov (United States)

    Kim, Kwang Sun

    A global world has recently expedited the international collaboration and network among engineering education societies including their scholars. The current issues of engineering education societies have been raised and discussed and those are various topics such as accreditation issues, current trends in engineering and technology education, government policies, innovations, program and project based learning, social sciences in engineering and technology education, university-industry joint programs, human resource development and engineering education, university linkage with K-12, role of engineering education in sustainable development, and the others. Among the variety of issues and topics, the hottest topic is relating to “innovations” of engineering education system. The innovative direction of engineering education in Korea has been reported along with that of USA, whose role has been one of major parts in innovation for the global engineering education system. The recent survey by IFEES (International Federation of Engineering Education Societies) has also been analyzed to consider the current three biggest challenges of global engineering education societies.

  8. Can Weighting Compensate for Sampling Issues in Internet Surveys?

    NARCIS (Netherlands)

    Vaske, J.J.; Jacobs, M.H.; Sijtsma, M.T.J.; Beaman, J.

    2011-01-01

    While Internet surveys have increased in popularity, results may not be representative of target populations. Weighting is commonly used to compensate for sampling issues. This article compared two surveys conducted in the Netherlands—a random mail survey (n = 353) and a convenience Internet survey

  9. MEMS Packaging - Current Issues and Approaches

    Energy Technology Data Exchange (ETDEWEB)

    DRESSENDORFER,PAUL V.; PETERSON,DAVID W.; REBER,CATHLEEN ANN

    2000-01-19

    The assembly and packaging of MEMS (Microelectromechanical Systems) devices raise a number of issues over and above those normally associated with the assembly of standard microelectronic circuits. MEMS components include a variety of sensors, microengines, optical components, and other devices. They often have exposed mechanical structures which during assembly require particulate control, space in the package, non-contact handling procedures, low-stress die attach, precision die placement, unique process schedules, hermetic sealing in controlled environments (including vacuum), and other special constraints. These constraints force changes in the techniques used to separate die on a wafer, in the types of packages which can be used in the assembly processes and materials, and in the sealing environment and process. This paper discusses a number of these issues and provides information on approaches being taken or proposed to address them.

  10. Current safety issues of CANDU licensing

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y. [University of Ottawa, Ottawa (Canada); Natalizio, A. [ENSAC Associates, Ontario (Canada)

    1994-01-15

    As requested by Korea Institute of Nuclear Safety(KINS), the status of five generic licensing issues has been examined and their potential impact on a new plant that would be constructed in Canada has been evaluated. The results and conclusions of this evaluation are summarized as follows: steam explosion in calandria, hydrogen explosion in containment, use of PSA in reactor licensing, human factors, safety critical software.

  11. Urban air quality management - current issues

    Energy Technology Data Exchange (ETDEWEB)

    Chaplin, N. [Sheffield City Council, Sheffield (United Kingdom). Environment and Regulatory Services; Virtanen, T. [Helsinki Metropolitan Area Council, Helsinki (Finland); Mladonicky, P. [National Centre of Health Promotion, Bratislava (Slovakia)

    2002-07-01

    In 1996 the EC adopted the Ambient Air Quality and Assessment Directive, which is designed to provide a comprehensive strategy for the management of air quality in Member States, linking controls on emissions with the attainment of air quality objectives. The subsequent Daughter Directives provide limit values, based on health effects, for specified pollutants. In essence Member States have to monitor and assess air quality and where necessary draw up air pollution minimisation plans. This paper explores the practical issues facing three European cities, Sheffield, Helsinki and Bratislava as they face the challenge of implementing action necessary to bring about improvements in air quality by 2010. There are very different problems to resolve due to each City's particular characteristics, although they all share the same cause of the problem - road traffic. Although the technical solutions appear to be relatively straight forward each city faces the problems of trying to educate its citizens, to bring about changes in individual behaviour so that everyone can benefit from better air quality. Sheffield now faces an added level of complexity as its economic performance is below the European average and it has attained Objective 1 status which will introduce a huge investment to kick start the economy and make sure it continues to thrive. (orig.)

  12. Sedation in gastrointestinal endoscopy: current issues.

    Science.gov (United States)

    Triantafillidis, John K; Merikas, Emmanuel; Nikolakis, Dimitrios; Papalois, Apostolos E

    2013-01-28

    Diagnostic and therapeutic endoscopy can successfully be performed by applying moderate (conscious) sedation. Moderate sedation, using midazolam and an opioid, is the standard method of sedation, although propofol is increasingly being used in many countries because the satisfaction of endoscopists with propofol sedation is greater compared with their satisfaction with conventional sedation. Moreover, the use of propofol is currently preferred for the endoscopic sedation of patients with advanced liver disease due to its short biologic half-life and, consequently, its low risk of inducing hepatic encephalopathy. In the future, propofol could become the preferred sedation agent, especially for routine colonoscopy. Midazolam is the benzodiazepine of choice because of its shorter duration of action and better pharmacokinetic profile compared with diazepam. Among opioids, pethidine and fentanyl are the most popular. A number of other substances have been tested in several clinical trials with promising results. Among them, newer opioids, such as remifentanil, enable a faster recovery. The controversy regarding the administration of sedation by an endoscopist or an experienced nurse, as well as the optimal staffing of endoscopy units, continues to be a matter of discussion. Safe sedation in special clinical circumstances, such as in the cases of obese, pregnant, and elderly individuals, as well as patients with chronic lung, renal or liver disease, requires modification of the dose of the drugs used for sedation. In the great majority of patients, sedation under the supervision of a properly trained endoscopist remains the standard practice worldwide. In this review, an overview of the current knowledge concerning sedation during digestive endoscopy will be provided based on the data in the current literature.

  13. Reproductive rights: Current issues of late abortion

    Directory of Open Access Journals (Sweden)

    Mujović-Zornić Hajrija

    2009-01-01

    Full Text Available This article considers the legal issues surrounding induced late abortion in cases when severe medical, therapeutic or ethical reasons have not been in dispute. Generally discussing the essential question about abortion today, it means not anymore legality of abortion but, in the first place, safety of abortion. From the aspect of woman health the most important aim is to detect and avoid possible risks of medical intervention, such as late abortion present. This is the matter of medical law context and also the matter of the woman's reproductive rights, here observed through legislation and court practice. The gynecologist has an obligation to obtain the informed consent of each patient. Information's should be presented in reasonably understandable terms and include alternative modes of treatment, objectives, risks, benefits, possible complications, and anticipated results of such treatment. Pregnant woman should receive supportive counseling before and particularly after the procedure. The method chosen for all terminations should ensure that the fetus is born dead. This should be undertaken by an appropriately trained practitioner. Reform in abortion law, making it legally accessible to woman, is not necessarily the product of a belief in woman's rights, but can be a means of bringing the practice of abortion back under better control. Counseling and good medical practice in performing late abortion are the instruments to drive this point even further home. It does not undermine the woman who wants to make a positive decision about her life and its purpose is not to produce feelings of insecurity and guilt. It concludes that existing law should not be changed but that clear rules should be devised and board created to review late term abortion. In Serbia, this leads to creation and set up guidelines for reconciling medical justification for late abortion with existing law, especially with solutions which brings comparative law. .

  14. Cooperatives in Serbia: Evolution and current issues

    Directory of Open Access Journals (Sweden)

    Chroneos-Krasavac Biljana

    2015-01-01

    Full Text Available Cooperatives in Serbia have long history, evolving from big traditional families to the contemporary social networked organizations and even private companies acting like coops. Current legal framework, on one side, enables many possibilities, but on the other side prevents further development of cooperatives. An interview of key players in the coop sector was one of the research methods. Other methods include historical method, comparative analysis method and case study method. In conclusion, the major obstacle for the further coops development in Serbia is legal status of ownership. Other obstacles are: the level of state interference, the loyalty of primary producers and participants, the average land size per households, etc. The paper includes three parts: historical evolution, successful case study and framework for future development.

  15. Hidden Curriculum as One of Current Issue of Curriculum

    Science.gov (United States)

    Alsubaie, Merfat Ayesh

    2015-01-01

    There are several issues in the education system, especially in the curriculum field that affect education. Hidden curriculum is one of current controversial curriculum issues. Many hidden curricular issues are the result of assumptions and expectations that are not formally communicated, established, or conveyed within the learning environment.…

  16. Current Water Issues Faced with Tianjin

    Institute of Scientific and Technical Information of China (English)

    刘柳

    2009-01-01

    Tianjin is the third biggest city in China,but currently facing a severe water shortage.Historically,due to Tianjin's geographic location it is a water rich city,but over the past 50 decades has become a water poor area.Over all both quality and quantity of Tianjin's water resource are declining.Recommendations arc made to resolve this water problem in different aspects.%天津作为中国的直辖市之一,目前面临着严重水资源短缺的问题.在历史上,因为它的地理位置,天津是水资源丰富的城市.然而近几十年来天津已经成为水资源极度匮乏地区.天津水资源的数量和质量都在急刷下降.在这篇文章中提出了一些建议来帮助解决这些水问题.

  17. Paramedics: A Survey of the Issues.

    Science.gov (United States)

    Lave, Judith R.; And Others

    This report examines some of the issues surrounding the use of paramedic personnel. Following background information, emphasis is placed on programs and demonstration projects, training programs, the potential role of paramedics, the potential functions of paramedics, quality of care, acceptance of paramedics by patients and other personnel, the…

  18. Communicative Language Testing: Current Issues and Future Research

    Science.gov (United States)

    Harding, Luke

    2014-01-01

    This article discusses a range of current issues and future research possibilities in Communicative Language Testing (CLT) using, as its departure point, the key questions which emerged during the CLT symposium at the 2010 Language Testing Forum. The article begins with a summary of the 2010 symposium discussion in which three main issues related…

  19. [Current situation of health surveys in Spain].

    Science.gov (United States)

    Requena, María Luisa; Suárez, Mónica; Pérez, Óscar

    2013-01-01

    To describe the evolution of health interview surveys in Spain (as of 01/01/2012), whether national or regional, its main characteristics and methodology, and in the case of general health surveys (GHIS), its contents. An adapted version of Eurostat quality control template European Health Interview Survey Technical and Methodological Report was filled in by those responsible for GHIS in each region (autonomous communities) and at the national level. The first part (11 questions) gathers general information about health surveys, both GHIS and surveys targeted to specific populations or health problems (SHIS). The second part (109 questions) asks about methodological characteristics of most recent GHIS. 1) regional or supra-regional scope; 2) for the second part, GHIS currently active series. Quality control was performed using double data entry and validated by informants.100 HIS were identified. 16 were GHIS and 84 SHIS. 32 (38%) of the latter were national and 52 (62%) regional. Nutrition 21 (25%), drug use 10 (12%), opinion polls 7 (9%) and dental health 7 (9%) were the most frequent topics in SHIS. Highest GHIS density was reached after year 2000, with several surveys on field at a time (mode=3). 11 GHIS (2 national, 9 regional) met inclusion criteria for the second part. All complied with general quality benchmarks. Few differences were observed in content.GHIS show more similarities than differences in objectives, methods and content. Rationalization and harmonization are needed. Physical activity, alcohol consumption, quality of life and mental health instruments are not yet consensual. Valid and comparable data are required on health status and its determinants to inform health policy.

  20. Current issues in libraries, information science and related fields

    CERN Document Server

    Woodsworth, Anne

    2015-01-01

    This volume is unusual in that the theme is quite broad in scope yet focused on a specific topic; innovations and boundary-pushing studies in areas not usually found in library literature. It examines the periphery of the field surveyed in previous volumes. The chapters are grouped in two categories: professional issues and transforming services.

  1. Current Issues in LPP Research and Their Impact on Society

    Science.gov (United States)

    Darquennes, Jeroen

    2013-01-01

    After a very broad description of what language policy and planning is about this paper presents an overview of some of the current preoccupations of researchers focusing on language policy and planning as one of the blooming fields of applied linguistics. The current issues in language policy and planning research that are dealt with include…

  2. A Study of Current Trends and Issues Related to Technical/Engineering Design Graphics.

    Science.gov (United States)

    Clark, Aaron C.; Scales Alice

    2000-01-01

    Presents results from a survey of engineering design graphics educators who responded to questions related to current trends and issues in the profession of graphics education. Concludes that there is a clear trend in institutions towards the teaching of constraint-based modeling and computer-aided manufacturing. (Author/YDS)

  3. Lubbock Gin Lab - Current Research and Leaf Grade Issues

    Science.gov (United States)

    This presentation was given to a group of cotton gin managers and allied industry reps. Approximately 100 attendees were in the audience. A discussion of the current research conducted at the USDA ARS CPPRU Ginning Laboratory in Lubbock, TX was given along with a discussion of leaf grade issues and ...

  4. Exploring Current Issues through the Hot Topics Poster

    Science.gov (United States)

    Nisbett, Nancy

    2012-01-01

    This paper describes a research paper and poster assignment used in an undergraduate leisure and human behavior course. The intent of this learning activity is to increase student knowledge of current issues within the industry as well as to enhance students' professional communication skills. A description of the assignment is shared along with…

  5. Current Issues for Higher Education Information Resources Management.

    Science.gov (United States)

    CAUSE/EFFECT, 1995

    1995-01-01

    Current issues that are important for the future of information resources management in higher education are presented. They include: integrating planning for information resources within institution-wide strategic planning; reengineering fundamental services; change management; distributed computing support; networking; the changing communication…

  6. Internet governance origins, current issues, and future possibilities

    CERN Document Server

    Balleste, Roy

    2015-01-01

    Internet Governance: Origins, Current Issues, and Future Possibilities provides an introductory, multidisciplinary account of the forces at work in the evolving concept of internet governance and includes computer history, Internet beginnings, institutions and stakeholders, proposed models of governance, and human rights.

  7. 31 CFR 317.4 - Issuing agents currently qualified.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Issuing agents currently qualified. 317.4 Section 317.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY BUREAU OF THE PUBLIC DEBT REGULATIONS GOVERNING AGENCIES...

  8. Current issues in the analysis of consumer food choice

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2001-01-01

    The Total Food Quality Model is used as a framework for highlighting a number of issues of current concern in understanding consumer food choice, and where promising avenues for research are seen. Consumer food choice is seen as a process where consumers form expectations about product quality be...... a stronger role. In addition, everyday routines in information processing and decision-making may change under situations of crisis.......The Total Food Quality Model is used as a framework for highlighting a number of issues of current concern in understanding consumer food choice, and where promising avenues for research are seen. Consumer food choice is seen as a process where consumers form expectations about product quality...... before or during purchase, and then have a quality experience after the purchase. However, an increasing role of credence characteristics in food choice assigns communication a stronger role in understanding food choice, and consumer concern for food production technologies gives prior attitudes...

  9. Current Issues in the Classification of Psychotic Major Depression

    Science.gov (United States)

    Keller, Jennifer; Schatzberg, Alan F.; Maj, Mario

    2007-01-01

    Depression is one of the most common mental disorders worldwide. There are a number of depression subtypes, and there has been much debate about how to most accurately capture and organize the features and subtypes of major depression. We review the current state of categorizing unipolar major depression with psychotic features (psychotic major depression, PMD), including clinical, biological, and treatment aspects of the disorder. We then propose some improvements to the current unipolar major depression categorization system. Finally, we identify important issues in need of further research to help elucidate the subtype of unipolar PMD. PMID:17548842

  10. Cancer screening in the United States, 2016: A review of current American Cancer Society guidelines and current issues in cancer screening.

    Science.gov (United States)

    Smith, Robert A; Andrews, Kimberly; Brooks, Durado; DeSantis, Carol E; Fedewa, Stacey A; Lortet-Tieulent, Joannie; Manassaram-Baptiste, Deana; Brawley, Otis W; Wender, Richard C

    2016-01-01

    Each year the American Cancer Society (ACS) publishes a summary of its guidelines for early cancer detection, data and trends in cancer screening rates, and select issues related to cancer screening. In this issue of the journal, we summarize current ACS cancer screening guidelines, including the update of the breast cancer screening guideline, discuss quality issues in colorectal cancer screening and new developments in lung cancer screening, and provide the latest data on utilization of cancer screening from the National Health Interview Survey.

  11. Female sex trafficking: conceptual issues, current debates, and future directions.

    Science.gov (United States)

    Meshkovska, Biljana; Siegel, Melissa; Stutterheim, Sarah E; Bos, Arjan E R

    2015-01-01

    Female sex trafficking is a pressing concern. In this article, we provide a comprehensive overview of relevant issues regarding the concept of female sex trafficking and research in the field of human trafficking, drawing on a variety of disciplines, including economics, gender and sexuality studies, psychology, sociology, law, and social work. We discuss the debates surrounding the definition of human trafficking, compare and contrast it with human smuggling, and outline connections between female sex trafficking and the issue of sex work and prostitution. We further discuss the history and current estimations of female sex trafficking. We then outline the main actors in female sex trafficking, including trafficked persons, traffickers, clients, and service providers, and we overview the trafficking process from recruitment to identification, recovery, and (re)integration. Finally, we conclude with recommendations for future research that tie together the concepts of vulnerability, exploitation, and long-term recovery and (re)integration.

  12. Food and Health Some Current Issues and Future Trends

    OpenAIRE

    Gormley, T. R. (Thomas Ronan)

    1991-01-01

    This paper deals with some of the many current issues and future trends in the area of food, diet and health in Europe. A complete coverage would be impossible in a short article in view of the extent and complexity of the food system and its major interaction with health. It is also important to stress at the outset that food/diet is only one component of health and other factors such as environment, overall lifestyle and genetics also play a major role. The genetic dimension is of particula...

  13. Current issues in the analysis of consumer food choice

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2001-01-01

    The Total Food Quality Model is used as a framework for highlighting a number of issues of current concern in understanding consumer food choice, and where promising avenues for research are seen. Consumer food choice is seen as a process where consumers form expectations about product quality...... before or during purchase, and then have a quality experience after the purchase. However, an increasing role of credence characteristics in food choice assigns communication a stronger role in understanding food choice, and consumer concern for food production technologies gives prior attitudes...

  14. Electronic Health Record (EHR and Cloud Security: The Current Issues

    Directory of Open Access Journals (Sweden)

    Emmanuel Kusi Achampong

    2014-02-01

    Full Text Available With the advent of the cloud computing and its associated challenges, building a secured electronic health record (EHR in a cloud computing environment has attracted a lot of attention in both healthcare industry and academic community. Cloud computing concept is becoming a popular information technology (IT infrastructure for facilitating EHR sharing and integration. In this study we discuss security concepts related to EHR sharing and integration in healthcare clouds and analyse the arising security and privacy issues in access and management of EHRs. This paper focus on the current challenges that comes with the use of the cloud computing for EHR purposes.

  15. Current issues and future directions in pyrolysis of biomass

    Energy Technology Data Exchange (ETDEWEB)

    Preto, F. [Natural Resources Canada, Ottawa, ON (Canada). CANMET Energy Technology Centre

    2005-02-01

    Biomass is a diverse grouping of low energy content, low density and high moisture heterogenous materials. An overview of pyrolysis processes and procedures was presented with a list of potential applications for industrial processes and power generation. The chemical energy content of various fuels was presented and with the advantages of pyrolysis with reference to improved transport, handling and storage. Details of technical requirements were outlined along with some of the undesirable characteristics of biofuel including the highly corrosive nature of the fuel, pungency, high solids content, immiscibility with hydrocarbon fuels and the fact that over time, chemical composition shifts, resulting in increased viscosity and decreased volatility. Various issues concerning pyrolysis regarding current technologies, composition and standards, applications and biorefinery feedstock were summarized. A flow chart presenting the conversion of biomass to biofuel was provided. Various reactor types were also overviewed and included such as fluidized beds, transport, heated augers, vacuum pyrolysis and ablative and rotating cones. Details of pilot plants in Erie and Renfrew, Ontario were provided along with details of a plant in Alabama operating entirely on chicken litter. Various specifications for pyrolysis oils were presented. A chart of biofuel composition in mass fractions was provided, with an accompanying list of commonly quoted pyrolysis oil properties. A series of biofuel combustion tests conducted at CANMET Energy Technology Centre (CETC) in Ottawa were described. Photographs of the pre-test refractory were exhibited. Details of current research on drying kiln applications were outlined. The suitability of pyrolytic biofuel for producing microemulsion fuels was discussed. A biorefinery model was included. Challenges to biomass pyrolysis include feed preparation, scale-up issues, heat transfer to reactor rates, char separation, liquid collection, liquid quality

  16. Social survey findings on en route noise annoyance issues

    Science.gov (United States)

    Fields, James M.

    1990-01-01

    Most surveys of residents' reactions to aircraft noise were conducted in the vicinity of airports. The findings in those surveys have supported planning and regulatory actions for the airport noise environment. Now, however, aircraft noise planning and regulations are being considered for a new environment, the en route environment. As policy makers search for bases for public policy in these new noise environments, it is appropriate to ask whether the same scientific evidence which supports airport noise policy can also support en route noise policy. Several aspects of that question are considered. An introduction establishes the scope of the present study and examines alternative study methodologies. Next, the selected study methodology is described and important assumptions are listed. The body of the paper then consists of the findings on en route issues. The final section presents findings on relevant research methods and considers priorities for further research.

  17. Green Cellular Networks: A Survey, Some Research Issues and Challenges

    CERN Document Server

    Hasan, Ziaul; Bhargava, Vijay K

    2011-01-01

    Energy efficiency in cellular networks is a growing concern for cellular operators to not only maintain profitability, but also to reduce the overall environment effects. This emerging trend of achieving energy efficiency in cellular networks is motivating the standardization authorities and network operators to continuously explore future technologies in order to bring improvements in the entire network infrastructure. In this article, we present a brief survey of methods to improve the power efficiency of cellular networks, explore some research issues and challenges and suggest some techniques to enable an energy efficient or "green" cellular network. Since base stations consume a maximum portion of the total energy used in a cellular system, we will first provide a comprehensive survey on techniques to obtain energy savings in base stations. Next, we discuss how heterogenous network deployment based on micro, pico and femto-cells can be used to achieve this goal. Since cognitive radio and cooperative rela...

  18. Current Issues in Kaon Photoelectro-Production off the Nucleon

    CERN Document Server

    Achenbach, Patrick

    2011-01-01

    The electromagnetic kaon production amplitudes associated to Lambda/Sigma hyperons can be described by phenomenological models, most notably by isobar approaches. Experimental data on kaon production have been collected at ELSA, SPring8, GRAAL, LNS Tohoku, and Jefferson Lab in the past, the measurements at Jefferson Lab providing the largest kinematic coverage and statistical significance. However, ambiguities inherent in the models, some data inconsistency in the cross-sections taken at different laboratories, and the problem of missing acceptance in forward direction of the experimental set-ups hinders a reliable extraction of resonance parameters. Predictions for the hypernuclear photo-production cross-section rely on a consistent and comprehensive description of the elementary process at forward kaon angles, where the current strong variation of the models is very unsatisfactory. A number of new experiments are now addressing these issues, among them the charged kaon electro-production programme with the ...

  19. A Review of Current Issues Underlying Colon Cleansing before Colonoscopy

    Directory of Open Access Journals (Sweden)

    Lawrence C Hookey

    2007-01-01

    Full Text Available The present review examines four current issues related to the efficacy, patient tolerance and safety of the following bowel cleansing agents: oral sodium phosphate (NaP, polyethylene glycol (PEG and magnesium citrate (Pico-Salax, Ferring Pharmaceuticals Inc, Canada, an agent recently made available in Canada. MedLine and PubMed databases were systematically searched to identify studies related to the efficacy of altered PEG solutions combined with adjunct treatments; the efficacy, tolerability and safety of Pico-Salax; the association between nephrocalcinosis, and chronic renal failure and oral NaP use; and the role of diet. Although lower volume PEG solutions combined with adjuvant agents were generally associated with better patient tolerance, their efficacy was varied and interpretation of this end point is complicated by study design issues. There are very few reported studies of Pico-Salax, and as a result, there are insufficient data to draw conclusions about the efficacy of this agent. The available data suggest that Pico-Salax may be better tolerated by patients, than oral NaP and PEG solutions. There is a paucity of hemodynamic monitoring data pre- and postadministration, but the available data suggests that this small-volume osmotic agent could cause subclinical contraction of the intravascular space. Recent case reports suggest an association between nephrocalcinosis and oral NaP ingestion, but to date, these reports have been confined to a single centre. Preliminary studies suggest that this is not a widespread problem, but more studies are needed. There are only a few studies examining diet and patient tolerability, but they do suggest that diet may be liberalized with some cleansing regimens to enhance tolerability without decreasing efficacy. The present review highlights current controversies and advances in colon cleansing before colonoscopy, and also identifies areas for further study.

  20. Current trends in research and clinical issues in the study of personality and its disorders

    DEFF Research Database (Denmark)

    Simonsen, Erik; Sørensen, Per; Pedersen, Liselotte

    2014-01-01

    lecture (Simonsen), a young researchers' symposium (Hopwood, Sharp, and Kaess), and special lectures on the Danish philosopher Soeren Kierkegaard and the poet Hans Christian Andersen. In this article we will survey the presentations and highlight the important issues in order to underline the current......The International Society for the Study of Personality Disorders (ISSPD) celebrated its 25th anniversary in September 2013 in Copenhagen and commemorated the First International Congress at the same site. The overall theme of the congress was "Bridging Personality and Psychopathology: The Person...... Behind the Illness." More than 400 abstracts were submitted, and the program included 8 keynote presentations, 18 invited symposia, a debate on current controversial issues in the classification of personality disorders (Fossati, Tyrer, Livesley, and Krueger), an ISSPD award lecture (Silk), a jubilee...

  1. Starting Over: Current Issues in Online Catalog User Interface Design.

    Science.gov (United States)

    Crawford, Walt

    1992-01-01

    Discussion of online catalogs focuses on issues in interface design. Issues addressed include understanding the user base; common user access (CUA) with personal computers; common command language (CCL); hyperlinks; screen design issues; differences from card catalogs; indexes; graphic user interfaces (GUIs); color; online help; and remote users.…

  2. Data-Flow Modeling: A Survey of Issues and Approaches

    OpenAIRE

    Cristina-Claudia DOLEAN; Razvan PETRUSEL

    2012-01-01

    This paper presents a survey of previous research on modeling the data flow perspective of business processes. When it comes to modeling and analyzing business process models the current research focuses on control flow modeling (i.e. the activities of the process) and very little attention is paid to the data-flow perspective. But data is essential in a process. In order to execute a workflow, the tasks need data. Without data or without data available on time, the control flow cannot be exe...

  3. Superresolution imaging: a survey of current techniques

    Science.gov (United States)

    Cristóbal, G.; Gil, E.; Šroubek, F.; Flusser, J.; Miravet, C.; Rodríguez, F. B.

    2008-08-01

    Imaging plays a key role in many diverse areas of application, such as astronomy, remote sensing, microscopy, and tomography. Owing to imperfections of measuring devices (e.g., optical degradations, limited size of sensors) and instability of the observed scene (e.g., object motion, media turbulence), acquired images can be indistinct, noisy, and may exhibit insuffcient spatial and temporal resolution. In particular, several external effects blur images. Techniques for recovering the original image include blind deconvolution (to remove blur) and superresolution (SR). The stability of these methods depends on having more than one image of the same frame. Differences between images are necessary to provide new information, but they can be almost unperceivable. State-of-the-art SR techniques achieve remarkable results in resolution enhancement by estimating the subpixel shifts between images, but they lack any apparatus for calculating the blurs. In this paper, after introducing a review of current SR techniques we describe two recently developed SR methods by the authors. First, we introduce a variational method that minimizes a regularized energy function with respect to the high resolution image and blurs. In this way we establish a unifying way to simultaneously estimate the blurs and the high resolution image. By estimating blurs we automatically estimate shifts with subpixel accuracy, which is inherent for good SR performance. Second, an innovative learning-based algorithm using a neural architecture for SR is described. Comparative experiments on real data illustrate the robustness and utilization of both methods.

  4. State of multicultural neuropsychological assessment in children: current research issues.

    Science.gov (United States)

    Byrd, Desiree; Arentoft, Alyssa; Scheiner, Diane; Westerveld, Michael; Baron, Ida Sue

    2008-09-01

    Scientific attention to cultural considerations in child neuropsychological assessment has not developed parallel to the focus these issues have received in adult and elderly neuropsychological assessment. There are limited data on the presence, magnitude, etiology, and implications of culture-related differences in cognitive test performance among children. This preliminary report reviews the available empirical literature on the current state of multicultural neuropsychological assessment in children. The review identified articles by searching PubMed and PsycINFO databases, and the tables of contents of Developmental Neuropsychology and Child Neuropsychology from 2003-2008. Of the 1,834 abstracts reviewed, ten papers met inclusion criteria for the review. Five studies were completed in America; four of these compared performance between ethnic groups while the fifth examined neighborhood level poverty indicators exclusively within African-American children. Of the five international studies, all established local normative data and/or were exploratory investigations of neuropsychological functions in specific cultural groups, including Taiwanese infants, South African youth, and bilingual British children. Taken together, the results yield important clinical and research data that begin to inform many of the complex and fascinating mechanisms by which ethnic identity and culture impact cognitive development and the neuropsychological assessment of children. A critique of the existing literature and directions for future research are provided.

  5. Metabolic syndrome in youth: current issues and challenges.

    Science.gov (United States)

    Huang, Terry T-K; Ball, Geoff D C; Franks, Paul W

    2007-02-01

    The current paper reviews the important issues and challenges facing children and adolescents with the metabolic syndrome (MetS). Studies suggest that the MetS and its risk components may be on the rise in children along with rising rates of obesity; however, further study remains warranted. The topics reviewed encompass the definition of the syndrome, its prevalence, clustering and tracking of metabolic risk factors, the role of physical activity and diet in the development of the MetS, criticisms and utility of the MetS definition, and special considerations needed in the pediatric population. Physical activity and diet may play important roles in the MetS; however, research with precise measurements of activity, diet, and metabolic outcomes is needed. The paper concludes by emphasizing that regardless of one's position in the ongoing debate about the MetS, the long-term risks attributable to each individual risk component are real. The abnormality of one component should automatically prompt the screening of other components. Among children and adolescents, lifestyle modification should always serve as the frontline strategy. Prevention during childhood is key to the largest possible impact on adult health at the population level.

  6. Keeping It Current: Using Technology to Teach about Social Issues

    Science.gov (United States)

    Sardone, Nancy B.; Devlin-Scherer, Roberta

    2010-01-01

    In thinking about teaching nonfiction, the authors acknowledge that many contemporary and important nonfiction texts that students should be encouraged to read take up social issues that are not easy to talk about or even to think about. They discovered that combining well-chosen nonfiction on social issues with specialized digital games and other…

  7. Automatic object recognition: critical issues and current approaches

    Science.gov (United States)

    Sadjadi, Firooz A.

    1991-08-01

    Automatic object recognition, with its diverse applications in numerous fields of science and technology, is permeating many aspects of military and civilian industries. This paper gives an overview of the issues confronting the automatic object recognition field and the approaches being used to address these issues.

  8. Cancer screening in the United States, 2015: a review of current American cancer society guidelines and current issues in cancer screening.

    Science.gov (United States)

    Smith, Robert A; Manassaram-Baptiste, Deana; Brooks, Durado; Doroshenk, Mary; Fedewa, Stacey; Saslow, Debbie; Brawley, Otis W; Wender, Richard

    2015-01-01

    Each year, the American Cancer Society (ACS) publishes a summary of its guidelines for early cancer detection along with a report on data and trends in cancer screening rates and select issues related to cancer screening. In this issue of the journal, we summarize current ACS cancer screening guidelines. The latest data on utilization of cancer screening from the National Health Interview Survey (NHIS) also is described, as are several issues related to screening coverage under the Affordable Care Act, including the expansion of the Medicaid program.

  9. Current Therapeutic Cannabis Controversies and Clinical Trial Design Issues.

    OpenAIRE

    2016-01-01

    This overview covers a wide range of cannabis topics, initially examining issue in dispensaries and self-administration, plus regulatory requirement for production of cannabis-based medicines, particularly the Food and Drug Administration Botanical Guidance. The remainder pertains to various cannabis controversies that certainly require closer examination if the scientific, consumer and governmental stakeholders are ever to reach consensus on safety issues, specifically: whether botanical can...

  10. Current Therapeutic Cannabis Controversies and Clinical Trial Design Issues

    OpenAIRE

    2016-01-01

    This overview covers a wide range of cannabis topics, initially examining issues in dispensaries and self-administration, plus regulatory requirements for production of cannabis-based medicines, particularly the Food and Drug Administration “Botanical Guidance.” The remainder pertains to various cannabis controversies that certainly require closer examination if the scientific, consumer, and governmental stakeholders are ever to reach consensus on safety issues, specifically: whether botanica...

  11. A Survey on Security Issues in Cloud Computing

    CERN Document Server

    Bhadauria, Rohit; Chaki, Nabendu; Sanyal, Sugata

    2011-01-01

    Cloud Computing holds the potential to eliminate the requirements for setting up of high-cost computing infrastructure for the IT-based solutions and services that the industry uses. It promises to provide a flexible IT architecture, accessible through internet for lightweight portable devices. This would allow many-fold increase in the capacity or capabilities of the existing and new software. In a cloud computing environment, the entire data reside over a set of networked resources, enabling the data to be accessed through virtual machines. Since these data centers may lie in any corner of the world beyond the reach and control of users, there are multifarious security and privacy challenges that need to be understood and taken care of. Also, one can never deny the possibility of a server breakdown that has been witnessed, rather quite often in the recent times. There are various issues that need to be dealt with respect to security and privacy in a cloud computing scenario. This extensive survey paper aims...

  12. Current Therapeutic Cannabis Controversies and Clinical Trial Design Issues

    Science.gov (United States)

    Russo, Ethan B.

    2016-01-01

    This overview covers a wide range of cannabis topics, initially examining issues in dispensaries and self-administration, plus regulatory requirements for production of cannabis-based medicines, particularly the Food and Drug Administration “Botanical Guidance.” The remainder pertains to various cannabis controversies that certainly require closer examination if the scientific, consumer, and governmental stakeholders are ever to reach consensus on safety issues, specifically: whether botanical cannabis displays herbal synergy of its components, pharmacokinetics of cannabis and dose titration, whether cannabis medicines produce cyclo-oxygenase inhibition, cannabis-drug interactions, and cytochrome P450 issues, whether cannabis randomized clinical trials are properly blinded, combatting the placebo effect in those trials via new approaches, the drug abuse liability (DAL) of cannabis-based medicines and their regulatory scheduling, their effects on cognitive function and psychiatric sequelae, immunological effects, cannabis and driving safety, youth usage, issues related to cannabis smoking and vaporization, cannabis concentrates and vape-pens, and laboratory analysis for contamination with bacteria and heavy metals. Finally, the issue of pesticide usage on cannabis crops is addressed. New and disturbing data on pesticide residues in legal cannabis products in Washington State are presented with the observation of an 84.6% contamination rate including potentially neurotoxic and carcinogenic agents. With ongoing developments in legalization of cannabis in medical and recreational settings, numerous scientific, safety, and public health issues remain. PMID:27683558

  13. Infectious Diseases: Current Issues in School and Community Health.

    Science.gov (United States)

    Bower, Wilma; And Others

    1986-01-01

    Some children in American schools have known and unknown communicable diseases, including herpes, cytomegalovirus, AIDS, mononucleosis, pinworms, and hepatitis. This article examines major public health issues, school responsibility, preventative measures (like basic hygiene), and the need for more effective community education programs. A disease…

  14. Current Issues in the Teaching of Grammar: An SLA Perspective

    Science.gov (United States)

    Ellis, Rod

    2006-01-01

    The study of how learners acquire a second language (SLA) has helped to shape thinking about how to teach the grammar of a second language. There remain, however, a number of controversial issues. This paper considers eight key questions relating to grammar pedagogy in the light of findings from SLA. As such, this article complements…

  15. Infectious Diseases: Current Issues in School and Community Health.

    Science.gov (United States)

    Bower, Wilma; And Others

    1986-01-01

    Some children in American schools have known and unknown communicable diseases, including herpes, cytomegalovirus, AIDS, mononucleosis, pinworms, and hepatitis. This article examines major public health issues, school responsibility, preventative measures (like basic hygiene), and the need for more effective community education programs. A disease…

  16. Current Issues in the Teaching of Grammar: An SLA Perspective

    Science.gov (United States)

    Ellis, Rod

    2006-01-01

    The study of how learners acquire a second language (SLA) has helped to shape thinking about how to teach the grammar of a second language. There remain, however, a number of controversial issues. This paper considers eight key questions relating to grammar pedagogy in the light of findings from SLA. As such, this article complements…

  17. Dialysis facility joint ventures--current structures and issues.

    Science.gov (United States)

    Riley, James B; Pristave, Robert

    2005-07-01

    With the ongoing consolidation of the health care industry, including renal care, providers and physicians alike are using joint ventures as a means to partner on business transactions. This article discusses the expanding use of joint ventures in health care, including the dialysis industry, and looks at the types of structures being utilized and key legal concerns relating to such structures and issues.

  18. Current issues of space law before the United Nations

    Science.gov (United States)

    Hosenball, S. N.

    1974-01-01

    The United Nations' activities in the area of space law and the accomplishments of the Outer Space Committee are discussed. Two draft conventions, the draft treaty on the moon and the draft treaty on the registration of space objects are considered. Other issues covered include the direct broadcast by satellite, the boundary between air space and outer space, and remote sensing from space.

  19. Family Counseling in Malaysia: Current Issues and Practices

    Science.gov (United States)

    Noor, Norhayati Mohd.

    2014-01-01

    The study is carried out to explore the issues and practices in family counselling among the family counsellors at few counseling centres in Malaysia. Qualitative approach of single case embedded units was used for the study. Data collection was done using in-depth interview, observation and document analysis with 12 family counsellors. The data…

  20. Aboriginal Self-Government in Canada: Current Trends and Issues. Purich's Aboriginal Issues Series.

    Science.gov (United States)

    Hylton, John H., Ed.

    This book contains 13 chapters analyzing important practical issues that must be addressed as Aboriginal self-government becomes fully operational in Canada. These issues are related to social problems and policies, criminal justice, community services, education, employment and job training, finance, the land base of government, women's rights…

  1. Joint Custody: Current Issues and Implications for Treatment.

    Science.gov (United States)

    Richards, Carol A.; Goldenberg, Irene

    1985-01-01

    Describes what joint physical custody involves, the kinds of families who currently have this type of custody arrangement, and the effects on parents and children. Current research supporting two perspectives on joint custody, one emphasizing the continuity of psychological care from one parent, the other emphasizing the importance of the father's…

  2. Access to Government-Generated Information: Current Issues and Implications.

    Science.gov (United States)

    Williamson, Linda E.

    1987-01-01

    Reviews both historical and current policies for access to government information, and discusses such current trends in government information as paperwork reduction, commercialization, privatization, and electronic publishing. The possible impact of these trends on the library's ability to provide access to information is briefly considered. (CLB)

  3. Ukraine: Current Issues and U.S. Policy

    Science.gov (United States)

    2016-10-27

    perception index , although that appears to be changing. The continued presence of a small group of old-time oligarchs who refuse to relinquish power or... Index . According to an investors’ survey, obstacles include corruption ; lack of trust in the judiciary; the conflict with Russia; an unstable...General Viktor Shokin, who many accused of running a corrupt office. Yatsenyuk’s term as prime minister ended on April 14, 2016, when the Rada voted

  4. Homosexuals and the U.S. Military: Current Issues

    Science.gov (United States)

    2009-07-22

    David F., “An Overview of the Debate on Homosexuals in the U.S. Military,” in Gays and Lesbians in the Military, Issues, Concerns, and Contrasts...policy not to accept gay or lesbian students into its programs and to require avowed homosexuals to disenroll and pay back their scholarship funds...a lesbian ” at a January 1993 rally. Her attorneys argued that she was not broadcasting her intentions to practice homosexuality but merely

  5. Ukraine: Current Issues and U.S. Policy

    Science.gov (United States)

    2014-02-26

    overwhelming majority of Ukrainians grew disgusted with the Ukrainian political class, according to opinion polls. What little remained of the ideals of...Maidan on December 10, Secretary of State John Kerry issued a statement expressing the United States’ “ disgust ” with the Ukrainian government’s...assistance to organizations in Ukraine engaged in repression . The resolution says the Department of State should “immediately consider” sanctions

  6. Physical punishment, culture, and rights: current issues for professionals.

    Science.gov (United States)

    Durrant, Joan E

    2008-02-01

    Once considered a legitimate parenting tool, physical punishment is increasingly being redefined as a developmental risk factor by health professionals. Three forces that have contributed to this significant social change are the evolution of pediatric psychology, increasing understanding of the dynamics of parental violence, and growing recognition of children as rights bearers. However, despite the consistency of research findings demonstrating the risks of physical punishment, some practitioners still struggle with the question of whether physical punishment is an appropriate practice among some cultural or ethnic groups. This issue is explored through an analysis of studies examining cultural differences and similarities in physical punishment's effects, as well as legal decisions made throughout the world. Despite practitioners' awareness of the prevalence and impact of parental violence, some still struggle with deciding where to "draw the line" in advising parents about spanking. This issue is addressed through an examination of the role that physical punishment plays in child maltreatment. Finally, the human rights perspective on physical punishment is offered as a new lens through which practitioners may view physical punishment to clarify the fuzzy issues of cultural relativity and the punishment-abuse dichotomy.

  7. MOS: A critical tool for current and future radio surveys

    CERN Document Server

    Smith, Daniel J B

    2015-01-01

    Since radio continuum observations are not affected by dust obscuration, they are of immense potential diagnostic power as cosmological probes and for studying galaxy formation and evolution out to high redshifts. However, the power-law nature of radio frequency spectra ensures that ancillary spectroscopic information remains critical for studying the properties of the faint radio sources being detected in rapidly-increasing numbers on the pathway to the Square Kilometre Array. In this contribution, I present some of the key scientific motivations for exploiting the immense synergies between radio continuum observations and multi-object spectroscopic surveys. I review some of the ongoing efforts to obtain the spectra necessary to harness the huge numbers of star-forming galaxies and AGN that current and future radio surveys will detect. I also touch on the WEAVE-LOFAR survey, which will use the WEAVE spectrograph currently being built for the William Herschel Telescope to target hundreds of thousands of low f...

  8. Surveying the Commons: Current Implementation of Information Commons Web sites

    Science.gov (United States)

    Leeder, Christopher

    2009-01-01

    This study assessed the content of 72 academic library Information Commons (IC) Web sites using content analysis, quantitative assessment and qualitative surveys of site administrators to analyze current implementation by the academic library community. Results show that IC Web sites vary widely in content, design and functionality, with few…

  9. Current issues in nursing Perle Slavik Cowen and Sue Moorhead Eighth edition Current issues in nursing Elsevier £40.99 859pp 9780323065719 0323065716 [Formula: see text].

    Science.gov (United States)

    2011-04-01

    THIS MUCH-LOVED book has, for the past 30 years, attempted to describe and discuss current issues facing nurses. new topics have been added for this, the eighth edition, with 85 chapters written by 129 different authors.

  10. Lactose crystallization: current issues and promising Engineering solutions

    OpenAIRE

    Rjabova, A.; Kirsanov, V.; Strizhko, M.; Bredikhin, A.; Semipyatnyi, V.; Chervetsov, V.; Galstyan, A.

    2013-01-01

    Current technological aspects of lactose crystallization are considered. A promising lactose crystallization method involving simulation seed crystals is reported. Advanced engineering solutions for continuous crystallization using spraying in vacuo and scraped-surface heat exchangers are presented.

  11. Cloud portability and interoperability issues and current trends

    CERN Document Server

    Di Martino, Beniamino; Esposito, Antonio

    2015-01-01

    This book offers readers a quick, comprehensive and up-to-date overview of the most important methodologies, technologies, APIs and standards related to the portability and interoperability of cloud applications and services, illustrated by a number of use cases representing a variety of interoperability and portability scenarios. The lack of portability and interoperability between cloud platforms at different service levels is the main issue affecting cloud-based services today. The brokering, negotiation, management, monitoring and reconfiguration of cloud resources are challenging tasks

  12. Current Situation and Issue of Industrial Accident Compensation Insurance

    Science.gov (United States)

    Kim, Inah; Rhie, Jeongbae; Yoon, Jo-Duk; Kim, Jinsoo

    2012-01-01

    Industrial Accident Compensation Insurance (IACI) has a history of about 50 yr, and is the oldest social insurance system in Korea. After more than 20 times of revision improvements in benefits, its contents and claim systems have been upgraded. It became the protector of injured workers and their families, and at the same time became the system which could cope with both financial burden of employers and their responsibilities. However, there are some issues to be reformed to upgrade the IACI: 1) the problems in the approval system of occupational diseases, 2) quality improvement of workers' compensation medical care, 3) vocational rehabilitation and return to work, 4) workers' compensation premiums and out-of-pocket money of injured workers, 5) issues in application of IACI. Growth of IACI cannot be achieved by an effort of an individual. Efforts by workers, owners, and government, in addition to physicians and welfare professionals toward the same goal are required for the next level improvement of IACI. PMID:22661871

  13. Dietary copper and human health: Current evidence and unresolved issues.

    Science.gov (United States)

    Bost, Muriel; Houdart, Sabine; Oberli, Marion; Kalonji, Esther; Huneau, Jean-François; Margaritis, Irène

    2016-05-01

    Although copper (Cu) is recognized as an essential trace element, uncertainties remain regarding Cu reference values for humans, as illustrated by discrepancies between recommendations issued by different national authorities. This review examines human studies published since 1990 on relationships between Cu intake, Cu balance, biomarkers of Cu status, and health. It points out several gaps and unresolved issues which make it difficult to assess Cu requirements. Results from balance studies suggest that daily intakes below 0.8 mg/day lead to net Cu losses, while net gains are consistently observed above 2.4 mg/day. However, because of an incomplete collection of losses in all studies, a precise estimation of Cu requirements cannot be derived from available data. Data regarding the relationship between Cu intake and potential biomarkers are either too preliminary or inconclusive because of low specificity or low sensitivity to change in dietary Cu over a wide range of intakes. Results from observation and intervention studies do not support a link between Cu and a risk of cardiovascular disease, cognitive decline, arthritis or cancer for intakes ranging from 0.6 to 3mg/day, and limited evidence exists for impaired immune function in healthy subjects with a very low (0.38 mg/day) Cu intake. However, data from observation studies should be regarded with caution because of uncertainties regarding Cu concentration in various foods and water. Further studies that accurately evaluate Cu exposure based on reliable biomarkers of Cu status are needed.

  14. Exploring Ethical Issues Associated with Using Online Surveys in Educational Research

    Science.gov (United States)

    Roberts, Lynne D.; Allen, Peter J.

    2015-01-01

    Online surveys are increasingly used in educational research, yet little attention has focused on ethical issues associated with their use in educational settings. Here, we draw on the broader literature to discuss 5 key ethical issues in the context of educational survey research: dual teacher/researcher roles; informed consent; use of…

  15. Exploring Ethical Issues Associated with Using Online Surveys in Educational Research

    Science.gov (United States)

    Roberts, Lynne D.; Allen, Peter J.

    2015-01-01

    Online surveys are increasingly used in educational research, yet little attention has focused on ethical issues associated with their use in educational settings. Here, we draw on the broader literature to discuss 5 key ethical issues in the context of educational survey research: dual teacher/researcher roles; informed consent; use of…

  16. Urban Science Education: Examining Current Issues through a Historical Lens

    Science.gov (United States)

    McLaughlin, Cheryl A.

    2014-01-01

    This paper reviews and synthesizes urban science education studies published between 2000 and 2013 with a view to identifying current challenges faced by both teachers and students in urban classrooms. Additionally, this paper considers the historical events that have shaped the conditions, bureaucracies, and interactions of urban institutions.…

  17. Urban Science Education: Examining Current Issues through a Historical Lens

    Science.gov (United States)

    McLaughlin, Cheryl A.

    2014-01-01

    This paper reviews and synthesizes urban science education studies published between 2000 and 2013 with a view to identifying current challenges faced by both teachers and students in urban classrooms. Additionally, this paper considers the historical events that have shaped the conditions, bureaucracies, and interactions of urban institutions.…

  18. Current methodological issues in the economic assessment of personalized medicine.

    Science.gov (United States)

    Annemans, Lieven; Redekop, Ken; Payne, Katherine

    2013-01-01

    There is a need for methodological scrutiny in the economic assessment of personalized medicine. In this article, we present a list of 10 specific issues that we argue pose specific methodological challenges that require careful consideration when designing and conducting robust model-based economic evaluations in the context of personalized medicine. Key issues are related to the correct framing of the research question, interpretation of test results, data collection of medical management options after obtaining test results, and expressing the value of tests. The need to formulate the research question clearly and be explicit and specific about the technology being evaluated is essential because various test kits can have the same purpose and yet differ in predictive value, costs, and relevance to practice and patient populations. The correct reporting of sensitivity/specificity, and especially the false negatives and false positives (which are population dependent), of the investigated tests is also considered as a key element. This requires additional structural complexity to establish the relationship between the test result and the consecutive treatment changes and outcomes. This process involves translating the test characteristics into clinical utility, and therefore outlining the clinical and economic consequences of true and false positives and true and false negatives. Information on treatment patterns and on their costs and outcomes, however, is often lacking, especially for false-positive and false-negative test results. The analysis can even become very complex if different tests are combined or sequentially used. This potential complexity can be handled by explicitly showing how these tests are going to be used in practice and then working with the combined sensitivities and specificities of the tests. Each of these issues leads to a higher degree of uncertainty in economic models designed to assess the added value of personalized medicine compared

  19. Cost-utility analysis: Current methodological issues and future perspectives

    Directory of Open Access Journals (Sweden)

    Mark J C Nuijten

    2011-06-01

    Full Text Available The use of cost-effectiveness as final criterion in the reimbursement process for listing of new pharmaceuticals can be questioned from a scientific and policy point of view. There is a lack of consensus on main methodological issues and consequently we may question the appropriateness of the use of cost-effectiveness data in health care decision-making. Another concern is the appropriateness of the selection and use of an incremental cost-effectiveness threshold (Cost/QALY. In this review, we focus mainly on only some key methodological concerns relating to discounting, the utility concept, cost assessment and modelling methodologies. Finally we will consider the relevance of some other important decision criteria, like social values and equity.

  20. Medical photography: current technology, evolving issues and legal perspectives.

    Science.gov (United States)

    Harting, M T; DeWees, J M; Vela, K M; Khirallah, R T

    2015-04-01

    Medical photographic image capture and data management has undergone a rapid and compelling change in complexity over the last 20 years. This is because of multiple factors, including significant advances in ease of photograph capture, alongside an evolution of mechanisms of data portability/dissemination, combined with governmental focus on health information privacy. Literature to guide medical, legal, governmental and business professionals when dealing with issues related to medical photography is virtually nonexistent. Herein, we will address the breadth of uses of medical photography, device properties/specific devices utilised for image capture, methods of data transfer and dissemination and patient perceptions and attitudes regarding photography in a medical setting. In addition, we will address the legal implications, including legal precedent, copyright and privacy law, informed consent, protected health information and the Health Insurance Portability and Accountability Act (HIPAA), as they pertain to medical photography.

  1. Current issues in occupational health nursing. A Canadian perspective.

    Science.gov (United States)

    Hunter, C

    1991-07-01

    The National Association of Occupational Health Nurses is still in its infancy and is striving to become an interest group under the umbrella of the Canadian Nurses Association. This will bring together the provincial associations in a common goal of promoting worker health and safety. The diversity of the country and the sheer magnitude of the various occupations of Canadians reflect the need for the occupational health nurse to be well educated and kept abreast of new developments. Changes in the worksite echo changes in health and safety legislation that will help to improve conditions in the workplace. Future challenges arise from changes in the work force and the nature of work and include: ergonomic issues, job stress, older workers, EAPs, and increased competition.

  2. Introduction: Current educational issues: some profiles and settings

    Directory of Open Access Journals (Sweden)

    María Pilar Teruel Melero

    2009-04-01

    Full Text Available This issue of the Revista Electrónica Interuniversitaria de Formación del Profesorado (REIFOP offers a range of articles focused on the profiles and settings of education today. It also includes the full text of the Pedagogical Manifesto “It is not true”, promoted by RedIres (School updating and research network, to which the journal adheres, taking it as its own. Finally, REIFOP makes available to all its readers a wide database of over 1,700 resources on Education and Psychology, retrievable online through the Internet.The authors of the articles are university lecturers and professors in the field of Education who carry out their academic research at ten Spanish universities: Barcelona, Extremadura, Granada, Las Palmas de Gran Canaria, Murcia, Oviedo, Santiago de Compostela, Sevilla, Valladolid and Zaragoza. We believe that this is a further way of reaching the whole university community.

  3. Provision of genetic services in Europe: current practices and issues.

    Science.gov (United States)

    Godard, Béatrice; Kääriäinen, Helena; Kristoffersson, Ulf; Tranebjaerg, Lisbeth; Coviello, Domenico; Aymé, Ségolène

    2003-12-01

    This paper examines the professional and scientific views on the social, ethical and legal issues that impact on the provision of genetic services in Europe. Many aspects have been considered, such as the definition and the aims of genetic services, their organization, the quality assessment, public education, as well as the partnership with patients support groups and the multicultural aspects. The methods was primarily the analysis of professional guidelines, legal frameworks and other documents related to the organization of genetic services, mainly from Europe, but also from USA and international organizations. Then, the method was to examine the background data emerging from an updated report produced by the Concerted Action on Genetic Services in Europe, as well as the issues debated by 43 experts from 17 European countries invited to an international workshop organized by the European Society of Human Genetics Public and Professional Policy Committee in Helsinki, Finland, 8 and 9 September 2000. Some conclusions were identified from the ESHG workshop to arrive at outlines for optimal genetic services. Participants were concerned about equal accessibility and effectiveness of clinical genetic services, quality assessment of services, professional education, multidisciplinarity and division of tasks as well as networking. Within European countries, adherence to the organizational principles of prioritization, regionalization and integration into related health services would maximize equal accessibility and effectiveness of genetic actions. There is a need for harmonization of the rules involved in financial coverage of DNA tests in order to make these available to all Europeans. Clear guidelines for the best practice will ensure that the provision of genetic services develops in a way that is beneficial to its customers, be they health professionals or the public, especially since the coordination of clinical, laboratory and research perspectives within a

  4. The Economic Component of National Security – Current Issues

    Directory of Open Access Journals (Sweden)

    Maria Constantinescu

    2014-12-01

    Full Text Available The main purpose of this paper is to underline the main current approaches regarding the economic component of national security, with conclusions focused on the globalization effects on the national economies and the national security of the states. The dynamics of the unfolding political and economic events determines the need for the analysis – further developed in the paper - of the relevant variables and of the way these are involved in the intricate equations describing the current political, economic and social environment. One of the main results of the analysis is that national security represents a goal for any country wishing to provide sustainable welfare for its citizens, and this sustainable welfare cannot be achieved without sustainable economic security and development

  5. The incentive sensitization theory of addiction: some current issues

    OpenAIRE

    Robinson, Terry E.; Berridge, Kent C

    2008-01-01

    We present a brief overview of the incentive sensitization theory of addiction. This posits that addiction is caused primarily by drug-induced sensitization in the brain mesocorticolimbic systems that attribute incentive salience to reward-associated stimuli. If rendered hypersensitive, these systems cause pathological incentive motivation (‘wanting’) for drugs. We address some current questions including: what is the role of learning in incentive sensitization and addiction? Does incentive s...

  6. Oxidative stress and life histories: unresolved issues and current needs.

    Science.gov (United States)

    Speakman, John R; Blount, Jonathan D; Bronikowski, Anne M; Buffenstein, Rochelle; Isaksson, Caroline; Kirkwood, Tom B L; Monaghan, Pat; Ozanne, Susan E; Beaulieu, Michaël; Briga, Michael; Carr, Sarah K; Christensen, Louise L; Cochemé, Helena M; Cram, Dominic L; Dantzer, Ben; Harper, Jim M; Jurk, Diana; King, Annette; Noguera, Jose C; Salin, Karine; Sild, Elin; Simons, Mirre J P; Smith, Shona; Stier, Antoine; Tobler, Michael; Vitikainen, Emma; Peaker, Malcolm; Selman, Colin

    2015-12-01

    Life-history theory concerns the trade-offs that mold the patterns of investment by animals between reproduction, growth, and survival. It is widely recognized that physiology plays a role in the mediation of life-history trade-offs, but the details remain obscure. As life-history theory concerns aspects of investment in the soma that influence survival, understanding the physiological basis of life histories is related, but not identical, to understanding the process of aging. One idea from the field of aging that has gained considerable traction in the area of life histories is that life-history trade-offs may be mediated by free radical production and oxidative stress. We outline here developments in this field and summarize a number of important unresolved issues that may guide future research efforts. The issues are as follows. First, different tissues and macromolecular targets of oxidative stress respond differently during reproduction. The functional significance of these changes, however, remains uncertain. Consequently there is a need for studies that link oxidative stress measurements to functional outcomes, such as survival. Second, measurements of oxidative stress are often highly invasive or terminal. Terminal studies of oxidative stress in wild animals, where detailed life-history information is available, cannot generally be performed without compromising the aims of the studies that generated the life-history data. There is a need therefore for novel non-invasive measurements of multi-tissue oxidative stress. Third, laboratory studies provide unrivaled opportunities for experimental manipulation but may fail to expose the physiology underpinning life-history effects, because of the benign laboratory environment. Fourth, the idea that oxidative stress might underlie life-history trade-offs does not make specific enough predictions that are amenable to testing. Moreover, there is a paucity of good alternative theoretical models on which contrasting

  7. PALLIATIVE CARE IN GERIATRICS: CURRENT ISSUES AND PROSPECTS

    Directory of Open Access Journals (Sweden)

    I. P. Рonomareva

    2016-01-01

    Full Text Available The purpose of the study is to identify the main problems and prospects of development of palliative care in geriatrics at the present stage. Method of research was to analyze the printed and electronic databases that meet the stated issues. The results of the study highlight the problems of the development of palliative care in geriatric practice: the lack of a developed procedure of rendering palliative care and adequate elderly patient selection criteria, the lack of trained professional staff. The main prospects-association of palliative practices and concepts of modern geriatrics required specialized geriatric assessment and the provision of clinical, medical, social and socio-psychological geriatric syndromes. While promising option for the development of palliative care geriatrics is the integration into the existing health care system, acceptance of the fact that it is a part of the specialized geriatric care. This requires the involvement and training of not only specialists with medical education, but also persons without medical training from among social workers and volunteers working in palliative care. Therefore, the obtained data allowed to conclude that topical is the development of palliative care in geriatrics, taking into account not only clinical but medico-social, socio-psychological features.

  8. Transdisciplinarity: A Review of Its Origins, Development, and Current Issues

    Directory of Open Access Journals (Sweden)

    Jay Hillel Bernstein

    2015-07-01

    Full Text Available Transdisciplinarity originated in a critique of the standard configuration of knowledge in disciplines in the curriculum, including moral and ethical concerns. Pronouncements about it were first voiced between the climax of government-supported science and higher education and the long retrenchment that began in the 1970s. Early work focused on questions of epistemology and the planning of future universities and educational programs. After a lull, transdisciplinarity re-emerged in the 1990s as an urgent issue relating to the solution of new, highly complex, global concerns, beginning with climate change and sustainability and extending into many areas concerning science, technology, social problems and policy, education, and the arts. Transdisciplinarity today is characterized by its focus on “wicked problems” that need creative solutions, its reliance on stakeholder involvement, and engaged, socially responsible science. In simultaneously studying multiple levels of, and angles on, reality, transdisciplinary work provides an intriguing potential to invigorate scholarly and scientific inquiry both in and outside the academy.

  9. Biology of cancer: current issues and future prospects.

    Science.gov (United States)

    Jenkins, J

    1992-02-01

    The future of cancer treatment is limited only by the rate of progress made in understanding the biology of cancer. The future will present a considerable challenge to health care professionals to learn new theories, understand new terms, and expect different toxicities. The explosion of information and technology is exciting, yet frightening. The willingness of scientists, health care professionals, and consumers to deal with the ethical, financial, and political issues generated by this progress is gratifying. Because science has created such advances, the effort to deal with the outcomes is worthwhile but still difficult. The challenge to rapidly facilitate the sharing of the scientific and clinical advances has been recognized by the nation. A legislative mandate to create a way to store and analyze the vast data related to molecular biology, biochemistry, and genetics resulted in the National Center for Biotechnology Information. The development of automated systems to analyze genetic, environmental, biological, and chemistry information can only enhance future progress in the management of cancer.

  10. Raptor electrocution on power lines: Current issues and outlook

    Science.gov (United States)

    Lehman, Robert N.

    2001-01-01

    Electrocution on power lines is one of many human-caused mortality factors that affect raptors. Cost-effective and relatively simple raptor-safe standards for power line modification and construction have been available for over 25 years. During the 1970s and early 1980s, electric industry efforts to reduce raptor electrocutions were very coordinated and proactive, but predictions about resolving the problem were overly optimistic. Today, raptors continue to be electrocuted, possibly in large numbers. The electrocution problem has not been resolved, partly because of the sheer number of potentially lethal power poles in use and partly because electrocution risks may be more pervasive and sometimes less conspicuous than once believed. Also, responses to the problem by individual utilities have not been uniform, and deregulation of the electric industry during the 1990s may have deflected attention from electrocution issues. To control raptor electrocutions in the future, the industry must increase information sharing and technology transfer, increase efforts to retrofit lethal power poles, and above all ensure that every new and replacement line constructed incorporates raptor-safe standards at all phases of development. Finally, responsibility for the electrocution problem must be shared. Federal, state, and local governments, academic institutions, the conservation community, and the consumer all can play critical roles in an effort that will, by necessity, extend well into the new century.

  11. Reprocessing semicritical items: Current issues and new technologies.

    Science.gov (United States)

    Rutala, William A; Weber, David J

    2016-05-02

    Semicritical medical devices are defined as items that come into contact with mucous membranes or nonintact skin (eg, gastrointestinal endoscopes, endocavitary probes). Such medical devices minimally require high-level disinfection. Because many of these items are temperature sensitive, low-temperature chemical methods are usually used rather than steam sterilization. Strict adherence to current guidelines is required because more outbreaks have been linked to inadequately cleaned or disinfected endoscopes and other semicritical items undergoing high-level disinfection than any other reusable medical device.

  12. PATHOGENETIC THERAPY FOR ATOPIC DERMATITIS IN CHILDREN: CURRENT ISSUES

    Directory of Open Access Journals (Sweden)

    G.I. Smirnova

    2006-01-01

    Full Text Available The lecture presents current opinions on the problem of topical treatment of atopic dermatitis in children discussing different topical antiainflamatory drugs with and without corticosteroids. pimecrolimus 1% cream (elidel, novartis pharma, Germany is specially emphasized among the latter. Pimecrolimus is shown to provide symptom relief and control in mild and moderate cases of atopic dermatitis, so it could become essential in preventing exacerbations and elongation of remission periods of the disease.Key words: atopic dermatitis, topical treatment, pimecrolimus 1% cream.

  13. [Management of stroke in sub-Saharan Africa: current issues].

    Science.gov (United States)

    Adoukonou, T A; Vallat, J-M; Joubert, J; Macian, F; Kabore, R; Magy, L; Houinato, D; Preux, P-M

    2010-11-01

    In sub-Saharan Africa, stroke is likely to present an increasingly important public health problem with a larger relative share of overall morbidity and mortality. Overall, sub-Saharan Health Care is characterized by a lack of human resources, lack of facilities for special investigations, and especially an absence of specific programs addressing the prevention of cardiovascular conditions. Current data on the epidemiology of stroke in sub-Saharan Africa, although sparse and fragmentary, indicate a comparatively high incidence of cerebral hemorrhage associated with high blood pressure, while ischemic stroke in black Africans still appears to be related primarily to small artery disease, HIV infection, and sickle cell disease. With urbanization, the role of large-vessel atherosclerosis is increasing. It is thus essential to coordinate government funding, health care professionals and development agencies to address this rising health problem. Access to health care needs to be better structured, and screening programs should be developed in order to identify and treat vascular risk factors. Improved training of health care professionals is also required in the areas of prevention, diagnosis and management of stroke. Implementation of best-practice recommendations for the management of stroke adapted to the specificities and resources of African countries would help rationalize the scarce resources currently available. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  14. STR allele sequence variation: Current knowledge and future issues.

    Science.gov (United States)

    Gettings, Katherine Butler; Aponte, Rachel A; Vallone, Peter M; Butler, John M

    2015-09-01

    This article reviews what is currently known about short tandem repeat (STR) allelic sequence variation in and around the twenty-four loci most commonly used throughout the world to perform forensic DNA investigations. These STR loci include D1S1656, TPOX, D2S441, D2S1338, D3S1358, FGA, CSF1PO, D5S818, SE33, D6S1043, D7S820, D8S1179, D10S1248, TH01, vWA, D12S391, D13S317, Penta E, D16S539, D18S51, D19S433, D21S11, Penta D, and D22S1045. All known reported variant alleles are compiled along with genomic information available from GenBank, dbSNP, and the 1000 Genomes Project. Supplementary files are included which provide annotated reference sequences for each STR locus, characterize genomic variation around the STR repeat region, and compare alleles present in currently available STR kit allelic ladders. Looking to the future, STR allele nomenclature options are discussed as they relate to next generation sequencing efforts underway.

  15. A Survey of Current e-Business (E-Government

    Directory of Open Access Journals (Sweden)

    Don Vance Kerr

    2008-05-01

    Full Text Available The Internet is a dynamic part of the business scene and there have been many examples of success and failures of e-commerce and e-business ventures. A survey was administered asking questions about industries understanding of current e-business (e-government practices in Australia. The object of the survey was to provide a benchmark of current practice. The results of this survey could have a major impact on academic curricula. The survey was sent to 671 Australian Businesses and was addressed to the Chief Information Officer. Only twenty four usable questionnaires were returned and while it is accepted that this is a limited sample, disturbing trends have appeared with respect to the lack of strategic planning for information technology use particularly in medium sized businesses in Australia. In addition, relationships between key factors associated with the business objectives for their IT infrastructure and the benefits of the organisation’s Extranet, Intranet and Internet initiatives were identified.

  16. Utility survey of requirements for a HTS fault current limiter

    DEFF Research Database (Denmark)

    Nielsen, Jan Nygaard; Jørgensen, P.; Østergaard, Jacob;

    2000-01-01

    The application of superconducting fault current limiters (SFCL) in the electric utility sector will clearly dependent on to what extent the needs and requirements of electric utilities can be met by the ongoing development of SFCL technology. This paper considers a questionnaire survey of which ...... needs and expectations the Danish electric utilities have to this new technology. A bus-tie application of SFCL in a distribution substation with three parallel-coupled transformers is discussed......The application of superconducting fault current limiters (SFCL) in the electric utility sector will clearly dependent on to what extent the needs and requirements of electric utilities can be met by the ongoing development of SFCL technology. This paper considers a questionnaire survey of which...

  17. Data Analysis and Data Mining: Current Issues in Biomedical Informatics

    Science.gov (United States)

    Bellazzi, Riccardo; Diomidous, Marianna; Sarkar, Indra Neil; Takabayashi, Katsuhiko; Ziegler, Andreas; McCray, Alexa T.

    2011-01-01

    Summary Background Medicine and biomedical sciences have become data-intensive fields, which, at the same time, enable the application of data-driven approaches and require sophisticated data analysis and data mining methods. Biomedical informatics provides a proper interdisciplinary context to integrate data and knowledge when processing available information, with the aim of giving effective decision-making support in clinics and translational research. Objectives To reflect on different perspectives related to the role of data analysis and data mining in biomedical informatics. Methods On the occasion of the 50th year of Methods of Information in Medicine a symposium was organized, that reflected on opportunities, challenges and priorities of organizing, representing and analysing data, information and knowledge in biomedicine and health care. The contributions of experts with a variety of backgrounds in the area of biomedical data analysis have been collected as one outcome of this symposium, in order to provide a broad, though coherent, overview of some of the most interesting aspects of the field. Results The paper presents sections on data accumulation and data-driven approaches in medical informatics, data and knowledge integration, statistical issues for the evaluation of data mining models, translational bioinformatics and bioinformatics aspects of genetic epidemiology. Conclusions Biomedical informatics represents a natural framework to properly and effectively apply data analysis and data mining methods in a decision-making context. In the future, it will be necessary to preserve the inclusive nature of the field and to foster an increasing sharing of data and methods between researchers. PMID:22146916

  18. Current issues in child psychiatry: a dialogue with John Bowlby.

    Science.gov (United States)

    Warme, G E; Bowlby, J; Crowcroft, A; Rae-Grant, Q

    1980-08-01

    A condensed account of Bowlby's work, particularly his advocacy of an ethological approach and of attachment theory, is followed by comments by three child psychiatrists. His work is critically discussed and ranges from questions concerning the theoretical status of Bowlby's work, to concerns about the de-emphasis of constitutional and temperamental factors, and to concerns that current realities render impractical (and perhaps unnecessary) the traditional models of child rearing. Dr. Bowlby responds to each discussant. In this three days at Lake Couchiching, John Bowlby was the most available and charming of guests. He welcomed discussion with delegates in his every free moment, including mealtimes. It was a privilege to have him in dialogue with us.

  19. Survey of Induced Voltage and Current Phenomena in GIS Substation

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Hassan Hosseini

    2014-03-01

    Full Text Available Induced capacitive voltage and current in high voltage GIS substation is one of the most significant phenomena that may have made some problems in this substation operation. At this study the various equipment of 420 KV Karoon4 substations such as powerhouses, input and output lines, bus-bar and bus-duct have simulated by applying EMTP-RV software. Then with the different condition of single-phase and three-phase faults on the lines in critical conditions, capacitive induction voltage and current by parallel capacitor with circuit breaker is surveyed. The results show the value of this induced current and voltage and that this critical conditions the breakers and dis-connector switches must be able to interrupt this value of current.

  20. Bimodal Programming: A Survey of Current Clinical Practice.

    Science.gov (United States)

    Siburt, Hannah W; Holmes, Alice E

    2015-06-01

    The purpose of this study was to determine the current clinical practice in approaches to bimodal programming in the United States. To be specific, if clinicians are recommending bimodal stimulation, who programs the hearing aid in the bimodal condition, and what method is used for programming the hearing aid? An 11-question online survey was created and sent via email to a comprehensive list of cochlear implant programming centers in the United States. The survey was sent to 360 recipients. Respondents in this study represented a diverse group of clinical settings (response rate: 26%). Results indicate little agreement about who programs the hearing aids, when they are programmed, and how they are programmed in the bimodal condition. Analysis of small versus large implant centers indicated small centers are less likely to add a device to the contralateral ear. Although a growing number of cochlear implant recipients choose to wear a hearing aid on the contralateral ear, there is inconsistency in the current clinical approach to bimodal programming. These survey results provide evidence of large variability in the current bimodal programming practices and indicate a need for more structured clinical recommendations and programming approaches.

  1. Current Issues in Histology, Biology and Prognosis of Hodgkin Lymphoma

    Directory of Open Access Journals (Sweden)

    Marjanović Goran

    2017-06-01

    Full Text Available High risk Hodgkin lymphoma patients may occasionally have borderline characteristics similar to gray zone lymphomas and T-cell/histiocyte rich B cell lymphomas. These entities require different and more aggressive treatment modalities. Aggressive behavior is often associated with disturbances caused by Epstein Barr virus, or immune evasion caused by overexpression of check point inhibitors PDL-1 and PDL-2 coupled with the lack of expression of Class I and II MHC molecules. Galectin-1, TARC, sCD163 and other surrogate markers of immunosuppression in Hodgkin lymphoma may be useful for the assessment of treatment response. The improvements in lymphoma management diminished the importance of prognostic factors unified in the International Prognostic Scoring system, reducing them from 7 to 3 factors that remained relevant. Interim PET analysis is the only method able to identify resistant patients while chemotherapy is ongoing, thus enabling adjustment of treatment according to the treatment response. Efforts for stratification of patients according to disease histology, biology, microenvironment, clinical scoring systems and PET scan are ongoing. Current breakthroughs have set strong background for novel therapies with monoclonal antibodies and check point inhibitors that will result in improvement of management of high risk patients.

  2. Sleep disturbance due to noise: Current issues and future research

    Directory of Open Access Journals (Sweden)

    Ken Hume

    2010-01-01

    Full Text Available There is growing interest in carrying out further research to understand and reduce the impact of aircraft noise on airport neighborhood in anticipation of the projected substantial increase in global aviation. Soundscapes provide new analytical methods and a broader, more comprehensive appreciation of the aural environment, which may have a useful role in understanding noise-induced sleep disturbance and annoyance. Current noise metrics like Leq do not provide a common language to report noise environment to residents, which is a key obstacle to effective noise management and acceptance. Non-auditory effects complicate the production of consistent dose-response functions for aircraft noise affecting sleep and annoyance. There are various end-points that can be chosen to assess the degree of sleep disturbance, which has detracted from the clarity of results that has been communicated to wider audiences. The World Health Organization (WHO-Europe has produced Night Noise Guidelines for Europe, which act as a clear guide for airports and planners to work towards. Methodological inadequacies and the need for simpler techniques to record sleep will be considered with the exciting potential to greatly increase cost-effective field data acquisition, which is needed for large scale epidemiological studies

  3. Current Situation in Vocational Schools: Issues and Some Suggested Solutions

    Directory of Open Access Journals (Sweden)

    Reha Metin ALKAN

    2014-12-01

    Full Text Available Vocational Schools which have undertaken various missions throughout history were established in order to train intermediate staff s with suff icient knowledge and skills in their fields, in accordance with the requirements of trade, industry and services sectors and they are the most important components of ‘vocational and technical education system' today. Analyzing the education given in the vocational schools in accordance with the national and international requirements, developing technologies and the needs of business world and making the necessary arrangements in line with these will contribute to the employability and preferability of graduates of these schools in an eff icient way. Many industrialists/businessmen in our country stated that they experienced serious problems in the supply of qualified staff with suff icient knowledge and skills needed in sectors. Although much progress has been achieved in this subject, it is a fact that there are still a lot of work to be done. In this study, current situation and main troubles in vocational schools are discussed in the light of the experiences gained at Hitit University Vocational School which was established about 40 years ago in Çorum and which is one of the first high schools in Turkey and some solutions are suggested in accordance with the problems mentioned.

  4. Telephone surveying for drug abuse: methodological issues and an application.

    Science.gov (United States)

    Frank, B

    1985-01-01

    In light of New York State's experience, it is probable that future household drug use surveys will use telephone administration. Drug use questions are not as sensitive as had been thought, and are easily administered by telephone. In addition, the lower costs, the computer-assisted capabilities, and the saving in time are some of the advantages in comparison to face-to-face surveying. In order to address the nontelephone segments of the household population--despite their declining proportion--and to improve response rates, mixed-mode interviewing may have to be considered. Given a better understanding of telephone-associated behavior and the increasing popularity of technological advances, such as the portability and mobility of phones, telephone surveying may become even more attractive in the future.

  5. Book Review: Current Issues in International Human Resource Management and Strategy Research

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2009-01-01

    The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer.......The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer....

  6. Book Review: Current Issues in International Human Resource Management and Strategy Research

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2009-01-01

    The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer.......The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer....

  7. The Catalina Sky Survey: Current and Future Work

    Science.gov (United States)

    Christensen, Eric; Larson, S.; Boattini, A.; Gibbs, A.; Grauer, A.; Hill, R.; Johnson, J.; Kowalski, R.; McNaught, R.

    2012-10-01

    The Catalina Sky Survey (CSS) continues to be the most productive Near Earth Object (NEO) survey in operation, accounting for nearly two-thirds of all NEO discoveries since 2005. We present a review of the current status of the survey operations, and highlight recent and future upgrades to our instrumentation. Recently, CSS has refurbished a 1.0-m telescope on Mt. Lemmon, Arizona, adjacent to the 1.5-m survey telescope. This telescope will be primarily used for NEO follow-up, recovery, and physical characterization of NEOs including colors and light curves. It will be capable of remote or robotic operations, programmed by adaptive queue-planning software of our own design. We expect to complete commissioning activities and begin full-time operations by the end of this year. A large-format camera featuring a single 10k x 10k detector is in the process of being fabricated for the 1.5-m survey telescope. The new camera system will increase the field-of-view from 1.2 to 5.0 square degrees, and the nightly coverage rate from 180 to 750 square degrees, to limiting magnitude V 21.5. This telescope is already the most productive for NEO discovery, accounting for approximately 40% of new NEOs since 2008, at an average rate of over 350 NEOs per year. We anticipate a significant increase in its discovery rate after commissioning, which will begin in late 2013. The Catalina Sky Survey gratefully acknowledges the support of NASA’s Near Earth Object Observation program (grant no. NNH12ZDA001N-NEOO).

  8. Strategic Issues in Quality Management: 2. Survey Analysis.

    Science.gov (United States)

    Johanssen, Carl Gustav

    1996-01-01

    Examines how and to what extent business-oriented libraries and information centers in the Nordic countries have implemented strategic quality management (SQM), drawing from theoretical considerations in an earlier article. An operational assessment model is proposed and empirical findings from a survey of business information services are…

  9. Online Cultural Heritage Exhibitions: A Survey of Strategic Issues

    Science.gov (United States)

    Liew, Chern Li

    2006-01-01

    Purpose: This paper seeks to report findings from a study that looked at a range of strategic issues faced in the development, management and maintenance of online cultural heritage exhibitions. The study examined exhibitions from different types of cultural agencies and asked questions about whether, for instance, the exhibitions are part of the…

  10. Surveying rip current survivors: preliminary insights into the experiences of being caught in rip currents

    Science.gov (United States)

    Drozdzewski, D.; Shaw, W.; Dominey-Howes, D.; Brander, R.; Walton, T.; Gero, A.; Sherker, S.; Goff, J.; Edwick, B.

    2012-04-01

    This paper begins a process of addressing a significant gap in knowledge about people's responses to being caught in rip currents. While rip currents are the primary hazard facing recreational ocean swimmers in Australia, debate exists about the best advice to give swimmers caught in rip currents. Such surf rescue advice - on what to do and how to respond when caught in a rip - relies on empirical evidence. However, at present, knowledge about swimmers reactions and responses to rip currents is limited. This gap is a considerable barrier to providing effective advice to beach goers and to understanding how this advice is utilised (or not) when actually caught in the rip current. This paper reports the findings of a pilot study that focussed on garnering a better understanding of swimmers' experiences when caught in rip currents. A large scale questionnaire survey instrument generated data about rip current survivors' demographics, knowledge of beach safety and their reactions and responses when caught in a rip current. A mix of online and paper surveys produced a total of 671 completed surveys. Respondents were predominantly an informed group in terms of rip current knowledge, beach experience and had a high self-rated swimming ability. Preliminary insights from the survey show that most respondents recalled a "swim across the rip/parallel to the beach" message when caught in the rip and most escaped unassisted by acting on this message. However, while nearly a quarter of respondents recalled a message of "not to panic", short answer responses revealed that the onset of panic inhibited some respondents from recalling or enacting any other type of beach safety message when caught in the rip current. Results also showed that despite the research sample being younger, competent and frequent ocean swimmers, they were more likely to swim at unpatrolled beaches and outside of the red and yellow safety flags. Moreover, they were still caught in a rip current and they

  11. Surveying rip current survivors: preliminary insights into the experiences of being caught in rip currents

    Directory of Open Access Journals (Sweden)

    D. Drozdzewski

    2012-04-01

    Full Text Available This paper begins a process of addressing a significant gap in knowledge about people's responses to being caught in rip currents. While rip currents are the primary hazard facing recreational ocean swimmers in Australia, debate exists about the best advice to give swimmers caught in rip currents. Such surf rescue advice – on what to do and how to respond when caught in a rip – relies on empirical evidence. However, at present, knowledge about swimmers reactions and responses to rip currents is limited. This gap is a considerable barrier to providing effective advice to beach goers and to understanding how this advice is utilised (or not when actually caught in the rip current.

    This paper reports the findings of a pilot study that focussed on garnering a better understanding of swimmers' experiences when caught in rip currents. A large scale questionnaire survey instrument generated data about rip current survivors' demographics, knowledge of beach safety and their reactions and responses when caught in a rip current. A mix of online and paper surveys produced a total of 671 completed surveys. Respondents were predominantly an informed group in terms of rip current knowledge, beach experience and had a high self-rated swimming ability. Preliminary insights from the survey show that most respondents recalled a "swim across the rip/parallel to the beach" message when caught in the rip and most escaped unassisted by acting on this message. However, while nearly a quarter of respondents recalled a message of "not to panic", short answer responses revealed that the onset of panic inhibited some respondents from recalling or enacting any other type of beach safety message when caught in the rip current. Results also showed that despite the research sample being younger, competent and frequent ocean swimmers, they were more likely to swim at unpatrolled beaches and outside of the red and yellow safety flags. Moreover, they were still

  12. Current Trends in Nursing Informatics: Results of an International Survey.

    Science.gov (United States)

    Peltonen, Laura-Maria; Alhuwail, Dari; Ali, Samira; Badger, Martha K; Eler, Gabrielle Jacklin; Georgsson, Mattias; Islam, Tasneem; Jeon, Eunjoo; Jung, Hyunggu; Kuo, Chiu-Hsiang; Lewis, Adrienne; Pruinelli, Lisiane; Ronquillo, Charlene; Sarmiento, Raymond Francis; Sommer, Janine; Tayaben, Jude L; Topaz, Maxim

    2016-01-01

    Nursing informatics (NI) can help provide effective and safe healthcare. This study aimed to describe current research trends in NI. In the summer 2015, the IMIA-NI Students Working Group created and distributed an online international survey of the current NI trends. A total of 402 responses were submitted from 44 countries. We identified a top five NI research areas: standardized terminologies, mobile health, clinical decision support, patient safety and big data research. NI research funding was considered to be difficult to acquire by the respondents. Overall, current NI research on education, clinical practice, administration and theory is still scarce, with theory being the least common. Further research is needed to explain the impact of these trends and the needs from clinical practice.

  13. A Survey on Privacy Issues in Digital Forensics

    Directory of Open Access Journals (Sweden)

    Asou Aminnezhad

    2015-05-01

    Full Text Available Privacy issues have always been a major concern in computer forensics and security and in case of any investigation whether it is pertaining to computer or not always privacy issues appear. To enable privacy’s protection in the physical world we need the law that should be legislated, but in a digital world by rapidly growing of technology and using the digital devices more and more that generate a huge amount of private data it is impossible to provide fully protected space in cyber world during the transfer, store and collect data. Since its introduction to the field, forensics investigators, and developers have faced challenges in finding the balance between retrieving key evidences and infringing user privacy. This paper looks into developmental trends in computer forensics and security in various aspects in achieving such a balance. In addition, the paper analyses each scenario to determine the trend of solutions in these aspects and evaluate their effectiveness in resolving the aforementioned issues.

  14. Hydrology of and Current Monitoring Issues for the Chicago Area Waterway System, Northeastern Illinois

    Science.gov (United States)

    Duncker, James J.; Johnson, Kevin K.

    2015-10-28

    The Chicago Area Waterway System (CAWS) consists of a combination of natural and manmade channels that form an interconnected navigable waterway of approximately 90-plus miles in the metropolitan Chicago area of northeastern Illinois. The CAWS serves the area as the primary drainage feature, a waterway transportation corridor, and recreational waterbody. The CAWS was constructed by the Metropolitan Water Reclamation District of Greater Chicago (MWRDGC). Completion of the Chicago Sanitary and Ship Canal (initial portion of the CAWS) in 1900 breached a low drainage divide and resulted in a diversion of water from the Lake Michigan Basin. A U.S. Supreme Court decree (Consent Decree 388 U.S. 426 [1967] Modified 449 U.S. 48 [1980]) limits the annual diversion from Lake Michigan. While the State of Illinois is responsible for the diversion, the MWRDGC regulates and maintains water level and water quality within the CAWS by using several waterway control structures. The operation and control of water levels in the CAWS results in a very complex hydraulic setting characterized by highly unsteady flows. The complexity leads to unique gaging requirements and monitoring issues. This report provides a general discussion of the complex hydraulic setting within the CAWS and quantifies this information with examples of data collected at a range of flow conditions from U.S. Geological Survey streamflow gaging stations and other locations within the CAWS. Monitoring to address longstanding issues of waterway operation, as well as current (2014) emerging issues such as wastewater disinfection and the threat from aquatic invasive species, is included in the discussion.

  15. Breaking bad news issues: A survey among radiation oncologists

    Directory of Open Access Journals (Sweden)

    Milind Kumar

    2009-01-01

    Full Text Available Introduction: Discussion of bad news and resuscitation in terminal cancer is an important but difficult and often neglected issue in day-to-day oncology practice. Materials and Methods: We interviewed 35 radiation oncologists using an indigenous 15-item questionnaire on their beliefs about breaking bad news and resuscitation to terminal cancer patients. Results: Most responders had an oncology experience of three to seven years (20/35.Thirty-two were comfortable discussing cancer diagnosis, prognosis and life expectancy-related issues. A similar number believed all cancer-related information should be disclosed, while only four believed in imparting all information in one visit. All agreed that disclosing sensitive information did not affect survival. When requested by relatives to withhold truth from patients, 11 said they would not comply, 22 agreed to tell the truth only if asked and two agreed to avoid difficult questions. Twenty responders denied having been adequately trained in breaking bad news and were keen on dedicated classes or sessions in this area of practice. Most (33/35 believed that Indian patients were keen on knowing their diagnosis and prognosis. Although all agreed to the importance of discussing resuscitation, only 17 believed patients should be involved. Majority (20/35 agreed that the issue needs to be discussed while the patient was conscious. Patients with unsalvageable disease were deemed unsuitable for aggressive resuscitation by 30 responders while the rest believed it should be offered to all. Most (21/35 admitted to feeling depressed after breaking bad news though only seven felt disclosure was more stressful than untruthful statements. Only four knew of a law regarding resuscitation in cancer. Conclusion: Observing the widely varied beliefs and practices for disclosing bad news, it is recommended that such training be a regular part of medicine curriculum, especially in the Oncology setting.

  16. Survey on Security Issues in Vehicular Ad Hoc Networks

    Directory of Open Access Journals (Sweden)

    Bassem Mokhtar

    2015-12-01

    Full Text Available Vehicular Ad hoc NETworks are special case of ad hoc networks that, besides lacking infrastructure, communicating entities move with various accelerations. Accordingly, this impedes establishing reliable end-to-end communication paths and having efficient data transfer. Thus, VANETs have different network concerns and security challenges to get the availability of ubiquitous connectivity, secure communications, and reputation management systems which affect the trust in cooperation and negotiation between mobile networking entities. In this survey, we discuss the security features, challenges, and attacks of VANETs, and we classify the security attacks of VANETs due to the different network layers.

  17. SURVEY OF WORKFLOW ANALYSIS IN PAST AND PRESENT ISSUES

    Directory of Open Access Journals (Sweden)

    SARAVANAN .M.S,

    2011-06-01

    Full Text Available This paper surveys the workflow analysis in the view of business process for all organizations. The business can be defined as an organization that provides goods and services to others, who want or need them. The concept of managing business processes is referred to as Business Process Management (BPM. A workflow is the automation of a business process, in whole or part, during which documents, information or tasks are passed from one participant to another for action, according to a set of procedural rules. The process mining aims at extracting useful and meaningful information from event logs, which is a set of real executions of business process at any organizations. This paper briefly reviews the state-or-the-art of business processes developed so far and the techniques adopted. Also presents, the survey of workflow analysis in the view of business process can be broadly classified into four major categories, they are Business Process Modeling, Ontology based Business Process Management, Workflow based Business Process Controlling and Business Process Mining.

  18. Philosophical Issues in Doctoral Education in Social Work: A Survey of Doctoral Program Directors.

    Science.gov (United States)

    Anastas, Jeane W.; Congress, Elaine P.

    1999-01-01

    Surveyed 48 social-work doctoral-program directors about the inclusion of philosophical issues in the curriculum. The survey asked about traditional and emergent epistemologies, including heuristics, social constructivism, and other forms of postmodernism. Results suggest that while such content is included in research courses, directors face…

  19. A Survey on Security Issues in Big Data and NoSQL

    Directory of Open Access Journals (Sweden)

    Ebrahim Sahafizadeh

    Full Text Available This paper presents a survey on security and privacy issues in big data and NoSQL. Due to the high volume, velocity and variety of big data, security and privacy issues are different in such streaming data infrastructures with diverse data format. Therefo ...

  20. Working with Clients Who Have Religious/Spiritual Issues: A Survey of University Counseling Center Therapists

    Science.gov (United States)

    Kellems, Ian S.; Hill, Clara E.; Crook-Lyon, Rachel E.; Freitas, Gary

    2010-01-01

    University counseling center therapists (N = 220) completed an Internet survey about religion/spirituality in therapy, with 200 of these therapists describing therapy with a recent client whose issues involved religion/spirituality. Common client religion/spirituality issues were questioning one's childhood religion, exploring…

  1. Wake Survey of a Marine Current Turbine Under Steady Conditions

    Science.gov (United States)

    Lust, Ethan; Luznik, Luksa; Flack, Karen

    2016-11-01

    A submersible particle image velocimetry (PIV) system was used to study the wake of a horizontal axis marine current turbine. The turbine was tested in a large tow tank facility at the United States Naval Academy. The turbine is a 1/25th scale model of the U.S. National Renewable Energy Laboratory's Reference Model 1 (RM1) tidal turbine. It is a two-bladed turbine measuring 0.8 m in diameter and featuring a NACA 63-618 airfoil cross section. Separate wind tunnel testing has shown the foil section used on the turbine to be Reynolds number independent with respect to lift at the experimental parameters of tow carriage speed (Utow = 1 . 68 m/s) and tip speed ratio (TSR = 7). The wake survey was conducted over an area extending 0.25D forward of the turbine tip path to 2.0D aft, and to a depth of 1.0D beneath the turbine output shaft in the streamwise plane. Each field of view was approximately 30 cm by 30 cm, and each overlapped the adjacent fields of view by 5 cm. The entire flow field was then reconstructed into a single field of investigation. Results include streamwise and vertical ensemble average velocity fields averaged over approximately 1,000 realizations, as well as higher-order statistics. Turbine tip vortex centers were identified and plotted showing increasing aperiodicity with wake age. keywords: horizontal axis marine current turbine, particle image velocimetry, towing tank, wake survey

  2. Survey of biomass gasification. Volume III. Current technology and research

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-04-01

    This survey of biomass gasification was written to aid the Department of Energy and the Solar Energy Research Institute Biological and Chemical Conversion Branch in determining the areas of gasification that are ready for commercialization now and those areas in which further research and development will be most productive. Chapter 8 is a survey of gasifier types. Chapter 9 consists of a directory of current manufacturers of gasifiers and gasifier development programs. Chapter 10 is a sampling of current gasification R and D programs and their unique features. Chapter 11 compares air gasification for the conversion of existing gas/oil boiler systems to biomass feedstocks with the price of installing new biomass combustion equipment. Chapter 12 treats gas conditioning as a necessary adjunct to all but close-coupled gasifiers, in which the product is promptly burned. Chapter 13 evaluates, technically and economically, synthesis-gas processes for conversion to methanol, ammonia, gasoline, or methane. Chapter 14 compiles a number of comments that have been assembled from various members of the gasifier community as to possible roles of the government in accelerating the development of gasifier technology and commercialization. Chapter 15 includes recommendations for future gasification research and development.

  3. Survey on Issues related to National Nuclear Promotion Policy

    Energy Technology Data Exchange (ETDEWEB)

    Woo, Byungchool; Lee, Youngjoon; Lee, Youngcheol; Jeong, I. K.; Kim, Hyunjun; Kim, Youngsoo; Yun, Sungwon; Moon, Keehwan; Chung, Whansam

    2013-06-15

    Ο Major issues surrounding nuclear are including suspicions about nuclear safety, spent-fuel management, acquiring the advanced R and D capabilities and making the nuclear a creative industry Ο Solid measures for securing safety should be formulated and implemented for reducing public anxiety of nuclear use Ο The long-term R and D performance system from a scientific perspective should be established for expanding Research and Development for safer use of nuclear Ο The spent-fuel management policy should be determined through publicizing process Ο Establishing small and medium enterprises-oriented supply system of reactors and SMRs and Encouraging the radiation fusion technology industrialization for promoting creative industry utilizing nuclear.

  4. Special issue on exercise immunology: Current perspectives on aging, health and extreme performance

    NARCIS (Netherlands)

    Simpson, R.J.; Bosch, J.A.

    2014-01-01

    The aim of this special issue is to highlight outstanding exemplars of empirical research and review papers that reflect the breadth of current developments in exercise immunology. The contributions to this issue are categorized according to four major themes: (1) exercise and immune-aging; (2) the

  5. Pain issues from the palliative perspective: a survey among doctors in Hospital Melaka.

    Science.gov (United States)

    Taye, G A W C

    2006-10-01

    This survey was intended to gauge the management of pain in palliative cancer patients by the doctors in Melaka Hospital. It also sought to identify possible barriers to adequate pain management among doctors and gauge their response to the adequacy of medical school teaching on cancer pain issues. A 39 item survey was used to cover the issues involved. Overall, the doctors displayed a lack of systematic approach to cancer pain management with inadequate knowledge of analgesia handling. Medical school exposure to cancer pain issues was lacking. Formulation of accepted clinical practice guidelines and new education strategies can improve cancer pain management.

  6. A Survey of Solver-Related Geometry and Meshing Issues

    Science.gov (United States)

    Masters, James; Daniel, Derick; Gudenkauf, Jared; Hine, David; Sideroff, Chris

    2016-01-01

    There is a concern in the computational fluid dynamics community that mesh generation is a significant bottleneck in the CFD workflow. This is one of several papers that will help set the stage for a moderated panel discussion addressing this issue. Although certain general "rules of thumb" and a priori mesh metrics can be used to ensure that some base level of mesh quality is achieved, inadequate consideration is often given to the type of solver or particular flow regime on which the mesh will be utilized. This paper explores how an analyst may want to think differently about a mesh based on considerations such as if a flow is compressible vs. incompressible or hypersonic vs. subsonic or if the solver is node-centered vs. cell-centered. This paper is a high-level investigation intended to provide general insight into how considering the nature of the solver or flow when performing mesh generation has the potential to increase the accuracy and/or robustness of the solution and drive the mesh generation process to a state where it is no longer a hindrance to the analysis process.

  7. Towards an Airframe Noise Prediction Methodology: Survey of Current Approaches

    Science.gov (United States)

    Farassat, Fereidoun; Casper, Jay H.

    2006-01-01

    In this paper, we present a critical survey of the current airframe noise (AFN) prediction methodologies. Four methodologies are recognized. These are the fully analytic method, CFD combined with the acoustic analogy, the semi-empirical method and fully numerical method. It is argued that for the immediate need of the aircraft industry, the semi-empirical method based on recent high quality acoustic database is the best available method. The method based on CFD and the Ffowcs William- Hawkings (FW-H) equation with penetrable data surface (FW-Hpds ) has advanced considerably and much experience has been gained in its use. However, more research is needed in the near future particularly in the area of turbulence simulation. The fully numerical method will take longer to reach maturity. Based on the current trends, it is predicted that this method will eventually develop into the method of choice. Both the turbulence simulation and propagation methods need to develop more for this method to become useful. Nonetheless, the authors propose that the method based on a combination of numerical and analytical techniques, e.g., CFD combined with FW-H equation, should also be worked on. In this effort, the current symbolic algebra software will allow more analytical approaches to be incorporated into AFN prediction methods.

  8. Academic plastic surgery: a study of current issues and future challenges.

    Science.gov (United States)

    Zetrenne, Eleonore; Kosins, Aaron M; Wirth, Garrett A; Bui, Albert; Evans, Gregory R D; Wells, James H

    2008-06-01

    The objectives of this study were (1) to evaluate the role of a full-time academic plastic surgeon, (2) to define the indicators predictive of a successful career in academic plastic surgery, and (3) to understand the current issues that will affect future trends in the practice of academic plastic surgery. A questionnaire was developed to evaluate the role of current full-time academic plastic surgeons and to understand the current issues and future challenges facing academic plastic surgery. Each plastic surgery program director in the United States was sent the survey for distribution among all full-time academic plastic surgeons. Over a 6-week period, responses from 143 full-time academic plastic surgeons (approximately 31%) were returned. Fifty-three percent of respondents had been academic plastic surgeons for longer than 10 years. Seventy-three percent of respondents defined academic plastic surgeons as clinicians who are teachers and researchers. However, 53% of respondents believed that academic plastic surgeons were not required to teach or practice within university hospitals/academic centers. The 3 factors reported most frequently as indicative of a successful career in academic plastic surgery were peer recognition, personal satisfaction, and program reputation. Dedication and motivation were the personal characteristics rated most likely to contribute to academic success. Forty-four percent of respondents were unable to identify future academic plastic surgeons from plastic surgery residency applicants, and 27% were not sure. Most (93%) of the respondents believed that academic surgery as practiced today will change. The overall job description of a full-time academic plastic surgeon remains unchanged (teacher and researcher). Whereas peer recognition, personal satisfaction, and program reputation were most frequently cited as indicative of a successful plastic surgery career, financial success was rated the least indicative. Similarly, whereas the

  9. The formation, properties and impact of secondary organic aerosol: current and emerging issues

    Directory of Open Access Journals (Sweden)

    M. Hallquist

    2009-02-01

    Full Text Available Secondary organic aerosol (SOA accounts for a significant fraction of ambient tropospheric aerosol and a detailed knowledge of the formation, properties and transformation of SOA is therefore required to evaluate its impact on atmospheric processes, climate and human health. The chemical and physical processes associated with SOA formation are complex and varied, and, despite considerable progress in recent years, a quantitative and predictive understanding of SOA formation does not exist and therefore represents a major research challenge in atmospheric science. This review begins with a description of the current state of knowledge on the global SOA budget and the atmospheric degradation mechanisms for SOA precursors. The topic of gas-particle partitioning theory is followed by an account of the analytical techniques used to determine the chemical composition of SOA. A survey of recent laboratory, field and modeling studies is also presented. The following topical and emerging issues are highlighted and discussed in detail; molecular characterization of biogenic SOA constituents, condensed phase reactions and oligomerization, the interaction of atmospheric organic components with sulfuric acid, the chemical and photochemical processing of organics in the atmospheric aqueous phase, aerosol formation from real plant emissions, interaction of atmospheric organic components with water, thermodynamics and mixtures in atmospheric models. Finally, the major challenges ahead in laboratory, field and modeling studies of SOA are discussed and recommendations for future research directions are proposed.

  10. The formation, properties and impact of secondary organic aerosol: current and emerging issues

    Directory of Open Access Journals (Sweden)

    J. Wildt

    2009-07-01

    Full Text Available Secondary organic aerosol (SOA accounts for a significant fraction of ambient tropospheric aerosol and a detailed knowledge of the formation, properties and transformation of SOA is therefore required to evaluate its impact on atmospheric processes, climate and human health. The chemical and physical processes associated with SOA formation are complex and varied, and, despite considerable progress in recent years, a quantitative and predictive understanding of SOA formation does not exist and therefore represents a major research challenge in atmospheric science. This review begins with an update on the current state of knowledge on the global SOA budget and is followed by an overview of the atmospheric degradation mechanisms for SOA precursors, gas-particle partitioning theory and the analytical techniques used to determine the chemical composition of SOA. A survey of recent laboratory, field and modeling studies is also presented. The following topical and emerging issues are highlighted and discussed in detail: molecular characterization of biogenic SOA constituents, condensed phase reactions and oligomerization, the interaction of atmospheric organic components with sulfuric acid, the chemical and photochemical processing of organics in the atmospheric aqueous phase, aerosol formation from real plant emissions, interaction of atmospheric organic components with water, thermodynamics and mixtures in atmospheric models. Finally, the major challenges ahead in laboratory, field and modeling studies of SOA are discussed and recommendations for future research directions are proposed.

  11. [Security Management in Clinical Laboratory Departments and Facilities: Current Status and Issues].

    Science.gov (United States)

    Ishida, Haku; Nakamura, Junji; Yoshida, Hiroshi; Koike, Masaru; Inoue, Yuji

    2014-11-01

    We conducted a questionnaire survey regarding the current activities for protecting patients' privacy and the security of information systems (IS) related to the clinical laboratory departments of university hospitals, certified training facilities for clinical laboratories, and general hospitals in Yamaguchi Prefecture. The response rate was 47% from 215 medical institutions, including three commercial clinical laboratory centers. The results showed that there were some differences in management activities among facilities with respect to continuing education, the documentation or regulation of operational management for paper records, electronic information, remaining samples, genetic testing, and laboratory information for secondary use. They were suggested to be caused by differences in functions between university and general hospitals, differences in the scale of hospitals, or whether or not hospitals have received accreditation or ISO 15189. Regarding the IS, although the majority of facilities had sufficiently employed the access control to IS, there was some room for improvement in the management of special cases such as VIPs and patients with HIV infection. Furthermore, there were issues regarding the login method for computers shared by multiple staff, the showing of the names of personnel in charge of reports, and the risks associated with direct connections to systems and the Internet and the use of portable media such as USB memory sticks. These results indicated that further efforts are necessary for each facility to continue self-assessment and make improvements.

  12. Mite Pests in Plant Crops – Current Issues, Inovative Approaches and Possibilities for Controlling Them (2

    Directory of Open Access Journals (Sweden)

    Radmila Petanović

    2010-01-01

    Full Text Available Part one discusses some principal mite pests in agroecosystems and urban horticulturein European countries, Serbia and its neighbouring countries focusing primarily on issueswith regard to plant production, novel methods and approaches in applied acaralogy. Parttwo displays some major properties of acaricides inhibiting respiration, growth and developmentand other synthetic substances with acaricide action on the market in the last decadeof the 20th century and the first decade of the 21st century. Also some products of naturalorigin (azadirachtin, oils, micoacaricides are said to be gaining in importance. Issues withregard to the fact that mites can readily develop resistance to acardicides are discussed anda survey on the results of biochemical, physiological and genetical causes of resistance areanalyzed. Some basic principles of biological control of phytophagous mites and modernadvances and approaches are discussed as well as current knowledge on host plant resistanceto mites. Eventually, the possibility of using a combination of selective acaricides andbiological control agents is discussed but also the inclusion of other modes of control (agriculturalpractices and physical measures expected to contribute to an integrated managementof pest populations.

  13. A Survey of Current Rotorcraft Propulsion Health Monitoring Technologies

    Science.gov (United States)

    Delgado, Irebert R.; Dempsey, Paula J.; Simon, Donald L.

    2012-01-01

    A brief review is presented on the state-of-the-art in rotorcraft engine health monitoring technologies including summaries on current practices in the area of sensors, data acquisition, monitoring and analysis. Also, presented are guidelines for verification and validation of Health Usage Monitoring System (HUMS) and specifically for maintenance credits to extend part life. Finally, a number of new efforts in HUMS are summarized as well as lessons learned and future challenges. In particular, gaps are identified to supporting maintenance credits to extend rotorcraft engine part life. A number of data sources were consulted and include results from a survey from the HUMS community, Society of Automotive Engineers (SAE) documents, American Helicopter Society (AHS) papers, as well as references from Defence Science & Technology Organization (DSTO), Civil Aviation Authority (CAA), and Federal Aviation Administration (FAA).

  14. SURVEY ON SOLIDARITY GROUPS OF BUYERS: CRITICAL ISSUES

    Directory of Open Access Journals (Sweden)

    L. Pennisi

    2011-08-01

    Full Text Available This work is intended to provide, through the analysis of the dynamics of purchase of solidarity groups of buyers, a contribution to the study of current trends that are affecting the alternative to the dominant agro-food industry. Through the use of a questionnaire the paper investigated the perception as consumers this particular class of buyers have of themselves and how their concepts of “conscious choice” and “responsibility” drive their shopping list and consequently influence the growth and development of the Short Supply Chain, as the work remarked the progressive and notable increment of commerce and families circling around this young but widespreading phenomenon. Particularly striking, in fact, emerge from the role that consumers are becoming part of this phenomenon and the most of them have matured during time the idea that biological and hand-made products are for themselves also Safe, while the Long Supply Chain should incarnate the role of an alienating and wholly food system. The analysis of the questionnaires revealed some problems concerning the methods of transport and storage.

  15. Cancer screening in the United States, 2017: A review of current American Cancer Society guidelines and current issues in cancer screening.

    Science.gov (United States)

    Smith, Robert A; Andrews, Kimberly S; Brooks, Durado; Fedewa, Stacey A; Manassaram-Baptiste, Deana; Saslow, Debbie; Brawley, Otis W; Wender, Richard C

    2017-03-01

    Answer questions and earn CME/CNE Each year, the American Cancer Society publishes a summary of its guidelines for early cancer detection, data and trends in cancer screening rates, and select issues related to cancer screening. In this issue of the journal, the authors summarize current American Cancer Society cancer screening guidelines, describe an update of their guideline for using human papillomavirus vaccination for cancer prevention, describe updates in US Preventive Services Task Force recommendations for breast and colorectal cancer screening, discuss interim findings from the UK Collaborative Trial on Ovarian Cancer Screening, and provide the latest data on utilization of cancer screening from the National Health Interview Survey. CA Cancer J Clin 2017;67:100-121. © 2017 American Cancer Society. © 2017 American Cancer Society.

  16. Survey of currently selected dental implants and restorations by prosthodontists.

    Science.gov (United States)

    Cardoso, Richard C; Gerngross, Peter J; Dominici, John T; Kiat-amnuay, Sudarat

    2013-01-01

    The purpose of this study was to survey the prosthodontists of the American College of Prosthodontists (ACP) and the American Academy of Maxillofacial Prosthetics (AAMP) to identify the most commonly used implant both during their training and currently in practice, and to evaluate overall restorative preference. Participants were asked to rank criteria that make an implant company desirable and important features when selecting an implant. An electronic survey was emailed to 1,739 members of the ACP and AAMP. The majority of respondents (79%) were trained using Nobel Biocare brand implants, which was also the brand most often selected by participants for use in all regions of the oral cavity (34% to 39%, location dependent). Abutment preferences varied by area: incisors and canines (29%) and highly esthetic areas (53%) were more likely to be restored with custom milled zirconia abutments, while prefabricated titanium abutments were preferred for premolars and molar areas. Conventional loading was most often applied, ranging from 95% in medically compromised patients to 55% in esthetic areas. The majority of participants (86%) used Locator attachments for complete overdenture restorations. Also, respondents selected an implant company based on features and literature support versus cost and customer service. The implant features deemed most important were the design of the internal connection and ease of finding replacement parts; thread design and variety of abutments were deemed least important. Respondents reported that while implant planning software was used, they rarely/never order the concurrent surgical guide. Within the study's limitations, the majority of prosthodontists select implants based on training, features, and literature support.

  17. Data Security, Privacy, Availability and Integrity in Cloud Computing: Issues and Current Solutions

    Directory of Open Access Journals (Sweden)

    Sultan Aldossary

    2016-04-01

    Full Text Available Cloud computing changed the world around us. Now people are moving their data to the cloud since data is getting bigger and needs to be accessible from many devices. Therefore, storing the data on the cloud becomes a norm. However, there are many issues that counter data stored in the cloud starting from virtual machine which is the mean to share resources in cloud and ending on cloud storage itself issues. In this paper, we present those issues that are preventing people from adopting the cloud and give a survey on solutions that have been done to minimize risks of these issues. For example, the data stored in the cloud needs to be confidential, preserving integrity and available. Moreover, sharing the data stored in the cloud among many users is still an issue since the cloud service provider is untrustworthy to manage authentication and authorization. In this paper, we list issues related to data stored in cloud storage and solutions to those issues which differ from other papers which focus on cloud as general.

  18. A Survey on Security Issues in Ad Hoc Routing Protocols and their Mitigation Techniques

    CERN Document Server

    Kayarkar, Harshavardhan

    2012-01-01

    Mobile Ad hoc Networks (MANETS) are transient networks of mobile nodes, connected through wireless links, without any fixed infrastructure or central management. Due to the self-configuring nature of these networks, the topology is highly dynamic. This makes the Ad Hoc Routing Protocols in MANETS highly vulnerable to serious security issues. In this paper, we survey the common security threats and attacks and summarize the solutions suggested in the survey to mitigate these security vulnerabilities.

  19. Bibliometric Analysis of Current Web Survey Research in China

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qian; SHAO Peiji; FANG Jiaming

    2008-01-01

    In recent years, with the advancement of information technology and its application in survey activities, web surveys have not only greatly developed, but have also encountered many problems in China. An analysis of domestic research is important for better understanding of web surveys, to guide further research and application. This paper gives a bibliometric analysis of 120 domestic articles on web surveys from 1998 to 2006, on publication growth, author and organization distribution, journal distribution, and research subjects. Research on web surveys in China should make progress comparable with research abroad in comparative studies, specific studies, and technical application studies.

  20. Current State of Agile User-Centered Design: A Survey

    Science.gov (United States)

    Hussain, Zahid; Slany, Wolfgang; Holzinger, Andreas

    Agile software development methods are quite popular nowadays and are being adopted at an increasing rate in the industry every year. However, these methods are still lacking usability awareness in their development lifecycle, and the integration of usability/User-Centered Design (UCD) into agile methods is not adequately addressed. This paper presents the preliminary results of a recently conducted online survey regarding the current state of the integration of agile methods and usability/UCD. A world wide response of 92 practitioners was received. The results show that the majority of practitioners perceive that the integration of agile methods with usability/UCD has added value to their adopted processes and to their teams; has resulted in the improvement of usability and quality of the product developed; and has increased the satisfaction of the end-users of the product developed. The top most used HCI techniques are low-fidelity prototyping, conceptual designs, observational studies of users, usability expert evaluations, field studies, personas, rapid iterative testing, and laboratory usability testing.

  1. Current issues of international law on offshore abandonment, with special reference to the United Kingdom

    Energy Technology Data Exchange (ETDEWEB)

    Gao, Zhiguo [Univ. of Dundee, Scotland (United Kingdom)

    1997-11-01

    This article attempts to provide an up-to-date overview of the recent developments of international law on offshore abandonment. It scrutinizes the current issues and debates on the subject at both international and national levels, with special reference to the legislation and practice in the United Kingdom. Through a study of the current issues and trends in international law and policy developments, the articles undertakes to provide, where possible, practical considerations as to the possible resolution of some of the prominent problems faced by the international community in general, and some member states in particular. The future direction of international abandonment law also is briefly outlined.

  2. What Do People Know about Key Environmental Issues? A Review of Environmental Knowledge Surveys

    Science.gov (United States)

    Robelia, Beth; Murphy, Tony

    2012-01-01

    This paper presents results from 15 little publicized state and national environmental surveys in the US that used similar questions. Our analysis reveals trends in adult understanding of environmental issues. These trends indicate that many may have difficulty making informed decisions about environmental policy as citizens, voters, and…

  3. What Do People Know about Key Environmental Issues? A Review of Environmental Knowledge Surveys

    Science.gov (United States)

    Robelia, Beth; Murphy, Tony

    2012-01-01

    This paper presents results from 15 little publicized state and national environmental surveys in the US that used similar questions. Our analysis reveals trends in adult understanding of environmental issues. These trends indicate that many may have difficulty making informed decisions about environmental policy as citizens, voters, and…

  4. The Asilomar Survey: Stakeholders’ Opinions on Ethical Issues Related to Brain-Computer Interfacing

    NARCIS (Netherlands)

    Nijboer, F.; Clausen, J.; Allison, B.Z.; Haselager, W.F.G.

    2011-01-01

    Brain-Computer Interface (BCI) research and (future) applications raise important ethical issues that need to be addressed to promote societal acceptance and adequate policies. Here we report on a survey we conducted among 145 BCI researchers at the 4th International BCI conference, which took place

  5. The Asilomar Survey: Stakeholders' Opinions on Ethical Issues Related to Brain-Computer Interfacing

    NARCIS (Netherlands)

    Nijboer, Femke; Clausen, Jens; Allison, Brendan Z.; Haselager, Pim

    2011-01-01

    Brain-Computer Interface (BCI) research and (future) applications raise important ethical issues that need to be addressed to promote societal acceptance and adequate policies. Here we report on a survey we conducted among 145 BCI researchers at the 4th International BCI conference, which took place

  6. Assessment of BSBA Students' Conversancy in Current Business Issues: A Case Study

    Science.gov (United States)

    Hogan, Eileen A.; Maskulka, Therese A.; Kaminski, Kathleen A.

    2014-01-01

    In 2008, the faculty of the College of Business at Kutztown University developed a set of five learning goals for its BSBA program. In fall, 2011, the college's Assurance of Learning Committee began to pursue the assessment of the last of these goals: "BSBA graduates will be conversant in current business issues, including ethics, social…

  7. Implementation issues on the design of current loops based on resonant regulators for isolated microgrids

    DEFF Research Database (Denmark)

    Federico, de Bosio; Pastorelli, Michele; Antonio DeSouza Ribeiro, Luiz;

    2016-01-01

    This paper analyzes the influence of state feedback coupling between the capacitor voltage and inductor current in voltage source inverters (VSI) operating in stand-alone microgrids. A decoupling technique is proposed as an effective measure to enhance the dynamics. Further implementation issues ...

  8. Understandings of Current Environmental Issues: Turkish Case Study in Six Teacher Education Colleges

    Science.gov (United States)

    Cakir, Mustafa; Irez, Serhat; Dogan, Ozgur Kivilcan

    2010-01-01

    The purpose of this study is to profile future science teachers' understandings of current environmental issues in the context of an education reform in Turkey. Knowledge base and understandings of elementary and secondary prospective science teachers about biodiversity, carbon cycle, global warming and ozone layer depletion were targeted in the…

  9. Interpersonal Relationships, Motivation, Engagement, and Achievement: Yields for Theory, Current Issues, and Educational Practice

    Science.gov (United States)

    Martin, Andrew J.; Dowson, Martin

    2009-01-01

    In this review, we scope the role of interpersonal relationships in students' academic motivation, engagement, and achievement. We argue that achievement motivation theory, current issues, and educational practice can be conceptualized in relational terms. Influential theorizing, including attribution theory, expectancy-value theory, goal theory,…

  10. Wolves in the Wild: Using Current Issues to Make Science Relevant

    Science.gov (United States)

    Post, Jennie; Sadler, Troy D.

    2010-01-01

    As teachers, one of our most important responsibilities is to help students develop dynamic and useful views of science. Using current issues to create learning experiences can help generate student interest in science and help students appreciate its significance in both personal and societal contexts. This article presents a lesson based on news…

  11. Current Issues in the Teaching of English: Report on a Questionnaire Study; English Curricula in Australia.

    Science.gov (United States)

    Australian Council for Educational Research, Hawthorn.

    The first two papers in this volume discusses the results of questionnaires intended for primary and secondary teachers to elicit information on current issues in the teaching of English in Australia. It was learned that secondary teachers reached consensus only on the very broadest levels. They all agreed that literature, communication, and…

  12. Interpersonal Relationships, Motivation, Engagement, and Achievement: Yields for Theory, Current Issues, and Educational Practice

    Science.gov (United States)

    Martin, Andrew J.; Dowson, Martin

    2009-01-01

    In this review, we scope the role of interpersonal relationships in students' academic motivation, engagement, and achievement. We argue that achievement motivation theory, current issues, and educational practice can be conceptualized in relational terms. Influential theorizing, including attribution theory, expectancy-value theory, goal theory,…

  13. Quality assurance and control issues for HF radar wave and current measurements

    Science.gov (United States)

    Wyatt, Lucy

    2015-04-01

    HF radars are now widely used to provide surface current measurements over wide areas of the coastal ocean for scientific and operational applications. In general data quality is acceptable for these applications but there remain issues that impact on the quantity and quality of the data. These include problems with calibration and interference which impact on both phased array (e.g. WERA, Pisces) and direction-finding (e.g. SeaSonde) radars. These same issues and others (e.g. signal-to-noise, in-cell current variability, antenna sidelobes) also impact on the quality and quantity of wave data that can be obtained. These issues will be discussed in this paper, illustrated with examples from deployments of WERA, Pisces and SeaSonde radars in the UK, Europe, USA and Australia. These issues involve both quality assurance (making sure the radars perform to spec and the software is fully operational) and in quality control (identifying problems with the data due to radar hardware or software performance issues and flagging these in the provided data streams). Recommendations for the former, and current practice (of the author and within the Australian Coastal Ocean Radar Network, ACORN*) for the latter, will be discussed. The quality control processes for wave measurement are not yet as well developed as those for currents and data from some deployments can be rather noisy. Some new methods, currently under development by SeaView Sensing Ltd and being tested with ACORN data, will be described and results presented. *ACORN is a facility of the Australian Integrated Marine Observing System, IMOS. IMOS is a national collaborative research infrastructure, supported by Australian Government. It is led by University of Tasmania in partnership with the Australian marine and climate science community.

  14. Cancer screening in the United States, 2013: a review of current American Cancer Society guidelines, current issues in cancer screening, and new guidance on cervical cancer screening and lung cancer screening.

    Science.gov (United States)

    Smith, Robert A; Brooks, Durado; Cokkinides, Vilma; Saslow, Debbie; Brawley, Otis W

    2013-01-01

    Each year the American Cancer Society (ACS) publishes a summary of its recommendations for early cancer detection, a report on data and trends in cancer screening rates, and select issues related to cancer screening. In this issue of the journal, current ACS cancer screening guidelines are summarized, as are updated guidelines on cervical cancer screening and lung cancer screening with low-dose helical computed tomography. The latest data on the use of cancer screening from the National Health Interview Survey also are described, as are several issues related to screening coverage under the Patient Protection and Affordable Care Act of 2010.

  15. [Customer satisfaction in home care: methodological issues based on a survey carried out in Lazio].

    Science.gov (United States)

    Pasquarella, A; Marceca, M; Casagrande, S; Gentile, D; Zeppilli, D; Buonaiuto, N; Cozzolino, M; Guasticchi, G

    2007-01-01

    Home care customer satisfaction has been, until now, rarely evaluated. After illustrating the main italian regional surveys on this issue, the article presents a customer satisfaction survey carried out in the district of Civitavecchia (Local Health Unit 'Rome F'), Lazio, regarding 30 home care beneficiaries. Methodological aspects emerging from the survey are basically focused on: advantages and disadvantages of quantitative and qualitative approaches (possibly associated each other); main criteria of eligibility of people selected for interviewing, both patients or caregivers; conditions that maximize answers reliability, including training on interviewers. Authors highlight opportunity of using such kind of survey, integrated with other different tools, into a systemic vision, for promoting management changes coming from suggested problems, aimed at total quality management.

  16. Current Status Of Velocity Field Surveys: A Consistency Check

    CERN Document Server

    Sarkar, D; Watkins, R; Sarkar, Devdeep; Feldman, Hume A.

    2006-01-01

    We present a statistical analysis comparing the bulk--flow measurements for six recent peculiar velocity surveys, namely, ENEAR, SFI, RFGC, SBF and the Mark III singles and group catalogs. We study whether the bulk--flow estimates are consistent with each other and construct the full three dimensional bulk--flow vectors. The method we discuss could be used to test the consistency of all velocity field surveys. We show that although these surveys differ in their geometry and measurement errors, their bulk flow vectors are expected to be highly correlated and in fact show impressive agreement in all cases. Our results suggest that even though the surveys we study target galaxies of different morphology and use different distance measures, they all reliably reflect the same underlying large-scale flow.

  17. Debriefing after failed paediatric resuscitation: a survey of current UK practice.

    Science.gov (United States)

    Ireland, S; Gilchrist, J; Maconochie, I

    2008-06-01

    Debriefing is a form of psychological "first aid" with origins in the military. It moved into the spotlight in 1983, when Mitchell described the technique of critical incident stress debriefing. To date little work has been carried out relating to the effectiveness of debriefing hospital staff after critical incidents. The aim of this study was to survey current UK practice in order to develop some "best practice" guidelines. This study was a descriptive evaluation based on a structured questionnaire survey of 180 lead paediatric and emergency medicine consultants and nurses, selected from 50 UK trusts. Questions collected data about trust policy and events and also about individuals' personal experience of debrief. Free text comments were analyzed using the framework method described for qualitative data. Overall, the response rate was 80%. 62% said a debrief would occur most of the time. 85% reported that the main aim was to resolve both medical and psychological and emotional issues. Nearly all involve both doctors and nurses (88%); in over half (62%) other healthcare workers would be invited, eg, paramedics, students. Sessions are usually led by someone who was involved in the resuscitation attempt (76%). This was a doctor in 80%, but only 18% of responders said that a specifically trained person had led the session. Individuals' psychological issues would be discussed further on a one-to-one basis and the person directed to appropriate agencies. Any strategic working problems highlighted would be discussed with a senior member of staff and resolved via clinical governance pathways. Little is currently known about the benefits of debriefing hospital staff after critical incidents such as failed resuscitation. Debriefing is, however, widely practised and the results of this study have been used to formulate some best practice guidelines while awaiting evidence from further studies.

  18. Current issues around the pharmacotherapy of ADHD in children and adults

    OpenAIRE

    Meijer, W.M.; Faber, A.; Ban, van den, A.W.; Tobi, H.

    2009-01-01

    Background New drugs and new formulations enter the growing market for ADHD medication. The growing awareness of possible persistence of ADHD impairment beyond childhood and adolescence resulting in increased pharmacotherapy of ADHD in adults, is also a good reason for making an inventory of the what is generally known about pharmacotherapy in ADHD. Aim To discuss current issues in the possible pharmacotherapy treatment of ADHD in children, adolescents and adults with respect to the position ...

  19. A New Authorization for Use of Military Force Against the Islamic State: Issues and Current Proposals

    Science.gov (United States)

    2017-02-21

    A New Authorization for Use of Military Force Against the Islamic State: Issues and Current Proposals Matthew C. Weed Specialist in Foreign...Policy Legislation February 21, 2017 Congressional Research Service 7-5700 www.crs.gov R43760 A New Authorization for Use of Military Force...Against the Islamic State Congressional Research Service Summary Since the United States embarked on a strategy to counter the Islamic State (also

  20. Current State and Issues of Logistics Cost Accounting and Management in Malaysia

    OpenAIRE

    Zakariah, Sahidah; Pyeman, Jaafar

    2013-01-01

    Background: Logistics cost is an important factor affecting the competitiveness on both macro (national) and micro level (firms). Logistics cost indicates the performance of logistics industry, efficiency level and its competitiveness. Research Problem: Despite of its significance, current state of logistics cost accounting and management in Malaysia has not properly addressed and the issues surround logistics cost measurement remains incoherent. Aim of research: The purpose o...

  1. A Review of Current Issues in State-of-Art of Wind Farm Overvoltage Protection

    Directory of Open Access Journals (Sweden)

    Ranko Goić

    2011-04-01

    Full Text Available This paper elaborates on several important outstanding issues in the state-of-art of overvoltage protection selection for modern wind farms. The lack of experience with this still-new technology, together with the inherent complexity of wind farm electrical systems, entails several unresolved issues pertinent to the topic of overvoltage protection, particularly in relation to lightning-initiated surges. Firstly, several aspects of the wind turbine lightning incidence, along with the issues related to the selection of lightning current parameters (pertinent to the wind farm overvoltage protection, are addressed in this paper. Secondly, several issues in the state-of-art models of the wind farm electrical systems—for the lightning surge analysis—are addressed and discussed. Here, a well-known ElectroMagnetic Transients Program (EMTP software package is often employed, with all of its benefits and some limitations. Thirdly, the metal-oxide surge arrester energy capability and the issues related to the selection of the surge arrester rated energy—in relation to the direct lightning strikes to wind turbines—is addressed. Finally, some general considerations concerning the overvoltage protection selection for wind farm projects, particularly regarding the installation of the metal-oxide surge arresters, are provided as well.

  2. [Resource activation in clinical psychology and psychotherapy: review of theoretical issues and current research].

    Science.gov (United States)

    Groß, L J; Stemmler, M; de Zwaan, M

    2012-08-01

    This review summarises theoretical issues and current research on working with clients' resources and strengths in clinical psychology and psychotherapy. Resource activation is considered as an important common factor in psychotherapy. In general, resource activation means an explicit focus on resources, strengths and potentials of the clients. After defining the term resources, considerations with regard to therapeutic attitude, principles of resource activation, approaches to resource diagnostics and different research strategies are presented. Current research focuses especially on the relation between resource activation and process variables in out-patient treatment.

  3. Literature Survey on Technical Issues and Insights of Multi-Unit PSA

    Energy Technology Data Exchange (ETDEWEB)

    Baek, Sejin; Park, Soyoung; Heo, Gyunyoung [Kyung Hee Univ., Yongin (Korea, Republic of)

    2016-10-15

    The need consider the risk impact in case of multi-unit in a single site increased after the accident at Fukushima Daiichi in March 2011. This means that we have to consider the single-unit initiators impacting the other units and the simultaneous accidents of the multi-unit on the same site. Particularly, this kind of technical concern is serious in case of the Republic of Korea where multi-units had to be located in high-density population area due to geographical features. The Nuclear Safety and Security Commission (NSSC) in the Republic of Korea has been trying to identify the state of the art of international and domestic regulations and techniques on multi-unit risk assessment and planning the road map for the safety researches. However, we have to say that finding a common accepted methodology along with safety criteria for multi-unit PSA was not an easy task up to now. This paper summarizes and analyzes related international and domestic journals' papers, conferences' papers and reports about the multi-unit PSA classifying categories with themes to understand the technical tendency of multi-unit PSA. In addition, some insights that were obtained from this classification have been arranged too. This paper investigated the technical trend of the multi-unit PSA as collecting of the international and domestic journals' papers, conferences papers and reports, and analyzing them. Upon the literature survey, a few statistics, technical issues, and insights were summarized. Both of the fundamental and practical researches need to find a globally accepted methodology to calculate and determine quantitative objectives for a multi-unit PSA. We want to expect that this paper can be shared to understand the current status of multi-unit PSA.

  4. Scoping survey of perceived concerns, issues, and problems for near-surface disposal of FUSRAP waste

    Energy Technology Data Exchange (ETDEWEB)

    Robinson, J.E.; Gilbert, T.L.

    1982-12-01

    This report is a scoping summary of concerns, issues, and perceived problems for near-surface disposal of radioactive waste, based on a survey of the current literature. Near-surface disposal means land burial in or within 15 to 20 m of the earth's surface. It includes shallow land burial (burial in trenches, typically about 6 m deep with a 2-m cap and cover) and some intermediate-depth land burial (e.g., trenches and cap similar to shallow land burial, but placed below 10 to 15 m of clean soil). Proposed solutions to anticipated problems also are discussed. The purpose of the report is to provide a better basis for identifying and evaluating the environmental impacts and related factors that must be analyzed and compared in assessing candidate near-surface disposal sites for FUSRAP waste. FUSRAP wastes are of diverse types, and their classification for regulatory purposes is not yet fixed. Most of it may be characterized as low-activity bulk solid waste, and is similar to mill tailings, but with somewhat lower average specific activity. It may also qualify as Class A segregated waste under the proposed 10 CFR 61 rules, but the parent radionuclides of concern in FUSRAP (primarily U-238 and Th-232) have longer half-lives than do the radionuclides of concern in most low-level waste. Most of the references reviewed deal with low-level waste or mill tailings, since there is as yet very little literature in the public domain on FUSRAP per se.

  5. Toward Successful Implementation of Speech Recognition Technology: A Survey of SRT Utilization Issues in Healthcare Settings.

    Science.gov (United States)

    Clarke, Martina A; King, Joshua L; Kim, Min Soon

    2015-07-01

    To evaluate physician utilization of speech recognition technology (SRT) for medical documentation in two hospitals. A quantitative survey was used to collect data in the areas of practice, electronic equipment used for documentation, documentation created after providing care, and overall thoughts about and satisfaction with the SRT. The survey sample was from one rural and one urban facility in central Missouri. In addition, qualitative interviews were conducted with a chief medical officer and a physician champion regarding implementation issues, training, choice of SRT, and outcomes from their perspective. Seventy-one (60%) of the anticipated 125 surveys were returned. A total of 16 (23%) participants were practicing in internal medicine and 9 (13%) were practicing in family medicine. Fifty-six (79%) participants used a desktop and 14 (20%) used a laptop (2%) computer. SRT products from Nuance were the dominant SRT used by 59 participants (83%). Windows operating systems (Microsoft, Redmond, WA) was used by more than 58 (82%) of the survey respondents. With regard to user experience, 42 (59%) participants experienced spelling and grammatical errors, 15 (21%) encountered clinical inaccuracy, 9 (13%) experienced word substitution, and 4 (6%) experienced misleading medical information. This study shows critical issues of inconsistency, unreliability, and dissatisfaction in the functionality and usability of SRT. This merits further attention to improve the functionality and usability of SRT for better adoption within varying healthcare settings.

  6. Keeping the customer satisfied: issues in the interpretation and use of patient satisfaction surveys.

    Science.gov (United States)

    Scott, A; Smith, R D

    1994-12-01

    Patient satisfaction and customer focus are increasingly important objectives set for health services. The patient satisfaction survey is becoming the main method of assessing this aspect of health care. In competitive environments, those institutions that show that they respond to consumers' needs are in a better position to attract funding. The use of patient satisfaction surveys in quality assurance-type activities is also increasing. In these contexts, however, the way in which patient satisfaction surveys should be interpreted and used to maximise the satisfaction of patients has received little critical attention. Problems in interpreting the results of satisfaction surveys arise from the weak conceptual foundation of patient satisfaction, which has been well documented in the literature. The objective of this paper is to show that using current formulations of patient satisfaction surveys in quality assurance-type activities and competitive environments may not lead to the maximisation of patients' satisfaction with health services. If the satisfaction of patients is to be maximised then it is necessary to extend the current conceptual basis of patient satisfaction to recognise explicitly the decision-making contexts in which the results will be used. This paper identifies the manner by which this extension should occur by considering some of the problems and pitfalls of interpreting and using the results of surveys to maximise patients' satisfaction.

  7. Self-Checks In Spreadsheets: A Survey Of Current Practice

    CERN Document Server

    Colver, David

    2010-01-01

    A common application of spreadsheets is the development of models that deliver projections of the future financial statements of companies established to pursue ventures that are subject to project financing. A survey of 11 such spreadsheets prepared by a range of organisations shows that the amount of self-testing included in such models ranges between one formula of testing for each three formulae of calculation, down to essentially no self-testing at all.

  8. Corrective shoes for children: a survey of current practice.

    Science.gov (United States)

    Staheli, L T; Giffin, L

    1980-01-01

    A survey of shoe-prescribing practices for children was taken among pediatricians, orthopaedists, pediatric orthopaedists, and podiatrists. Opinions differed significantly regarding the usefulness of shoe modifications for common pediatric lower limb and foot problems. Parents' attitudes toward children's shoes were also surveyed. Pediatricians and pediatric orthopaedists tended to prescribe corrective shoes less often than did orthopaedists and podiatrists. High topped shoes are not necessary to promote normal foot development, in the opinion of 85% of those surveyed; however, high topped shoes were often recommended for infants because they slip off less easily. Preferences for Thomas heels, scaphoid pads, reverse lasts, straight lasts, wedges, torque heels, and shoe lifts for problems including flexible flat feet, metatarsus adductus, intoeing, bow legs, knock knees, and leg length inequalities were delineated among the four groups treating children's feet. The authors conclude that whereas studies show that shoe modifications are of questionable value in the problems discussed, corrective shoes are often prescribed when regular shoes would be more appropriate and economical.

  9. Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations

    Directory of Open Access Journals (Sweden)

    Archy Otto De Berker

    2013-10-01

    Full Text Available The transcranial application of weak currents to the human brain has enjoyed a decade of success, providing a simple and powerful tool for non-invasively altering human brain function. However, our understanding of current delivery and its impact upon neural circuitry leaves much to be desired. We argue that the credibility of conclusions drawn with tDCS is contingent upon realistic explanations of how tDCS works, and that our present understanding of tDCS limits the technique’s use to localize function in the human brain. We outline two central issues where progress is required: the localization of currents, and predicting their functional consequence. We encourage experimenters to eschew simplistic explanations of mechanisms of transcranial current stimulation. We suggest the use of individualized current modelling, together with computational neurostimulation to inform mechanistic frameworks in which to interpret the physiological impact of tDCS. We hope that through mechanistically richer descriptions of current flow and action, insight into the biological processes by which transcranial currents influence behaviour can be gained, leading to more effective stimulation protocols and empowering conclusions drawn with tDCS.

  10. 78 FR 54622 - Proposed Information Collection; Comment Request; Current Population Survey, Annual Social and...

    Science.gov (United States)

    2013-09-05

    ... Census Bureau Proposed Information Collection; Comment Request; Current Population Survey, Annual Social... concerning the Annual Social and Economic Supplement (ASEC) to be conducted in conjunction with the February, March, and April Current Population Survey (CPS). The Census Bureau has conducted this...

  11. The 1996 National Survey of Public Libraries and the Internet: Progress and Issues. Final Report.

    Science.gov (United States)

    Bertot, John Carlo; And Others

    This 1996 National Commission on Libraries and Information Science (NCLIS) survey gathered data from a national sample of public libraries concerning the current level of public library involvement with the Internet. The purpose of this study was to: (1) provide policymakers, researchers, and library professionals with longitudinal data that…

  12. Research of Current Issues and Preliminary Sensitivity Analysis of Level 3 PSA

    Energy Technology Data Exchange (ETDEWEB)

    Shin, So Eun; Lee, Yong Suk [FNC Technology Co. Ltd., Yongin (Korea, Republic of); Lee, Seung Woo [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2015-10-15

    Thus, in this study, key current issues came from research on previous studies related to L3 PSA. L3 PSA has been carried out by using MACCS code in Korea on a trial basis. The technique of assessing an off-site radiation effect quantitatively is required because the interest in off-site consequence analysis has been increased after the Fukushima accident. Therefore, in order to use Level 3 PSA(L3 PSA) in Korea, methods of calculating MACCS(MELCOR Accident Consequence Code System) code to be adequate for domestic circumstances in Korea were investigated. If L3 PSA is performed in Korea, it will be possible to raise many issues. Since MACCS code is based on the U.S., input parameters and the scope of analysis were set by considering circumstances of the U.S. For this reason, by focusing on solutions to current issues, the method for reflecting circumstances of Korea in L3 PSA was investigated. It is also required to find out methods for decreasing uncertainty of L3 PSA in Korea.

  13. Occupational ergonomic issues in highway construction surveyed in Wisconsin, United States.

    Science.gov (United States)

    Choi, Sang D; Hudson, Lisa; Kangas, Peter; Jungen, Brett; Maple, Jennifer; Bowen, Chevon

    2007-06-01

    This study discusses the workplace ergonomic issues in highway construction, and the safe work practices associated with the prevention of ergonomic-related injuries and illnesses in the construction field. In order to achieve the study objectives, a survey was designed and sent to Wisconsin based construction contractors. To design an adequate questionnaire, the research team first conducted a pilot study. The findings from the pilot survey provided a clear direction in creating the final survey. The survey results indicated that hand and finger injuries due to cutting operations and back injuries due to the manual handling of heavy materials to be the most frequent construction task/injury combination. All of the construction firms surveyed had a safety program; however, most of the contractors did not have a site-specific ergonomics program. The construction workers were usually walking/working on the ground, ladder and scaffold, and spent significant amount of time for the manual lifting or carrying heavy materials. The findings from this study may assist safety and health professionals in the construction industry in making effective changes for improving health and productivity.

  14. The treatment of Parkinson’s disease with deep brain stimulation:current issues

    Institute of Scientific and Technical Information of China (English)

    Alexia-Sabine Moldovan; Stefan Jun Groiss; Saskia Elben; Martin Südmeyer; Alfons Schnitzler; Lars Wojtecki

    2015-01-01

    Deep brain stimulation has become a well-established symptomatic treatment for Parkinson’s disease during the last 25 years. Besides improving motor symptoms and long-term motor com-plications, positive effects on patients’ mobility, activities of daily living, emotional well-being and health-related quality of life have been recognized. Apart from that, numerous clinical trials analyzed effects on non-motor symptoms and side effects of deep brain stimulation. Several technical issues and stimulation paradigms have been and are still being developed to optimize the therapeutic effects, minimize the side effects and facilitate handling. This review summarizes current therapeutic issues,i.e., patient and target selection, surgical procedure and programming paradigms. In addition it focuses on neuropsychological effects and side effects of deep brain stimulation.

  15. Current issues in the treatment of specific phobia: recommendations for innovative applications of hypnosis.

    Science.gov (United States)

    Spiegel, Sharon B

    2014-04-01

    Specific phobia is the most common and treatable of the anxiety disorders. Exposure-based therapies are the treatment of choice and empirically validated protocols are available that promise rapid and effective results. In many cases, however, patients are reluctant to comply with demanding schedules of exposure, increasing the risk of treatment failure. Furthermore, in clinical practice, patients often present with multiple phobias and other Axis I and Axis II disorders that can further complicate therapy. This article covers four important issues that have been addressed in the literature: (a) managing resistance to treatment, (b) reducing length of treatment, (c) clarifying the optimal application of relaxation training, and (d) applying advances in cognitive neuroscience. These issues are reviewed and recommendations proposed for ways in which to modify current treatments. Specific suggestions are provided for implementing these recommendations including examples of innovative applications of standard hypnotic techniques.

  16. The NRC's SPAR Models: Current Status, Future Development, and Modeling Issues

    Energy Technology Data Exchange (ETDEWEB)

    Robert F. Buell

    2008-09-01

    Probabilistic risk assessments (PRAs) play an increasingly important role in the regulatory framework of the U.S. nuclear power industry. The Nuclear Regulatory Commission (NRC) relies on a set of plant-specific Standardized Plant Analysis Risk (SPAR) models to provide critical risk-based input to the regulatory process. The Significance Determination Process (SDP), Management Directive 8.3 - NRC Incident Investigation Program, Accident Sequence Precursor (ASP) and Mitigating Systems Performance Index (MSPI) programs are among the regulatory initiatives that receive significant input from the SPAR models. Other uses of the SPAR models include: Screening & Resolution of Generic Safety Issues, License Amendment reviews and Notice of Enforcement Discretion (NOEDs). This paper presents the current status of SPAR model development activities, future development objectives, and issues related to the development, verification and maintenance of the SPAR models.

  17. Survey of ethical issues reported by Indian medical students: basis for design of a new curriculum.

    Science.gov (United States)

    Rose, Anuradha; George, Kuryan; T, Arul Dhas; Pulimood, Anna Benjamin

    2014-01-01

    Education in ethics is now a formal part of the undergraduate medical curriculum. However, most courses are structured around principles and case studies more appropriate to western countries. The cultures and practices of countries like India differ from those of western countries. It is, therefore, essential that our teaching should address the issues which are the most relevant to our setting. An anonymised, questionnaire-based, cross-sectional survey of medical students was carried out to get a picture of the ethical problems faced by students in India. The data were categorised into issues related to professional behaviour and ethical dilemmas. Unprofessional behaviour was among the issues reported as a matter of concern by a majority of the medical students. The survey highlights the need to design the curriculum in a way that reflects the structure of medical education in India, where patients are not always considered socio-culturally equal by students or the medical staff. This perspective must underpin any further efforts to address education in ethics in India.

  18. Geropsychology Mentoring: A Survey of Current Practices and Perceived Needs

    Science.gov (United States)

    Fiske, Amy; Zimmerman, Jennifer A.; Scogin, Forrest

    2011-01-01

    The need for clinical geropsychologists currently exceeds their availability, and this imbalance is expected to worsen along with the impending growth in the older adult population. Effective geropsychology mentoring may be helpful in meeting this challenge. However, little is known about mentoring within clinical geropsychology. The present paper…

  19. LMFBR safety. 1. Review of current issues and bibliography of literature, 1960--1969

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.; Keilholtz, G.W.

    1976-08-16

    This report discusses the current status of liquid-metal fast breeder (LMFBR) development and one of the principal safety issues, a hypothetical core-disruptive accident (HCDA). Bibliographic information on worldwide LMFBRs relative to the development of the breeder reactor as a safe source of nuclear power is presented for the period 1960 through 1969. The bibliography consists of 1560 abstracts covering early research and development and operating experiences leading up to the present design practices that are necessary for the licensing of breeder reactors. Key-word, author, and permuted-title indexes are included for completeness.

  20. LMFBR safety. 5. Review of current issues and bibliography of literature (1975--1976)

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.; Keilholtz, G.W.

    1977-06-08

    The current status of liquid-metal fast breeder reactor (LMFBR) development and one of the principal safety issues, a hypothetical core-disruptive accident (HCDA), are discussed. Bibliographic information on worldwide LMFBRs relative to the development and safety of the breeder reactor is presented for the period 1975 through 1976. The bibliography consists of approximately 1618 abstracts covering early research and development and operating experiences leading up to the present design practices that are necessary for the licensing of breeder reactors. Keyword, author, and permuted-title indexes are included for completeness.

  1. LMFBR safety. 4. Review of current issues and bibliography of literature (1974--1975)

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.; Keilholtz, G.W.

    1977-03-21

    This report discusses the current status of liquid-metal fast breeder reactor (LMFBR) development and one of the principal safety issues, a hypothetical core-disruptive accident (HCDA). Bibliographic information on worldwide LMFBRs relative to the development of the breeder reactor as a safe source of nuclear power is presented for the period 1974 through 1975. The bibliography consists of approximately 1554 abstracts covering early research and development and operating experiences leading up to the present design practices that are necessary for the licensing of breeder reactors. Key-word, author, and permuted-title indexes are included for completeness.

  2. LMFBR safety. 2. Review of current issues and bibliography of literature, 1970--1972

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.; Keilholtz, G.W.

    1976-11-22

    This report discusses the current status of liquid-metal fast breeder reactor (LMFBR) development and one of the principal safety issues, a hypothetical core-disruptive accident (HCDA). Bibliographic information on worldwide LMFBRs relative to the development of the breeder reactor as a safe source of nuclear power is presented for the period 1970 through 1972. The bibliography consists of approximately 1620 abstracts covering early research and development and operating experiences leading up to the present design practices that are necessary for the licensing of breeder reactors. Key-word, author, and permuted-title indexes are included for completeness.

  3. LMFBR safety. 3. Review of current issues and bibliography of literature (1972--1974)

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.; Keilholtz, G.W.

    1977-02-24

    The report discusses the current status of liquid-metal fast breeder reactor (LMFBR) development and one of the principal safety issues, a hypothetical core-disruptive accident (HCDA). Bibliographic information on worldwide LMFBRs relative to the development of the breeder reactor as a safe source of nuclear power is presented for the period 1972 through 1974. The bibliography consists of approximately 1380 abstracts covering research and development and operating experiences leading up to the present design practices that are necessary for the licensing of breeder reactors. Key-word, author, and permuted-title indexes are included.

  4. A BRIEF ANALYSIS OF THE TOURISM SECTOR - CURRENT TRENDS AND ISSUES IN THE BULGARIAN TOURIST BUSINESS

    Directory of Open Access Journals (Sweden)

    Kostadin Valkov

    2016-03-01

    Full Text Available Thе analysis presented in current article deepens and summarizes the results of an economic study focused on the management of human resources in the sector "Tourism". The expected changes in organizational and technological terms are taken into account. The law on tourism in the Republic of Bulgaria and the types of taxes that directly and indirectly affect those employed in tourism are considered. Leading accents are the current trends and issues that arise from the lack of skilled workers in this sector and their deficit caused by the seasonal nature of employment. Growing gray economy is concerned as a major obstacle to development of the tourism industry and its future.

  5. Issues in current User Equilibrium models and introduction of the Restricted Stochastic User Equilibrium conditions

    DEFF Research Database (Denmark)

    Rasmussen, Thomas Kjær; Watling, David P.; Prato, Carlo Giacomo

    -off is strictly enforced: in a time-only model, if the current equilibrium travel time is 15.3 minutes, then adding a route with travel time of 15.4 minutes will have no impact on routing behaviour, whereas in practice (because of uncertainty, variability and unobserved attributes) the new route is likely....... This issue is further complicated by the fact that typically only a sub-set of possible routes will be identified in numerical algorithms solving for SUE. In the current study, we present new alternative forms of SUE conditions that permit unused alternatives, accommodate behaviour on used alternatives...... algorithms to the behaviourally sound SUE and the efficiency of solution algorithms to the DUE, we introduce a transformation of the cost function. This transformation function opens up a larger array of possible solution algorithms to the SUE, as it allows us to apply any path-based DUE solution algorithm...

  6. Study of Security Attributes of Smart Grid Systems- Current Cyber Security Issues

    Energy Technology Data Exchange (ETDEWEB)

    Wayne F. Boyer; Scott A. McBride

    2009-04-01

    This document provides information for a report to congress on Smart Grid security as required by Section 1309 of Title XIII of the Energy Independence and Security Act of 2007. The security of any future Smart Grid is dependent on successfully addressing the cyber security issues associated with the nation’s current power grid. Smart Grid will utilize numerous legacy systems and technologies that are currently installed. Therefore, known vulnerabilities in these legacy systems must be remediated and associated risks mitigated in order to increase the security and success of the Smart Grid. The implementation of Smart Grid will include the deployment of many new technologies and multiple communication infrastructures. This report describes the main technologies that support Smart Grid and summarizes the status of implementation into the existing U.S. electrical infrastructure.

  7. Chinese college students’ understanding of Internet ethical issues: A survey of awareness

    Institute of Scientific and Technical Information of China (English)

    Yuelin; LI; Ying; LI; Ang; LI

    2014-01-01

    Purpose: This study examines Chinese college students’ awareness of ethical issues surrounding the use of information resources and the Internet and their attitude to these issues. Design/methodology/approach: A survey was conducted. Two hundred questionnaires were distributed to students of 9 universities at different levels in Tianjin, China; 171 were returned. Descriptive statistics were performed to analyze the data. Findings: The results indicate that Chinese college students usually ignored the negative influence of fake or pornographic or other indecent information, invasion of privacy and theft of confidential information, and violation of intellectual property rights. Although they could distinguish to some extent between ethical and unethical behavior, they were not concerned about others’ unethical behavior on the Web. The study also indicates that gender, age, academic major and expertise in using computers were related to the students’ awareness of ethical issues relating to the use of the Internet and their attitude to these issues.Research limitations: The sample is limited to the universities in Tianjin. A larger sample, which includes colleges and universities in the western or other developing areas in China, is needed to further validate our findings.Practical implications: The study helps educators and academic librarians better understand Chinese college students’ awareness of and attitude to ethical issues surrounding the use of the Internet. It thus could assist them in the improvement of information ethics education for college students.Originality/value: This study was one of the first empirical studies to investigate the factors influencing Chinese college students’ awareness of and attitude to Internet ethical issues.

  8. Issues and considerations in the use of serologic biomarkers for classifying vaccination history in household surveys.

    Science.gov (United States)

    MacNeil, Adam; Lee, Chung-Won; Dietz, Vance

    2014-09-03

    Accurate estimates of vaccination coverage are crucial for assessing routine immunization program performance. Community based household surveys are frequently used to assess coverage within a country. In household surveys to assess routine immunization coverage, a child's vaccination history is classified on the basis of observation of the immunization card, parental recall of receipt of vaccination, or both; each of these methods has been shown to commonly be inaccurate. The use of serologic data as a biomarker of vaccination history is a potential additional approach to improve accuracy in classifying vaccination history. However, potential challenges, including the accuracy of serologic methods in classifying vaccination history, varying vaccine types and dosing schedules, and logistical and financial implications must be considered. We provide historic and scientific context for the potential use of serologic data to assess vaccination history and discuss in detail key areas of importance for consideration in the context of using serologic data for classifying vaccination history in household surveys. Further studies are needed to directly evaluate the performance of serologic data compared with use of immunization cards or parental recall for classification of vaccination history in household surveys, as well assess the impact of age at the time of sample collection on serologic titers, the predictive value of serology to identify a fully vaccinated child for multi-dose vaccines, and the cost impact and logistical issues on outcomes associated with different types of biological samples for serologic testing.

  9. Food safety issues and information needs: an online survey of public health inspectors.

    Science.gov (United States)

    Pham, Mai T; Jones, Andria Q; Dewey, Catherine E; Sargeant, Jan M; Marshall, Barbara J

    2012-06-01

    In the study described in this article, the authors investigated the perceptions and needs of public health inspectors (PHIs) in the province of Ontario, Canada, with regard to food safety issues and information resources. A cross-sectional online survey of 239 Ontario PHIs was conducted between April and June 2009. Questions pertained to their perceptions of key food safety issues and foodborne pathogens, knowledge confidence, available resources, and resource needs. All respondents rated time-temperature abuse, inadequate hand washing, and cross contamination as important food safety issues. Salmonella, Campylobacter, and E. coli O157:H7 were pathogens reported to be of concern to 95% of respondents (221/233). Most respondents indicated that they were confident in their knowledge of food safety issues and foodborne pathogens, but wanted a central, online resource for food safety information and ongoing food safety education training for PHIs. The data from the authors' study can be used in the development of information resources targeted to the needs of PHIs involved in food safety.

  10. Current status of environmental, health, and safety issues of electrochemical capacitors for advanced vehicle applications

    Energy Technology Data Exchange (ETDEWEB)

    Vimmerstedt, L J; Hammel, C J

    1997-04-01

    Electrochemical capacitors are a candidate for traction power assists in hybrid electric vehicles (HEVs). Other advanced automotive applications, while not the primary focus of current development efforts, are also possible. These include load leveling high-energy batteries, power conditioning electronics, electrically hated catalysts, electric power steering, and engine starter power. Higher power and longer cycle life are expected for electrochemical capacitors than for batteries. Evaluation of environmental, health, and safety (EH and S) issues of electrochemical capacitors is an essential part of the development and commercialization of electrochemical capacitors for advanced vehicles. This report provides an initial EH and S assessment. This report presents electrochemical capacitor electrochemistry, materials selection, intrinsic material hazards, mitigation of those hazards, environmental requirements, pollution control options, and shipping requirements. Most of the information available for this assessment pertains to commercial devices intended for application outside the advanced vehicle market and to experiment or prototype devices. Electrochemical capacitors for power assists in HEVs are not produced commercially now. Therefore, materials for advanced vehicle electrochemical capacitors may change, and so would the corresponding EH and S issues. Although changes are possible, this report describes issues for likely electrochemical capacitor designs.

  11. A Survey on Terrorist Network Mining: Current Trends and Opportunities

    Directory of Open Access Journals (Sweden)

    Akhilesh Tiwari

    2012-09-01

    Full Text Available Along with the modernization and widespread usage of Internet, the security of the mankind has become one of the major issues today. The threat of human society from the terrorists is the challenge faced dominantly. Advancement in the technology has not only helped the common people for the growth but also these inhuman people to adversely affect the society with sophisticated techniques. In this regard, the law-enforcement agencies are aiming to prevent future attacks. To do so, the terrorist networks are being analyzed and detected. To achieve this, the law enforcement agencies are using data mining techniques as one of the effective solution. One such technique of data mining is Social network analysis which studies terrorist networks for the identification of relationships and associations that may exist between terrorist nodes. Terrorist activities can also be detected by means of analyzing Web traffic content. This paper studies social network analysis, web traffic content and explores various ways foridentifying terrorist activities.

  12. Measuring child exposure to violence and mental health reactions in epidemiological studies: challenges and current issues.

    Science.gov (United States)

    Duarte, Cristiane Seixas; Bordin, Isabel Altenfelder Santos; Green, Genevieve Rachel; Hoven, Christina W

    2009-01-01

    This paper examines challenges and current issues involved in measuring exposure to different types of violence which are associated mental health problems in children and adolescents. Standardized measures suitable for epidemiological studies, selected based on their relevance in the current literature, are briefly described and commented. The assessment of child's exposure to violence may focus on a specific event (e.g., kidnapping), a specific context (e.g., war) or even of a certain type of exposure (e.g., intrafamilial physical violence). The assessment of child mental health after exposure to violence has traditionally focused on posttraumatic stress disorder (PTSD) - most frequently measured through non-diagnostic scales. However, other mental health reactions may be present and screening as well as diagnostic instruments which may be used to assess these reactions are also described. Two issues of emerging importance - the assessment of impairment and of traumatic grief in children - are also presented. Availability of culturally appropriate instruments is a crucial step towards proper identification of child mental health problems after exposure to violence.

  13. The Crossmatch/Issue Ratio:  Use of a Novel Quality Indicator and Results of an International Survey on RBC Crossmatching and Issuing Practices

    DEFF Research Database (Denmark)

    Yazer, Mark H; Alcantara, Ramir; Beizai, Pouneh

    2016-01-01

    OBJECTIVES: To understand the worldwide scope of RBC crossmatching and issuing practices and measure efficiency using a novel quality indicator, the crossmatch/issue (C/I) ratio. METHODS: An electronic survey was disseminated to hospital transfusion services collecting details about RBC....... 1.35 ± 0.36, respectively; P = .19). CONCLUSIONS: Electronic crossmatching is common, and the C/I ratio can be an indicator of efficiency....

  14. Current Issues with Environmental Barrier Coatings for Ceramics and Ceramic Composites

    Science.gov (United States)

    Lee, Kang N.

    2004-01-01

    The environmental barrier coating (EBC) for SiC/SiC ceramic matrix composites and Si3N4 ceramics is an emerging field as the application of silicon-based ceramics in the gas turbine engine hot section is on the horizon, both for aero and industrial gas turbines. EBC is an enabling technology for silicon-based ceramics because these materials without an EBC cannot be used in combustion environments due to rapid surface recession. Significant progress in EBC development has been made during the last decade through various government-sponsored programs. Current EBCs are based on silicon, mullite (3Al2O3-2SiO2) and BSAS (barium strontium aluminum silicate with celsian structure). Volatility of BSAS, BSAS-silica chemical reaction, and low melting point of silicon limit temperature capability of current EBCs to about 1350 C for long-term applications. There is a need for higher temperature EBCs as the temperature capability of silicon-based ceramics continue to increase. Therefore, research is underway to develop EBCs with improved temperature capability compared to current EBCs. The current status and issues with the advanced EBC development efforts will be discussed.

  15. Current Issues with Environmental Barrier Coatings for Ceramics and Ceramic Composites

    Science.gov (United States)

    Lee, Kang N.

    2004-01-01

    The environmental barrier coating (EBC) for SiC/SiC ceramic matrix composites and Si3N4 ceramics is an emerging field as the application of silicon-based ceramics in the gas turbine engine hot section is on the horizon, both for aero and industrial gas turbines. EBC is an enabling technology for silicon-based ceramics because these materials without an EBC cannot be used in combustion environments due to rapid surface recession. Significant progress in EBC development has been made during the last decade through various government-sponsored programs. Current EBCs are based on silicon, mullite (3Al2O3-2SiO2) and BSAS (barium strontium aluminum silicate with celsian structure). Volatility of BSAS, BSAS-silica chemical reaction, and low melting point of silicon limit temperature capability of current EBCs to about 1350 C for long-term applications. There is a need for higher temperature EBCs as the temperature capability of silicon-based ceramics continue to increase. Therefore, research is underway to develop EBCs with improved temperature capability compared to current EBCs. The current status and issues with the advanced EBC development efforts will be discussed.

  16. Implications of Current Ecological Thinking for Biodiversity Conservation: a Review of the Salient Issues

    Directory of Open Access Journals (Sweden)

    Richard J. Hobbs

    2005-06-01

    Full Text Available Given escalating concern worldwide about the loss of biodiversity, and given biodiversity's centrality to quality of life, it is imperative that current ecological knowledge fully informs societal decision making. Over the past two decades, ecological science has undergone many significant shifts in emphasis and perspective, which have important implications for how we manage ecosystems and species. In particular, a shift has occurred from the equilibrium paradigm to one that recognizes the dynamic, non-equilibrium nature of ecosystems. Revised thinking about the spatial and temporal dynamics of ecological systems has important implications for management. Thus, it is of growing concern to ecologists and others that these recent developments have not been translated into information useful to managers and policy makers. Many conservation policies and plans are still based on equilibrium assumptions. A fundamental difficulty with integrating current ecological thinking into biodiversity policy and management planning is that field observations have yet to provide compelling evidence for many of the relationships suggested by non-equilibrium ecology. Yet despite this scientific uncertainty, management and policy decisions must still be made. This paper was motivated by the need for considered scientific debate on the significance of current ideas in theoretical ecology for biodiversity conservation. This paper aims to provide a platform for such discussion by presenting a critical synthesis of recent ecological literature that (1 identifies core issues in ecological theory, and (2 explores the implications of current ecological thinking for biodiversity conservation.

  17. Typography and layout of technical reports - Survey of current practices

    Science.gov (United States)

    Pinelli, T. E.; Cordle, V. M.; Mccullough, R.

    1985-01-01

    As part of a review of the NASA Langley Research Center scientific and technical information program, 50 technical reports from industry, research institutions, and government agencies were systematically examined and analyzed to determine current usage and practice in regard to (1) typography, including composition method, type style, type size, and margin treatment; (2) graphic design, including layout and imposition of material on the page; and (3) physical media, including paper, ink, and binding methods. The results indicate that approximately 50 percent of the reports were typeset, 70 percent used Roman (serif) type, 80 percent used 10- or 11-point type for text, 60 percent used a ragged right-hand margin, slightly more than half used paragraph indentation, 75 percent used a single-column layout, 65 percent had one or more figures or tables placed perpendicular to (not aligned with) the text, and perfect binding was the most frequently used binding method.

  18. Current Issues in the Neurology and Genetics of Learning-Related Traits and Disorders: Introduction to the Special Issue.

    Science.gov (United States)

    Gilger, Jeffrey W.

    2001-01-01

    This introductory article briefly describes each of the following eight articles in this special issue on the neurology and genetics of learning related disorders. It notes the greater appreciation of learning disability as a set of complex disorders with broad and intricate neurological bases and of the large individual differences in how these…

  19. Current Issues in the Neurology and Genetics of Learning-Related Traits and Disorders: Introduction to the Special Issue.

    Science.gov (United States)

    Gilger, Jeffrey W.

    2001-01-01

    This introductory article briefly describes each of the following eight articles in this special issue on the neurology and genetics of learning related disorders. It notes the greater appreciation of learning disability as a set of complex disorders with broad and intricate neurological bases and of the large individual differences in how these…

  20. Transcranial Direct Current Stimulation: Five Important Issues We Aren’t Discussing (But Probably Should Be

    Directory of Open Access Journals (Sweden)

    Jared Cooney Horvath

    2014-01-01

    Full Text Available Transcranial Direct Current Stimulation (tDCS is a neuromodulatory device often publicized for its ability to enhance cognitive and behavioral performance. These enhancement claims, however, are predicated upon electrophysiological evidence and descriptions which are far from conclusive. In fact, a review of the literature reveals a number of important experimental and technical issues inherent with this device that are simply not being discussed in any meaningful manner. In this paper, we will consider five of these topics. The first, inter-subject variability, explores the extensive between- and within-group differences found within the tDCS literature and highlights the need to properly examine stimulatory response at the individual level. The second, intra-subject reliability, reviews the lack of data concerning tDCS response reliability over time and emphasizes the importance of this knowledge for appropriate stimulatory application. The third, sham stimulation and blinding, draws attention to the importance (yet relative lack of proper control and blinding practices in the tDCS literature. The fourth, motor and cognitive interference, highlights the often overlooked body of research that suggests typical behaviors and cognitions undertaken during or following tDCS can impair or abolish the effects of stimulation. Finally, the fifth, electric current influences, underscores several largely ignored variables (such as hair thickness and electrode attachments methods influential to tDCS electric current density and flow.Through this paper, we hope to increase awareness and start an ongoing dialogue of these important issues which speak to the efficacy, reliability, and mechanistic foundations of tDCS.

  1. Current Trends in Communication Graduate Degrees: Survey of Communications, Advertising, PR, and IMC Graduate Programs

    Science.gov (United States)

    Quesenberry, Keith A.; Coolsen, Michael K.; Wilkerson, Kristen

    2015-01-01

    A survey of 61 master's degree advertising programs reveals significant trends in program titles, curriculum design, course delivery, and students served. The results provide insight for current and planned master's degree programs as research predicts a continued increase in demand for master's education over the next decade. Survey results are…

  2. A Survey of Current and Projected Ethical Dilemmas of Rehabilitation Counselors

    Science.gov (United States)

    Hartley, Michael T.; Cartwright, Brenda Y.

    2016-01-01

    Purpose: This study surveyed current and projected ethical dilemmas of rehabilitation counselors. Method: As a mixed-methods approach, the study used both quantitative and qualitative analyses. Results: Of the 211 participants who completed the survey, 116 (55.0%) reported an ethical dilemma. Based on the descriptions, common themes involved roles…

  3. Current Trends in Communication Graduate Degrees: Survey of Communications, Advertising, PR, and IMC Graduate Programs

    Science.gov (United States)

    Quesenberry, Keith A.; Coolsen, Michael K.; Wilkerson, Kristen

    2015-01-01

    A survey of 61 master's degree advertising programs reveals significant trends in program titles, curriculum design, course delivery, and students served. The results provide insight for current and planned master's degree programs as research predicts a continued increase in demand for master's education over the next decade. Survey results are…

  4. GLOBEC NEP Northern California Current Cetacean Survey Data, NH0005, 0007

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — GLOBEC (GLOBal Ocean ECosystems Dynamics) NEP (Northeast Pacific) Northern California Current Cetacean Survey Data from R/V New Horizon cruises NH0005 and 0007....

  5. Survey and evaluation of current and potential coal beneficiation processes

    Energy Technology Data Exchange (ETDEWEB)

    Singh, S. P.N.; Peterson, G. R.

    1979-03-01

    Coal beneficiation is a generic term used for processes that prepare run-of-mine coal for specific end uses. It is also referred to as coal preparation or coal cleaning and is a means of reducing the sulfur and the ash contents of coal. Information is presented regarding current and potential coal beneficiation processes. Several of the processes reviewed, though not yet commercial, are at various stages of experimental development. Process descriptions are provided for these processes commensurate with the extent of information and time available to perform the evaluation of these processes. Conceptual process designs, preliminary cost estimates, and economic evaluations are provided for the more advanced (from a process development hierarchy viewpoint) processes based on production levels of 1500 and 15,000 tons/day (maf) of cleaned product coal. Economic evaluations of the coal preparation plants are conducted for several project financing schemes and at 12 and 15% annual after-tax rates of return on equity capital. A 9% annual interest rate is used on the debt fraction of the plant capital. Cleaned product coal prices are determined using the discounted cash flow procedure. The study is intended to provide information on publicly known coal beneficiation processes and to indicate the relative costs of various coal beneficiation processes. Because of severe timeconstraints, several potential coal beneficiation processes are not evaluated in great detail. It is recommended that an additional study be conducted to complement this study and to more fully appreciate the potentially significant role of coal beneficiation in the clean burning of coal.

  6. Current approaches to the diagnosis and treatment of idiopathic pulmonary fibrosis in Europe: the AIR survey

    Directory of Open Access Journals (Sweden)

    Vincent Cottin

    2014-06-01

    Full Text Available This review presents the results of the 2013 Advancing IPF Research (AIR survey, which assessed current approaches to the diagnosis and treatment of idiopathic pulmonary fibrosis (IPF by experienced physicians. A total of 149 physicians, predominantly from European countries, replied to the 28-question survey. The results of the AIR survey were compared with a similar survey of 509 French pulmonologists conducted by the French National Reference Centre and the Network of Regional Competence Centres for Rare Lung Diseases. A number of positive findings emerged from the AIR survey, including the high level of multidisciplinary team involvement in both diagnosis and management. This survey, when taken together with the French survey, suggests that there is still a need to improve earlier diagnosis of IPF.

  7. Current Warm-Up Practices and Contemporary Issues Faced by Elite Swimming Coaches.

    Science.gov (United States)

    McGowan, Courtney J; Pyne, David B; Raglin, John S; Thompson, Kevin G; Rattray, Ben

    2016-12-01

    McGowan, CJ, Pyne, DB, Raglin, JS, Thompson, KG, and Rattray, B. Current warm-up practices and contemporary issues faced by elite swimming coaches. J Strength Cond Res 30(12): 3471-3480, 2016-A better understanding of current swimming warm-up strategies is needed to improve their effectiveness. The purpose of this study was to describe current precompetition warm-up practices and identify contemporary issues faced by elite swimming coaches during competition. Forty-six state-international level swimming coaches provided information through a questionnaire on their prescription of volume, intensity, and recovery within their pool and dryland-based competition warm-ups, and challenges faced during the final stages of event preparation. Coaches identified four key objectives of the precompetition warm-up: physiological (elevate body temperature and increase muscle activation), kinesthetic (tactile preparation, increase "feel" of the water), tactical (race-pace rehearsal), and mental (improve focus, reduce anxiety). Pool warm-up volume ranged from ∼1300 to 2100 m, beginning with 400-1000 m of continuous, low-intensity (∼50-70% of perceived maximal exertion) swimming, followed by 200-600 m of stroke drills and 1-2 sets (100-400 m in length) of increasing intensity (∼60-90%) swimming, concluding with 3-4 race or near race-pace efforts (25-100 m; ∼90-100%) and 100-400 m easy swimming. Dryland-based warm-up exercises, involving stretch cords and skipping, were also commonly prescribed. Coaches preferred swimmers complete their warm-up 20-30 minutes before race start. Lengthy marshalling periods (15-20+ minutes) and the time required to don racing suits (>10 minutes) were identified as complicating issues. Coaches believed that the pool warm-up affords athletes the opportunity to gain a tactile feel for the water and surrounding pool environment. The combination of dryland-based activation exercises followed by pool-based warm-up routines seems to be the preferred

  8. Responses to GM food content in context with food integrity issues: results from Australian population surveys.

    Science.gov (United States)

    Mohr, Philip; Golley, Sinéad

    2016-01-25

    This study examined community responses to use of genetically modified (GM) content in food in the context of responses to familiar food additives by testing an empirically and theoretically derived model of the predictors of responses to both GM content and food integrity issues generally. A nationwide sample of 849 adults, selected at random from the Australian Electoral Roll, responded to a postal Food and Health Survey. Structural equation modelling analyses confirmed that ratings of general concern about food integrity (related to the presence of preservatives and other additives) strongly predicted negativity towards GM content. Concern about food integrity was, in turn, predicted by environmental concern and health engagement. In addition, both concern about food integrity generally and responses to GM content specifically were weakly predicted by attitudes to benefits of science and an intuitive (i.e., emotionally-based) reasoning style. Data from a follow-up survey conducted under the same conditions (N=1184) revealed that ratings of concern were significantly lower for use of genetic engineering in food than for four other common food integrity issues examined. Whereas the question of community responses to GM is often treated as a special issue, these findings support the conclusion that responses to the concept of GM content in food in Australia are substantially a specific instance of a general sensitivity towards the integrity of the food supply. They indicate that the origins of responses to GM content may be largely indistinguishable from those of general responses to preservatives and other common food additives. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. QUESTIONNAIRE SURVEY ON CRANIOMANDIBULAR DISORDER ISSUES IN STUDENTS' AND POST-GRADUATE TRAINING IN BULGARIA.

    Directory of Open Access Journals (Sweden)

    Mariana Dimova

    2015-03-01

    Full Text Available The prevalence of craniomandibular disorders (CMD among the Bulgarian population as well as the risk factors for unlocking bruxism and bruxomania mechanisms pose a demand for education on these issues reflecting modern science. The authors' aim is to examine the subjective assessment of participants in “DAYS OF PROSTHETICS, Sofia, 15 -16 March 2014”, regarding: 1.Prevelance of CMD in the country; 2. Education and training of students and post-graduates in the issues related to diagnostics and treatment of craniomandibular disorders; 3. Theoretical background for successful treatment of patients with bruxism and bruxomania. Materials and methods: For the purpose of the present research 192 participants have been surveyed - among them 163 are dentists and 29 are students in the 4th and 5th year of study. The survey feedback has been obtained via an anonymous questionnaire consisting of 8 questions targeted at dentists' assessment of CMD prevalence and distribution, training in CMD issues in Bulgaria and the treatment of patients with bruxism and bruxomania. The results obtained indicate that 84.0% - 93.1% (95% CI of respondents, working as dentists in the country, expressed the view that students' curriculum lacks an overall concept for training them in the diagnostics and treatment of CMD. 79.6% - 90.2% (95% CI of participants, dentists in the country, define post-graduate training in CMD as insufficient or lacking. Conclusion: The development and promotion of a working platform for early screening, diagnostics and treatment of CMD for timely referral to a specialized treatment is necessary and expected by the professional community in our country.

  10. Sampling and coverage issues of telephone surveys used for collecting health information in Australia: results from a face-to-face survey from 1999 to 2008

    Science.gov (United States)

    2010-01-01

    Background To examine the trend of "mobile only" households, and households that have a mobile phone or landline telephone listed in the telephone directory, and to describe these groups by various socio-demographic and health indicators. Method Representative face-to-face population health surveys of South Australians, aged 15 years and over, were conducted in 1999, 2004, 2006, 2007 and 2008 (n = 14285, response rates = 51.9% to 70.6%). Self-reported information on mobile phone ownership and usage (1999 to 2008) and listings in White Pages telephone directory (2006 to 2008), and landline telephone connection and listings in the White Pages (1999 to 2008), was provided by participants. Additional information was collected on self-reported health conditions and health-related risk behaviours. Results Mobile only households have been steadily increasing from 1.4% in 1999 to 8.7% in 2008. In terms of sampling frame for telephone surveys, 68.7% of South Australian households in 2008 had at least a mobile phone or landline telephone listed in the White Pages (73.8% in 2006; 71.5% in 2007). The proportion of mobile only households was highest among young people, unemployed, people who were separated, divorced or never married, low income households, low SES areas, rural areas, current smokers, current asthma or people in the normal weight range. The proportion with landlines or mobiles telephone numbers listed in the White Pages telephone directory was highest among older people, married or in a defacto relationship or widowed, low SES areas, rural areas, people classified as overweight, or those diagnosed with arthritis or osteoporosis. Conclusion The rate of mobile only households has been increasing in Australia and is following worldwide trends, but has not reached the high levels seen internationally (12% to 52%). In general, the impact of mobile telephones on current sampling frames (exclusion or non-listing of mobile only households or not listed in the White

  11. Design and Implementation Issues in Surveying the Views of Young Children in Ethnolinguistically Diverse Developing Country Contexts

    Science.gov (United States)

    Smith, Hilary A.; Haslett, Stephen J.

    2016-01-01

    This paper discusses issues in the development of a methodology appropriate for eliciting sound quantitative data from primary school children in the complex contexts of ethnolinguistically diverse developing countries. Although these issues often occur in field-based surveys, the large extent and compound effects of their occurrence in…

  12. The current state of knowledge about shatter cones: Introduction to the special issue

    Science.gov (United States)

    Baratoux, David; Reimold, Wolf Uwe

    2016-08-01

    Shatter cones are a fracture phenomenon that is exclusively associated with shock metamorphism and has also been produced in the laboratory in several shock experiments. The occurrence of shatter cones is the only accepted meso- to macroscopic recognition criterion for impact structures. Shatter cones exhibit a number of geometric characteristics (orientation, apical angles, striation angles, sizes) that can be best described as varied, from case to case. Possible links between geometric properties with impact or crater parameters have remained controversial and the lack of understanding of the mechanism of formation of shatter cones does not offer a physical framework to discuss or understand them. A database of shatter cone occurrences has been produced for this introduction paper to the special issue of Meteoritics and Planetary Science on shatter cones. Distribution of shatter cones with respect to crater size and lithology suggests that shatter cones do not occur in impact craters less than a few kilometers in diameter, with a few, currently questionable exceptions. All pertinent hypotheses of formation are presented and discussed. Several may be discarded in light of the most recent observations. The branching fracture mechanism and the interference models proposed, respectively, by Sagy et al. (2002) and Baratoux and Melosh (2003) require further evaluation. New observations, experiments, or theoretical considerations presented in this special issue promise an important step forward, based on a renewed effort to resolve the enigmatic origin of these important features.

  13. Attachment among older adults: current issues and directions for future research.

    Science.gov (United States)

    Bradley, J M; Cafferty, T P

    2001-09-01

    Although John Bowlby conceptualized attachment theory as applicable across the life span, researchers have been relatively slow to examine attachment phenomena specifically among older adults. The present article reviews the extant research applying attachment theory to older populations; preliminary findings suggest that attachment issues hold particular relevance for older adults, given the increased potential for separation, loss and vulnerability associated with aging. Although many of the studies reviewed are somewhat limited methodologically, the overall pattern of results suggests that attachment patterns are associated with a variety of outcomes in later life (such as adaptation to chronic illness and caregiver burden among family members, reactions to the death of a loved one, and general well-being) in a theoretically consistent manner. The implications of and questions raised by current findings are reviewed, and directions for future research are discussed.

  14. [Domestic violence: a current issue to take into account in diagnostic imaging].

    Science.gov (United States)

    Santos Corraliza, E; Larrañaga Hernando, G; Neve Lete, I; Sánchez García, A

    2014-01-01

    Domestic violence is currently an issue of great political and social importance. The real incidence of domestic violence is difficult to determine due to the environment where it takes place and the reluctance of victims to report abuse. On the other hand, all types of violence represent an important public health problem. We report the case of a young woman who presented with thromboembolic phenomena at different sites due to domestic violence. We emphasize that it is necessary for radiologists and other healthcare professionals to consider the possibility of domestic violence when establishing the diagnosis. This can be important for determining the incidence of abuse, diminishing its sequela, and help increase its reporting. Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.

  15. Road safety in a globalised and more sustainable world: current issues and future challenges.

    Science.gov (United States)

    Daniels, Stijn; Risser, Ralf

    2014-01-01

    Although many countries have had considerable success in reducing traffic injuries over recent decades, there are still some fundamental problems in this area. At the same time, there is increasing focus on road safety research and policy development in the context of globalisation, sustainability, liveability and health. This special section presents a selection of papers that were presented at the annual ICTCT workshop held on the 8th and 9th of November 2012 in Hasselt, Belgium, and accepted for publication in Accident Analysis and Prevention following the journal's reviewing procedure. The aim of the ICTCT workshop was to analyse road safety facts, data and visions for the future in the wider context of current issues and future challenges in road safety.

  16. Security Issues in Healthcare Applications Using Wireless Medical Sensor Networks: A Survey

    Science.gov (United States)

    Kumar, Pardeep; Lee, Hoon-Jae

    2012-01-01

    Healthcare applications are considered as promising fields for wireless sensor networks, where patients can be monitored using wireless medical sensor networks (WMSNs). Current WMSN healthcare research trends focus on patient reliable communication, patient mobility, and energy-efficient routing, as a few examples. However, deploying new technologies in healthcare applications without considering security makes patient privacy vulnerable. Moreover, the physiological data of an individual are highly sensitive. Therefore, security is a paramount requirement of healthcare applications, especially in the case of patient privacy, if the patient has an embarrassing disease. This paper discusses the security and privacy issues in healthcare application using WMSNs. We highlight some popular healthcare projects using wireless medical sensor networks, and discuss their security. Our aim is to instigate discussion on these critical issues since the success of healthcare application depends directly on patient security and privacy, for ethic as well as legal reasons. In addition, we discuss the issues with existing security mechanisms, and sketch out the important security requirements for such applications. In addition, the paper reviews existing schemes that have been recently proposed to provide security solutions in wireless healthcare scenarios. Finally, the paper ends up with a summary of open security research issues that need to be explored for future healthcare applications using WMSNs. PMID:22368458

  17. Security issues in healthcare applications using wireless medical sensor networks: a survey.

    Science.gov (United States)

    Kumar, Pardeep; Lee, Hoon-Jae

    2012-01-01

    Healthcare applications are considered as promising fields for wireless sensor networks, where patients can be monitored using wireless medical sensor networks (WMSNs). Current WMSN healthcare research trends focus on patient reliable communication, patient mobility, and energy-efficient routing, as a few examples. However, deploying new technologies in healthcare applications without considering security makes patient privacy vulnerable. Moreover, the physiological data of an individual are highly sensitive. Therefore, security is a paramount requirement of healthcare applications, especially in the case of patient privacy, if the patient has an embarrassing disease. This paper discusses the security and privacy issues in healthcare application using WMSNs. We highlight some popular healthcare projects using wireless medical sensor networks, and discuss their security. Our aim is to instigate discussion on these critical issues since the success of healthcare application depends directly on patient security and privacy, for ethic as well as legal reasons. In addition, we discuss the issues with existing security mechanisms, and sketch out the important security requirements for such applications. In addition, the paper reviews existing schemes that have been recently proposed to provide security solutions in wireless healthcare scenarios. Finally, the paper ends up with a summary of open security research issues that need to be explored for future healthcare applications using WMSNs.

  18. Identifying Key Issues and Potential Solutions for Integrated Arrival, Departure, Surface Operations by Surveying Stakeholder Preferences

    Science.gov (United States)

    Aponso, Bimal; Coppenbarger, Richard A.; Jung, Yoon; Quon, Leighton; Lohr, Gary; O’Connor, Neil; Engelland, Shawn

    2015-01-01

    NASA's Aeronautics Research Mission Directorate (ARMD) collaborates with the FAA and industry to provide concepts and technologies that enhance the transition to the next-generation air-traffic management system (NextGen). To facilitate this collaboration, ARMD has a series of Airspace Technology Demonstration (ATD) sub-projects that develop, demonstrate, and transitions NASA technologies and concepts for implementation in the National Airspace System (NAS). The second of these sub-projects, ATD-2, is focused on the potential benefits to NAS stakeholders of integrated arrival, departure, surface (IADS) operations. To determine the project objectives and assess the benefits of a potential solution, NASA surveyed NAS stakeholders to understand the existing issues in arrival, departure, and surface operations, and the perceived benefits of better integrating these operations. NASA surveyed a broad cross-section of stakeholders representing the airlines, airports, air-navigation service providers, and industry providers of NAS tools. The survey indicated that improving the predictability of flight times (schedules) could improve efficiency in arrival, departure, and surface operations. Stakeholders also mentioned the need for better strategic and tactical information on traffic constraints as well as better information sharing and a coupled collaborative planning process that allows stakeholders to coordinate IADS operations. To assess the impact of a potential solution, NASA sketched an initial departure scheduling concept and assessed its viability by surveying a select group of stakeholders for a second time. The objective of the departure scheduler was to enable flights to move continuously from gate to cruise with minimal interruption in a busy metroplex airspace environment using strategic and tactical scheduling enhanced by collaborative planning between airlines and service providers. The stakeholders agreed that this departure concept could improve schedule

  19. A Survey on Big Data Analytics: Challenges, Open Research Issues and Tools

    Directory of Open Access Journals (Sweden)

    D. P. Acharjya

    2016-02-01

    Full Text Available A huge repository of terabytes of data is generated each day from modern information systems and digital technolo-gies such as Internet of Things and cloud computing. Analysis of these massive data requires a lot of efforts at multiple levels to extract knowledge for decision making. Therefore, big data analysis is a current area of research and development. The basic objective of this paper is to explore the potential impact of big data challenges, open research issues, and various tools associated with it. As a result, this article provides a platform to explore big data at numerous stages. Additionally, it opens a new horizon for researchers to develop the solution, based on the challenges and open research issues.

  20. An overview of current issues in the uptake of atmospheric trace gases by aerosols and clouds

    Directory of Open Access Journals (Sweden)

    C. E. Kolb

    2010-11-01

    Full Text Available A workshop was held in the framework of the ACCENT (Atmospheric Composition Change – a European Network Joint Research Programme on "Aerosols" and the Programme on "Access to Laboratory Data". The aim of the workshop was to hold "Gordon Conference" type discussion covering accommodation and reactive uptake of water vapour and trace pollutant gases on condensed phase atmospheric materials. The scope was to review and define the current state of knowledge of accommodation coefficients for water vapour on water droplet and ice surfaces, and uptake of trace gas species on a variety of different surfaces characteristic of the atmospheric condensed phase particulate matter and cloud droplets. Twenty-six scientists participated in this meeting through presentations, discussions and the development of a consensus review.

    In this review we present an analysis of the state of knowledge on the thermal and mass accommodation coefficient for water vapour on aqueous droplets and ice and a survey of current state-of the-art of reactive uptake of trace gases on a range of liquid and solid atmospheric droplets and particles. The review recommends consistent definitions of the various parameters that are needed for quantitative representation of the range of gas/condensed surface kinetic processes important for the atmosphere and identifies topics that require additional research.

  1. An overview of current issues in the uptake of atmospheric trace gases by aerosols and clouds

    Directory of Open Access Journals (Sweden)

    C. E. Kolb

    2010-04-01

    Full Text Available A workshop was held in the framework of the ACCENT (Atmospheric Composition Change – a European Network Joint Research Programme on "Aerosols" and the Programme on "Access to Laboratory Data". The aim of the workshop was to hold "Gordon Conference" type discussion covering accommodation and reactive uptake of water vapour and trace pollutant gases on condensed phase atmospheric materials. The scope was to review and define the current state of knowledge of accommodation coefficients for water vapour on water droplet and ice surfaces, and uptake of trace gas species on a variety of different surfaces characteristic of the atmospheric condensed phase particulate matter and cloud droplets. Twenty-six scientists participated in this meeting through presentations, discussions and the development of a consensus review.

    In this review we present an analysis of the state of knowledge on the thermal and mass accommodation coefficient for water vapour on aqueous droplets and ice and a survey of current state-of the-art of reactive uptake of trace gases on a range of liquid and solid atmospheric droplets and particles. The review recommends consistent definitions of the various parameters that are needed for quantitative representation of the range of gas/condensed surface kinetic processes important for the atmosphere and identifies topics that require additional research.

  2. An overview of current issues in the uptake of atmospheric trace gases by aerosols and clouds

    Science.gov (United States)

    Kolb, C. E.; Cox, R. A.; Abbatt, J. P. D.; Ammann, M.; Davis, E. J.; Donaldson, D. J.; Garrett, B. C.; George, C.; Griffiths, P. T.; Hanson, D. R.; Kulmala, M.; McFiggans, G.; Pöschl, U.; Riipinen, I.; Rossi, M. J.; Rudich, Y.; Wagner, P. E.; Winkler, P. M.; Worsnop, D. R.; O'Dowd, C. D.

    2010-11-01

    A workshop was held in the framework of the ACCENT (Atmospheric Composition Change - a European Network) Joint Research Programme on "Aerosols" and the Programme on "Access to Laboratory Data". The aim of the workshop was to hold "Gordon Conference" type discussion covering accommodation and reactive uptake of water vapour and trace pollutant gases on condensed phase atmospheric materials. The scope was to review and define the current state of knowledge of accommodation coefficients for water vapour on water droplet and ice surfaces, and uptake of trace gas species on a variety of different surfaces characteristic of the atmospheric condensed phase particulate matter and cloud droplets. Twenty-six scientists participated in this meeting through presentations, discussions and the development of a consensus review. In this review we present an analysis of the state of knowledge on the thermal and mass accommodation coefficient for water vapour on aqueous droplets and ice and a survey of current state-of the-art of reactive uptake of trace gases on a range of liquid and solid atmospheric droplets and particles. The review recommends consistent definitions of the various parameters that are needed for quantitative representation of the range of gas/condensed surface kinetic processes important for the atmosphere and identifies topics that require additional research.

  3. The importance of health advocacy in Canadian postgraduate medical education: current attitudes and issues

    Directory of Open Access Journals (Sweden)

    Alexander Poulton

    2015-12-01

    Full Text Available Background: Health advocacy is currently a key component of medical education in North America. In Canada, Health Advocate is one of the seven roles included in the Royal College of Physicians and Surgeons of Canada’s CanMEDS competency framework. Method: A literature search was undertaken to determine the current state of health advocacy in Canadian postgraduate medical education and to identify issues facing educators and learners with regards to health advocacy training. Results:  The literature revealed that the Health Advocate role is considered among the least relevant to clinical practice by educators and learners and among the most challenging to teach and assess. Furthermore learners feel their educational needs are not being met in this area. A number of key barriers affecting health advocacy education were identified including limited published material on the subject, lack of clarity within the role, insufficient explicit role modeling in practice, and lack of a gold standard for assessment. Health advocacy is defined and its importance to medical practice is highlighted, using pediatric emergency medicine as an example. Conclusions: Increased published literature and awareness of the role, along with integration of the new 2015 CanMEDS framework, are important going forward to address concerns regarding the quality of postgraduate health advocacy education in Canada.

  4. Medical Big Data for Research Use: Current Status and Related Issues.

    Science.gov (United States)

    Ishikawa, Koichi Benjamin

    2016-09-01

    Advances in the computerization of information and development of technology have mitigated restrictions on handling of a large amount of information. This has resulted in growth of expectations for the use of large-scale databases, or so-called "big data." This is also the case in the field of healthcare. Projects that involve building of the national receipt database (NDB) of medical fee bill (receipt) information and special health check-up information based on the Act on Assurance of Medical Care for Elderly People and the development of medical information databases have been pursued by the national government, and considerable attention has also been focused on researches conducted through the secondary uses of publicly collected data. Aside from these trends, there are numerous projects which collect diagnosis procedure combination (DPC) data to build large-scale databases for research purposes. Following to the ethics guidelines for epidemiologic studies, they collect and analyze anonymized DPC data from cooperating institutions. This communication concentrates on the use of DPC data, and outlines the scale of data currently available for research use. Examples on the use of DPC data will be shown for analysis on the current status of clinical practice from the microscopic perspective and macroscopic analysis of community medical care provision. Additionally, potential for extending studies to long-term outcomes research, limitations and issues related to the use of medical big data will also be discussed.

  5. Female Under-Representation in Computing Education and Industry - A Survey of Issues and Interventions

    Directory of Open Access Journals (Sweden)

    Joseph Osunde

    2014-10-01

    Full Text Available This survey paper examines the issue of female under-representation in computing education and industry, which has been shown from empirical studies to be a problem for over two decades. While various measures and intervention strategies have been implemented to increase the interest of girls in computing education and industry, the level of success has been discouraging. The primary contribution of this paper is to provide an analysis of the extensive research work in this area. It outlines the progressive decline in female representation in computing education. It also presents the key arguments that attempt to explain the decline and intervention strategies. We conclude that there is a need to further explore strategies that will encourage young female learners to interact more with computer educational games.

  6. Planning the Minimum Time and Optimal Survey Trajectory for Autonomous Underwater Vehicles in Uncertain Current

    Directory of Open Access Journals (Sweden)

    Michael A. Hurni

    2015-12-01

    Full Text Available The authors develop an approach to a “best” time path for Autonomous Underwater Vehicles conducting oceanographic measurements under uncertain current flows. The numerical optimization tool DIDO is used to compute hybrid minimum time and optimal survey paths for a sample of currents between ebb and flow. A simulated meta-experiment is performed where the vehicle traverses the resulting paths under different current strengths per run. The fastest elapsed time emerges from a payoff table. A multi-objective function is then used to weigh the time to complete a mission versus measurement inaccuracy due to deviation from the desired survey path.

  7. Top-Ten IT Issues, 2010

    Science.gov (United States)

    Ingerman, Bret L.; Yang, Catherine

    2010-01-01

    The eleventh annual EDUCAUSE Current Issues Survey shows some very familiar themes among the top-ten IT issues of strategic importance to technology leaders in higher education. Indeed, all ten of the issues from the 2009 survey are back, albeit in a slightly different order. In addition, Strategic Planning returns as an issue of renewed…

  8. Top-Ten IT Issues, 2010

    Science.gov (United States)

    Ingerman, Bret L.; Yang, Catherine

    2010-01-01

    The eleventh annual EDUCAUSE Current Issues Survey shows some very familiar themes among the top-ten IT issues of strategic importance to technology leaders in higher education. Indeed, all ten of the issues from the 2009 survey are back, albeit in a slightly different order. In addition, Strategic Planning returns as an issue of renewed…

  9. Wildlife survey protocols for wind energy projects : dealing with regional and national issues

    Energy Technology Data Exchange (ETDEWEB)

    D' Entremont, M.; Ebner, D. [Jacques Whitford AXYS Ltd., Burnaby, BC (Canada)

    2008-07-01

    Wildlife surveys in Canada vary according to jurisdictional influences, regional species, and the location of potential wind power projects. This presentation discussed environmental assessment (EA) approaches to wind energy used by Jacques Whitford, a Canadian environmental engineering consultancy firm. EA legislation in Canada has both federal and provincial components. Environmental impacts that must be considered by wind power proponents include mortality risk; habitat availability; effects on breeding and migration; and risks to other wildlife. Measuring the effects of wind energy projects on wildlife is often difficult. Baseline surveys are used to support environmental assessments. Constraints analysis is used to assist with project siting and planning as well as to provide information needed for decision-making. Issues identified in the scoping phases of environmental assessments are then used to assess the amount of information needed. It was concluded that national and regional reviews can be used to build a knowledge base of regional ecosystems, as federal wildlife protocol requirements are applied differently across the country. Best practice and environmental assessment strategies for each province in Canada were included, and wildlife protocols were reviewed. tabs., figs.

  10. Cultural differences in survey responding: Issues and insights in the study of response biases.

    Science.gov (United States)

    Kemmelmeier, Markus

    2016-12-01

    This paper introduces the special section "Cultural differences in questionnaire responding" and discusses central topics in the research on response biases in cross-cultural survey research. Based on current conceptions of acquiescent, extreme, and socially desirable responding, the author considers current data on the correlated nature of response biases and the conditions under which different response styles they emerge. Based on evidence relating different response styles to the cultural dimension of individualism-collectivism, the paper explores how research presented as part of this special section might help resolves some tensions in this literature. The paper concludes by arguing that response styles should not be treated merely as measurement error, but as cultural behaviors in themselves.

  11. Biomass Gasification - A synthesis of technical barriers and current research issues for deployment at large scale

    Energy Technology Data Exchange (ETDEWEB)

    Heyne, Stefan [Chalmers Univ. of Technology, Gothenburg (Sweden); Liliedahl, Truls [KTH, Royal Inst. of Technology, Stockholm (Sweden); Marklund, Magnus [Energy Technology Centre, Piteaa (Sweden)

    2013-09-01

    Thermal gasification at large scale for cogeneration of power and heat and/or production of fuels and materials is a main pathway for a sustainable deployment of biomass resources. However, so far no such full scale production exists and biomass gasification projects remain at the pilot or demonstration scale. This report focuses on the key critical technology challenges for the large-scale deployment of the following biomass-based gasification concepts: Direct Fluidized Bed Gasification (FBG), Entrained Flow Gasification (EFG) and indirect Dual Fluidized Bed Gasification (DFBG). The main content in this report is based on responses from a number of experts in biomass gasification obtained from a questionnaire. The survey was composed of a number of more or less specific questions on technical barriers as to the three gasification concepts considered. For formalising the questionnaire, the concept of Technology Readiness Level (TRL 1-9) was used for grading the level of technical maturity of the different sub-processes within the three generic biomass gasification technologies. For direct fluidized bed gasification (FBG) it is mentioned that the technology is already available at commercial scale as air-blown technology and thus that air-blown FBG gasification may be reckoned a mature technology. The remaining technical challenge is the conversion to operation on oxygen with the final goal of producing chemicals or transport fuels. Tar reduction, in particular, and gas cleaning and upgrading in general are by far the most frequently named technical issues considered problematic. Other important aspects are problems that may occur when operating on low-grade fuels - i.e. low-cost fuels. These problems include bed agglomeration/ash sintering as well as alkali fouling. Even the preparation and feeding of these low-grade fuels tend to be problematic and require further development to be used on a commercial scale. Furthermore, efficient char conversion is mentioned by

  12. [Current status and issues in development of occupational physicians in Japan].

    Science.gov (United States)

    Mori, Koji

    2013-10-01

    Training systems for occupational physicians (OPs) have existed since the Industrial Safety and Health Act was enacted in 1972. However, it is necessary to enhance them because of changes in the business environment of Japanese corporations and working patterns have brought about new needs of occupational health (OH) activities. In this paper, OPs were classified into three categories; doctors who spend a part of working time on OH activities, i.e. "non-specialist OPs", doctors who engage in OH activities full-time, i.e. "specialists OPs", and doctors who manage corporate-wide occupational health programs or lead programs at OH service institutes, i.e. "lead OPs", and the status and the issues were reviewed. The major concern identified for each of the three categories in training were found to be quality management for non-specialist OPs, short supply for specialists OPs, and development of competencies such as leadership and management skills for lead OPs, respectively. Current efforts and ideas to improve the training systems were discussed.

  13. Overcoming the current issues surrounding device leads: reducing the complications during extraction.

    Science.gov (United States)

    Bongiorni, Maria Grazia; Segreti, Luca; Di Cori, Andrea; Zucchelli, Giulio; Paperini, Luca; Viani, Stefano; Soldati, Ezio

    2017-06-01

    The implantation rate of cardiac implantable electronic devices has consistently increased in the last 20 years, as have the related complication rates. The most relevant issue is the removal of pacing and implantable cardioverter defibrillator (ICD) leads, which a few months after implantation tend to develop intravascular fibrosis, often making extraction a challenging and risky procedure. Areas covered: The transvenous lead extraction (TLE) scenario is constantly evolving. TLE is a key procedure in lead management strategies. Many efforts have been made to develop new TLE approaches and techniques allowing a safe and effective procedure for patients. The increasing rate of cardiac implantable electronic device (CIED) implantations and of CIED related complications highlight the importance of TLE. Lead related- and patient-related factors may change the future of extractions. We review the current status of TLE, focusing on the strategies available to perform the optimal procedure in the right patient and reducing procedure related complications. Expert commentary: Understanding the importance of an accurate TLE risk stratification is mandatory to optimize the procedural risk-to-benefits ratio. The use of adequate tools, techniques and approaches, and appropriate training are cornerstones for the achievement of safer procedures.

  14. Current and Future Issues in the Development of Spinal Agents for the Management of Pain.

    Science.gov (United States)

    Yaksh, Tony L; Fisher, Casey J; Hockman, Tyler M; Wiese, Ashley J

    2017-01-01

    Targeting analgesic drugs for spinal delivery reflects the fact that while the conscious experience of pain is mediated supraspinally, input initiated by high intensity stimuli, tissue injury and/or nerve injury is encoded at the level of the spinal dorsal horn and this output informs the brain as to the peripheral environment. This encoding process is subject to strong upregulation resulting in hyperesthetic states and downregulation reducing the ongoing processing of nociceptive stimuli reversing the hyperesthesia and pain processing. The present review addresses the biology of spinal nociceptive processing as relevant to the effects of intrathecally-delivered drugs in altering pain processing following acute stimulation, tissue inflammation/injury and nerve injury. The review covers i) the major classes of spinal agents currently employed as intrathecal analgesics (opioid agonists, alpha 2 agonists; sodium channel blockers; calcium channel blockers; NMDA blockers; GABA A/B agonists; COX inhibitors; ii) ongoing developments in the pharmacology of spinal therapeutics focusing on less studied agents/targets (cholinesterase inhibition; Adenosine agonists; iii) novel intrathecal targeting methodologies including gene-based approaches (viral vectors, plasmids, interfering RNAs); antisense, and toxins (botulinum toxins; resniferatoxin, substance P Saporin); and iv) issues relevant to intrathecal drug delivery (neuraxial drug distribution), infusate delivery profile, drug dosing, formulation and principals involved in the preclinical evaluation of intrathecal drug safety.

  15. White Paper on Multicarrier Excitation of Multipactor Breakdown: A Survey of Current Methods and Research Opportunities

    Science.gov (United States)

    2015-06-18

    AEROSPACE REPORT NO. TOR-2015-02548 White Paper on Multicarrier Excitation of Multipactor Breakdown: A Survey of Current Methods and...voltage phenomena where the verification power level is chosen such that the maximum instantaneous operational voltage in the component is excited . In...analysis methods under investigation for multicarrier excitation threshold prediction based on a survey of the research literature. In general, this

  16. [SWOT Analysis of the National Survey on Current Status of Major Human Parasitic Diseases in China].

    Science.gov (United States)

    ZHU, Hui-hui; ZHOU, Chang-hai; CHEN, Ying-dan; ZANG, Wei; XIAO, Ning; ZHOU, Xiao-nong

    2015-10-01

    The National Survey on Current Status of Major Human Parasitic Diseases in China has been carried out since 2014 under the organization of the National Health and Family Planning Commission of the People's Republic of China. The National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (NIPD, China CDC) provided technical support and was responsible for quality control in this survey. This study used SWOT method to analyze the strengths, weaknesses, opportunities and threats that were encountered by he NIPD, China CDC during the completion of the survey. Accordingly, working strategies were proposed to facilitate the future field work.

  17. MIGRATION, A CURRENT ISSUE: THE CRISIS OF TODAY, THE CHALLENGE OF TOMORROW

    Directory of Open Access Journals (Sweden)

    Radu PĂTRAŞCU

    2015-12-01

    Full Text Available The present paper aims to portray a clear perspective of the problem of immigrants, who are arriving in Europe from the Middle East conflict zones (particularly Syria and Iraq and from North Africa (mainly Libya. The causes that conducted to the development of such a phenomenon represent the motivation for choosing this theme, as well as its effects on the functionality of the EU at an institutional level and finally yet importantly the “trenchant” visions of the European public opinion, amplified by the mass media: the pros and cons of accepting the wave of refugees. The author's approach aims to put in balance both the positive effects of the phenomenon on the European continent, as well as the negative ones. Positive effects might consist in obtaining additional work force, as Europe is currently facing a demographic aging phenomenon. Furthermore, from the perspective of EU citizens, who believe in the cohesion of the European institutions, the acceptance of refugees represents a basic value for unity and further on stands for the formation of a homogenous European Union, therefore emphasising the importance of each individual. On the other hand, analysing the matter in the most realistic possible way, the risk of potential terrorist penetration in Europe is quite high and unmanageable. As a research method, we will use document analysis, referring to media articles and official documents. This phenomenon is particularly complex and the crisis result will depend on the effectiveness of the manner in which each national authority as well as the European ones will handle the issue.

  18. Integration of woodland caribou habitat management and forest management in northern Ontario - current status and issues

    Directory of Open Access Journals (Sweden)

    Ted (E.R Armstrong

    1998-03-01

    Full Text Available Woodland caribou {Rangifer tarandus caribou range across northern Ontario, occurring in both the Hudson Bay Lowlands and the Boreal Forest. Woodland caribou extend south well into the merchantable forest, occurring in licensed and/or actively managed Forest Management Units (FMU's across the province. Caribou range has gradually but continuously receded northward over the past century. Since the early 1990's, the Ontario Ministry of Natural Resources (OMNR has been developing and implementing a woodland caribou habitat management strategy in northwestern Ontario. The purpose of the caribou habitat strategy is to maintain woodland caribou occupancy of currently occupied range in northwestern Ontario. Long-term caribou habitat needs and predator-prey dynamics form the basis of this strategy, which requires the development of a landscape-level caribou habitat mosaic across the region within caribou range. This represents a significant change from traditional forest management approaches, which were based partially upon moose (Alces alces habitat management principles. A number of issues and concerns regarding implications of caribou management to the forest industry are being addressed, including short-term and long-term reductions in wood supply and wood quality, and increased access costs. Other related concerns include the ability to regenerate forests to pre-harvest stand conditions, remote tourism concerns, implications for moose populations, and required information on caribou biology and habitat. The forest industry and other stakeholders have been actively involved with the OMNR in attempting to address these concerns, so that caribou habitat requirements are met while ensuring the maintenance of a viable timber industry, other forest uses and the forest ecosystem.

  19. Non-medical prescribing by physiotherapists: issues reported in the current evidence.

    Science.gov (United States)

    Morris, Joanne H; Grimmer, Karen

    2014-02-01

    Physiotherapists should be proactive in preparing themselves to participate in innovative models of health care, which are emerging from the healthcare workforce reforms in Australia. One challenging outcome of workforce change is physiotherapy (non-medical) prescribing (NMP), which is part of the extension of scope of physiotherapy practice. This paper summarises the current evidence base for Australian physiotherapists seeking to obtain prescribing rights. A targeted literature review was undertaken through EBSCO Host, Cochrane, Medline, SportsDiscus, Cinahl, Healthsource and Google.com using broad search terms to identify peer-reviewed and grey literature pertaining to NMP by physiotherapists, nationally and internationally. No critical appraisal was undertaken however literature was structured into the NHMRC hierarchy of evidence. Themes raised in the included literature were reported descriptively. There were six relevant peer-reviewed articles, of hierarchy levels III_3 and IV. There was however, comprehensive and recent grey literature to inform Australian physiotherapy NMP initiatives. Themes included the need for standard National action in relation to legislative and regulatory/registration issues, appropriate education, credentialing and supervisory requirements for physiotherapy prescribing. Many lessons can be learnt from the literature, including the importance of planned, uniform National action (rather than piecemeal state-by-state initiatives). Essential elements include appropriate training and skills-based recognition within the discipline and the broader health team, and the need to overtly demonstrate effectiveness and safety. Regularly-evaluated service-delivery models which support NMP by physiotherapists are further required, to demonstrate efficiency, timeliness, patient centredness and equity. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  20. Research Survey on Various MPPT Performance Issues to Improve the Solar PV System Efficiency

    Directory of Open Access Journals (Sweden)

    B. Pakkiraiah

    2016-01-01

    Full Text Available Nowadays in order to meet the increase in power demands and to reduce the global warming, renewable energy sources based system is used. Out of the various renewable energy sources, solar energy is the main alternative. But, compared to other sources, the solar panel system converts only 30–40% of solar irradiation into electrical energy. In order to get maximum output from a PV panel system, an extensive research has been underway for long time so as to access the performance of PV system and to investigate the various issues related to the use of solar PV system effectively. This paper therefore presents different types of PV panel systems, maximum power point tracking control algorithms, power electronic converters usage with control aspects, various controllers, filters to reduce harmonic content, and usage of battery system for PV system. Attempts have been made to highlight the current and future issues involved in the development of PV system with improved performance. A list of 185 research publications on this is appended for reference.

  1. Current Issues Related to Associate Degree Nursing: Their Impact on Directors, Faculty, and Students.

    Science.gov (United States)

    Cavenar, Mary G.

    Perceptions of students, faculty members, and associate degree nursing (ADN) program directors/coordinators concerning seven issues affecting ADN programs were obtained in 1982. The issues, which were identified through a review of the literature, were: entry into practice, professional and technical nurses, developing competency statements,…

  2. Special Education for Children with Attention Deficit Disorder: Current Issues. CRS Report for Congress.

    Science.gov (United States)

    Aleman, Steven R.

    This paper examines issues concerning the eligibility of children with attention deficit disorder (ADD) for special education and related services under the Individuals with Disabilities Education Act (IDEA). A policy memorandum was issued by the Department of Education in September 1991, identifying those circumstances under which such children…

  3. General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland

    LENUS (Irish Health Repository)

    Byrne, Molly

    2010-05-25

    Abstract Background Sexual problems are common among people with coronary heart disease and can adversely affect patients\\' quality of life. GPs are ideally placed to deal with these problems. Research suggests that GPs are reluctant to address sexual problems but little is known about what currently takes place in practice. The aim of this study was to examine GPs\\' self-reported behaviour and attitudes to discussing sexual problems with people with coronary heart disease. Method Design: A cross-sectional survey which administered 230 postal questionnaires to a nationally representative, stratified random sample of GPs in the Republic of Ireland. GPs were asked about current practice, knowledge, awareness and confidence in dealing with sexual problems, barriers to addressing sexual problems, and about improving services in this area. Results Responses were available for 61 GPs (27% response rate). Seventy percent of GPs reported that they rarely or never discussed sexual problems with coronary patients. While all GPs believed addressing sexual problems was important, many GPs reported lacking awareness, knowledge and confidence in addressing sexual problems. The main barriers were lack of time, feeling the patient wasn\\'t ready and lack of training in the area. GPs wanted more training and guidelines for practice. Conclusions There is currently no standardised protocol for GPs for dealing with sexual problems among coronary patients. Awareness of these issues appears to be low among GPs. Services could be improved by developing practice guidelines for brief, effective actions or assessments, providing training in the area and improving information resources and support services for referral.

  4. General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland

    Directory of Open Access Journals (Sweden)

    McGee Hannah M

    2010-05-01

    Full Text Available Abstract Background Sexual problems are common among people with coronary heart disease and can adversely affect patients' quality of life. GPs are ideally placed to deal with these problems. Research suggests that GPs are reluctant to address sexual problems but little is known about what currently takes place in practice. The aim of this study was to examine GPs' self-reported behaviour and attitudes to discussing sexual problems with people with coronary heart disease. Method Design: A cross-sectional survey which administered 230 postal questionnaires to a nationally representative, stratified random sample of GPs in the Republic of Ireland. GPs were asked about current practice, knowledge, awareness and confidence in dealing with sexual problems, barriers to addressing sexual problems, and about improving services in this area. Results Responses were available for 61 GPs (27% response rate. Seventy percent of GPs reported that they rarely or never discussed sexual problems with coronary patients. While all GPs believed addressing sexual problems was important, many GPs reported lacking awareness, knowledge and confidence in addressing sexual problems. The main barriers were lack of time, feeling the patient wasn't ready and lack of training in the area. GPs wanted more training and guidelines for practice. Conclusions There is currently no standardised protocol for GPs for dealing with sexual problems among coronary patients. Awareness of these issues appears to be low among GPs. Services could be improved by developing practice guidelines for brief, effective actions or assessments, providing training in the area and improving information resources and support services for referral.

  5. From Natural Language Text to Visual Models: A survey of Issues and Approaches

    Directory of Open Access Journals (Sweden)

    Cristina-Claudia OSMAN

    2016-01-01

    Full Text Available Over the last 20 years, research groups focused on automating the process of extracting valuable information from Natural Language text in order to discover data and process models. In this context, several tools and approaches have been proposed. The overall objective of this survey is to examine existing literature works that transform textual specifications into visual models. This paper aims to give a comprehensive account of the existing tools meant to discover data and process models from natural language text. Our analysis focuses on approaches of these tools in the model extraction process and highlight issues of each proposed approach. In the case of object oriented software modelling of data models extraction we analyze the degree of automation, efficiency and completeness of the transformation process. Regarding process models extraction, the study is not limited only to business process discovery, but it also provides case studies from several fields such as medical or archaeological. Even if not all the tools developed are clearly depicting a Natural Language Processing technique, a review of each approach is presented.

  6. A Survey of Routing Issues and Associated Protocols in Underwater Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Muhammad Khalid

    2017-01-01

    Full Text Available Underwater wireless sensor networks are a newly emerging wireless technology in which small size sensors with limited energy and limited memory and bandwidth are deployed in deep sea water and various monitoring operations like tactical surveillance, environmental monitoring, and data collection are performed through these tiny sensors. Underwater wireless sensor networks are used for the exploration of underwater resources, oceanographic data collection, flood or disaster prevention, tactical surveillance systems, and unmanned underwater vehicles. Sensor nodes consist of a small memory, a central processing unit, and an antenna. Underwater networks are much different from terrestrial sensor networks as radio waves cannot be used in underwater wireless sensor networks. Acoustic channels are used for communication in deep sea water. Acoustic signals have many limitations, such as limited bandwidth, higher end-to-end delay, network path loss, higher propagation delay, and dynamic topology. Usually, these limitations result in higher energy consumption with a smaller number of packets delivered. The main aim nowadays is to operate sensor nodes having a smaller battery for a longer time in the network. This survey has discussed the state-of-the-art localization based and localization-free routing protocols. Routing associated issues in the area of underwater wireless sensor networks have also been discussed.

  7. Survey on Security Issues in Cloud Computing and Associated Mitigation Techniques

    CERN Document Server

    Bhadauria, Rohit

    2012-01-01

    Cloud Computing holds the potential to eliminate the requirements for setting up of high-cost computing infrastructure for IT-based solutions and services that the industry uses. It promises to provide a flexible IT architecture, accessible through internet for lightweight portable devices. This would allow multi-fold increase in the capacity or capabilities of the existing and new software. In a cloud computing environment, the entire data reside over a set of networked resources, enabling the data to be accessed through virtual machines. Since these data-centers may lie in any corner of the world beyond the reach and control of users, there are multifarious security and privacy challenges that need to be understood and taken care of. Also, one can never deny the possibility of a server breakdown that has been witnessed, rather quite often in the recent times. There are various issues that need to be dealt with respect to security and privacy in a cloud computing scenario. This extensive survey paper aims to...

  8. Women in Management: Analysis of Selected Data from the Current Population Survey. Report to Congressional Requesters.

    Science.gov (United States)

    Robertson, Robert E.

    The key characteristics, representation, and salaries of women in management versus those of their male counterparts were examined through an analysis of Current Population Survey data collected in March 1995 and 2000. The study focused on the following 10 industries: communications; public administration; business and repair services;…

  9. Gravitational radiation theory. M.A. Thesis - Rice Univ.; [survey of current research

    Science.gov (United States)

    Wilson, T. L.

    1973-01-01

    A survey is presented of current research in the theory of gravitational radiation. The mathematical structure of gravitational radiation is stressed. Furthermore, the radiation problem is treated independently from other problems in gravitation. The development proceeds candidly through three points of view - scalar, rector, and tensor radiation theory - and the corresponding results are stated.

  10. Group Therapy for School-Aged Children Who Stutter: A Survey of Current Practices

    Science.gov (United States)

    Liddle, Hilary; James, Sarah; Hardman, Margaret

    2011-01-01

    Although group therapy is recommended for school-aged children who stutter (CWS), it is not widely researched. This study aimed to explore this provision, using a postal survey which investigated the current practices of Speech & Language Therapists (SLTs) in the UK. Seventy percent of SLT services provided some group therapy, but the level of…

  11. 78 FR 45910 - Proposed Information Collection; Comment Request; Current Population Survey (CPS) Email Address...

    Science.gov (United States)

    2013-07-30

    ... Census Bureau Proposed Information Collection; Comment Request; Current Population Survey (CPS) Email... concerning the November 2013 Email Address Collection Test Supplement. The Census Bureau and the Bureau of.... We foresee that in the future, we could collect email addresses from our respondents. For those that...

  12. Current Status of Health and Safety Issues of Sodium/Metal Chloride (Zebra) Batteries

    Energy Technology Data Exchange (ETDEWEB)

    Trickett, D.

    1998-12-15

    This report addresses environmental, health, and safety (EH&S) issues associated with sodium/ metal chloride batteries, in general, although most references to specific cell or battery types refer to units developed or being developed under the Zebra trademark. The report focuses on issues pertinent to sodium/metal chloride batteries and their constituent components; however, the fact that some ''issues'' arise from interaction between electric vehicle (EV) and battery design compels occasional discussion amid the context of EV vehicle design and operation. This approach has been chosen to provide a reasonably comprehensive account of the topic from a cell technology perspective and an applications perspective.

  13. Current issues in dental practice management. Part 1. The importance of shared values.

    Science.gov (United States)

    Newsome, Philip R H

    2003-04-01

    There can be few who would argue with the notion that the nature of dental practice in the United Kingdom has changed dramatically over the last couple of decades. A variety of factors, including new clinical techniques, growing consumerism, a much greater awareness of health-related and well-being issues in the public at large, as well as a marked deregulation within the dental profession, the development of vocational training and recently mandatory lifelong learning, the growing number of females working in the profession, and an increasing reluctance of young dentists to finance dental practices have all combined to create an environment which has enabled and encouraged a move away from traditional forms of dental care delivery. Instead, there has been considerable growth in independently-funded practice and a commensurate growth in the number of practices operating under a corporate body umbrella of one form or another. Currently there are 27 corporate bodies registered with the General Dental Council (GDC) with the likelihood of more in the future given the proposed GDC review. This will no doubt take into consideration European law, under which the restriction within the Dentist's Act on the number of corporate bodies is likely to be untenable. Although they still have only a small share of the dental market--with 4% of all dentists in the UK in 1999--they have expanded rapidly from a small base. The data available at the time the paper was written indicate that the global total of fees earned from dentistry in the UK in the financial year 2001/2002 was almost 3 billion Pounds, of which 1.9 billion Pounds (64%) came from NHS fees and 1.1 billion Pounds (36%) from private fees. Of this 1.9 billion Pounds received in NHS fees in 2001/2002, 0.55 billion Pounds were paid by patients who were not exempt from charges, bringing the total amount actually paid out of patients' pockets for dental treatment to 1.65 billion Pounds. Compare these figures with 1996

  14. Mental Health Issues Facing a Diverse Sample of College Students: Results from the College Student Mental Health Survey

    Science.gov (United States)

    Soet, Johanna; Sevig, Todd

    2006-01-01

    Over the past 5 years there has been increased attention given to mental health issues on college and university campuses across the country. However, few research efforts have been conducted to systematically investigate the mental health of college students. The College Student Mental Health Survey was undertaken as a first step towards gaining…

  15. A Comprehensive Survey on the Status of Social and Professional Issues in United States Undergraduate Computer Science Programs and Recommendations

    Science.gov (United States)

    Spradling, Carol; Soh, Leen-Kiat; Ansorge, Charles J.

    2009-01-01

    A national web-based survey was administered to 700 undergraduate computer science (CS) programs in the United States as part of a stratified random sample of 797 undergraduate CS programs. The 251 program responses (36% response rate) regarding social and professional issues are presented. This article describes the demographics of the…

  16. Focus Issue: Organic light-emitting diodes-status quo and current developments.

    Science.gov (United States)

    List, Emil J W; Koch, Norbert

    2011-11-01

    The guest editors introduce the Optics Express Energy Express supplement Focus Issue, "Organic Light-Emitting Diodes," which includes six invited articles addressing the challenges of light outcoupling and light management in OLEDs.

  17. What's up prof? Current issues in the visual effects & post-production industry

    OpenAIRE

    2010-01-01

    We interviewed creative professionals at a number of London visual effects and post-production houses. We report on the key issues raised in those interviews: desirable new technologies, infrastructure challenges, personnel and process management.

  18. Conference communication. Managing change in tourism destinations: Key issues and current trends.

    OpenAIRE

    Mariani, M.M.; Buhalis, Dimitrios; Longhi, C.; Vitouladiti, O.

    2013-01-01

    This conference communication illustrates the major outcomes emerging from the EIASM Conference on Tourism Management and Tourism Related Issues held in Nice (France), September 20-21, 2012. While a number of managerial issues pertaining to the tourism field were dealt with, this communication covers three specific areas of interest for destination management and marketing: (1) the increasing competition among tourism destinations and the rise and consolidation of BRIC countries as outbound t...

  19. Conference communication. Managing change in tourism destinations: Key issues and current trends.

    OpenAIRE

    2013-01-01

    This conference communication illustrates the major outcomes emerging from the EIASM Conference on Tourism Management and Tourism Related Issues held in Nice (France), September 20-21, 2012. While a number of managerial issues pertaining to the tourism field were dealt with, this communication covers three specific areas of interest for destination management and marketing: (1) the increasing competition among tourism destinations and the rise and consolidation of BRIC countries as outbound t...

  20. Greek Primary School Teachers' Understanding of Current Environmental Issues: An Exploration of Their Environmental Knowledge and Images of Nature

    Science.gov (United States)

    Michail, Sirmo; Stamou, Anastasia G.; Stamou, George P.

    2007-01-01

    In this article, the Greek primary school teachers' understanding of three current environmental issues (acid rain, the ozone layer depletion, and the greenhouse effect) as well as the emerging images of nature were examined. The study revealed that teachers held several environmental knowledge gaps and misconceptions about the three phenomena.…

  1. Greek Primary School Teachers' Understanding of Current Environmental Issues: An Exploration of Their Environmental Knowledge and Images of Nature

    Science.gov (United States)

    Michail, Sirmo; Stamou, Anastasia G.; Stamou, George P.

    2007-01-01

    In this article, the Greek primary school teachers' understanding of three current environmental issues (acid rain, the ozone layer depletion, and the greenhouse effect) as well as the emerging images of nature were examined. The study revealed that teachers held several environmental knowledge gaps and misconceptions about the three phenomena.…

  2. A Survey on HTTPS Implementation by Android Apps: Issues and Countermeasures

    Directory of Open Access Journals (Sweden)

    Xuetao Wei

    2017-07-01

    Full Text Available As more and more sensitive data is transferred from mobile applications across unsecured channels, it seems imperative that transport layer encryption should be used in any non-trivial instance. Yet, research indicates that many Android developers do not use HTTPS or violate rules which protect user data from man-in-the-middle attacks. This paper seeks to find a root cause of the disparities between theoretical HTTPS usage and in-the-wild implementation of the protocol by looking into Android applications, online resources, and papers published by HTTPS and Android security researchers. From these resources, we extract a set of barrier categories that exist in the path of proper TLS use. These barriers not only include improper developer practices, but also server misconfiguration, lacking documentation, flaws in libraries, the fundamentally complex TLS PKI system, and a lack of consumer understanding of the importance of HTTPS. Following this discussion, we compile a set of potential solutions and patches to better secure Android HTTPS and the TLS/SSL protocol in general. We conclude our survey with gaps in current understanding of the environment and suggestions for further research.

  3. A Survey of Privacy Awareness and Current Online Practices of Indian Users

    DEFF Research Database (Denmark)

    Dhotre, Prashant Shantaram; Olesen, Henning

    2015-01-01

    Today, users with their smart devices can communicate and access a wide range of services via the Internet to make their life easier. However, loss of privacy is becoming a major issue for architects or policy makers, accelerated by the rapid development of mobile and wireless technologies...... that eases the collection, storage, sharing, analysis, and manipulation of the individual’s information. The main objective of this paper is to study the privacy perception and awareness of Internet users in an Indian context. Results of comprehensive survey with 297 users are presented, focusing...... on their perception and awareness towards personal information privacy (PIP). The survey responses show that the user’s perception is noticeably low considering PIP and that the privacy awareness is not the same as their understanding. The results indicate the need for a solution for PIP protection where the users...

  4. Next-generation biofuels: Survey of emerging technologies and sustainability issues.

    Science.gov (United States)

    Zinoviev, Sergey; Müller-Langer, Franziska; Das, Piyali; Bertero, Nicolás; Fornasiero, Paolo; Kaltschmitt, Martin; Centi, Gabriele; Miertus, Stanislav

    2010-10-25

    Next-generation biofuels, such as cellulosic bioethanol, biomethane from waste, synthetic biofuels obtained via gasification of biomass, biohydrogen, and others, are currently at the center of the attention of technologists and policy makers in search of the more sustainable biofuel of tomorrow. To set realistic targets for future biofuel options, it is important to assess their sustainability according to technical, economical, and environmental measures. With this aim, the review presents a comprehensive overview of the chemistry basis and of the technology related aspects of next generation biofuel production, as well as it addresses related economic issues and environmental implications. Opportunities and limits are discussed in terms of technical applicability of existing and emerging technology options to bio-waste feedstock, and further development forecasts are made based on the existing social-economic and market situation, feedstock potentials, and other global aspects. As the latter ones are concerned, the emphasis is placed on the opportunities and challenges of developing countries in adoption of this new industry.

  5. Emerging roles for biomedical librarians: a survey of current practice, challenges, and changes.

    Science.gov (United States)

    Crum, Janet A; Cooper, I Diane

    2013-10-01

    This study is intended to (1) identify emerging roles for biomedical librarians and determine how common these roles are in a variety of library settings, (2) identify barriers to taking on new roles, and (3) determine how librarians are developing the capacity to take on new roles. A survey was conducted of librarians in biomedical settings. Most biomedical librarians are taking on new roles. The most common roles selected by survey respondents include analysis and enhancement of user experiences, support for social media, support for systematic reviews, clinical informationist, help for faculty or staff with authorship issues, and implementation of researcher profiling and collaboration tools. Respondents in academic settings are more likely to report new roles than hospital librarians are, but some new roles are common in both settings. Respondents use a variety of methods to free up time for new roles, but predominant methods vary between directors and librarians and between academic and hospital respondents. Lack of time is the biggest barrier that librarians face when trying to adopt new roles. New roles are associated with increased collaboration with individuals and/or groups outside the library. This survey documents the widespread incorporation of new roles in biomedical libraries in the United States, as well as the barriers to adopting these roles and the means by which librarians are making time for them. The results of the survey can be used to inform strategic planning, succession planning, library education, and career development for biomedical librarians.

  6. The impact of intrinsic alignment on current and future cosmic shear surveys

    CERN Document Server

    Krause, Elisabeth; Blazek, Jonathan

    2015-01-01

    Intrinsic alignment (IA) of source galaxies is one of the major astrophysical systematics for ongoing and future weak lensing surveys. This paper presents the first forecasts of the impact of IA on cosmic shear measurements for current and future surveys (DES, Euclid, LSST, WFIRST) using simulated likelihood analyses and realistic covariances that include higher-order moments of the density field in the computation. We consider a range of possible IA scenarios and test mitigation schemes, which parameterize IA by the fraction of red galaxies, normalization, luminosity and redshift dependence of the IA signal (for a subset we consider joint IA and photo-z uncertainties). Compared to previous studies we find smaller biases in time-dependent dark energy models if IA is ignored in the analysis; the amplitude and significance of these biases vary as a function of survey properties (depth, statistical uncertainties), luminosity function, and IA scenario: Due to its small statistical errors and relatively shallow ob...

  7. Current issues and related activities in seismic hazard analysis in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Jeong-Moon [Korea Atomic Energy Research Inst., Taejon (Korea, Republic of); Lee, Jong-Rim; Chang, Chun-Joong

    1997-03-01

    This paper discusses some technical issues identified from the seismic hazard analyses for probabilistic safety assessment on the operating Korean nuclear power plants and the related activities to resolve the issues. Since there are no strong instrumental earthquake records in Korea, the seismic hazard analysis is mainly dependent on the historical earthquake records. Results of the past seismic hazard analyses show that there are many uncertainties in attenuation function and intensity level and that there is a need to improve statistical method. The identification of the activity of the Yangsan Fault, which is close to nuclear power plant sites, has been an important issue. But the issue has not been resolved yet in spite of much research works done. Recently, some capable faults were found in the offshore area of Gulupdo Island in the Yellow Sea. It is anticipated that the results of research on both the Yangsan Fault and reduction of uncertainty in seismic hazard analysis will have an significant influence on seismic design and safety assessment of nuclear power plants in the future. (author)

  8. Issues Affecting Crime Victims: Background, Current Status, and Implications for Older Persons.

    Science.gov (United States)

    American Association of Retired Persons, Washington, DC.

    This packet contains summaries of issues concerning provisions of law affecting victims and their involvement in the criminal justice system. The packet opens by stating that unless victims and witnesses come forward and report criminal activity to law enforcement authorities and are subsequently willing to testify and endure cross-examination in…

  9. Colleges of Applied Arts and Technology of Ontario. Background Papers on Current Issues.

    Science.gov (United States)

    Association of Colleges of Applied Arts and Technology of Ontario, Willowdale.

    Background information is provided on a number of conditions affecting Ontario's community colleges. The first section, dealing with financial issues, considers the college environment in the 1980s; examines the provincial government's perspective on priorities, the allocation process, government funding, and budgetary expenditures and trends; and…

  10. The American Trial Jury: Current Issues and Controversies. Looking at the Law.

    Science.gov (United States)

    Ryan, John Paul

    1999-01-01

    Discusses the controversial issues involved in the jury systems, such as jury selection, jury service, civic participation, and the role of the mass media. Stresses the importance of maintaining the public courtroom as a means for encouraging fair trials and not allowing closed courtrooms. Provides an accompanying article, "The Citizen's Jury," by…

  11. Classroom Currents: Interrupting the Single Story: LGBT Issues in the Language Arts Classroom

    Science.gov (United States)

    Hermann-Wilmarth, Jill; Ryan, Caitlin L.

    2013-01-01

    Two literacy leaders acknowledge the challenges of teaching LGBT (lesbian, gay, bisexual, transgender) issues in the classroom. While children come from a variety of family structures, it is necessary to acknowledge that a gay individual was once a child sitting in a classroom. An argument against marginalization and an advocacy for inclusion of…

  12. U.S.-Vietnam Relations in 2010: Current Issues and Implications for U.S. Policy

    Science.gov (United States)

    2010-08-06

    U.S.-Vietnam Economic and Trade Relations: Issues for the 111th Congress, by Michael F. Martin. 18 Peru and Australia are the other two countries...plan emphasized lighter industries such as foodstuffs, textiles , and electronics. According to some sources, many if not most of Vietnam’s SOEs are

  13. Current concepts and issues in the management of regurgitation of infants : A reappraisal

    NARCIS (Netherlands)

    Vandenplas, Y; Belli, D; Benhamou, PH; Cadranel, S; Cezard, JP; Cucchiara, S; Dupont, C; Faure, C; Gottrand, F; Hassall, E; Heymans, HSA; Kneepkens, CMF; Sandhu, BK

    1996-01-01

    Regurgitation in infants is a common problem. Recent issues, such as the increased risk of sudden infant death in the prone sleeping position, the finding of persisting occult gastro-oesophageal reflux with feed thickeners, and the increasing awareness of the cost-benefit ratio of medications may ch

  14. Current legal and institutional issues in the commercialization of phosphoric acid fuel cells

    Science.gov (United States)

    Nimmons, J. T.; Sheehy, K. D.; Singer, J. R.; Gardner, T. C.

    1982-01-01

    Legal and institutional factors affecting the development and commercial diffusion of phosphoric acid fuel cells are assessed. Issues for future research and action are suggested. Perceived barriers and potential opportunities for fuel cells in central and dispersed utility operations and on-site applications are reviewed, as well as the general concept of commercialization as applied to emerging energy technologies.

  15. Classroom Currents: Interrupting the Single Story: LGBT Issues in the Language Arts Classroom

    Science.gov (United States)

    Hermann-Wilmarth, Jill; Ryan, Caitlin L.

    2013-01-01

    Two literacy leaders acknowledge the challenges of teaching LGBT (lesbian, gay, bisexual, transgender) issues in the classroom. While children come from a variety of family structures, it is necessary to acknowledge that a gay individual was once a child sitting in a classroom. An argument against marginalization and an advocacy for inclusion of…

  16. Ben Johnson and Social Studies Teaching--Classroom Use of Current Social Issues.

    Science.gov (United States)

    Sears, Alan

    1989-01-01

    Suggests steps for approaching discussion of controversial issues in the classroom, using the scandal of Canadian Olympian sprinter Ben Johnson as an example. Recommends the reflective inquiry approach, which necessitates framing the problem in relationship to student age, and with attention to the information available about the problem. (LS)

  17. An assessment of the current and potential future natural and anthropogenic issues facing migratory shorebirds

    NARCIS (Netherlands)

    Sutherland, W.J.; Alves, J.A.; Chang, C.H.; Davidson, D.C.; Finlayson, C.M.; Gill, J.A.; Gill, R.E.; González, P.M.; Gunnarsson, T.G.; Kleijn, D.; Spray, C.J.; Szekely, T.; Thompson, D.B.A.

    2012-01-01

    We review the conservation issues facing migratory shorebird populations that breed in temperate regions and use wetlands in the non-breeding season. Shorebirds are excellent model organisms for understanding ecological, behavioural and evolutionary processes and are often used as indicators of wetl

  18. Introduction to the Issue on Current Trends in Terahertz Photonics and Applications

    DEFF Research Database (Denmark)

    2013-01-01

    on research and recent developments on THz photonics and applications. This issue contains 28 papers including 12 invited and 16 contributed papers authored by both well-established research groups and emerging stars pioneering in the THz field all over the world. While the invited papers include extended...

  19. Current status of health technology reassessment of non-drug technologies: survey and key informant interviews

    Directory of Open Access Journals (Sweden)

    Leggett Laura E

    2012-12-01

    Full Text Available Abstract Background Health Technology Reassessment (HTR is a structured, evidence-based assessment of the clinical, social, ethical and economic effects of a technology currently used in the health care system, to inform optimal use of that technology in comparison to its alternatives. Little is known about current international HTR practices. The objective of this research was to summarize experience-based information gathered from international experts on the development, initiation and implementation of a HTR program. Methods A mixed methods approach, using a survey and in-depth interviews, was adopted. The survey covered 8 concepts: prioritization/identification of potentially obsolete technologies; program development; implementation; mitigation; program championing; stakeholder engagement; monitoring; and reinvestment. Members of Health Technology Assessment International (HTAi and the International Network of Agencies for Health Technology Assessment (INAHTA formed the sampling frame. Participation was solicited via email and the survey was administered online using SurveyMonkey. Survey results were analyzed using descriptive statistics. To gather more in-depth knowledge, semi-structured interviews were conducted among organizations with active HTR programs. Interview questions were developed using the same 8 concepts. The hour-long interviews were recorded, transcribed and analyzed using constant comparative analysis. Results Ninety-five individuals responded to the survey: 49 were not discussing HTR, 21 were beginning to discuss HTR, nine were imminently developing a program, and 16 participants had programs and were completing reassessments. The survey results revealed that methods vary widely and that although HTR is a powerful tool, it is currently not being used to its full potential. Of the 16 with active programs, nine agreed to participate in follow-up interviews. Interview participants identified early and extensive stakeholder

  20. Survey on utility technology of a tidal and ocean current energy

    Science.gov (United States)

    Hirose, Manabu; Kadoyu, Masataka; Tanaka, Hiroyoshi

    1987-06-01

    A study is made to show the current technological levels in Japan and other nations regarding the conversion of tidal current or ocean current energy to electric power and to determine the latent energy quantities and energy-related characteristics of tidal and ocean currents. In Japan, relatively large-scale experiments made so far mostly used one of the following three types of devices: Savonius-wheel type, Darrieus-wheel type, and cross-flow-wheel type. Field experiments of tidal energy conversion have been performed at the Naruto and Kurushima Straits. The energy in the Kuroshio current is estimated at about 170 billion kWh per year. Ocean current energy does not undergo large seasonal variations. The total energy in major straits and channels in the Inland Sea and other sea areas to the west is estimated at about 124 billion kWh per year. Tidal current energy shows large seasonal variations, but it is possible to predict the changes. A survey is made to determine energy-related characteristics of a tidal current at Chichino-seto, Kagoshima Prefecture. At Chichino-seto, the flow velocity ranges from 0 to 2.2m/s, with a latent tidal current energy of about 70 kW, of which about 20 kW can actually be utilized.

  1. Current Practice Patterns Regarding the Conduct of Thyroidectomy and Parathyroidectomy amongst Surgeons - A Survey Study

    Directory of Open Access Journals (Sweden)

    LR Henry, LB Helou, NP Solomon, A Chang, SK Libutti, A Stojadinovic

    2012-01-01

    Full Text Available Background: Heterogeneity of surgical care exists among surgeons regarding the conduct of thyroidectomy and parathyroidectomy.Aim: To identify the current patterns of technical conduct of operation amongst surgeons performing thyroidectomy or parathyroidectomy.Methods: A survey was designed and beta-tested on five surgical oncologists for face validity and usability. The final version of this survey was constructed and disseminated using the professional version of the internet-based survey mechanism Survey Monkey and consisted of two eligibility questions and 22 questions regarding thyroidectomy/parathyroidectomy treatment patterns. The survey was disseminated electronically to American Association of Endocrine Surgeons (AAES and American College of Surgeons (ACS members. Survey results were collected, tabulated and analyzed. Responses among groups were compared using two sample T- tests. Significant responses were subsequently analyzed in generalized linear models to ascertain if significance remained with control of covariates.Results: Of 420 initial web survey visits, 236 (56.2% surveys were completed. The majority of respondents reported being 'fellowship trained', experienced and 'high-volume' surgeons. The most common fellowship trainings were endocrine (46%, oncology (22%, head & neck (13%, or combinations of the three fellowships (14%. Most surgeons reported that they dissect the course of the recurrent laryngeal nerve (RLN without using neuromonitoring. Nearly a third of respondents reported routinely using the Harmonic scalpel during the conduct of the operations. Significant differences emerged regarding operative technique according to residency training type, fellowship training, surgeon volume, and practice setting, but only those associated with residency training type and annual surgeon surgical volume remained significant within generalized linear models.Conclusion: Most surgeons who responded to this survey do not routinely

  2. Quality metrics currently used in academic radiology departments: results of the QUALMET survey.

    Science.gov (United States)

    Walker, Eric A; Petscavage-Thomas, Jonelle M; Fotos, Joseph S; Bruno, Michael A

    2017-03-01

    We present the results of the 2015 quality metrics (QUALMET) survey, which was designed to assess the commonalities and variability of selected quality and productivity metrics currently employed by a large sample of academic radiology departments representing all regions in the USA. The survey of key radiology metrics was distributed in March-April of 2015 via personal e-mail to 112 academic radiology departments. There was a 34.8% institutional response rate. We found that most academic departments of radiology commonly utilize metrics of hand hygiene, report turn around time (RTAT), relative value unit (RVU) productivity, patient satisfaction and participation in peer review. RTAT targets were found to vary widely. The implementation of radiology peer review and the variety of ways in which peer review results are used within academic radiology departments, the use of clinical decision support tools and requirements for radiologist participation in Maintenance of Certification also varied. Policies for hand hygiene and critical results communication were very similar across all institutions reporting, and most departments utilized some form of missed case/difficult case conference as part of their quality and safety programme, as well as some form of periodic radiologist performance reviews. Results of the QUALMET survey suggest many similarities in tracking and utilization of the selected quality and productivity metrics included in our survey. Use of quality indicators is not a fully standardized process among academic radiology departments. Advances in knowledge: This article examines the current quality and productivity metrics in academic radiology.

  3. Mass Casualty Decontamination in the United States: An Online Survey of Current Practice.

    Science.gov (United States)

    Power, Sarah; Symons, Charles; Carter, Holly; Jones, Emma; Amlôt, Richard; Larner, Joanne; Matar, Hazem; Chilcott, Robert P

    2016-01-01

    Mass casualty decontamination is a public health intervention that would be employed by emergency responders following a chemical, biological, or radiological incident. The decontamination of large numbers of casualties is currently most often performed with water to remove contaminants from the skin surface. An online survey was conducted to explore US fire departments' decontamination practices and their preparedness for responding to incidents involving mass casualty decontamination. Survey respondents were asked to provide details of various aspects of their decontamination procedures, including expected response times to reach casualties, disrobing procedures, approaches to decontamination, characteristics of the decontamination showering process, provision for special populations, and any actions taken following decontamination. The aim of the survey was to identify any differences in the way in which decontamination guidance is implemented across US states. Results revealed that, in line with current guidance, many US fire departments routinely use the "ladder-pipe system" for conducting rapid, gross decontamination of casualties. The survey revealed significant variability in ladder-pipe construction, such as the position and number of fire hoses used. There was also variability in decontamination characteristics, such as water temperature and water pressure, detergent use, and shower duration. The results presented here provide important insights into the ways in which implementation of decontamination guidance can vary between US states. These inconsistencies are thought to reflect established perceived best practices and local adaptation of response plans to address practical and logistical constraints. These outcomes highlight the need for evidence-based national guidelines for conducting mass casualty decontamination.

  4. The Context of Current Content Analysis of Gender Roles: An Introduction to a Special Issue.

    Science.gov (United States)

    Rudy, Rena M; Popova, Lucy; Linz, Daniel G

    2010-06-01

    The aim of this paper is to provide context for the quantitative content analyses of gender roles that are to be included in both parts of this special issue. First, a timeline of historical uses of the content analysis methodology is presented. Second, research objectives that frequently drive content analysis of gender roles are described; these include: to support feminist claims, to compare media with real life, to predict effects on audiences, and to detect effects of media producers on content. Third, previous content analyses published in Sex Roles and other gender-focused journals are reviewed and categorized in terms of medium, genre, time span, gender, and nationality. Finally, contributions of each of the articles in this special issue are outlined.

  5. The Context of Current Content Analysis of Gender Roles: An Introduction to a Special Issue

    Science.gov (United States)

    Popova, Lucy; Linz, Daniel G.

    2010-01-01

    The aim of this paper is to provide context for the quantitative content analyses of gender roles that are to be included in both parts of this special issue. First, a timeline of historical uses of the content analysis methodology is presented. Second, research objectives that frequently drive content analysis of gender roles are described; these include: to support feminist claims, to compare media with real life, to predict effects on audiences, and to detect effects of media producers on content. Third, previous content analyses published in Sex Roles and other gender-focused journals are reviewed and categorized in terms of medium, genre, time span, gender, and nationality. Finally, contributions of each of the articles in this special issue are outlined. PMID:20694031

  6. The current landscape for direct-to-consumer genetic testing: legal, ethical, and policy issues.

    Science.gov (United States)

    Hogarth, Stuart; Javitt, Gail; Melzer, David

    2008-01-01

    This review surveys the developing market for direct-to-consumer (DTC) genetic tests and examines the range of companies and tests available, the regulatory landscape, the concerns raised about DTC testing, and the calls for enhanced oversight. We provide a comparative overview of the situation, particularly in the United States and Europe, by exploring the regulatory frameworks for medical devices and clinical laboratories. We also discuss a variety of other mechanisms such as general controls on advertising and consumer law mechanisms.

  7. U.S.-Vietnam Relations in 2011: Current Issues and Implications for U.S. Policy

    Science.gov (United States)

    2012-05-18

    a policy of neutrality on the claims by the parties, which also include Brunei, Indonesia, Malaysia , the Philippines, and Taiwan. Throughout 2009...territorial disputes. Roughly one and a half times the size of the Mediterranean Sea, it is ringed by China, Vietnam, Malaysia , Indonesia, Brunei...government to monitor data processed by these companies and/or more susceptible to government pressure on issues such as censorship .36 Many of the

  8. International human rights law aspects of forced migrations, evictions and displacement: current issues and challenges

    OpenAIRE

    Scholten, Andrew

    2016-01-01

    The aim of this paper is an analysis of the categories of evictions, forced migrations and internal displacement in the context of international human rights law. Forced migrations and selected categories of internal displacement are important issues of international human rights law and international humanitarian law for more than forty years. The UDHR, adopted in 1948, does not contain any provisions related to forced human mobility and internal displacement. Despite this fact ...

  9. China-U.S. Relations: Current Issues and Implications for U.S. Policy

    Science.gov (United States)

    2008-03-17

    part of multilateral meetings. The visit to China of Japan’s new Prime Minister, Shinzo Abe , on October 8, 2006, signaled a thaw in Sino-Japanese...diplomatic achievements. China routinely protested former Japanese Prime Minister Koizumi’s annual visits to the Yasukuni Shrine , where war criminals are...also enshrined. After Koizumi first visited the shrine in 2001, China used the issue to justify its refusal to engage in bilateral summitry, except as

  10. Current issues relating to psychosocial job strain and cardiovascular disease research.

    Science.gov (United States)

    Theorell, T; Karasek, R A

    1996-01-01

    The authors comment on recent reviews of cardiovascular job strain research by P. L. Schnall and P. A. Landsbergis (1994), and by T. S. Kristensen (1995), which conclude that job strain as defined by the demand-control model (the combination of contributions of low job decision latitudes and high psychological job demands) is confirmed as a risk factor for cardiovascular mortality in a large majority of studies. Lack of social support at work appears to further increase risk. Several still-unresolved research questions are examined in light of recent studies: (a) methodological issues related to use of occupational aggregate estimations and occupational career aggregate assessments, use of standard scales for job analysis and recall bias issues in self-reporting; (b) confounding factors and differential strengths of association by subgroups in job strain-cardiovascular disease analyses with respect to social class, gender, and working hours; and (c) review of results of monitoring job strain-blood pressure associations and associated methodological issues.

  11. Human resources issues and Australian Disaster Medical Assistance Teams: results of a national survey of team members

    Directory of Open Access Journals (Sweden)

    Peter Aitken

    2012-05-01

    Full Text Available Background: Calls for disaster medical assistance teams (DMATs are likely to continue in response to international disasters. As part of a national survey, this study was designed to evaluate Australian DMAT experience in relation to the human resources issues associated with deployment. Methods: Data was collected via an anonymous mailed survey distributed via State and Territory representatives on the Australian Health Protection Committee, who identified team members associated with Australian DMAT deployments from the 2004 South East Asian Tsunami disaster. Results: The response rate for this survey was 50% (59/118. Most personnel had deployed to the Asian Tsunami affected areas with DMAT members having significant clinical and international experience. While all except one respondent stated they received a full orientation prior to deployment, only 34% of respondents (20/59 felt their role was clearly defined pre deployment. Approximately 56% (33/59 felt their actual role matched their intended role and that their clinical background was well suited to their tasks. Most respondents were prepared to be available for deployment for 1 month (34%, 20/59. The most common period of notice needed to deploy was 6–12 hours for 29% (17/59 followed by 12–24 hours for 24% (14/59. The preferred period of overseas deployment was 14–21 days (46%, 27/59 followed by 1 month (25%, 15/59 and the optimum shift period was felt to be 12 hours by 66% (39/59. The majority felt that there was both adequate pay (71%, 42/59 and adequate indemnity (66%, 39/59. Almost half (49%, 29/59 stated it was better to work with people from the same hospital and, while most felt their deployment could be easily covered by staff from their workplace (56%, 33/59 and caused an inconvenience to their colleagues (51%, 30/59, it was less likely to interrupt service delivery in their workplace (10%, 6/59 or cause an inconvenience to patients (9%, 5/59. Deployment was felt to

  12. Reexamining traditional issues in survey research: Just how evil is the anathema of low response rate?

    Energy Technology Data Exchange (ETDEWEB)

    Clark, S.B. [Oak Ridge Institute for Science and Education, TN (United States). Science/Engineering Education Division; Boser, J.A. [Univ. of Tennessee, Knoxville, TN (United States)

    1995-08-01

    Survey researchers have long been exhorted to strive for high response rates in order to maximize the likelihood that the respondents are representative of the population being surveyed. It is not surprising then, that much survey research has been directed towards examining the effects of various manipulatable factors on response rate. It is clear that attempts to reach the goal of minimizing the likelihood of nonresponse bias through testing various methods of increasing survey response rates have consumed much research and debate. The results obtained in this research have been inconsistent. Some studies have found significant differences, others have found none. The present study was designed to determine the extent to which the results of an employment survey of former graduates of a teacher preparation program would have been affected by changes in response rate.

  13. The current state of physical therapy pain curricula in the United States: a faculty survey.

    Science.gov (United States)

    Hoeger Bement, Marie K; Sluka, Kathleen A

    2015-02-01

    Insufficient pain education is problematic across the health care spectrum. Recent educational advancements have been made to combat the deficits in pain education to ensure that health care professionals are proficient in assessing and managing pain. The purpose of this survey was to determine the extent of pain education in current Doctorate of Physical Therapy schools in the United States, including how pain is incorporated into the curriculum, the amount of time spent teaching about pain, and the resources used to teach about pain. The survey consisted of 10 questions in the following subject areas: basic science mechanisms and concepts about pain, pain assessment, pain management, and adequacy of pain curriculum. The overall response was 77% (167/216) for the first series of responses of the survey (Question 1), whereas 62% completed the entire survey (Questions 2-10). The average contact hours teaching about pain was 31 ± 1.8 (mean ± standard error of the mean) with a range of 5 to 115 hours. The majority of schools that responded covered the science of pain, assessment, and management. Less than 50% of respondents were aware of the Institute of Medicine report on pain or the International Association for the Study of Pain guidelines for physical therapy pain education. Only 61% of respondents believed that their students received adequate education in pain management. Thus, this survey demonstrated how pain education is incorporated into physical therapy schools and highlighted areas for improvement such as awareness of recent educational advancements. This article demonstrates how pain education is incorporated into physical therapy curricula within accredited programs. Understanding the current structure of pain education in health professional curriculum can serve as a basis to determine if recent publications of guidelines and competencies impact education. Copyright © 2015 American Pain Society. Published by Elsevier Inc. All rights reserved.

  14. Challenges in pancreatic adenocarcinoma surgery - National survey and current practice guidelines

    Science.gov (United States)

    Dhayat, Sameer A.; Mirgorod, Philip; Lenschow, Christina; Senninger, Norbert

    2017-01-01

    Background Pancreatic ductal adenocarcinoma (PDAC) remains one of the most deadly cancers in Europe and the USA. There is consensus that radical tumor surgery is the only viable option for any long-term survival in patients with PDAC. So far, limited data are available regarding the routine surgical management of patients with advanced PDAC in the light of surgical guidelines. Methods A national survey on perioperative management of patients with PDAC and currently applied criteria on their tumor resectability in German university and community hospitals was carried out. Results With a response rate of 81.6% (231/283) a total of 95 (41.1%) participating departments practicing pancreatic surgery in Germany are certified as competence and reference centers for surgical diseases of the pancreas in 2016. More than 95% of them indicate to carry out structured and interdisciplinary therapies along with an interdisciplinary pre- and postoperative tumor board. The majority of survey respondents prefer the pylorus-preserving partial pancreatoduodenectomy (93.1%) with standard lymphadenectomy for cancer of the pancreatic head. Intraoperative histological evaluation of the resection margins is used regularly by 99% of the survey respondents. 98.7% of survey respondents carry out partial or complete vein resection, 126 respondents (54.5%) would resect tumor adjacent arteries, and 102 respondents (44.2%) would perform metastasectomy if complete PDAC resection (R0) is possible. Conclusion Evidence-based and standardized pancreatic surgery is practiced by a large number of hospitals in Germany. However, a significant number of survey respondents support an extended radical tumor resection in patients with advanced PDAC even when not indicated by current clinical guidelines. PMID:28267771

  15. Controversies in the Hydrosphere: an iBook exploring current global water issues for middle school classrooms

    Science.gov (United States)

    Dufoe, A.; Guertin, L. A.

    2012-12-01

    This project looks to help teachers utilize iPad technology in their classrooms as an instructional tool for Earth system science and connections to the Big Ideas in Earth Science. The project is part of Penn State University's National Science Foundation (NSF) Targeted Math Science Partnership grant, with one goal of the grant to help current middle school teachers across Pennsylvania engage students with significant and complex questions of Earth science. The free Apple software iBooks Author was used to create an electronic book for the iPad, focusing on a variety of controversial issues impacting the hydrosphere. The iBook includes image slideshows, embedded videos, interactive images and quizzes, and critical thinking questions along Bloom's Taxonomic Scale of Learning Objectives. Outlined in the introductory iBook chapters are the Big Ideas of Earth System Science and an overview of Earth's spheres. Since the book targets the hydrosphere, each subsequent chapter focuses on specific water issues, including glacial melts, aquifer depletion, coastal oil pollution, marine debris, and fresh-water chemical contamination. Each chapter is presented in a case study format that highlights the history of the issue, the development and current status of the issue, and some solutions that have been generated. The next section includes critical thinking questions in an open-ended discussion format that focus on the Big Ideas, proposing solutions for rectifying the situation, and/or assignments specifically targeting an idea presented in the case study chapter. Short, comprehensive multiple-choice quizzes are also in each chapter. Throughout the iBook, students are free to watch videos, explore the content and form their own opinions. As a result, this iBook fulfills the grant objective by engaging teachers and students with an innovative technological presentation that incorporates Earth system science with current case studies regarding global water issues.

  16. Current status of environmental, health, and safety issues of lithium ion electric vehicle batteries

    Energy Technology Data Exchange (ETDEWEB)

    Vimmerstedt, L.J.; Ring, S.; Hammel, C.J.

    1995-09-01

    The lithium ion system considered in this report uses lithium intercalation compounds as both positive and negative electrodes and has an organic liquid electrolyte. Oxides of nickel, cobalt, and manganese are used in the positive electrode, and carbon is used in the negative electrode. This report presents health and safety issues, environmental issues, and shipping requirements for lithium ion electric vehicle (EV) batteries. A lithium-based electrochemical system can, in theory, achieve higher energy density than systems using other elements. The lithium ion system is less reactive and more reliable than present lithium metal systems and has possible performance advantages over some lithium solid polymer electrolyte batteries. However, the possibility of electrolyte spills could be a disadvantage of a liquid electrolyte system compared to a solid electrolyte. The lithium ion system is a developing technology, so there is some uncertainty regarding which materials will be used in an EV-sized battery. This report reviews the materials presented in the open literature within the context of health and safety issues, considering intrinsic material hazards, mitigation of material hazards, and safety testing. Some possible lithium ion battery materials are toxic, carcinogenic, or could undergo chemical reactions that produce hazardous heat or gases. Toxic materials include lithium compounds, nickel compounds, arsenic compounds, and dimethoxyethane. Carcinogenic materials include nickel compounds, arsenic compounds, and (possibly) cobalt compounds, copper, and polypropylene. Lithiated negative electrode materials could be reactive. However, because information about the exact compounds that will be used in future batteries is proprietary, ongoing research will determine which specific hazards will apply.

  17. Current research issues related to post-wildfire runoff and erosion processes

    Science.gov (United States)

    Moody, John A.; Shakesby, Richard A.; Robichaud, Peter R.; Cannon, Susan H.; Martin, Deborah A.

    2013-01-01

    Research into post-wildfire effects began in the United States more than 70 years ago and only later extended to other parts of the world. Post-wildfire responses are typically transient, episodic, variable in space and time, dependent on thresholds, and involve multiple processes measured by different methods. These characteristics tend to hinder research progress, but the large empirical knowledge base amassed in different regions of the world suggests that it should now be possible to synthesize the data and make a substantial improvement in the understanding of post-wildfire runoff and erosion response. Thus, it is important to identify and prioritize the research issues related to post-wildfire runoff and erosion. Priority research issues are the need to: (1) organize and synthesize similarities and differences in post-wildfire responses between different fire-prone regions of the world in order to determine common patterns and generalities that can explain cause and effect relations; (2) identify and quantify functional relations between metrics of fire effects and soil hydraulic properties that will better represent the dynamic and transient conditions after a wildfire; (3) determine the interaction between burned landscapes and temporally and spatially variable meso-scale precipitation, which is often the primary driver of post-wildfire runoff and erosion responses; (4) determine functional relations between precipitation, basin morphology, runoff connectivity, contributing area, surface roughness, depression storage, and soil characteristics required to predict the timing, magnitudes, and duration of floods and debris flows from ungaged burned basins; and (5) develop standard measurement methods that will ensure the collection of uniform and comparable runoff and erosion data. Resolution of these issues will help to improve conceptual and computer models of post-wildfire runoff and erosion processes.

  18. Current status of environmental, health, and safety issues of lithium ion electric vehicle batteries

    Energy Technology Data Exchange (ETDEWEB)

    Vimmerstedt, L.J.; Ring, S.; Hammel, C.J.

    1995-09-01

    The lithium ion system considered in this report uses lithium intercalation compounds as both positive and negative electrodes and has an organic liquid electrolyte. Oxides of nickel, cobalt, and manganese are used in the positive electrode, and carbon is used in the negative electrode. This report presents health and safety issues, environmental issues, and shipping requirements for lithium ion electric vehicle (EV) batteries. A lithium-based electrochemical system can, in theory, achieve higher energy density than systems using other elements. The lithium ion system is less reactive and more reliable than present lithium metal systems and has possible performance advantages over some lithium solid polymer electrolyte batteries. However, the possibility of electrolyte spills could be a disadvantage of a liquid electrolyte system compared to a solid electrolyte. The lithium ion system is a developing technology, so there is some uncertainty regarding which materials will be used in an EV-sized battery. This report reviews the materials presented in the open literature within the context of health and safety issues, considering intrinsic material hazards, mitigation of material hazards, and safety testing. Some possible lithium ion battery materials are toxic, carcinogenic, or could undergo chemical reactions that produce hazardous heat or gases. Toxic materials include lithium compounds, nickel compounds, arsenic compounds, and dimethoxyethane. Carcinogenic materials include nickel compounds, arsenic compounds, and (possibly) cobalt compounds, copper, and polypropylene. Lithiated negative electrode materials could be reactive. However, because information about the exact compounds that will be used in future batteries is proprietary, ongoing research will determine which specific hazards will apply.

  19. Tea and human health: biomedical functions of tea active components and current issues.

    Science.gov (United States)

    Chen, Zong-mao; Lin, Zhi

    2015-02-01

    Originating in China, tea and tea planting have spread throughout the world since the middle of the Tang dynasty. Now people from 160 countries in the world are accustomed to tea drinking. A brief history of tea's medicinal role in China and its spread to the world are introduced. The effectiveness of tea active components and tea drinking on major human diseases, including cancer, metabolic syndrome, cardiovascular disease, and neurodegenerative diseases, is discussed. Also presented are some related issues, such as the bioavailability of tea active components, the new formulations of tea polyphenols, and the safety for consumers of dietary supplements containing tea polyphenols.

  20. Book Review: Siroj Sorajjakool: Human Trafficking in Thailand: Current Issues, Trends and the Role of the Thai Government

    OpenAIRE

    Manassinee Moottatarn

    2014-01-01

    Book Review of the Monograph: Siroj Sorajjakool (2013), Human Trafficking in Thailand: Current Issues, Trends and the Role of the Thai Government. Chiang Mai, Thailand: Silkworm Books, ISBN: 978-616-215-060-9, 235 pages. Human trafficking is not widely reported in local Thai news, and news of it is often only picked up by international correspondents. The extent of this problem has only started to reveal itself as a widespread problem in the kingdom.

  1. Book Review: Siroj Sorajjakool: Human Trafficking in Thailand: Current Issues, Trends and the Role of the Thai Government

    Directory of Open Access Journals (Sweden)

    Manassinee Moottatarn

    2014-01-01

    Full Text Available Book Review of the Monograph: Siroj Sorajjakool (2013, Human Trafficking in Thailand: Current Issues, Trends and the Role of the Thai Government. Chiang Mai, Thailand: Silkworm Books, ISBN: 978-616-215-060-9, 235 pages. Human trafficking is not widely reported in local Thai news, and news of it is often only picked up by international correspondents. The extent of this problem has only started to reveal itself as a widespread problem in the kingdom.

  2. Book Review: Siroj Sorajjakool: Human Trafficking in Thailand: Current Issues, Trends and the Role of the Thai Government

    OpenAIRE

    Manassinee Moottatarn

    2014-01-01

    Book Review of the Monograph: Siroj Sorajjakool (2013), Human Trafficking in Thailand: Current Issues, Trends and the Role of the Thai Government. Chiang Mai, Thailand: Silkworm Books, ISBN: 978-616-215-060-9, 235 pages. Human trafficking is not widely reported in local Thai news, and news of it is often only picked up by international correspondents. The extent of this problem has only started to reveal itself as a widespread problem in the kingdom.

  3. [Masculinity and Meat Consumption--Historical Approchaes to a Current Health Issue].

    Science.gov (United States)

    Fischer, Ole

    2015-01-01

    In current health debates meat is often discussed as a health risk. Statistically, men consume more meat than women. Therefore they often appear as an especially vulnerable risk group. Based on current discussions about an increased health risk for men because of an above-average consumption of meat, this paper outlines aspects of the historical development of the relationship between masculinity and meat consumption from the 19th to the 21st century and emphasizes the importance of cultural constructed gender expectations for the eating habits of many men.

  4. Rip current evidence by hydrodynamic simulations, bathymetric surveys and UAV observation

    Science.gov (United States)

    Benassai, Guido; Aucelli, Pietro; Budillon, Giorgio; De Stefano, Massimo; Di Luccio, Diana; Di Paola, Gianluigi; Montella, Raffaele; Mucerino, Luigi; Sica, Mario; Pennetta, Micla

    2017-09-01

    The prediction of the formation, spacing and location of rip currents is a scientific challenge that can be achieved by means of different complementary methods. In this paper the analysis of numerical and experimental data, including RPAS (remotely piloted aircraft systems) observations, allowed us to detect the presence of rip currents and rip channels at the mouth of Sele River, in the Gulf of Salerno, southern Italy. The dataset used to analyze these phenomena consisted of two different bathymetric surveys, a detailed sediment analysis and a set of high-resolution wave numerical simulations, completed with Google EarthTM images and RPAS observations. The grain size trend analysis and the numerical simulations allowed us to identify the rip current occurrence, forced by topographically constrained channels incised on the seabed, which were compared with observations.

  5. Acellular Dermal Matrix in Reconstructive Breast Surgery: Survey of Current Practice among Plastic Surgeons

    Science.gov (United States)

    Ibrahim, Ahmed M. S.; Koolen, Pieter G. L.; Ashraf, Azra A.; Kim, Kuylhee; Mureau, Marc A. M.; Lee, Bernard T.

    2015-01-01

    Background: Acellular dermal matrices (ADMs) in plastic surgery have become increasingly popular particularly for breast reconstruction. Despite their advantages, questions exist regarding their association with a possible increased incidence of complications. We describe a collective experience of plastic surgeons’ use of ADMs in reconstructive breast surgery using an internet-based survey. Methods: Members of the American Society of Plastic Surgeons were recruited through voluntary, anonymous participation in an online survey. The web-based survey garnered information about participant demographics and their experience with ADM use in breast reconstruction procedures. After responses were collected, all data were anonymously processed. Results: Data were ascertained through 365 physician responses of which 99% (n = 361) completed the survey. The majority of participants were men (84.5%) between 51 and 60 years (37.4%); 84.2% used ADM in breast reconstruction, including radiated patients (79.7%). ADM use was not favored for nipple reconstruction (81.5%); 94.6% of participants used drains, and 87.8% administered antibiotics postoperatively. The most common complications were seroma (70.9%) and infection (16%), although 57.4% claimed anecdotally that overall complication rate was unchanged after incorporating ADM into their practice. High cost was a deterrent for ADM use (37.5%). Conclusions: Plastic surgeons currently use ADM in breast reconstruction for both immediate and staged procedures. Of those responding, a majority of plastic surgeons will incorporate drains and use postoperative antibiotics for more than 48 hours. PMID:25973359

  6. Current issues in late Middle Palaeolithic chronology : New assessments from Northern Iberia

    NARCIS (Netherlands)

    Maroto, Julia; Vaquero, Manuel; Arrizabalaga, Alvaro; Baena, Javier; Baquedano, Enrique; Jorda, Jesus; Julia, Ramon; Montes, Ramon; Van Der Plicht, Johannes; Rasines, Pedro; Wood, Rachel

    2012-01-01

    The Iberian Peninsula plays a central role in the current debates on the Middle-Upper Palaeolithic transition and the Neanderthal extinction. This is largely due to the chronological data which some authors have suggested show a clear divide between Northern Iberia, where the Upper Palaeolithic appe

  7. Library and Information Science Education in Greece: Institutional Changes and Current Issues

    Science.gov (United States)

    Moniarou-Papaconstantinou, Valentini; Tsatsaroni, Anna

    2008-01-01

    This paper considers the historical development of Library and Information Science (LIS) Education in Greece, in order to understand its current position within the field of higher education, and to assess its future prospects. In particular, in tracing changes that LIS Education as an institution has undergone, it argues that institutional…

  8. Ten-dimensional Maxwell-Einstein supergravity, its currents, and the issue of its auxiliary fields

    NARCIS (Netherlands)

    Bergshoeff, E.; Roo, M. de; Wit, B. de

    1982-01-01

    The d = 10, N = 1 Yang-Mills system is coupled to d = 10, N = 1 supergravity in a locally scale-invariant way. An analysis of the currents agrees with the Noether coupling results and reveals the existence of two ordinary axial and more low-dimension auxiliary fields. The coupling of the photon Aµ

  9. Mindfulness for Children in Public Schools: Current Research and Developmental Issues to Consider

    Science.gov (United States)

    Chadwick, Jeanne; Gelbar, Nicholas W.

    2016-01-01

    Mindfulness-based interventions have increased in popularity over the past decade and interest continues to increase in the potential to use mindfulness-based interventions in schools. The current research concerning school-based mindfulness-based interventions is reviewed in this article. This research base is fragmented, as most of the studies…

  10. Current Technology Trends and Issues among Health and Physical Education Professionals

    Science.gov (United States)

    Krause, Jennifer M.; Franks, Hillary; Lynch, Brandy

    2017-01-01

    Health and physical education professionals who implement technology appropriately can contribute to helping students become physically educated individuals (NASPE, 2009). It is imperative that professionals be knowledgeable and resourceful in how to integrate technology effectively, but it is unclear what current challenges professionals face in…

  11. Mindfulness-Based Cognitive Therapy: Further Issues in Current Evidence and Future Research

    Science.gov (United States)

    Williams, J. Mark G.; Russell, Ian; Russell, Daphne

    2008-01-01

    The authors respond to the article by H. F. Coelho, P. H. Canter, and E. Ernst (2007), which reviewed the current status of mindfulness-based cognitive therapy (MBCT). First, they clarify the randomization procedures in the 2 main MBCT trials. Second, they report posttreatment and follow-up data to show that trial participants allocated to…

  12. A Synthesis of Language Learning Strategies: Current Issues, Problems and Claims Made in Learner Strategy Research

    Science.gov (United States)

    Barjesteh, Hamed; Mukundan, Jayakaran; Vaseghi, Reza

    2014-01-01

    The current paper presented theoretical assumptions behind language learning strategies (LLS) and an overview of methods used to identify learners' strategies, first, and then summarized what have been reported from large number of descriptive studies of strategies by language learners. Moreover, the paper tried to present the variety of…

  13. LMFBR safety. 6. Review of current issues and bibliography of literature (1977)

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.; Keilholtz, G.W.

    1978-07-13

    This report discusses the current status of liquid-metal fast breeder reactor (LMFBR) development. Selected bibliographic information on LMFBRs relative to the development and safety of the breeder reactor is presented for the year 1977. The bibliography consists of approximately 198 abstracts covering research and development, operating experience, and design practices. Keyword, author, and permuted-title indexes are included for completeness.

  14. Repeated surveys by acoustic Doppler current profiler for flow and sediment dynamics in a tidal river

    Science.gov (United States)

    Dinehart, R. L.; Burau, J. R.

    2005-11-01

    A strategy of repeated surveys by acoustic Doppler current profiler (ADCP) was applied in a tidal river to map velocity vectors and suspended-sediment indicators. The Sacramento River at the junction with the Delta Cross Channel at Walnut Grove, California, was surveyed over several tidal cycles in the Fall of 2000 and 2001 with a vessel-mounted ADCP. Velocity profiles were recorded along flow-defining survey paths, with surveys repeated every 27 min through a diurnal tidal cycle. Velocity vectors along each survey path were interpolated to a three-dimensional Cartesian grid that conformed to local bathymetry. A separate array of vectors was interpolated onto a grid from each survey. By displaying interpolated vector grids sequentially with computer animation, flow dynamics of the reach could be studied in three-dimensions as flow responded to the tidal cycle. Velocity streamtraces in the grid showed the upwelling of flow from the bottom of the Sacramento River channel into the Delta Cross Channel. The sequential display of vector grids showed that water in the canal briefly returned into the Sacramento River after peak flood tides, which had not been known previously. In addition to velocity vectors, ADCP data were processed to derive channel bathymetry and a spatial indicator for suspended-sediment concentration. Individual beam distances to bed, recorded by the ADCP, were transformed to yield bathymetry accurate enough to resolve small bedforms within the study reach. While recording velocity, ADCPs also record the intensity of acoustic backscatter from particles suspended in the flow. Sequential surveys of backscatter intensity were interpolated to grids and animated to indicate the spatial movement of suspended sediment through the study reach. Calculation of backscatter flux through cross-sectional grids provided a first step for computation of suspended-sediment discharge, the second step being a calibrated relation between backscatter intensity and sediment

  15. Current issues in the design of academic health sciences libraries: findings from three recent facility projects.

    Science.gov (United States)

    Nelson, Patricia P

    2003-07-01

    Planning a new health sciences library at the beginning of the twenty-first century is a tremendous challenge. Technology has radically changed the way libraries function in an academic environment and the services they provide. Some individuals question whether the library as place will continue to exist as information becomes increasingly available electronically. To understand how libraries resolve programming and building design issues, visits were made to three academic health sciences libraries that have had significant renovation or completed new construction. The information gathered will be valuable for planning a new library for the University of Colorado Health Sciences Center and may assist other health sciences librarians as they plan future library buildings.

  16. Theological education, considered from South Africa: Current issues for cross-contextual comparison

    Directory of Open Access Journals (Sweden)

    Christo Lombaard

    2016-02-01

    Full Text Available Taking into review the newly published series of substantial multi-authored volumes on ecumenical theological education internationally, this article identifies, from the author’s own experience in ecumenical theological education and from his publications in this field, the central issue of specificity, locality and context in theological education. This takes place within two broadly developing new and relevant trends: post-secularism and inclusive liberalism, briefly described and then related to theological education. In the light of these trends, some questions are asked on theological education, and a plea for greater interdisciplinarity is made. The article thus contains a considerable part of self-reflective material, based on substantial professional experience in theological education, which enables engagement with the new publications and newly developing international contextual features that will shape theological education for the foreseeable future.

  17. Noninvasive Prenatal Genetic Testing: Current and Emerging Ethical, Legal, and Social Issues.

    Science.gov (United States)

    Minear, Mollie A; Alessi, Stephanie; Allyse, Megan; Michie, Marsha; Chandrasekharan, Subhashini

    2015-01-01

    Noninvasive prenatal genetic testing (NIPT) for chromosomal aneuploidy involving the analysis of cell-free fetal DNA became commercially available in 2011. The low false-positive rate of NIPT, which reduces unnecessary prenatal invasive diagnostic procedures, has led to broad clinician and patient adoption. We discuss the ethical, legal, and social issues raised by rapid and global dissemination of NIPT. The number of women using NIPT is anticipated to expand, and the number of conditions being tested for will continue to increase as well, raising concerns about the routinization of testing and negative impacts on informed decision making. Ensuring that accurate and balanced information is available to all pregnant women and that access to NIPT is equitable will require policy guidance from regulators, professional societies, and payers. Empirical evidence about stakeholders' perspectives and experiences will continue to be essential in guiding policy development so that advances in NIPT can be used effectively and appropriately to improve prenatal care.

  18. Current ethical issues in synthetic biology: where should we go from here?

    Science.gov (United States)

    Newson, Ainsley J

    2011-05-01

    Synthetic biology (SynBio) is an emerging scientific field which has quickly established momentum and visibility. Although no single definition of SynBio prevails, the field broadly encompasses the application of engineering principles to biology, redesigning biological materials and using them as new substrates to create products and entities not otherwise found in nature. This article first reviews SynBio, highlighting the novel aspects of this technology. It then synthesizes ethical issues highlighted in the literature to date and makes some initial claims that research on the ethical aspects of SynBio should: avoid creating a new subtype of bioethics, concentrate on novel concepts and problems, and be situated within a context of cooperative interdisciplinary investigation.

  19. PHARMACOTHERAPY OF THE DIGESTIVE DISEASES AMONG TEENAGERS. CURRENT STATE OF THE ISSUE

    Directory of Open Access Journals (Sweden)

    E.A. Vishneva

    2009-01-01

    Full Text Available Deterioration of the children's health, especially as long as they study in school is one of the key issues today. The article highlights the results of the «Healthy school» program implementation, which was developed by the «Quality of life» charity fund involving Solvay Pharma. Much attention was paid to the pharmacoepidemiological study of the digestive diseases among teenagers — conformance evaluation of the given nosology pharmacotherapy at the outpatient stage to the existing standards of the evidence based medicine. The researcher described in detail nonconformances to the generally accepted recommendations identified during the study — nonprescription and/or unjustified application of the medications. They also provided the structure of the enzymatic drugs application.Key words: pharmacoepidemiology, gastrointestinal disturbances, pharmacotherapy, children.

  20. Current issues connected with usage of genetically modified crops in production of feed and livestock feeding.

    Science.gov (United States)

    Kwiatek, K; Mazur, M; Sieradzki, Z

    2008-01-01

    Progress, which is brought by new advances in modern molecular biology, allowed interference in the genome of live organisms and gene manipulation. Introducing new genes to the recipient organism enables to give them new features, absent before. Continuous increase in the area of the biotech crops triggers continuous discussion about safety of genetically modified (GM) crops, including food and feed derived from them. Important issue connected with cultivation of genetically modified crops is a horizontal gene transfer and a bacterial antibiotic resistance. Discussion about safety of GM crops concerns also food allergies caused by eating genetically modified food. The problem of genetic modifications of GM crops used for livestock feeding is widely discussed, taking into account Polish feed law.

  1. Return of the "intimate outsider": current trends and issues in family nursing research revisited.

    Science.gov (United States)

    Ganong, Lawrence

    2011-11-01

    This article reviews family nursing research published from 1996 to 2011. This is a follow-up to a review published in the Journal of Family Nursing in 1995. Findings from the first review are compared with this one, trends in family nursing scholarship are identified, and predictions and suggestions for future directions are offered. The latest generation of family nursing scholarship is conceptually and methodologically sound, and there is evidence of more multidisciplinary and interdisciplinary research conducted by family nursing researchers. Scholars are paying more attention to issues of diversity and family context at present than in the past, although there are still aspects of diversity that need more attention. Strong research programs in family nursing exist worldwide; an international synergism has helped promote rapid expansion of family nursing research and theory development. A vigorous movement to promote research to practice initiatives and greater attention to family interventions are exciting developments.

  2. Current status of environmental, health, and safety issues of lithium polymer electric vehicle batteries

    Energy Technology Data Exchange (ETDEWEB)

    Corbus, D; Hammel, C J

    1995-02-01

    Lithium solid polymer electrolyte (SPE) batteries are being investigated by researchers worldwide as a possible energy source for future electric vehicles (EVs). One of the main reasons for interest in lithium SPE battery systems is the potential safety features they offer as compared to lithium battery systems using inorganic and organic liquid electrolytes. However, the development of lithium SPE batteries is still in its infancy, and the technology is not envisioned to be ready for commercialization for several years. Because the research and development (R&D) of lithium SPE battery technology is of a highly competitive nature, with many companies both in the United States and abroad pursuing R&D efforts, much of the information concerning specific developments of lithium SPE battery technology is proprietary. This report is based on information available only through the open literature (i.e., information available through library searches). Furthermore, whereas R&D activities for lithium SPE cells have focused on a number of different chemistries, for both electrodes and electrolytes, this report examines the general environmental, health, and safety (EH&S) issues common to many lithium SPE chemistries. However, EH&S issues for specific lithium SPE cell chemistries are discussed when sufficient information exists. Although lithium batteries that do not have a SPE are also being considered for EV applications, this report focuses only on those lithium battery technologies that utilize the SPE technology. The lithium SPE battery technologies considered in this report may contain metallic lithium or nonmetallic lithium compounds (e.g., lithium intercalated carbons) in the negative electrode.

  3. Key science issues after MESSENGER and current observation plans of BepiColombo MMO

    Science.gov (United States)

    Murakami, Go; Hayakawa, Hajime; Fujimoto, Masaki

    2017-04-01

    Little had been known about the Hermean magnetosphere until MESSENGER explored the region. The region is formed as the weak planetary magnetic field stands against the intense solar wind in the close proximity of the Sun. Various prediction had been given by noting the difference in the parameters from the well-studied terrestiral magnetosphere of a similar setting and scaling the well-knowns to the Hermean environment. MESSENGER results, however, show a wide varieity of phenomena that are out of the scope of what one could have reasonably argued. The micro-magnetosphere of Mercury is much more dynamic than one had predicted. BepiColombo MMO, the JAXA spacecraft of the BepiColombo Mercury exploration mission which will be launched in 2018 and will arrive at Mercury in 2025, is equipped to study the space environment of the planet Mercury. BepiColombo MMO is mainly designed for plasma observations and is expected to extract essential elements of space plasma physics that become visible in the Hermean environment. MMO has large constraints on science operations, such as thermal issue and limited telemetry rate. Due to the thermal issue each science instrument cannot always be turned on. In addition, due to the low telemetry rate in average, only a part ( 20-30%) of science mission data with high resolution can be downlinked. Therefore, in order to maximize the scientific results and outcomes to be achieved by MMO, we are now working to optimize the science observation and downlink plans in detail. Here we review MESSENGER results and how MMO will contribute to deepen our understanding of space plasmas by addressing the puzzles raised by MESSEGNER.

  4. Tracing High Redshift Starformation in the Current and Next Generation of Radio Surveys

    CERN Document Server

    Seymour, Nick

    2009-01-01

    The current deepest radio surveys detect hundreds of sources per square degree below 0.1mJy. There is a growing consensus that a large fraction of these sources are dominated by star formation although the exact proportion has been debated in the literature. However, the low luminosity of these galaxies at most other wavelengths makes determining the nature of individual sources difficult. If future, deeper surveys performed with the next generation of radio instrumentation are to reap high scientific reward we need to develop reliable methods of distinguishing between radio emission powered by active galactic nuclei (AGN) and that powered by star formation. In particular, we believe that such discriminations should be based on purely radio, or relative to radio, diagnostics. These diagnostics include radio morphology, radio spectral index, polarisation, variability, radio luminosity and flux density ratios with non-radio wavelengths e.g. with different parts of the infrared (IR) regime. We discuss the advant...

  5. Disability Items From the Current Population Survey (2008-2015) and Permanent Versus Temporary Disability Status.

    Science.gov (United States)

    Ward, Bryce; Myers, Andrew; Wong, Jennifer; Ravesloot, Craig

    2017-05-01

    To examine longitudinal responses to the disability indicator questions that have been adopted as the standard across national surveys sponsored by the US Department of Health and Human Services. Data from the Current Population Survey between 2008 and 2015 were linked to create a longitudinal sample of 721 178 individual respondents. Responses to the disability questions fluctuated significantly. Although 17% of all respondents reported a disability at some point, only 3% consistently reported the same set of disabilities. Demographic differences were found between people who always reported a consistent set of disabilities and those whose responses fluctuated. The disability questions capture 2 discrete groups: people who experience a permanent disability and those who experience a temporary disability. Demographic differences between these groups suggest that this is not simply due to measurement error.

  6. Fundamental Issues in Manufacturing Photovoltaic Modules Beyond the Current Generation of Materials

    Directory of Open Access Journals (Sweden)

    G. F. Alapatt

    2012-01-01

    Full Text Available Many methods to improve the solar cell’s efficiency beyond current generation of bulk and thin film of photovoltaic (PV devices have been reported during the last five decades. Concepts such as multiple exciton generations (MEG, carrier multiplication (CM, hot carrier extraction, and intermediate band solar cells have fundamental flaws, and there is no experimental evidence of fabricating practical higher efficiency solar cells based on the proposed concepts. To take advantages of quantum features of nanostructures for higher performance PV devices, self-assembly-based bottom-up processing techniques are not suitable for manufacturing due to inherent problems of variability, defects, reliability, and yield. For processing nanostructures, new techniques need to be invented with the features of critical dimensional control, structural homogeneity, and lower cost of ownership as compared to the processing tools used in current generations of bulk and thin-film solar cells.

  7. Cancer pain management in China: current status and practice implications based on the ACHEON survey.

    Science.gov (United States)

    Xia, Zhongjun

    2017-01-01

    Cancer pain can seriously impact the quality of life (QoL) of patients, and optimal management practices are therefore of paramount importance. The ACHEON survey queried physicians and patients from 10 Asian countries/regions to assess current clinical practices in cancer pain management in Asia. This study presents the data obtained for cancer pain management in mainland China, with an emphasis on practices related to opioid drugs. In several tertiary hospitals across China, 250 patients experiencing cancer pain and 100 physicians were surveyed on questions designed to assess current cancer pain management practices and cancer pain impact on QoL. The patient survey showed that 88% of patients reported moderate-to-severe cancer pain, with a median duration of 6 months. The physician survey showed that medical school/residency training with regard to cancer pain management was inadequate in ~80% of physicians. A total of 80% of physicians and 67.2% of patients reported that pain scale was used during pain assessment; 84% of physicians expressed that physician-perceived pain severity was not completely consistent with actual pain the patient experienced. Of the 147 patients who recalled the medication received, 83.7% were administered opioid prescriptions. Of the 240 patients who received treatment, 43.8% perceived the inadequacy of controlling pain. The primary barriers from physicians perceived to optimal pain management included patients' fear of side effects (58%), patients' fear of addiction (53%), patients' reluctance to report pain (43%), physicians' reluctance to prescribe (29%), physicians' inadequacy of pain assessment (27%) and excessive regulation of opioid analgesics (47%). Knowledge of cancer pain management should be strengthened among physicians. Quantitative pain assessment and principle-based pain management should be combined to achieve pain relief. Misconceptions about opioids in patients and physicians and poor report about pain should be

  8. Current Situation and Issues in Career Support for Students with Autism Spectrum Disorder

    OpenAIRE

    石井, 正博; 篠田, 晴男

    2014-01-01

    We briefly reviewed the current problems in career support for students with developmental disorders. Specifically, wefocused on studies concerning autism spectrum disorder because of the difficulty students with these disorders often face in finding jobs. The majority of studies suggested that the acquisition of basic life skills is essential for a successful transition from the educational setting to the workplace. We also discussed carrier decision-making as it relates to the accuracyof th...

  9. Issues Regarding the Current and Future Use of the Civil Reserve Air Fleet

    Science.gov (United States)

    2007-10-01

    that currently rely on DoD for a large share of their business if those carriers could not recoup that loss by serving more commercial customers ...Reports. 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 0 10 20 30 40 50 60 ASTAR Air Cargo/ DHL Atlas Air/Polar Air Evergreen International...CRAF Carriers’ Revenues from Commercial Customers (Percentage of revenues) Source: Congressional Budget Office based on 2007 data from the United

  10. Issues for eHealth in Psychiatry: Results of an Expert Survey

    Science.gov (United States)

    Huckvale, Kit; Larsen, Mark Erik; Basu, Ashna; Batterham, Philip J; Shaw, Frances; Sendi, Shahbaz

    2017-01-01

    Background Technology has changed the landscape in which psychiatry operates. Effective, evidence-based treatments for mental health care are now available at the fingertips of anyone with Internet access. However, technological solutions for mental health are not necessarily sought by consumers nor recommended by clinicians. Objective The objectives of this study are to identify and discuss the barriers to introducing eHealth technology-supported interventions within mental health. Methods An interactive polling tool was used to ask “In this brave new world, what are the key issues that need to be addressed to improve mental health (using technology)?” Respondents were the multidisciplinary attendees of the “Humans and Machines: A Quest for Better Mental Health” conference, held in Sydney, Australia, in 2016. Responses were categorized into 10 key issues using team-based qualitative analysis. Results A total of 155 responses to the question were received from 66 audience members. Responses were categorized into 10 issues and ordered by importance: access to care, integration and collaboration, education and awareness, mental health stigma, data privacy, trust, understanding and assessment of mental health, government and policy, optimal design, and engagement. In this paper, each of the 10 issues are outlined, and potential solutions are discussed. Many of the issues were interrelated, having implications for other key areas identified. Conclusions As many of the issues identified directly related to barriers to care, priority should be given to addressing these issues that are common across mental health delivery. Despite new challenges raised by technology, technology-supported mental health interventions represent a tremendous opportunity to address in a timely way these major concerns and improve the receipt of effective, evidence-based therapy by those in need. PMID:28246068

  11. A public-policy practicum to address current issues in human, animal, and ecosystem health.

    Science.gov (United States)

    Herrmann, John A; Johnson, Yvette J; Troutt, H Fred; Prudhomme, Thomas

    2009-01-01

    There are recognized needs for cross-training health professionals in human, animal, and ecosystem health and for public health policy to be informed by experts from medical, science, and social science disciplines. Faculty members of the Community Health and Preventive Medicine Section at the University of Illinois at Urbana-Champaign, College of Veterinary Medicine, and the Institute of Government and Public Affairs, University of Illinois at Urbana-Champaign, have offered a public-policy course designed to meet those needs. The course was designed as a practicum to teach students the policy-making process through the development of policy proposals and to instruct students on how to effectively present accurate scientific, demographic, and statistical information to policy makers and to the public. All students substantially met the learning objectives of the course. This course represents another model that can be implemented to help students learn about complex, multifactorial issues that affect the health of humans, animals, and ecosystems, while promoting participation in public health policy development.

  12. Asbestos: current issues related to cancer and to uses in developing countries

    Directory of Open Access Journals (Sweden)

    Eduardo Algranti

    1998-01-01

    Full Text Available Asbestos is one of the main occupational carcinogens recognized and studied in the literature. Its uses have undergone major changes in recent decades, with severe restrictions on commercial amphiboles according to different patterns: in developed countries asbestos is strictly controlled or banned, except in Japan, while in developing countries consumption has leveled off or increased. As an example, Brazil is one the seven world leaders in asbestos production and consumption. Although there is a clear excess of mesotheliomas linked to amphibole exposure, mainly to crocidolite, there is no evidences that chrysotile is harmless to the pleura. Also, the relationship between fibrogenesis and carcinogenesis is not sufficiently understood to defend the concept that there are protective exposure limits to both diseases. "Controlled use" policy may be effective at the occupational level in a select group of companies, representing only a fraction of the exposed population. In developing countries subject to economic pressures, these issues merit proper discussion to avoid unnecessary disease and death.

  13. Current global and Korean issues in radiation safety of nuclear medicine procedures.

    Science.gov (United States)

    Song, H C

    2016-06-01

    In recent years, the management of patient doses in medical imaging has evolved as concern about radiation exposure has increased. Efforts and techniques to reduce radiation doses are focussed not only on the basis of patient safety, but also on the fundamentals of justification and optimisation in cooperation with international organisations such as the International Commission on Radiological Protection, the International Atomic Energy Agency, and the World Health Organization. The Image Gently campaign in children and Image Wisely campaign in adults to lower radiation doses have been initiated in the USA. The European Association of Nuclear Medicine paediatric dosage card, North American consensus guidelines, and Nuclear Medicine Global Initiative have recommended the activities of radiopharmaceuticals that should be administered in children. Diagnostic reference levels (DRLs), developed predominantly in Europe, may be an important tool to manage patient doses. In Korea, overexposure to radiation, even from the use of medical imaging, has become a public issue, particularly since the accident at the Fukushima nuclear power plant. As a result, the Korean Nuclear Safety and Security Commission revised the technical standards for radiation safety management in medical fields. In parallel, DRLs for nuclear medicine procedures have been collected on a nationwide scale. Notice of total effective dose from positron emission tomography-computed tomography for cancer screening has been mandatory since mid-November 2014.

  14. Crime Prevention and Criminological Theories: Three Issues for the Current Time

    Directory of Open Access Journals (Sweden)

    Emilio Jorge Ayos

    2014-06-01

    Full Text Available Any crime prevention strategy implies, explicitly or implicitly, the question about what crime is, the causes of it and how to avert it. In this paper we will focus on set, thru criminological theories, the “concepts” that have been renewal to build different answers to such questions, particularly on crime prevention’s policies in contemporary Argentina. We suggest three axes: first, the criminal positivist sociology of Enrico Ferri, particularly his idea of “ penalties equivalent,”; second, the discussion about crime prevention in the “Chicago School”, specially on Thrasher Frederich’s work; and finally, “multi-agency intervention” idea of the left realist criminology, especially Jock Young, Roger Matthews and John Lea. Such productions have in common the fact that the three have specifically discussed the issue of “crime prevention” on their work. The selection criteria and comparison axis emerges from a broader investigation, which aimed to analyze the modes of way that the association between crime and living conditions is addressed on the social crime prevention policies in Argentina, during the first decade of the new century. Three comparatives dimensions were analyzed: the way social policies appears on crime prevention strategies; the ways the target populations are delimited; and last, the ways the intervention territories are defined, building an specific idea of territory.

  15. Current issues in developing safety culture while establishing wind energy power plants in India

    Energy Technology Data Exchange (ETDEWEB)

    Gowda, M.C.M.; Repaka, B.; Gowda, P. [MSRIT Research Centre, Bangalore (India); Chandrashekar, R. [SaIT, Bangalore (India)

    2012-07-01

    Safety is important to every one working in the various organizations. They want to be safe when coming to work, at the time of work and going back to home. The ultimate aim of every worker is to work for the needs/money and or satisfaction where these would get prioritized according to the individuals. People don't want accidents to happen. People don't want to get themselves injured nor their colleagues. People would like and love to work in a company which cares for them and keeps them safe. Having said this then what makes them meet with or see an accident in the wind farm? Yes it is the unsafe act and unsafe condition which causes an accident in the wind farm. The present study put forward the factors /issues that influence people behaviors as part of weakening the safety culture to perform an unsafe act or to ignore and work in an unsafe condition. (Author)

  16. Current issues relating to the transfusion of stored red blood cells.

    Science.gov (United States)

    Zimrin, A B; Hess, J R

    2009-02-01

    The development of blood storage systems allowed donation and transfusion to be separated in time and space. This separation has permitted the regionalization of donor services with subsequent economies of scale and improvements in the quality and availability of blood products. However, the availability of storage raises the question of how long blood products can and should be stored and how long they are safe and effective. The efficacy of red blood cells was originally measured as the increment in haematocrit and safety began with typing and the effort to reduce the risk of bacterial contamination. Appreciation of a growing list of storage lesions of red blood cells has developed with our increasing understanding of red blood cell physiology and our experience with red blood cell transfusion. However, other than frank haemolysis, rare episodes of bacterial contamination and overgrowth, the reduction of oxygen-carrying capacity associated with the failure of some transfused cells to circulate, and the toxicity of lysophospholipids released from membrane breakdown, storage-induced lesions have not had obvious correlations with safety or efficacy. The safety of red blood cell storage has also been approached in retrospective epidemiologic studies of transfused patients, but the results are frequently biased by the fact that sicker patients are transfused more often and blood banks do not issue blood products in a random order. Several large prospective studies of the safety of stored red blood cells are planned.

  17. Birds of the Severn Estuary and Bristol Channel: their current status and key environmental issues.

    Science.gov (United States)

    Burton, N H K; Musgrove, A J; Rehfisch, M M; Clark, N A

    2010-01-01

    The Severn Estuary and Bristol Channel encompass a number of designated sites supporting populations of waterbirds and seabirds that are of national or international importance, including the Severn Estuary and Burry Inlet Special Protection Areas (SPAs)/Ramsar Sites and Carmarthen Bay, the UK's first marine SPA. Here, we provide an overview of the present numbers and trends of the waterbirds and seabirds using these sites, updating previous reviews undertaken prior to these designations. We further provide a summary of the main issues that have affected the status of the area's bird populations. Declines in the numbers of waders on the Severn Estuary and the southwest over the last two decades have been linked to climate change. The Sea Empress oil-spill impacted both breeding seabirds and the wintering Common Scoters in Carmarthen Bay, though numbers of the latter recovered 3years after the spill. At the Burry Inlet, Oystercatcher numbers have fallen over the last 25years and considerable research has been undertaken into the conflict with cockle and mussel fisheries. A long-term study at Cardiff Bay, at the mouth of the Severn, revealed a significant impact on the survival of Redshanks following its impoundment and has helped to further understanding of responses of waterbirds to estuarine habitat loss. The potential impacts of the construction of a tidal power scheme on the Severn Estuary are also discussed. (c) 2009 Elsevier Ltd. All rights reserved.

  18. CURRENT CRIMINAL-LEGAL ISSUES OF QUALIFICATION OF A CHILD SUBSTITUTION

    Directory of Open Access Journals (Sweden)

    Shishchenko E. A.

    2016-04-01

    Full Text Available Relevance of the chosen topic is caused by existence of disputable issues in qualification of the crime established in article 153 of the Criminal code of Russian Federation. Objective and subjective elements of corpus delicti of substitution of a child are analyzed in the article. The special attention is paid to the object of the crime, and also consideration of the concept «victim». In this article «mercenary and low motives» as a constructive feature of the subjective element of substitution of a child are considered, the most significant gaps in norms of the criminal legislation are analyzed and ways of their elimination are offered. Having investigated normative legal acts, court practice, foreign legislation and the existing theoretical developments, authors give their interpretation of article 153 of the Criminal code of Russian Federation. The authors express opinion about strengthening of the punishment for this crime. We consider important inclusion in corpus delicti of this crime such aggravating features as the act: «against two or more persons», «a group of persons by previous agreement or organized group», «a person using his official position», «a person who has a previous conviction for crime against a family and minors»

  19. Disinfection and Sterilization in Health Care Facilities: An Overview and Current Issues.

    Science.gov (United States)

    Rutala, William A; Weber, David J

    2016-09-01

    When properly used, disinfection and sterilization can ensure the safe use of invasive and noninvasive medical devices. The method of disinfection and sterilization depends on the intended use of the medical device: critical items (contact sterile tissue) must be sterilized before use; semicritical items (contact mucous membranes or nonintact skin) must be high-level disinfected; and noncritical items (contact intact skin) should receive low-level disinfection. Cleaning should always precede high-level disinfection and sterilization. Current disinfection and sterilization guidelines must be strictly followed.

  20. Fiscal Reform in the People's Republic of China: Current Issues and Future Agenda

    OpenAIRE

    Kanamori, Toshiki

    2004-01-01

    In recent years, economists and policymakers have given much greater attention to fiscal reform in the PRC. This reflects the fact that after the Asian financial crisis the fiscal balance of the PRC government rapidly worsened. Second, the PRC economy as a whole has been moving in a more market-oriented direction since its accession to the World Trade Organization (WTO). The current agenda for fiscal reform includes the low level of fiscal revenue relative to GDP, the tax-sharing scheme betwe...

  1. Current issues in dietary acrylamide:formation,mitigation and risk assessment

    DEFF Research Database (Denmark)

    Pedreschi, F.; Salome Mariotti, M.; Granby, Kit

    2014-01-01

    Acrylamide (AA) is known as a neurotoxin in humans and it is classified as a probable human carcinogen by the International Agency of Research on Cancer. AA is produced as by-product of the Maillard reaction in starchy foods processed at high temperatures (>120 °C). This review includes...... of the final product. Sugars in potatoes may be reduced by blanching. Levels of AA in different foods show large variations and no general upper limit is easily applicable, since some formation will always occur. Current policy is that practical measures should be taken voluntarily to reduce AA formation...

  2. The strange case of online surveys: response issues and respondent characteristics

    DEFF Research Database (Denmark)

    Adamsen, Jannie Mia; Rundle-Thiele, Sharyn; Mehnert, Christina

    2011-01-01

    This research contributes to existing knowledge about collecting data online by analysing multiple data sets on key criteria including overall representativeness of the samples, response and break-off rates, timeliness of response and reminder effects. Across eight online surveys that initially...... in responses on the preference measures for Leaders, Early or Late Majority or Laggards and secondly, we have only considered the demographic characteristics of responders. The information can be utilised by researchers in the planning and management process of online surveys, especially since the results...... a reminder 48-72 hours after the initial invitation and closing the survey one to two days later; based on our results this time-wise approach still captures 90% of respondents. This study must be viewed in light of some key limitations. Firstly, we have not considered whether there are differences...

  3. Current trends, innovations and issues in nursing education to cater for the bottom billion nurses

    Directory of Open Access Journals (Sweden)

    Pek-Hong Lim

    2012-07-01

    Full Text Available Nurse education is undergoing a processof transition. Nurses worldwide are working towardsachievement of higher levels of education and trainingthrough an improved education system. Current trendsand innovations in nursing education are emerging toprepare more nurses and to deliver education to studentsacross geographical boundaries while taking intoconsideration their work and family responsibilities. Thecurrent trends and innovations in nursing educationrange from full time face-to-face interactions to distanceeducation programmes. Teaching approaches such asblended learning, online or e-Learning have providednurses with an avenue for continuing education fordevelopment and progression in their career pathways.Every nurse aspires to reach her highest potential. Whilethe current trends and innovations in nursing educationprovides the flexibility for nurses to continue learningand upgrade their professional qualifications, there areissues to be considered in catering to the needs of thebottom billion nurses. An exploration of related issueswill include views from different perspectives, such asthat of the institution/provider, instructor/facilitatorand student/learner involved in the development andimplementation of the related education programmes.

  4. The issues of current rainfall estimation techniques in mountain natural multi-hazard investigation

    Science.gov (United States)

    Zhuo, Lu; Han, Dawei; Chen, Ningsheng; Wang, Tao

    2017-04-01

    Mountain hazards (e.g., landslides, debris flows, and floods) induced by rainfall are complex phenomena that require good knowledge of rainfall representation at different spatiotemporal scales. This study reveals rainfall estimation from gauges is rather unrepresentative over a large spatial area in mountain regions. As a result, the conventional practice of adopting the triggering threshold for hazard early warning purposes is insufficient. The main reason is because of the huge orographic influence on rainfall distribution. Modern rainfall estimation methods such as numerical weather prediction modelling and remote sensing utilising radar from the space or on land are able to provide spatially more representative rainfall information in mountain areas. But unlike rain gauges, they only indirectly provide rainfall measurements. Remote sensing suffers from many sources of errors such as weather conditions, attenuation and sampling methods, while numerical weather prediction models suffer from spatiotemporal and amplitude errors depending on the model physics, dynamics, and model configuration. A case study based on Sichuan, China is used to illustrate the significant difference among the three aforementioned rainfall estimation methods. We argue none of those methods can be relied on individually, and the challenge is on how to make the full utilisation of the three methods conjunctively because each of them only provides partial information. We propose that a data fusion approach should be adopted based on the Bayesian inference method. However such an approach requires the uncertainty information from all those estimation techniques which still need extensive research. We hope this study will raise the awareness of this important issue and highlight the knowledge gap that should be filled in so that such a challenging problem could be tackled collectively by the community.

  5. Non-inferiority clinical trials: Practical issues and current regulatory perspective

    Directory of Open Access Journals (Sweden)

    Sandeep K Gupta

    2011-01-01

    Full Text Available Non-inferiority clinical trials are being performed with an increasing frequency now-a-days, because it helps in finding a new treatment that have approximately the same efficacy, but may offer other benefits such as better safety profile. Non-inferiority clinical trials aim to demonstrate that the test product is no worse than the comparator by more than a pre-specified small amount. There are several fundamental differences between non-inferiority and superiority trials. Some practical issues concerning the non-inferiority trials are assay sensitivity, choice of the non-inferiority margin, sample size estimation, choice of active-control, and analysis of non-inferiority clinical trials. For serious infections such as hospital-acquired bacterial pneumonia/ventilator-associated bacterial pneumonia, community-acquired bacterial pneumonia, and acute bacterial skin and skin structure infections, the United States Food and Drug Administration (US FDA has recently recommended that it is possible to define a reliable and consistent estimate of the efficacy of active treatment relative to placebo from available data, which can serve as the basis for defining a new inferiority margin for an active-controlled, non-inferiority trial. But for some indications with a high rate of resolution without antibacterial drug therapy such as acute bacterial sinusitis (ABS, acute bacterial exacerbation of chronic bronchitis (ABECB, and acute bacterial otitis media (ABOM, the US FDA has recommended that the available data will not support the use of a non-inferiority design and other trial designs (i.e., superiority designs should be used to provide the evidence of effectiveness in these three indications.

  6. European Cities Dealing with Climate Issues: Ideas and Tools for a Better Framing of Current Practices.

    Directory of Open Access Journals (Sweden)

    Rocco Papa

    2015-10-01

    Full Text Available Contemporary cities have to deal with numerous challenges, from the growth and aging of urban populations to the scarcity of resources; from environmental degradation to climate change. The latter, also due to the increasing severity of climate-related impacts on urban areas, is widely considered one of the most urgent challenges for urban development in the near future: cities are the main contributors to energy consumption and GHG emissions, paying, at the same time, the highest price for the climate impacts. Thus, climate issues have gained increasing importance in the last decades, both in terms of the metaphors coined by scholars relative to urban future (low-carbon cities, transition cities, smart cities, resilient cities, etc. and in terms of the initiatives undertaken on different institutional levels. Unfortunately, mitigation and adaptation are generally regarded as two different approaches, neglecting the potential synergies and trade-offs between the related strategies. Hence, based on the growing awareness of the need for mainstreaming mitigation and adaptation policies at city level, this study will provide an overview of the state of the art of the mitigation and adaptation initiatives in Italian metropolitan cities. Then, focusing on the concepts of the “smart” and the “resilient” city – recognized as key concepts for reducing CO2 emissions and improving the ability of cities to respond to climate impacts – and with reference to a conceptual framework for building up a smart and resilient urban system carried out in previous research works (Papa et al., 2015, the study will examine case studies of the cities of Rotterdam and Barcelona, highlighting how this framework may improve our understanding and, above all, contribute to better integration of the fragmented on-going strategies and initiatives.

  7. Mechanisms and Kinetics of Environmentally Assisted Cracking: Current Status, Issues, and Suggestions for Further Work

    Science.gov (United States)

    Lynch, S. P.

    2013-03-01

    Mechanisms and kinetics of metal-induced embrittlement, hydrogen-embrittlement, and stress-corrosion cracking are discussed, and long-standing controversies are addressed by reviewing critical observations. Recommendations are also made regarding further work (including repetition of previous work using more advanced measurement and characterisation techniques) that should be carried out in order to resolve some of the contentious issues. The evidence to date suggests that adsorption-based mechanisms, involving weakening of substrate interatomic bonds so that dislocation emission or decohesion is facilitated, accounts for embrittlement in many systems. Embrittling adsorbed species include some metal atoms, hydrogen, and complex ions produced by de-alloying. Other viable mechanisms of embrittlement include those based on (1) dissolution of anodic grain-boundary regions, and (2) decohesion at grain boundaries owing to segregated hydrogen and impurities. The hydrogen-enhanced localised-plasticity mechanism, based on solute hydrogen facilitating dislocation activity in the plastic zone ahead of cracks, makes a contribution in some cases, but is relatively unimportant compared with these other mechanisms for most fracture modes. The film-induced cleavage mechanism, proposed especially for stress-corrosion cracking in systems involving de-alloying at crack tips, is questionable on numerous grounds, and is probably not viable. Rate-controlling processes for environmentally assisted cracking are not well established, except for solid-metal induced embrittlement where surface self-diffusion of embrittling atoms to crack tips controls cracking kinetics. In some systems, adsorption kinetics are probably rate-controlling for liquid-metal embrittlement, hydrogen-environment embrittlement, and stress-corrosion cracking. In other cases, rate-controlling processes could include the rate of anodic or cathodic reactions at and behind crack tips (responsible for producing embrittling

  8. Identification and management of mental health issues by dermatologic surgeons: a survey of American Society for Dermatologic Surgery members.

    Science.gov (United States)

    Sarwer, David B; Spitzer, Jacqueline C; Sobanko, Joseph F; Beer, Kenneth R

    2015-03-01

    Dermatologists have long been interested in mental health issues of their patients. Some psychosocial distress likely motivates the pursuit of cosmetic dermatologic treatments. However, a percentage of patients seeking treatment suffer from significant psychopathology, such as body dysmorphic disorder (BDD), which may contraindicate treatment. To assess dermatologic surgeons' strategies for identification and management of mental health issues among patients seeking cosmetic procedures. A survey was sent to 2,855 practicing members of the American Society for Dermatologic Surgery by e-mail. Two hundred sixty members completed the survey (9.1%). Approximately, 60% of respondents indicated that they ask new patients about psychiatric treatment history, and 92% reported that they have declined to provide a cosmetic treatment because of concerns about mental health status. Most (94%) indicated that they were aware of BDD, and 62% indicated that they refused to treat a patient believed to have BDD. Respondents estimated that 13% of new patients had BDD and 63% considered BDD to be a contraindication to treatment. Approximately 60% of dermatologic surgeons inquire about the mental health issues of their cosmetic patients. Most are aware of BDD, but less than two-thirds consider it a contraindication to treatment.

  9. Current status of obstetrics and gynecology resident medical-legal education: a survey of program directors.

    Science.gov (United States)

    Moreno-Hunt, Carey; Gilbert, William M

    2005-12-01

    To assess the level and type of medical-legal education offered to obstetrics and gynecology residents and medical students. All obstetrics and gynecology program directors (n = 252) were asked to complete a survey questioning the availability of, type of, and desire for medical-legal education within their programs. Seventy-eight percent of the program directors answered the survey with 86% reporting some degree of formal medical-legal education. The most common formats were didactic lectures (38%), grand rounds (30%), case conferences (19%), mock trials (9%), and other (4%). These sessions most commonly contained information on proper documentation (48%), testifying (25%), and giving a deposition (24%). The average number of sessions per year was 4.1 with a median of 3 sessions per year. Despite this high percentage of some formal education, 88% expressed an interest in pursuing other educational options on these topics. Most obstetrics and gynecology residency programs provide some form of medical-legal instruction to residents, but the small number of sessions suggests that this is inadequate. Residency programs may benefit from a larger and more formal resident education program on medical-legal issues.

  10. Imaging and image management: A survey on current outlook and awareness in pathology practice

    Directory of Open Access Journals (Sweden)

    M Indu

    2015-01-01

    Full Text Available Background: Flexibility of digital photography enables it to be an integral part of pathology practice. An assessment of guidelines of imaging is essential for proper usage of photographs. Objectives: The purpose of the study was to assess awareness of oral pathologists about various aspects of medical photography. Methods: Questionnaire based on the availability of facilities, usage, technical details and ethical issues of medical photography was sent to postgraduate students and teaching faculties of Oral Pathology in various localities in India. Results: Photographs were taken mostly for the purposes of publication, medical documentation and education. Significant number of postgraduate students and faculties of Oral Pathology didn′t receive any training or hadn′t gone through any publications/books (P = 0.000 about medical photography. Consent for patient photography was taken by significant number of respondents (P = 0.000 but in a verbal form. Majority of people used image editing software, but 19.0% of faculties and 21.1% of postgraduate students were unaware of deleterious effect of image editing. Firm and sensible instructions concerning image storage, sharing and accessibility were not yet created. Conclusion: This survey drew attention towards lack of proper understanding about the technical details, medical protocols and ethical issues related to medical photography. These findings recommend implementation of basic training for medical photography and policy for image management for students and faculties in every health care institution.

  11. Sub-Threshold Leakage Current Reduction Techniques In VLSI Circuits -A Survey

    Directory of Open Access Journals (Sweden)

    V.Sri Sai Harsha

    2015-09-01

    Full Text Available There is an increasing demand for portable devices powered up by battery, this led the manufacturers of semiconductor technology to scale down the feature size which results in reduction in threshold voltage and enables the complex functionality on a single chip. By scaling down the feature size the dynamic power dissipation has no effect but the static power dissipation has become equal or more than that of Dynamic power dissipation. So in recent CMOS technologies static power dissipation i.e. power dissipation due to leakage current has become a challenging area for VLSI chip designers. In order to prolong the battery life and maintain reliability of circuit, leakage current reduction is the primary goal. A basic overview of techniques used for reduction of sub-threshold leakages is discussed in this paper. Based on the surveyed techniques, one would be able to choose required and apt leakage reduction technique.

  12. Current Trends in Cloud Computing A Survey of Cloud Computing Systems

    Directory of Open Access Journals (Sweden)

    Harjit Singh

    2012-06-01

    Full Text Available Cloud computing that has become an increasingly important trend, is a virtualization technology that uses the internet and central remote servers to offer the sharing of resources that include infrastructures, software, applications and business processes to the market environment to fulfill the elastic demand. In today’s competitive environment, the service vitality, elasticity, choices and flexibility offered by this scalable technology are too attractive that makes the cloud computing to increasingly becoming an integral part of the enterprise computing environment. This paper presents a survey of the current state of Cloud Computing. It includes a discussion of the evolution process of cloud computing, characteristics of Cloud, current technologies adopted in cloud computing, This paper also presents a comparative study of cloud computing platforms (Amazon, Google and Microsoft, and its challenges.

  13. Is tissue an issue? Current practice and opinion in Western Australia for routine histopathology on products of conception.

    Science.gov (United States)

    Yap, Shui-Jean; Watts, Jared C; Faithfull, Tiffany J; Wong, Sabrina Z; Wylde, Kate L; McGurgan, Paul M

    2014-10-01

    An anonymous questionnaire-based survey was used to determine current practices and opinions of senior health professionals working in Western Australian (WA) hospitals performing gynaecological procedures, regarding the routine use of histopathology for products of conception (POC) obtained either from the surgical management of miscarriage or termination of pregnancy. Sixty-one senior health professionals completed the survey. Tissue histopathology on POC was routinely requested for miscarriage and termination of pregnancy (TOP) by 87 and 59% of respondents, respectively. Respondents listed the main reasons for requesting routine histopathology as avoidance of misdiagnosis, medico-legal and quality assurance. There were inconsistent practices among WA health professionals regarding sending POC for histopathology; 63% of gynaecology head of departments recommend the introduction of state or national guidelines for the use of histopathology in the surgical management of miscarriages or terminations of pregnancy.

  14. Current issues in GLP-1 receptor agonist therapy for type 2 diabetes.

    Science.gov (United States)

    Bloomgarden, Zachary T; Blonde, Lawrence; Garber, Alan J; Wysham, Carol H

    2012-01-01

    The clinical management of hyperglycemia in patients with type 2 diabetes mellitus (T2DM) is guided not only by published treatment algorithms, but also by consideration of recent evidence and through consultation with colleagues and experts. Recent studies have dramatically increased the amount of information regarding the use of glucagon-like peptide-1 receptor agonists (GLP-1 RAs). Topics that may be of particular interest to clinicians who treat T2DM patients include relative glycemic control efficacy of GLP-1 RAs, use of GLP-1 RAs across T2DM progression and in combination with insulin, recent data regarding GLP-1 RA safety, nonglycemic actions of GLP-1 RAs, including weight effects, and impact of GLP-1 RAs on patient quality of life and treatment satisfaction. The following review includes expert consideration of these topics with emphasis on recent, relevant reports to illustrate current perspectives.

  15. Hepatitis C virus whole genome sequencing: Current methods/issues and future challenges.

    Science.gov (United States)

    Trémeaux, Pauline; Caporossi, Alban; Thélu, Marie-Ange; Blum, Michael; Leroy, Vincent; Morand, Patrice; Larrat, Sylvie

    2016-10-01

    Therapy for hepatitis C is currently undergoing a revolution. The arrival of new antiviral agents targeting viral proteins reinforces the need for a better knowledge of the viral strains infecting each patient. Hepatitis C virus (HCV) whole genome sequencing provides essential information for precise typing, study of the viral natural history or identification of resistance-associated variants. First performed with Sanger sequencing, the arrival of next-generation sequencing (NGS) has simplified the technical process and provided more detailed data on the nature and evolution of viral quasi-species. We will review the different techniques used for HCV complete genome sequencing and their applications, both before and after the apparition of NGS. The progress brought by new and future technologies will also be discussed, as well as the remaining difficulties, largely due to the genomic variability.

  16. Internet use, misuse, and addiction in adolescents: current issues and challenges.

    Science.gov (United States)

    Greydanus, Donald E; Greydanus, Megan M

    2012-01-01

    The Internet has revolutionized education and social communication in the 21st century. This article reviews the growing literature identifying a number of adolescents and young adults with a pathologically excessive Internet use leading to many potential consequences. Current research dilemmas in this area include that Internet addiction is a broad topic with no standard definition and no standard measurement tools. Management of youth with identified problematic Internet use or misuse centers on behavioral therapy and treatment of comorbidities. Pharmacologic approaches are limited at this time but are undergoing research, such as use of opioid antagonists and antidepressants in adults with pathological gambling. Efforts should be expanded on not only the education of all adolescents regarding the benefits but also the potential negative consequences of Internet use. It is vital that we do this for Generation Z, whereas Generation ALPHA will soon benefit or suffer from our efforts in this regard today.

  17. Current Status of Mobile Internet Protocol version 4 and its Security Issues

    Directory of Open Access Journals (Sweden)

    Susanna S Henry

    2012-03-01

    Full Text Available Many consumers have moved from stationary personal computers to cellular mobile devices. These mobile devices permit change of location while staying connected to the network. To sustain stable communication with the receiver, Mobile Internet Protocol (Mobile IP was developed. Mobile IP is intended to afford absolutely automated and non interactive reconfiguration at any point. Mobile IP is considered to be a routing protocol thus solving the primary problem of routing IP packets to mobile nodes, which is a first step in providing mobility on the internet. Mobile IP is a secure, robust, and medium-independent protocol whose scaling properties make it applicable throughout the entire Internet. Mobile IP has two versions, Mobile IPv4 and Mobile IPv6.This paper analysis the current status of Mobile IPv4 which is on the verge of exhaustion and announces the urgent need to upgrade IP layer to Mobile IPv6.

  18. The Social Lives of Global Policies against Malaria: Conceptual Considerations, Past Experiences, and Current Issues.

    Science.gov (United States)

    Eckl, Julian

    2017-07-01

    While a casual observer might easily get the impression that global policies against malaria have unanimous support, there are strongly divergent perspectives on malaria control. Analyzing ethnographic and historical material through a political science lens, I foreground the social negotiation of malaria both as an illness experience of affected populations and as a disease problem defined by experts. Taking the interrelationship between problems, solutions, and solution providers as a point of departure, I reconstruct recurrent tensions and social mechanisms that can account for the tendency to downplay conflicts and to produce technical-biomedical solutions that seem to be irresistible. This helps to overcome the perception that current policies have no alternatives and that aiming directly for malaria eradication is the only form of sustainability in times of resistances when "saving the established technical-biomedical solutions" has become a key concern.

  19. Multimodal neuroimaging as a window into the pathological physiology of schizophrenia: Current trends and issues.

    Science.gov (United States)

    Isobe, Masanori; Miyata, Jun; Hazama, Masaaki; Fukuyama, Hidenao; Murai, Toshiya; Takahashi, Hidehiko

    2016-01-01

    Visualizing the detailed brain anatomy of individuals with schizophrenia has been made possible by recent advances in magnetic resonance imaging (MRI). Although structural MRI cannot be currently used to diagnose schizophrenia, multimodal MRI can reveal insightful information on key clinical aspects of the pathological physiology of schizophrenia. However, in this regard, the number of multimodal MRI studies is still limited and definitely required. In this review, we discuss how classical and popular theories on the pathological physiology of schizophrenia can be re-examined using neuroimaging studies, and also discuss how multimodal MRI studies may provide additional findings. The pathological hypotheses examined include the "progressive brain disease hypothesis" and "disconnection hypothesis". This article is discussed mainly based on recent findings published by our research group.

  20. Social Media Use Among Living Kidney Donors and Recipients: Survey on Current Practice and Potential.

    Science.gov (United States)

    Kazley, Abby Swanson; Hamidi, Bashir; Balliet, Wendy; Baliga, Prabhakar

    2016-12-20

    In the United States, there is a national shortage of organs donated for transplant. Among the solid organs, most often kidneys are donated by living donors, but the lack of information and complicated processes limit the number of individuals who serve as living kidney donors. Social media can be a tool for advocacy, educating the public about the need, process, and outcomes of live kidney donors, yet little is known about social media use by kidney transplant patients. The purpose of this study was to examine the social media use of potential kidney transplant patients and their willingness to use social media and their networks to advocate and educate about living kidney donation. Using a validated survey, we modified the instrument to apply to the patient population of interest attending the Medical University of South Carolina, Charleston, SC, USA. The questions on the survey inquired about current social media use, sites visited, frequency and duration of social media use, and willingness to use social media to share the need for living kidney donors. We asked patients who had received a transplant and those awaiting a transplant to complete the survey during an office visit. Participation was voluntary. A total of 199 patients completed the survey. Approximately half of all kidney transplant patients surveyed used social media (104/199, 52.3%), and approximately one-third (66/199, 33.2%) had more than 100 friends in their social media network. Facebook was the most popular site, and 51% (102/199) reported that they would be willing to post information about living kidney donation on their social networks. More than a quarter of the sample (75/199, 37.7%) had posted about their health status in the past. Social media holds great promise for health-related education and awareness. Our study shows the current social media use of kidney transplant patients. In turn, such information can be used to design interventions to ensure appropriate decision making about

  1. Mail Survey Return Rates Published in Health Education Journals: An Issue of External Validity

    Science.gov (United States)

    Price, James H.; Murnan, Judy; Dake, Joseph A.; Dimmig, Jaime; Hayes, Mary

    2004-01-01

    This study assessed mail survey return rates published in seven general health education journals for the 13-year period, 1990-2002: "American Journal of Health Behavior," "American Journal of Health Education," "American Journal of Health Promotion," "Health Education & Behavior," "Health Education Research," "Journal of American College Health,"…

  2. Shedding Light on District Issues. 1991-92 Surveys of Students, Staff, and Graduates.

    Science.gov (United States)

    Spano, Sedra G.

    In 1991-92, over 50,000 surveys were administered to high school students, elementary school and secondary school teachers and administrators, elementary school students' parents, and graduates from the Austin (Texas) Independent School District (AISD). Parent responses are not published in this report, which discusses the following parameters:…

  3. Current issues with standards in the measurement and documentation of human skeletal anatomy.

    Science.gov (United States)

    Magee, Justin; McClelland, Brian; Winder, John

    2012-09-01

    Digital modeling of human anatomy has become increasingly important and relies on well-documented quantitative anatomy literature. This type of documentation is common for the spine and pelvis; however, significant issues exist due to the lack of standardization in measurement and technique. Existing literature on quantitative anatomy for the spine and pelvis of white adults (aged 18-65 years, separated into decadal categories) was reviewed from the disciplines of anatomy, manipulative therapy, anthropometrics, occupational ergonomics, biomechanics and forensic science. The data were unified into a single normative model of the sub-axial spine. Two-dimensional orthographic drawings were produced from the 590 individual measurements identified, which informed the development of a 3D digital model. A similar review of full range of motion data was conducted as a meta-analysis and the results were applied to the existing model, providing an inter-connected, articulated digital spine. During these data analysis processes several inconsistencies were observed accompanied by an evidential lack of standardization with measurement and recording of data. These have been categorized as: anatomical terminology; scaling of measurements; measurement methodology, dimension and anatomical reference positions; global coordinate systems. There is inconsistency in anatomical terminology where independent researchers use the same terms to describe different aspects of anatomy or different terms for the same anatomy. Published standards exist for measurement methods of the human body regarding spatial interaction, anthropometric databases, automotive applications, clothing industries and for computer manikins, but none exists for skeletal anatomy. Presentation of measurements often lacks formal structure in clinical publications, seldom providing geometric reference points, therefore making digital reconstruction difficult. Published quantitative data does not follow existing

  4. Current antimicrobial usage for the management of neutropenic fever in Korea: a nationwide survey.

    Science.gov (United States)

    Choi, Su-Mi; Park, Sun Hee; Lee, Dong-Gun; Choi, Jung-Hyun; Yoo, Jin-Hong; Shin, Wan-Shik

    2008-12-01

    A nationwide questionnaire-based survey was performed to evaluate the current clinical practices for the management of neutropenic fever in hematology units and hematopoietic stem cell transplantation (HSCT) centers throughout Korea. A 86.9% response rate was obtained from a total of 46 doctors and practical policies of the 33 sites were analysed. Approximately 42.4% and 84.8% of the sites responded that they used oral fluoroquinolone as prophylaxis for neutropenic patients receiving chemotherapy and HSCT, respectively. Additionally, 42.4% of the sites responded that they used antifungal prophylaxis in the chemotherapy groups whereas 90.9% of the sites responded that they used antifungal prophylaxis in HSCT recipients. Approximately half of the responding sites prescribed combination regimen with 3rd or 4th cephalosporin plus aminoglycoside as a first-line therapy. Most of the sites considered persistent fever for 2-4 days or aggravated clinical symptoms for 1-2 days as failure of the first-line regimen, and they changed antibiotics to second-line regimens that varied widely among the sites. Twenty-seven sites (84.4%) responded that they considered adding an antifungal agent when fever persisted for 5-7 days despite antibacterial therapy. Amphotericin B deoxycholate was preferred as a first-line antifungal, which was probably due to the limitations of the national health insurance system. The role of oral antibiotics in the management of neutropenic fever still accounted for a small portion. To the best of our knowledge, this survey is the first report to examine the practical policies currently in place for the management of neutropenic fever in Korea and the results of this survey may help to establish a Korean guideline in the future.

  5. Management of blunt extracranial traumatic cerebrovascular injury: a multidisciplinary survey of current practice

    Directory of Open Access Journals (Sweden)

    Cava Luis P

    2011-04-01

    Full Text Available Abstract Background Extracranial traumatic cerebrovascular injury (TCVI is present in 1-3% of all blunt force trauma patients. Although options for the management of patients with these lesions include anticoagulation, antiplatelet agents, and endovascular treatment, the optimal management strategy for patients with these lesions is not yet established. Objective Multidisciplinary survey of clinicians about current management of TCVI. Methods A six-item multiple-choice survey was sent by electronic mail to a total of 11,784 neurosurgeons, trauma surgeons, stroke neurologists, and interventional radiologists. The survey included questions about their choice of imaging, medical management, and the use of endovascular techniques. Survey responses were analyzed according to stated specialty. Results Seven hundred eighty-five (6.7% responses were received. Overall, a total of 325 (42.8% respondents favored anticoagulation (heparin and/or warfarin, 247 (32.5% favored antiplatelet drugs, 130 (17.1% preferred both anticoagulation and antiplatelet drugs, and 57 (7.5% preferred stenting and/or embolization. Anticoagulation was the most commonly preferred treatment among vascular surgeons (56.9%, neurologists (50.2% and neurosurgeons (40.7%, whereas antiplatelet agents were the most common preferred treatment among trauma surgeons (41.5%. Overall, 158 (20.7% of respondents recommended treatment of asymptomatic dissections and traumatic aneurysms, 211 (27.7% did not recommend it, and 39.4% recommended endovascular treatment only if there is worsening of the lesion on follow-up imaging. Conclusions These data demonstrate the wide variability of physicians' management of traumatic cerebrovascular injury, both on an individual basis, and between specialties. These findings underscore the need for multicenter, randomized trials in this field.

  6. Current issues in retailing: Relationships and emerging opportunities: Introduction to the special issue from the American Collegiate Retailing Association 2005 and 2006 conferences

    National Research Council Canada - National Science Library

    Kaufman-Scarborough, Carol; Forsythe, Sandra

    2009-01-01

    .... The papers appearing in this special issue, consisting of the best papers from the Spring and Winter conferences of the American Collegiate Retailing Association held in 2005 and 2006, capture these cutting-edge issues...

  7. Pharmacological Treatment of Idiopathic Pulmonary Fibrosis: Current Approaches, Unsolved Issues, and Future Perspectives

    Directory of Open Access Journals (Sweden)

    Michael Kreuter

    2015-01-01

    Full Text Available Idiopathic pulmonary fibrosis (IPF is a devastating condition with a 5-year survival of approximately 20%. The disease primarily occurs in elderly patients. IPF is a highly heterogeneous disorder with a clinical course that varies from prolonged periods of stability to episodes of rapid deterioration. In the last decade, improved understanding of disease mechanisms along with a more precise disease definition has allowed the design and completion of a number of high-quality clinical trials. Yet, until recently, IPF was essentially an untreatable disease. Finally, pirfenidone and nintedanib, two compounds with antifibrotic properties, have consistently proven effective in reducing functional decline and disease progression in IPF. This is a major breakthrough for patients and physicians alike, but there is still a long way to go. In fact, neither pirfenidone nor nintedanib is a cure for IPF, and most patients continue to progress despite treatment. As such, comprehensive care of patients with IPF, including management of comorbidities/complications and physical debility and timely referral for palliative care or, in a small number of highly selected patients, lung transplantation, remains essential. Several agents with high potential are currently being tested and many more are ready to be evaluated in clinical trials.

  8. Currents issues in cardiorespiratory care of patients with post-polio syndrome

    Directory of Open Access Journals (Sweden)

    Marco Orsini

    2016-07-01

    Full Text Available ABSTRACT Post-polio syndrome (PPS is a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus. Most often, polio survivors experience a gradual new weakening in muscles that were previously affected by the polio infection. The actual incidence of cardiovascular diseases (CVDs in individuals suffering from PPS is not known. However, there is a reason to suspect that individuals with PPS might be at increased risk. Method A search for papers was made in the databases Bireme, Scielo and Pubmed with the following keywords: post polio syndrome, cardiorespiratory and rehabilitation in English, French and Spanish languages. Although we targeted only seek current studies on the topic in question, only the relevant (double-blind, randomized-controlled and consensus articles were considered. Results and Discussion Certain features of PPS such as generalized fatigue, generalized and specific muscle weakness, joint and/or muscle pain may result in physical inactivity deconditioning obesity and dyslipidemia. Respiratory difficulties are common and may result in hypoxemia. Conclusion Only when evaluated and treated promptly, somE patients can obtain the full benefits of the use of respiratory muscles aids as far as quality of life is concerned.

  9. Iron status of the Pakistani population-current issues and strategies.

    Science.gov (United States)

    Akhtar, Saeed; Ahmed, Anwaar; Ahmad, Asif; Ali, Zulfiqar; Riaz, Muhammad; Ismail, Tariq

    2013-01-01

    The present review aims to highlight the magnitude of iron status of Pakistani population and possible remedies to address iron deficiency among vulnerable groups. A computer-based search was carried out on "PubMed", "Google Search" and "Sciencedirect.com" to retrieve relevant scientific literature published in the last two decades. The search yielded 193 articles, of which 64 were culled and further screening was performed based on the type of vulnerable population groups, age, sex and pregnancy. A thorough review of current literature reveals that iron deficiency (ID) and iron deficiency anemia (IDA) widely persist in Pakistan and necessitate immediate remedial actions. Females of reproductive age and children under 5 years have been shown to be the most IDA affected population segment. Fortification of wheat flour has been suggested as the most viable approach aptly matching Pakistan's needs for combating IDA. The present review further stresses the need for global involvement to scale up efforts for mitigating ID and IDA to achieve Millennium Development Goals (MDGs) that are fundamentally based upon improving nutritional wellbeing of populations in developing economies by 2015.

  10. Lymph node-positive prostate cancer: current issues, emerging technology and impact on clinical outcome.

    Science.gov (United States)

    Adams, Julia; Cheng, Liang

    2011-09-01

    Lymph node metastasis in patients with prostate cancer indicates a poorer prognosis compared with patients without lymph node metastasis; however, some patients with node-positive disease have long-term survival. Many studies have attempted to discern what characteristics of lymph node metastasis are prognostically significant. These characteristics include nodal tumor volume, number of positive lymph nodes, lymph node density, extranodal extension, lymphovascular invasion and tumor dedifferentiation. Favorable characteristics of regional lymph node involvement included a smaller tumor size and smaller tumor volume. However, the current staging system for prostate cancer does not provide different subclassifications for patients with node-positive prostate cancer. In recent years numerous advanced technologies for the detection of lymph node metastasis have been developed, including molecular imaging techniques and the CellSearch Circulating Tumor Cell System. With the increased detection of patients with prostate cancer, emergence of new technology to identify lymph node metastasis and the number of radical prostatectomies being performed on the rise, subclassifying patients with lymph node-positive disease is imperative. Subclassification would provide a better picture of patient prognosis and allow for a better understanding of targeted therapies to treat patients with lymph node metastasis.

  11. Occupational safety issues in residential construction surveyed in Wisconsin, United States.

    Science.gov (United States)

    Choi, Sang D; Carlson, Kathryn

    2014-01-01

    Residential construction is a high-risk industry in the U.S. due to the exposure to work-related safety hazards and fall injuries. This study aimed to examine the safety training and safe work practices of construction workers within the small residential construction industry. In order to achieve the study objectives, a survey was designed and sent to approximately 200 Wisconsin based residential construction contractors. About one third of the respondents stated that they did not have any form of safety programs. The study indicated that the most common types of work-related injuries in residential construction were slips/trips/falls and cuts/lacerations. The survey findings also suggested that the residential construction contractors needed to increase the utilization of fall protection safety equipment. Further education and subject matter expert training could provide benefits to improve occupational safety and health of the small business workforce in the residential construction industry.

  12. [Relevant methodological issues from the SBBrasil 2010 Project for national health surveys].

    Science.gov (United States)

    Roncalli, Angelo Giuseppe; Silva, Nilza Nunes da; Nascimento, Antonio Carlos; Freitas, Cláudia Helena Soares de Morais; Casotti, Elisete; Peres, Karen Glazer; Moura, Lenildo de; Peres, Marco A; Freire, Maria do Carmo Matias; Cortes, Maria Ilma de Souza; Vettore, Mario Vianna; Paludetto Júnior, Moacir; Figueiredo, Nilcema; Goes, Paulo Sávio Angeiras de; Pinto, Rafaela da Silveira; Marques, Regina Auxiliadora de Amorim; Moysés, Samuel Jorge; Reis, Sandra Cristina Guimarães Bahia; Narvai, Paulo Capel

    2012-01-01

    The SBBrasil 2010 Project (SBB10) was designed as a nationwide oral health epidemiological survey within a health surveillance strategy. This article discusses methodological aspects of the SBB10 Project that can potentially help expand and develop knowledge in the health field. This was a nationwide survey with stratified multi-stage cluster sampling. The sample domains were 27 State capitals and 150 rural municipalities (counties) from the country's five major geographic regions. The sampling units were census tracts and households for the State capitals and municipalities, census tracts, and households for the rural areas. Thirty census tracts were selected in the State capitals and 30 municipalities in the countryside. The precision considered the demographic domains grouped by density of the overall population and the internal variability of oral health indices. The study evaluated dental caries, periodontal disease, malocclusion, fluorosis, tooth loss, and dental trauma in five age groups (5, 12, 15-19, 35-44, and 65-74 years).

  13. A Survey of Control Issues in PMSG-Based Small Wind-Turbine Systems

    DEFF Research Database (Denmark)

    Orlando, Natalia Angela; Liserre, Marco; Mastromauro, Rosa Anna

    2013-01-01

    In the field of wind energy generation particular interest has been focused in recent years on distributed generation through small wind-turbines (power unit 200 kW) because of their limited size and lower environmental impact. The field of small generation was dominated by the use of asynchronous...... generators directly connected to the grid, while recently permanent magnet synchronous generators (PMSG) with power converter, either partially or fully controlled, became popular. This paper reviews the control issues related to these small wind-turbine systems: generator torque control, speed....../position estimation, pitch control, braking chopper control, dc/dc converter control, and grid converter control. Specific issues for small wind-turbines arise in the wind energy extraction optimization and limitation and in the innovative concept of “universal” wind-turbine operation, that leads these system...

  14. A survey on the current status of burn rehabilitation services in China.

    Science.gov (United States)

    Chen, Jian; Li-Tsang, Cecilia W P; Yan, Hong; Liang, Guangping; Tan, Jianglin; Yang, Sisi; Wu, Jun

    2013-03-01

    In China, there is a very long history of burn wound treatment, but the specialised burn care units were set up only from 1958. With more than 50 years of practice, great achievements have been made in burn wound care and operations in the country. However, in terms of burn rehabilitation, the development appears to be slow. In order to determine the current status of burn rehabilitation services in China, a survey was conducted to various burn centres in China. A comprehensive survey was conducted as well as to collect data related to (1) the admissions and staffing of the burn centres; (2) availability of rehabilitation services, number and educational background of specialised personnel dedicated in burn rehabilitation therapy; and (3) the difficulties leading to the lag of the burn rehabilitation services. The survey was sent to the chiefs of 87 burn centres via e-mail and they were requested to fill out the survey questionnaire and to send it back. For those who did not respond within 1 month, a reminder was sent. There are totally 39 (44.8%) burn centres responding to our survey. These centres were geographically distributed in nearly 70% of the administrative provinces in China; hence, the results could well represent the current burn care system. Most centres have recognised the importance of rehabilitation therapy and remarkable improvements of outcome in burn patients have been achieved. There are a very huge number of burn patients that need rehabilitation therapy, but most centres face the problems of shortage of rehabilitation therapists, which apparently could lead to the difficulties in delivering a quality rehabilitation programme for patients. Although the time of rehabilitation therapy is instituted far earlier than before, it is still not widely accepted in the acute burn care stage. There are more specialists joining the burn centre and becoming members of the professional burn team. However, professional education and training in the burn

  15. Current Issues in Finite-T Density-Functional Theory and Warm-Correlated Matter †

    Directory of Open Access Journals (Sweden)

    M. W. C. Dharma-wardana

    2016-03-01

    Full Text Available Finite-temperature density functional theory (DFT has become of topical interest, partly due to the increasing ability to create novel states of warm-correlated matter (WCM.Warm-dense matter (WDM, ultra-fast matter (UFM, and high-energy density matter (HEDM may all be regarded as subclasses of WCM. Strong electron-electron, ion-ion and electron-ion correlation effects and partial degeneracies are found in these systems where the electron temperature Te is comparable to the electron Fermi energy EF. Thus, many electrons are in continuum states which are partially occupied. The ion subsystem may be solid, liquid or plasma, with many states of ionization with ionic charge Zj. Quasi-equilibria with the ion temperature Ti ≠ Te are common. The ion subsystem in WCM can no longer be treated as a passive “external potential”, as is customary in T = 0 DFT dominated by solid-state theory or quantum chemistry. Many basic questions arise in trying to implement DFT for WCM. Hohenberg-Kohn-Mermin theory can be adapted for treating these systems if suitable finite-T exchange-correlation (XC functionals can be constructed. They are functionals of both the one-body electron density ne and the one-body ion densities ρj. Here, j counts many species of nuclei or charge states. A method of approximately but accurately mapping the quantum electrons to a classical Coulomb gas enables one to treat electron-ion systems entirely classically at any temperature and arbitrary spin polarization, using exchange-correlation effects calculated in situ, directly from the pair-distribution functions. This eliminates the need for any XC-functionals. This classical map has been used to calculate the equation of state of WDM systems, and construct a finite-T XC functional that is found to be in close agreement with recent quantum path-integral simulation data. In this review, current developments and concerns in finite-T DFT, especially in the context of non-relativistic warm

  16. Current status of paediatric post-mortem imaging: an ESPR questionnaire-based survey

    Energy Technology Data Exchange (ETDEWEB)

    Arthurs, Owen J. [Great Ormond Street Hospital for Children NHS Foundation Trust, Department of Radiology, London (United Kingdom); University College London, Institute of Child Health, London (United Kingdom); Rijn, Rick R. van [Academic Medical Centre, Department of Radiology, Amsterdam (Netherlands); Sebire, Neil J. [Great Ormond Street Hospital for Children, Department of Pathology, London (United Kingdom); University College London, Institute of Child Health, London (United Kingdom)

    2014-03-15

    The use of post-mortem imaging, including skeletal radiography, CT and MRI, is increasing, providing a minimally invasive alternative to conventional autopsy techniques. The development of clinical guidelines and national standards is being encouraged, particularly for cross-sectional techniques. To outline the current practice of post-mortem imaging amongst members of the European Society of Paediatric Radiology (ESPR). We e-mailed an online questionnaire of current post-mortem service provisions to members of the ESPR in January 2013. The survey included direct questions about what services were offered, the population imaged, current techniques used, imaging protocols, reporting experience and intended future involvement. Seventy-one percent (47/66) of centres from which surveys were returned reported performing some form of post-mortem imaging in children, of which 81 % perform radiographs, 51% CT and 38% MRI. Eighty-seven percent of the imaging is performed within the radiology or imaging departments, usually by radiographers (75%), and 89% is reported by radiologists, of which 64% is reported by paediatric radiologists. Overall, 72% of positive respondents have a standardised protocol for radiographs, but only 32% have such a protocol for CT and 27% for MRI. Sixty-one percent of respondents wrote that this is an important area that needs to be developed. Overall, the majority of centres provide some post-mortem imaging service, most of which is performed within an imaging department and reported by a paediatric radiologist. However, the populations imaged as well as the details of the services offered are highly variable among institutions and lack standardisation. We have identified people who would be interested in taking this work forwards. (orig.)

  17. Teaching Intercultural Communication in a Basic Technical Writing Course: A Survey of Our Current Practices and Methods

    Science.gov (United States)

    Matveeva, Natalia

    2008-01-01

    This research article reports the results of an online survey distributed among technical writing instructors in 2006. The survey aimed to examine how we teach intercultural communication in basic technical writing courses: our current practices and methods. The article discusses three major challenges that instructors may face when teaching about…

  18. CURRENT ISSUES ON JOB STRESS IN JAPAN AND WORKSITE MENTAL HEALTH APPLICATION AMONG JAPANESE COMPANY A Case Study Analysis

    Directory of Open Access Journals (Sweden)

    S Purnawati

    2013-05-01

    Full Text Available Background: Issues about job stress is more popular in the world currently. Not just for Japan, Korea and Taiwan, but also an important issue in EU countries, especially the UK and Finland Increase of awareness about job stress effects on work performance, productivity and mental health is as onereason of the phenomenon.Objective: The present study aimed to explore the issue of job stress in Japan for the reference of good practices to Indonesia.Methods: This study, based on observationalstudies in the period of September-December in year 2010 in Tokyo, Kawasaki and Kitakyushu Japan. Observations on Japanese Company and discussions with experts, such as: occupational physician of Riken Company, experts from: Tokyo University and Tokyo University’s occupational physician, Department of ergonomics, the Institute of Industrial Ecological Sciences UOEH (University ofOccupational and Environmental Health, Institute for Science of Labor, and researcher of Japan NIOSH. Two stress management training and occupational mental health’ application program were observed in the period of October-December.Result: The trend of current occupational mental health research in Japan has being moved from job stress to more advanced issues of work engagement andwork-life balance. There are three approaches to prevention of job stress. Considering the three approach could improve of worker productivity and well-being. The training for Tokyo University’s staffs was as one session of individual-oriented stress prevention approach. It was conducted in very interactive class lecture. During 2 hours session, the participants learned some knowledge about job stress and its risk factors, exercised to construct better cognitive for stress prevention and productivity, practiced of progressive muscle relaxation technique, group work, did some home works and filled an evaluation sheet after the session was finish. We also observed the occupational mental

  19. Detection and location of leaks in district heating steam systems: Survey and review of current technology and practices

    Energy Technology Data Exchange (ETDEWEB)

    Kupperman, D.S.; Raptis, A.C.; Lanham, R.N.

    1992-03-01

    This report presents the results of a survey undertaken to identify and characterize current practices for detecting and locating leaks in district heating systems, particular steam systems. Currently used technology and practices are reviewed. In addition, the survey was used to gather information that may be important for the application of acoustic leak detection. A few examples of attempts to locate leaks in steam and hot water pipes by correlation of acoustic signals generated by the leaks are also discussed.

  20. Investigations of Beam Dynamics Issues at Current and Future Hadron Accelerators

    Energy Technology Data Exchange (ETDEWEB)

    Ellison, James [Univ. of New Mexico, Albuquerque, NM (United States); Lau, Stephen [Univ. of New Mexico, Albuquerque, NM (United States); Heinemann, Klaus [Univ. of New Mexico, Albuquerque, NM (United States); Bizzozero, David [Univ. of New Mexico, Albuquerque, NM (United States)

    2015-03-12

    Final Report Abstract for DE-FG02-99ER4110, May 15, 2011- October 15, 2014 There is a synergy between the fields of Beam Dynamics (BD) in modern particle accelerators and Applied Mathematics (AMa). We have formulated significant problems in BD and have developed and applied tools within the contexts of dynamical systems, topological methods, numerical analysis and scientific computing, probability and stochastic processes, and mathematical statistics. We summarize the three main areas of our AMa work since 2011. First, we continued our study of Vlasov-Maxwell systems. Previously, we developed a state of the art algorithm and code (VM3@A) to calculate coherent synchrotron radiation in single pass systems. In this cycle we carefully analyzed the major expense, namely the integral-over-history (IOH), and developed two approaches to speed up integration. The first strategy uses a representation of the Bessel function J0 in terms of exponentials. The second relies on “local sequences” developed recently for radiation boundary conditions, which are used to reduce computational domains. Although motivated by practicality, both strategies involve interesting and rather deep analysis and approximation theory. As an alternative to VM3@A, we are integrating Maxwell’s equations by a time-stepping method, bypass- ing the IOH, using a Discontinuous Galerkin (DG) method. DG is a generalization of Finite Element and Finite Volume methods. It is spectrally convergent, unlike the commonly used Finite Difference methods, and can handle complicated vacuum chamber geometries. We have applied this in several contexts and have obtained very nice results including an explanation of an experiment at the Canadian Light Source, where the geometry is quite complex. Second, we continued our study of spin dynamics in storage rings. There is much current and proposed activity where spin polarized beams are being used in testing the Standard Model and its modifications. Our work has focused

  1. Investigations of Beam Dynamics Issues at Current and Future Hadron Accelerators

    Energy Technology Data Exchange (ETDEWEB)

    Ellison, James [Univ. of New Mexico, Albuquerque, NM (United States); Lau, Stephen [Univ. of New Mexico, Albuquerque, NM (United States); Heinemann, Klaus [Univ. of New Mexico, Albuquerque, NM (United States); Bizzozero, David [Univ. of New Mexico, Albuquerque, NM (United States)

    2015-03-12

    Final Report Abstract for DE-FG02-99ER4110, May 15, 2011- October 15, 2014 There is a synergy between the fields of Beam Dynamics (BD) in modern particle accelerators and Applied Mathematics (AMa). We have formulated significant problems in BD and have developed and applied tools within the contexts of dynamical systems, topological methods, numerical analysis and scientific computing, probability and stochastic processes, and mathematical statistics. We summarize the three main areas of our AMa work since 2011. First, we continued our study of Vlasov-Maxwell systems. Previously, we developed a state of the art algorithm and code (VM3@A) to calculate coherent synchrotron radiation in single pass systems. In this cycle we carefully analyzed the major expense, namely the integral-over-history (IOH), and developed two approaches to speed up integration. The first strategy uses a representation of the Bessel function J0 in terms of exponentials. The second relies on “local sequences” developed recently for radiation boundary conditions, which are used to reduce computational domains. Although motivated by practicality, both strategies involve interesting and rather deep analysis and approximation theory. As an alternative to VM3@A, we are integrating Maxwell’s equations by a time-stepping method, bypass- ing the IOH, using a Discontinuous Galerkin (DG) method. DG is a generalization of Finite Element and Finite Volume methods. It is spectrally convergent, unlike the commonly used Finite Difference methods, and can handle complicated vacuum chamber geometries. We have applied this in several contexts and have obtained very nice results including an explanation of an experiment at the Canadian Light Source, where the geometry is quite complex. Second, we continued our study of spin dynamics in storage rings. There is much current and proposed activity where spin polarized beams are being used in testing the Standard Model and its modifications. Our work has focused

  2. Integrated primary health care in Greece, a missing issue in the current health policy agenda: a systematic review

    Directory of Open Access Journals (Sweden)

    Christos Lionis

    2009-07-01

    Full Text Available Background: Over the past years, Greece has undergone several endeavors aimed at modernizing and improving national health care services with a focus on PHC. However, the extent to which integrated primary health care has been achieved is still questioned. Purpose: This paper explores the extent to which integrated primary health care (PHC is an issue in the current agenda of policy makers in Greece, reporting constraints and opportunities and highlighting the need for a policy perspective in developing integrated PHC in this Southern European country. Methods: A systematic review in PubMed/Medline and SCOPUS, along with a hand search in selected Greek biomedical journals was undertaken to identify key papers, reports, editorials or opinion letters relevant to integrated health care. Results: Our systematic review identified 198 papers and 161 out of them were derived from electronic search. Fifty-three papers in total served the scope of this review and are shortly reported. A key finding is that the long-standing dominance of medical perspectives in Greek health policy has been paving the way towards vertical integration, pushing aside any discussions about horizontal or comprehensive integration of care. Conclusion: Establishment of integrated PHC in Greece is still at its infancy, requiring major restructuring of the current national health system, as well as organizational culture changes. Moving towards a new policy-based model would bring this missing issue on the discussion table, facilitating further development.

  3. Legal issues for German-speaking cannabis growers. Results from an online survey.

    Science.gov (United States)

    Werse, Bernd

    2016-02-01

    Cannabis prohibition can generally be regarded as the main driver for home growing of marijuana. In this paper, I discuss the impact of drug prohibition on cannabis cultivators from the three German-speaking countries: Germany, Austria and Switzerland. In particular, this refers to the questions; how illicitness influences motivations for growing; which precautionary measures are taken against the risk of discovery; how penal consequences differ in the three countries and how these aspects are linked to each other. The results come from a sample of 1578 respondents from the German-language online survey conducted following the International Cannabis Cultivation Questionnaire (ICCQ). The survey was carried out in late 2012 and early 2013. While most of the reasons for growing cannabis relate to avoiding negative consequences of prohibition, the illicitness of cannabis also plays a major role for concern about the cultivation activities as well as measures to avoid negative consequences. Swiss growers are less worried about their activity compared to respondents from Germany or Austria. The results confirm the notion that the illicitness of cannabis is the main drive for the private cultivation of the plant. At the same time, prohibition is the principal reason for concern regarding the growing activity. The severity of possible sentences seems to be linked to the degree of concern and precautionary measures. Copyright © 2015 Elsevier B.V. All rights reserved.

  4. Using Surveys to Track Student Sexual Behavior and Attitudes in the Public Schools: Current Case Law and Future Implications

    Science.gov (United States)

    Bullis, Ronald K.

    2008-01-01

    Two recent federal court cases have addressed the constitutionality of using sexual surveys in public schools. This article compares these cases with an earlier case dealing with the same issue but reaching different results. This article also describes the constitutional rights of parents to educate their children and the school's rights to…

  5. Growth monitoring: a survey of current practices of primary care paediatricians in Europe.

    Directory of Open Access Journals (Sweden)

    Pauline Scherdel

    Full Text Available OBJECTIVE: We aimed to study current practices in growth monitoring by European primary care paediatricians and to explore their perceived needs in this field. METHODS: We developed a cross-sectional, anonymous on-line survey and contacted primary care paediatricians listed in national directories in the 18 European countries with a confederation of primary care paediatricians. Paediatricians participated in the survey between April and September 2011. RESULTS: Of the 1,198 paediatricians from 11 European countries (response rate 13% who participated, 29% used the 2006 World Health Organization Multicentre Growth Reference Study growth charts, 69% used national growth charts; 61% used software to draw growth charts and 79% did not use a formal algorithm to detect abnormal growth on growth charts. Among the 21% of paediatricians who used algorithms, many used non-algorithmic simple thresholds for height and weight and none used the algorithms published in the international literature. In all, 69% of paediatricians declared that a validated algorithm to monitor growth would be useful in daily practice. We found important between-country variations. CONCLUSION: The varied growth-monitoring practices declared by primary care paediatricians reveals the need for standardization and evidence-based algorithms to define abnormal growth and the development of software that would use such algorithms.

  6. Aspirin desensitization in patients undergoing percutaneous coronary intervention: a survey of current practice.

    Science.gov (United States)

    Chapman, Andrew R; Rushworth, Gordon F; Leslie, Stephen J

    2013-01-01

    Aspirin remains the mainstay of anti-platelet therapy in cardiac patients. However, if a patient is allergic to aspirin and dual anti-platelet therapy is indicated - such as with percutaneous coronary intervention (PCI), then there is no clear guidance. One possibility is aspirin desensitization. A variety of protocols exist for the rapid desensitization of patients with aspirin allergy. The aim of this survey was to assess current knowledge and practice regarding aspirin desensitization in the UK. We conducted a UK wide survey of all UK 116 PCI centers and obtained complete responses from 40 (35.4%) centers. Of these, just 7 (17.5%) centers had previously desensitised patients; 29 (87.9%) centers suggested a lack of a local protocol prevented them from desensitizing, with 10 (30.3%) unsure of how to conduct desensitization. Only 5 (12.5%) centers had a local policy for aspirin desensitization although 25 (64.1%) units had a clinical strategy for dealing with aspirin allergy; the majority (72%) giving higher doses of thienopyridine class drugs. In the UK, there appears to be no consistent approach to patients with aspirin allergy. Patients undergoing PCI benefit from dual anti-platelet therapy (including aspirin), and aspirin desensitization in those with known allergy may facilitate this. Sustained effort should be placed on encouraging UK centers to use desensitization as a treatment modality prior to PCI rather than avoiding aspirin altogether.

  7. Questionnaire survey regarding the current status of super-extended lymph node dissection in Japan

    Science.gov (United States)

    Morita, Shinji; Fukagawa, Takeo; Fujiwara, Hisataka; Katai, Hitoshi

    2016-01-01

    AIM To verify the current status of super-extended lymph node dissection for advanced gastric cancer according to a questionnaire survey. METHODS One-hundred and five institutions responded to the questionnaire. The survey included the following items: Number of experiences, whether performed prophylactically and/or therapeutically, whether preoperative chemotherapy was provided, number of preoperative chemotherapy rounds, and therapeutic options after chemotherapy. RESULTS Eighty-seven of the 105 institutions (83%) had performed D3 gastrectomy in the past or continued to perform D3 gastrectomy at present. However, D3 gastrectomy was rarely performed prophylactically in clinical practice. Seventy-eight institutions (74%) indicated that preoperative chemotherapy with curative intent was required for patients suspected of having para-aortic node (PAN) metastases. After chemotherapy, a D3 gastrectomy was scheduled for patients with a complete or partial response, stable disease, and progressive disease at 36 (46%), 28 (36%), and 13 (17%) of the institutions, respectively. CONCLUSION For patients with apparent PAN metastasis, a D3 gastrectomy is typically planned if a few courses of preoperative chemotherapy yield at least a stable disease condition. PMID:27672429

  8. Neoadjuvant chemotherapy use in bladder cancer: a survey of current practice and opinions.

    Science.gov (United States)

    Cowan, N G; Chen, Y; Downs, T M; Bochner, B H; Apolo, A B; Porter, M P; La Rochelle, J C; Amling, C L; Koppie, T M

    2014-01-01

    Objectives. Level 1 evidence supports the use of neoadjuvant chemotherapy (NAC) to improve overall survival in muscle invasive bladder cancer; however utilization rates remain low. The aims of our study were to determine factors associated with NAC use, to more clearly define reasons for low utilization, and to determine the current rate of NAC use among urologic oncologists. Materials and Methods. Active members of the Society for Urologic Oncology were provided a 20-question survey. Descriptive statistical analysis was conducted for each question and univariate analysis was performed. Results. We achieved a response rate of 21%. Clinical T3/T4 disease was the most often selected reason for recommending NAC (87%). Concerns with recommending NAC were age and comorbidities (54%) followed by delay in surgery (35%). An association was identified between urologic oncologists who discussed NAC with >90% of their patients and medical oncologists "always" recommending NAC (P = 0.0009). NAC utilization rate was between 30 and 57%. Conclusions. Amongst this highly specialized group of respondents, clinical T3-T4 disease was the most common reason for implementation of NAC. Respondents who frequently discussed NAC were more likely to report their medical oncologist always recommending NAC. Reported NAC use was higher in this surveyed group (30-57%) compared with recently published rates.

  9. Neoadjuvant Chemotherapy Use in Bladder Cancer: A Survey of Current Practice and Opinions

    Directory of Open Access Journals (Sweden)

    N. G. Cowan

    2014-01-01

    Full Text Available Objectives. Level 1 evidence supports the use of neoadjuvant chemotherapy (NAC to improve overall survival in muscle invasive bladder cancer; however utilization rates remain low. The aims of our study were to determine factors associated with NAC use, to more clearly define reasons for low utilization, and to determine the current rate of NAC use among urologic oncologists. Materials and Methods. Active members of the Society for Urologic Oncology were provided a 20-question survey. Descriptive statistical analysis was conducted for each question and univariate analysis was performed. Results. We achieved a response rate of 21%. Clinical T3/T4 disease was the most often selected reason for recommending NAC (87%. Concerns with recommending NAC were age and comorbidities (54% followed by delay in surgery (35%. An association was identified between urologic oncologists who discussed NAC with >90% of their patients and medical oncologists “always” recommending NAC (P=0.0009. NAC utilization rate was between 30 and 57%. Conclusions. Amongst this highly specialized group of respondents, clinical T3-T4 disease was the most common reason for implementation of NAC. Respondents who frequently discussed NAC were more likely to report their medical oncologist always recommending NAC. Reported NAC use was higher in this surveyed group (30–57% compared with recently published rates.

  10. Metastatic bone lesions in children, current assessment of radionuclide skeletal survey

    Energy Technology Data Exchange (ETDEWEB)

    Zucker, J.M.; Gongora, R.; Michon, J.; Gongora, G.; Quintana-Margulis, E. (Institut Curie, Paris (France))

    Bone scintigraphy is more sensitive than radiographic skeletal survey in early diagnosis of bone metastases from pediatric solid tumors. Organic phosphorus compounds of labelled 99 m technetium are currently the far most used, and the pattern of imaging is compared to normal skeletal distribution of the radionuclide in childhood. From the most important series of the recent literature and their own experience, the authors ask the value of the procedure and describe overall results: a reliable diagnosis of bone metastases is done in 25 to 50% of the metastatic patients several weeks or months earlier than by radiographs: false positive are rarely misleading if usual pitfalls have been discarded: false negative are encountered in approximately 10% of the cases: post-therapeutic changes may be confusing. Some more details are given for neuroblastoma in which ''cold'' metastases and symetrical long bone's metaphysis involvement may display a misleading aspect. The selective uptake of the tracer by the primary is also underlined in this tumor. Finally indications of radionuclide skeletal survey, -at diagnosis and during and after the treatment-, are proposed for patients at risk amongst children with malignant solid tumors.

  11. Current trends in pulp therapy: a survey analyzing pulpotomy techniques taught in pediatric dental residency programs.

    Science.gov (United States)

    Walker, Laquia A; Sanders, Brian J; Jones, James E; Williamson, C Andrew; Dean, Jeffrey A; Legan, Joseph J; Maupome, Gerardo

    2013-01-01

    The study's purpose was to survey directors of pediatric dental residency programs in order to evaluate the materials currently being taught and used for pulpotomy procedures for primary teeth in educational and clinical settings. A web-based survey was emailed to all graduate pediatric dental residency program directors in the United States. Seventy one emails were sent to program directors, 47 responded but only 39 respondents (55%) were included in the study. Results suggested a slight decrease in utilization of formocresol 1:5 dilution (Pformocresol (18% of respondents) were systemic health concerns and carcinogenicity, in addition to evidence-based literature. Even though 25% of respondents have begun to use MTA for primary pulpotomy procedures, the most common reason for utilization of other medicaments over MTA was its higher cost. With 82% of graduate pediatric dental residency programs still utilizing formocresol 1:5 dilution for pulpotomy procedures in primary teeth, there has been no major shift away from its clinical use, in spite of increased usage of newer medicaments over the last 5 years.

  12. Survey on Security Issues in File Management in Cloud Computing Environment

    Science.gov (United States)

    Gupta, Udit

    2015-06-01

    Cloud computing has pervaded through every aspect of Information technology in past decade. It has become easier to process plethora of data, generated by various devices in real time, with the advent of cloud networks. The privacy of users data is maintained by data centers around the world and hence it has become feasible to operate on that data from lightweight portable devices. But with ease of processing comes the security aspect of the data. One such security aspect is secure file transfer either internally within cloud or externally from one cloud network to another. File management is central to cloud computing and it is paramount to address the security concerns which arise out of it. This survey paper aims to elucidate the various protocols which can be used for secure file transfer and analyze the ramifications of using each protocol.

  13. Professional issues related to obstacles to midwifery practice in the Americas: a pilot survey.

    Science.gov (United States)

    McCool, William; Guidera, Mamie; Reale, Barbara; Smith, Andrea; Koucoi, Jaclyn

    2013-08-01

    the WHO (2011) estimates that 350,000 newly trained midwives are needed internationally to meet Goal 5-- Improve Maternal Health--of the 8 Millennium Development Goals established by the United Nations in 2000. Recognizing the challenges in accomplishing this goal, it is also imperative to retain trained midwives in the profession. Little to date has been investigated regarding the factors that lead to experienced midwives leaving the profession prematurely, particularly in low resource countries. in an effort to initiate identification of barriers that limit midwives' ability to continue in practice, a pilot study was conducted with a convenience sample of 58 midwife attendees, representing 12 countries, at the International Confederation of Midwives - Americas Triennial Regional Meeting in 2010. A survey was distributed to midwife respondents to explore potential influences on work retention, including: encounters of adverse outcomes in practice; empowerment to make change in the work setting; and migration. sixty per cent of respondents reported encountering a maternal or newborn death or injury, and 10% had considered leaving the profession. Over 50% of the midwives listed three potential results that could occur after experiencing an adverse outcome in practice. These included: (a) an investigation by a governmental agency; (b) complaints about the midwife via available media; and (c) involvement in a lawsuit. The consequence most frequently cited for not enacting evidence-based changes in the workplace was resistance from obstetrical colleagues. while there are limitations to gathering data from attendees at a professional meeting, this is the first known international survey of midwives regarding factors that may contribute to their leaving the profession at a time when there is an increasing global awareness of the need for a skilled birth attendant at every birth. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. [Rubella: a current issue?].

    Science.gov (United States)

    Grangeot-Keros, Liliane; Bouthry, Elise; Vauloup-Fellous, Christelle

    2014-06-01

    Sporadic cases of rubella infection are reported each year in France due to insufficient vaccination coverage. Rubella virus is a very unstable enveloped RNA virus. For this reason, transportation and storage of samples collected for its detection require particular conditions. The genetic stability of rubella virus has allowed the development of very effective vaccines. During the recent rubella outbreaks in Algeria and Tunisia, an unusual high rate of encephalitis was reported. The role of the laboratory is crucial in the management of rubella infection during pregnancy. Rubella serological results must be interpreted with caution. Congenital rubella is a severe disease that should already be eliminated thanks to a very effective vaccine that has been developed. All women of childbearing age should be vaccinated. Rubella vaccination of an unknowingly pregnant woman is not an indication for abortion.

  15. Tunisia: Current Issues

    Science.gov (United States)

    2009-11-19

    held two months before national elections. In November 2005, Tunisia hosted the U.N. World Summit on the Information Society in an effort to burnish...Research Service 8 Foreign Minister, who was born in Tunisia, and Communications Minister attended the World Summit on the Information Society in Tunisia

  16. Morocco: Current Issues

    Science.gov (United States)

    2010-02-03

    especially phosphates. In 2009, however, a surge in farm yields offset these difficulties and helped produce positive growth. Oil price increases...October 2001, Morocco had authorized French and U.S. oil companies to explore off the Saharan coast, and the prospect of discoveries, as yet...Europe and drug ( cannabis )-trafficking have caused friction in Moroccan-European relations. High unemployment drives Moroccan youths to Europe and EU

  17. Current issues in contraception

    Directory of Open Access Journals (Sweden)

    Drača Petar D.

    2005-01-01

    Full Text Available Introduction. The authors analyze contemporary methods of contraception. Regarding oral contraception, they point to agents which decrease the efficacy of oral contraception. They also deal with agents which increase the level of estrogen, thus increasing side effects (paracetamol, vitamin C. Oral contraceptives Oral contraceptives may also have an impact on the efficacy of some medications (anticonvulsants, antidepressants. Health risks of oral contraceptives are also mentioned, as well as WHO's, guidelines for women using contraceptives based on risks and benefits. Other methods of contraception The authors also offer criteria for use of bioactive intrauterine devices (IUD, with recommendations of WHO. Besides men's, there are women's condoms, which are very reliable protection against infections, but their negative side is that they are rather expensive. Bad sides of vaginal wash are also emphasized, although this method is rather widespread in the world. Conclusion. At the end, the authors quote the International Family Planning Fund (IFPF which considers IUD to be the most reliable method of contraception nowadays. .

  18. Current Issues with Hysterectomy.

    Science.gov (United States)

    Barker, Matthew A

    2016-09-01

    Hysterectomy is one of the most common gynecologic surgeries. Early adoption of surgical advancements in hysterectomies has raised concerns over safety, quality, and costs. The risk of potential leiomyosarcoma in women undergoing minimally invasive hysterectomy led the US Food and Drug Administration to discourage the use of electronic power morcellator. Minimally invasive hysterectomies have increased substantially despite lack of data supporting its use over other forms of hysterectomy and increased costs. Health care reform is incentivizing providers to improve quality, improve safety, and decrease costs through standardized outcomes and process measures.

  19. Nigeria: Current Issues

    Science.gov (United States)

    2007-04-12

    confirmed the presence of H5N1 virus, which causes avian influenza, or bird flu , in a 22-year-old deceased female from Lagos. She is believed to be...et al. 43 U.N. Food and Agriculture Organization, “Fewer Bird Flu Outbreaks This Year,” Apr. 2, 2007. 44 U.S. State Department, “Nigeria,” Country

  20. A Survey on Current Practice of Management of Early Onset Neonatal Sepsis.

    Science.gov (United States)

    Dey, A C; Hossain, M I; Afroze, S; Dey, S K; Mannan, M A; Shahidullah, M

    2016-04-01

    It was a survey type of cross sectional study where the participants were from different teaching/referral hospital across the country and was done to gather information regarding current practice of management of neonatal sepsis among paediatricians and neonatologists and was conducted on the spot during a national conference of Bangladesh Perinatal Society in December 2013. Specialists in neonatology, paediatrics, and some other disciplines working in different institutes across the country were requested to respond. Out of 150 physicians, 92 (61.33%) were neonatologists. Physicians suspected early onset neonatal sepsis (EONS) when there is history suggestive of prolonged rupture of membrane (74.77%), prolonged labour (9.33%), chorioamnionitis (7.33%) and maternal fever (2%). Clinical sepsis is found commonly (53.33%) which is later proved by laboratory evidences such as Hb%, TC, DC PBF (peripheral blood film), C-reactive protein, chest X-ray etc. Injection Ampicillin and Gentamycin are still the first choice of antibiotics (61.3%). Preferred route was intravenous (95.3%). Antibiotics were given for 7-10 days by most of the physicians (48.77%). However there is lack of uniformity among the participants in regard to taking decision about antibiotics, the choice of first line and the subsequent options of antibiotics. So, neonatal sepsis is the most important cause of neonatal mortality in the community. Therefore a standard protocolized approach for diagnosis and management of Early Onset Neonatal Sepsis may prove critical which is currently not in practice uniformly.

  1. Continuing professional development and Irish hospital doctors: a survey of current use and future needs.

    Science.gov (United States)

    Maher, Bridget; Faruqui, Adnan; Horgan, Mary; Bergin, Colm; Tuathaigh, Colm O; Bennett, Deirdre

    2017-07-01

    Doctors rate clinical relevance and applicability as the most important determinants of continuing professional development (CPD) course selection. This study examined patterns of current CPD practice and perceived CPD needs among hospital doctors in Ireland across various clinical specialties. A cross-sectional survey was administered to doctors, focusing on the areas of training needs analysis, CPD course content and preferred course format. In total, 547 doctors identified doctor-patient communication as the skill ranked highest for importance and level of current performance. Workload/time organisation and stress management were areas where a skills deficiency was identified. Non-clinical CPD topics, including resilience training, management and communication skills, were preferred areas for future CPD offerings. All respondents favoured interactive, hands-on sessions. CPD course completion and preference patterns differed significantly across clinical specialties. These results highlight the importance of considering the individual needs and preferences of clinicians across clinical specialties to facilitate more effective CPD programmes. © Royal College of Physicians 2017. All rights reserved.

  2. Nationwide survey for current clinical status of amniocentesis and maternal serum marker test in Japan.

    Science.gov (United States)

    Miyake, Hidehiko; Yamada, Shigehito; Fujii, Yosuke; Sawai, Hideaki; Arimori, Naoko; Yamanouchi, Yasuko; Ozasa, Yuka; Kanai, Makoto; Sago, Haruhiko; Sekizawa, Akihiko; Takada, Fumio; Masuzaki, Hideaki; Matsubara, Yoichi; Hirahara, Fumiki; Kugu, Koji

    2016-10-01

    Prenatal testing has been provided in Japan over the past several decades. However, it is difficult to assess the clinical status of amniocentesis (AC) and maternal serum markers (MSM) because obstetricians can perform these tests without registration. This study aims to investigate the current clinical status of AC and MSM in Japan. We conducted a questionnaire study that was intended for a total of 5622 Japanese obstetrics/gynecology facilities during October 2013 to January 2014. The response rate was 40.8% (2295/5622). Of the 2295 facilities, 864 performed MSM (37.7%), 619 performed AC (27.0%) and 412 performed both (18.0%). The average number of MSM tests was 2.0 per month (range 0-52), and the average number of AC tests was 2.4 per month (range 0-30). Involvement of genetic professionals, such as clinical geneticists (CGs) and certified genetic counselors (CGCs), contribute to a content-rich explanation and management of difficult issues and lengthened the explanation time. Nevertheless, relatively few facilities employed these specialists (MSM: 96/864 and AC: 128/619). This is the first study to highlight the current clinical status of AC and MSM tests in Japan. Active involvement of CGs and CGCs can provide more appropriate genetic counseling for prenatal tests.

  3. Survey-Based Cross-Country Comparisons Where Countries Vary in Sample Design: Issues and Solutions

    Directory of Open Access Journals (Sweden)

    Kaminska Olena

    2017-03-01

    Full Text Available In multi-national surveys, different countries usually implement different sample designs. The sample designs affect the variance of estimates of differences between countries. When making such estimates, analysts often fail to take sufficient account of sample design. This failure occurs sometimes because variables indicating stratification, clustering, or weighting are unavailable, partially available, or in a form that is unsuitable for cross-national analysis. In this article, we demonstrate how complex sample design should be taken into account when estimating differences between countries, and we provide practical guidance to analysts and to data producers on how to deal with partial or inappropriately-coded sample design indicator variables. Using EU-SILC as a case study, we evaluate the inverse misspecification effect (imeff that results from ignoring clustering or stratification, or both in a between-country comparison where countries’ sample designs differ. We present imeff for estimates of between-country differences in a number of demographic and economic variables for 19 European Union Member States. We assess the magnitude of imeff and the associated impact on standard error estimates. Our empirical findings illustrate that it is important for data producers to supply appropriate sample design indicators and for analysts to use them.

  4. Random Sampling of Quantum States: a Survey of Methods. And Some Issues Regarding the Overparametrized Method

    Science.gov (United States)

    Maziero, Jonas

    2015-12-01

    The numerical generation of random quantum states (RQS) is an important procedure for investigations in quantum information science. Here, we review some methods that may be used for performing that task. We start by presenting a simple procedure for generating random state vectors, for which the main tool is the random sampling of unbiased discrete probability distributions (DPD). Afterwards, the creation of random density matrices is addressed. In this context, we first present the standard method, which consists in using the spectral decomposition of a quantum state for getting RQS from random DPDs and random unitary matrices. In the sequence, the Bloch vector parametrization method is described. This approach, despite being useful in several instances, is not in general convenient for RQS generation. In the last part of the article, we regard the overparametrized method (OPM) and the related Ginibre and Bures techniques. The OPM can be used to create random positive semidefinite matrices with unit trace from randomly produced general complex matrices in a simple way that is friendly for numerical implementations. We consider a physically relevant issue related to the possible domains that may be used for the real and imaginary parts of the elements of such general complex matrices. Subsequently, a too fast concentration of measure in the quantum state space that appears in this parametrization is noticed.

  5. Issues related to diagnosing oral lichen planus among oral pathologists in South India: A pilot survey.

    Science.gov (United States)

    Sanketh, D Sharathkumar; Srinivasan, Samuel Raj; Patil, Shankargouda; Ranganathan, Kannan

    2016-10-26

    In the present study, we simulated clinical scenarios by explicitly describing the history and clinical and histological features of hypothetical patients presenting with oral lichen planus (OLP), oral lichenoid lesion, and epithelial dysplasia in a self-designed questionnaire. By doing so, we aimed to elicit a diagnosis from oral pathologists and trainees, analyze their responses, appraise issues, and propose solutions regarding the diagnosis of OLP. The questionnaire was distributed to 100 oral pathologists and trainees in South India. Six questions were designed to assess awareness of the diagnostic aspects of OLP. Ten questions were hypothetical clinical scenarios (HCS) devised to evaluate respondents' knowledge of diagnostic guidelines and the criteria used by the respondents to render a diagnosis. There were 60 of 100 responses to the questionnaire. More than half the respondents were aware of the World Health Organization and modified guidelines of OLP. We observed considerable variations in diagnoses for the HCS. Our study illustrates the ambiguity in rendering an accurate diagnosis, despite adequate guidelines. Based on the responses for the HCS, we hypothesized that changes in the distribution (unilateral or bilateral) and clinical characteristic of OLP, and habits of patients, have a significant bearing on the clinical and final diagnoses of the lesion. © 2016 John Wiley & Sons Australia, Ltd.

  6. Random sampling of quantum states: a survey of methods and some issues regarding the Overparametrized Method

    Energy Technology Data Exchange (ETDEWEB)

    Maziero, Jonas, E-mail: jonas.maziero@ufsm.br [Universidade Federal de Santa Maria (UFSM), Santa Maria, RS (Brazil). Dept. de Fisica

    2015-12-15

    The numerical generation of random quantum states (RQS) is an important procedure for investigations in quantum information science. Here, we review some methods that may be used for performing that task. We start by presenting a simple procedure for generating random state vectors, for which the main tool is the random sampling of unbiased discrete probability distributions (DPD). Afterwards, the creation of random density matrices is addressed. In this context, we first present the standard method, which consists in using the spectral decomposition of a quantum state for getting RQS from random DPDs and random unitary matrices. In the sequence, the Bloch vector parametrization method is described. This approach, despite being useful in several instances, is not in general convenient for RQS generation. In the last part of the article, we regard the overparametrized method (OPM) and the related Ginibre and Bures techniques. The OPM can be used to create random positive semidefinite matrices with unit trace from randomly produced general complex matrices in a simple way that is friendly for numerical implementations. We consider a physically relevant issue related to the possible domains that may be used for the real and imaginary parts of the elements of such general complex matrices. Subsequently, a too fast concentration of measure in the quantum state space that appears in this parametrization is noticed. (author)

  7. A survey of safety issues in tree-climbing applications for forestry management

    Directory of Open Access Journals (Sweden)

    D. Longo

    2013-09-01

    Full Text Available Topping, trimming, consolidation, securing and felling are very common operations in arboriculture, in city park as well as in forests. In case of very large trees, these operations are often not possible from ground level using ladders or Mobile Elevating Work Platforms (MEWPs because of excessive height or uneven/inaccessible terrain. In past years, different people start applying techniques, materials and procedures normally used in mountaineering and caving, to climb trees and these techniques start to be applied to forestry management operations; these techniques are now worldwide used. Work activities at height, as tree-climbing for forestry management purpose, are regulated in Italy by Legislative Decree 81/08 about safety in the workplace, as this activity expose operators to fall from height and many other risks. Moreover, as this activity involves the use of specific tools, operators must be trained (with periodic refreshment and tools must been periodically checked by authorised operators. The objective of this work is to present and synthesise regulations and some technical aspects in order to allow operators to better understand different issues and general principles related to this activity.

  8. Familial determinants of current smoking among adolescents of Lithuania: a cross-sectional survey 2014.

    Science.gov (United States)

    Zaborskis, Apolinaras; Sirvyte, Dainora

    2015-09-14

    Understanding the role of the family in shaping adolescent health risk behaviours has recently been given increased attention. This study investigated association between current smoking and a range of familial factors in a representative sample of Lithuanian adolescents. Study subjects (N = 3696) were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC). A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about current smoking patterns and family life (family structure, quality of communication in family, parental monitoring, bonding, parenting style, family time, etc.). Logistic regression was used to assess association between smoking and familial variables. The prevalence of current smoking was 16.5 % (20.8 % in boys and 11.9 % in girls; P satisfaction with family relationships (OR = 1.89; 95 % CI: 1.27-2.83), low school-related parental support (OR = 1.40; 95 % CI: 1.01-1.95), easy communication with the father (OR = 0.56; 95 % CI: 0.38-0.80) and often use of electronic media for communication with parents (OR = 0.66; 95 % CI: 0.50-0.88). The last two determinants showed an inverse effect than it was hypothesized. Higher prevalence of smoking among adolescents of Lithuania is associated with a non- intact family structure as well as weaker parental support and bonding. Family life practices are critical components to be incorporated in prevention and intervention programs for adolescent smoking in Lithuania.

  9. Advancements of Data Anomaly Detection Research in Wireless Sensor Networks: A Survey and Open Issues

    Directory of Open Access Journals (Sweden)

    Mohd Aizaini Maarof

    2013-08-01

    Full Text Available Wireless Sensor Networks (WSNs are important and necessary platforms for the future as the concept “Internet of Things” has emerged lately. They are used for monitoring, tracking, or controlling of many applications in industry, health care, habitat, and military. However, the quality of data collected by sensor nodes is affected by anomalies that occur due to various reasons, such as node failures, reading errors, unusual events, and malicious attacks. Therefore, anomaly detection is a necessary process to ensure the quality of sensor data before it is utilized for making decisions. In this review, we present the challenges of anomaly detection in WSNs and state the requirements to design efficient and effective anomaly detection models. We then review the latest advancements of data anomaly detection research in WSNs and classify current detection approaches in five main classes based on the detection methods used to design these approaches. Varieties of the state-of-the-art models for each class are covered and their limitations are highlighted to provide ideas for potential future works. Furthermore, the reviewed approaches are compared and evaluated based on how well they meet the stated requirements. Finally, the general limitations of current approaches are mentioned and further research opportunities are suggested and discussed.

  10. The current status of endoscopy in transsphenoidal surgery: an international survey.

    Science.gov (United States)

    de Divitiis, Enrico; Laws, Edward R; Giani, Umberto; Iuliano, Sherry L; de Divitiis, Oreste; Apuzzo, Michael L J

    2015-04-01

    A survey-based study was designed to assess opinions related to transsphenoidal endoscopy, to evaluate the current global attitudes of neurosurgeons regarding the use of this procedure, and to solicit basic data from key institutions worldwide, with the advantage that large series of cases become available for analysis. A web-based multi-item questionnaire was distributed to the surgical departments of 393 neurosurgical centers by means of an invitation e-mail. The questionnaire was composed of 2 sections: section 1 focused on the surgical technique for pituitary adenomas (standard technique), and section 2 concentrated on surgery for skull base tumors (extended technique). Each section was composed of 2 parts: multiple choice questions and free textual responses. From a total of 393 neurosurgical centers, from 23 countries, that received the questionnaire, 87 of them (22%) submitted complete or incomplete responses. The surgical procedure, in 60 cases had been performed by a neurosurgeon, in 53 cases by a neurosurgeon and an otolaryngologist, and in 4 cases by an otolaryngologist only. The endoscope (2- and 3-dimensional) was used in 85.2% of transsphenoidal procedures versus the microscope in 14.8% of cases. The endonasal route was used for approach in 93.2% versus the sublabial route in 6.8% of cases. Computer-guided navigation was used by survey population in 71 cases, micro-Doppler in 51 cases, and Cavitron Ultrasonic Surgical Aspirator in 43 cases. Several hundreds of extrasellar tumors were operated using the extended technique. Transsphenoidal endoscopy for pituitary and anterior skull base tumors has become established as a routine method of dealing with a variety of lesions. The level of interest in the neurosurgical surgery community is reflected by the geometric expansion of contributions to the literature on endoscopic surgery. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Current medication choices in juvenile rheumatoid arthritis II--update of a survey performed in 1993.

    Science.gov (United States)

    Brunner, H I; Kim, K N; Ballinger, S H; Bowyer, S L; Griffin, T A; Higgins, G C; Mier, R; Passo, M H; Rennebohm, R; Schikler, K; Lovell, D J

    2001-10-01

    The documentation of treatments used for Juvenile Rheumatoid Arthritis (JRA) is important to allow for the evaluation of practice patterns for future outcome studies. A survey of nine pediatric rheumatologists was performed between September 1999 and February 2000. Each of the physicians prospectively recorded demographic and treatment information on consecutively sampled JRA patients (n=395). Pauciarticular onset JRA was present in 46%, polyarticular onset JRA in 35%, and systemic onset JRA in 19% of the children. Naproxen was the most frequently prescribed medication (55% of the patients), followed by methotrexate (MTX), which was used in 39% of the patients. Folic acid supplementation (1 mg/day) was provided to 69% of the patients treated with MTX. Etanercept was used in 11% of the children. Eleven percent of the patients received corticosteroids, and 13% of children on corticosteroids took calcium supplements. Uveitis was present in 8% and had a chronic course in 79% of those cases. Although systemic medications were used in 50% of the children with uveitis to control eye inflammation, severe damage to the eyes developed in 30% of them. Fourteen percent of the patients required gastroprotective medications. Compared with findings of a similar survey performed in 1993, there was no significant change in the frequency of use of naproxen, but nabumetone is now more often prescribed, and COX-2 inhibitors have been introduced in the therapy of JRA. Changes among second-line agents used for JRA have also occurred, although there was no change in the frequency of use of MTX or corticosteroids. JRA continues to be a treatment challenge for the practicing pediatric rheumatologist. Patients often show incomplete response to the currently available medications. Therefore, new therapeutic agents need to be evaluated for their use in JRA, and the treatment of JRA associated uveitis especially needs to be improved.

  12. Using the Medicare Current Beneficiary Survey to conduct research on Medicare-eligible veterans

    Directory of Open Access Journals (Sweden)

    Yvonne Jonk, PhD

    2010-10-01

    Full Text Available The Medicare Current Beneficiary Survey (MCBS is a longitudinal, multipurpose panel survey of a nationally representative sample of Medicare beneficiaries sponsored by the Centers for Medicare and Medicaid Services (CMS. The MCBS serves as a comprehensive data source on self-reported health and socioeconomic status, health insurance, healthcare utilization and costs, and patient satisfaction. CMS uses Medicare claims data to validate self-reported Medicare Fee-For-Service (FFS utilization. Because the Veterans Health Administration (VHA does not bill for services, CMS imputes VHA costs. This article addresses the quality of the MCBS dataset for conducting research on Medicare-eligible veterans by addressing the sample's representativeness, quality of self-reported data, and accuracy of imputed VHA cost estimates. We compared demographic data from the 1992 and 2001 National Survey of Veterans (NSV with the MCBS 1992 and 2001 Cost and Use files. We compared self-reported VHA utilization and CMS's imputed costs with VHA administrative datasets. The VHA's Pharmacy Benefits Management (PBM database is available from fiscal year (FY 1999 onward, and the VHA Health Economics Resource Center's (HERC Average Cost datasets are available from FY1998 onward. While the samples were comparable in terms of age, sex, and race, the MCBS respondents were in better health, less likely to be married, and more likely to be widowed than NSV respondents. MCBS underreporting rates were higher for VHA than Medicare outpatient events. Underreporting and differences between CMS's and HERC's costing methodologies contributed to lower MCBS versus VHA administrative person- and event- level costs. Alternatively, average annual VHA prescription costs per capita were higher in the MCBS than in the PBM data. Differences in socioeconomic characteristics of the NSV and MCBS samples may be attributable to differences in sampling methodologies. Higher underreporting rates for VHA

  13. Top-Ten IT Issues: 2009

    Science.gov (United States)

    Agee, Anne Scrivener; Yang, Catherine

    2009-01-01

    This article presents the top-ten IT-related issues in terms of strategic importance to the institution, as revealed by the tenth annual EDUCAUSE Current Issues Survey. These IT-related issues include: (1) Funding IT; (2) Administrative/ERP Information Systems; (3) Security; (4) Infrastructure/Cyberinfrastructure; (5) Teaching and Learning with…

  14. 76 FR 39260 - Direct Investment Surveys: Alignment of Regulations With Current Practices

    Science.gov (United States)

    2011-07-06

    ... is eliminating the reporting requirements for two surveys of new foreign direct investment in the... several direct investment surveys. The surveys are: BE-13, Initial Report on a Foreign Person's Direct or... to measure the amount of new foreign direct investment in the United States and assess its impact...

  15. Current Issues and Challenges in the Use of Aerosolized Surfactant for Respiratory Distress Syndrome in the Newborns

    Directory of Open Access Journals (Sweden)

    Dion Darius Samsudin

    2013-08-01

    Full Text Available BACKGROUND: Surfactant replacement therapy is a recognized treatment for respiratory distress syndrome (RDS in the newborns. Over the past 30 years, human and animal trials have been performed regarding administration of aerosolized surfactant to the injured lung, however the result has been unsatisfactory when compared with instilled surfactant delivery via endotracheal tube (ETT. This review aims to investigate the current issues, challenges and future recommendation of aerosolized surfactant therapy. CONTENT: Five randomized clinical trials in humans and 13 animal trials met the inclusion criteria and were reviewed. Most animal trials agree that this method of treatment is feasible. However, human trials presented conflicting results, and generally showed it to be ineffective. When compared with surfactant delivery via ETT, aerosolized surfactant is less effective in improving respiratory function. SUMMARY: The current data from human trials does not support the implementation of aerosolized surfactant therapy to treat newborns with RDS. Further research is necessary to improve nebulization, delivery, distribution and deposition in the lung, to investigate aerosolized surfactant delivery via ETT and to determine the appropriate dose. KEYWORDS: surfactant, aerosol, prematurity, respiratory distress syndrome.

  16. Estimates of U.S. Commercial Building Electricity Intensity Trends: Issues Related to End-Use and Supply Surveys

    Energy Technology Data Exchange (ETDEWEB)

    Belzer, David B.

    2004-09-04

    This report examines measurement issues related to the amount of electricity used by the commercial sector in the U.S. and the implications for historical trends of commercial building electricity intensity (kWh/sq. ft. of floor space). The report compares two (Energy Information Administration) sources of data related to commercial buildings: the Commercial Building Energy Consumption Survey (CBECS) and the reporting by utilities of sales to commercial customers (survey Form-861). Over past two decades these sources suggest significantly different trend rates of growth of electricity intensity, with the supply (utility)-based estimate growing much faster than that based only upon the CBECS. The report undertakes various data adjustments in an attempt to rationalize the differences between these two sources. These adjustments deal with: 1) periodic reclassifications of industrial vs. commercial electricity usage at the state level and 2) the amount of electricity used by non-enclosed equipment (non-building use) that is classified as commercial electricity sales. In part, after applying these adjustments, there is a good correspondence between the two sources over the the past four CBECS (beginning with 1992). However, as yet, there is no satisfactory explanation of the differences between the two sources for longer periods that include the 1980s.

  17. A Survey on Renewable Energy Development in Malaysia: Current Status, Problems and Prospects

    Directory of Open Access Journals (Sweden)

    Alam Syed Shah

    2016-05-01

    Full Text Available Energy demand in Malaysia is increasing over seven per cent a year, while forty per cent of the energy is supplied from conventional fossil fuel. However, a number of social barriers have mired the social acceptance of renewable energy among the users. This study investigates the current status of renewable energy, problems and future outlook of renewable energy in Malaysia. A total of 200 respondents were surveyed from Klang Valley in Malaysia. Majority of the respondents use energy to generate electricity. Although some respondents reported using solar energy, there is lack of retail availability for solar energy. The findings show that limited information on renewable energy technologies, lack of awareness, and limited private sector engagement emerged as major barriers to sustainable renewable energy development. In addition, the respondents suggest for increasing policy support from the government to make information more accessible to mass users, provide economic incentives to investors and users, and promote small-community based renewable energy projects. The study suggests that the government begin small scale projects to build awareness on renewable energy, while academically, higher learning institutions include renewable energy syllabus in their academic curriculum. The study concluded that to have sustainable renewable energy development, government’s initiative, private sector engagement and users awareness must be given priority.

  18. Current practices in percutaneous nephrolithotomy in Mexico: results of a nation-wide electronic survey.

    Science.gov (United States)

    Sandoval, Christian I Villeda; Roca, Benjamin E Montaño; Molina, Ricardo A Castillejos; Mendez-Probst, Carlos E

    2015-11-01

    Practice patterns and choice of technological instruments in PCNL are not always standardized. There are no previous reports on the PCNL practice tendencies and patterns in Latin America. The aim of the study is to describe the current practice patterns of PCNL among the members of the Mexican Society of Urology ("Sociedad Mexicana de Urologia"). Observational and descriptive study. A 9-item closed questionnaire on PCNL practice patterns was answered by members of the Mexican Society of Urology in a secure website hosted survey after e-mail invitation. A descriptive numerical and graphical analysis was performed. A total of 90 contestants were registered out of 492 potential participants. PCNL is performed by 80% of the participants, with an average of 16 procedures per year. Percutaneous tracts are commonly obtained by urologists on the same day of the procedure. Sequential and telescopic dilators are equally preferred over balloons. The pneumatic litotriptor is the most common choice and CT scan and X-ray are equally used as follow-up. The practice patterns of PCNL from Mexican urologists are different from other international reports. Influence of socio-economic circumstances is inferred.

  19. A Survey on Renewable Energy Development in Malaysia: Current Status, Problems and Prospects

    Science.gov (United States)

    Alam, Syed Shah; Nor, Nor Fariza Mohd; Ahmad, Maisarah; Hashim, Nik Hazrul Nik

    2016-05-01

    Energy demand in Malaysia is increasing over seven per cent a year, while forty per cent of the energy is supplied from conventional fossil fuel. However, a number of social barriers have mired the social acceptance of renewable energy among the users. This study investigates the current status of renewable energy, problems and future outlook of renewable energy in Malaysia. A total of 200 respondents were surveyed from Klang Valley in Malaysia. Majority of the respondents use energy to generate electricity. Although some respondents reported using solar energy, there is lack of retail availability for solar energy. The findings show that limited information on renewable energy technologies, lack of awareness, and limited private sector engagement emerged as major barriers to sustainable renewable energy development. In addition, the respondents suggest for increasing policy support from the government to make information more accessible to mass users, provide economic incentives to investors and users, and promote small-community based renewable energy projects. The study suggests that the government begin small scale projects to build awareness on renewable energy, while academically, higher learning institutions include renewable energy syllabus in their academic curriculum. The study concluded that to have sustainable renewable energy development, government's initiative, private sector engagement and users awareness must be given priority.

  20. Current and future delivery of diagnostic electron microscopy in the UK: results of a national survey.

    Science.gov (United States)

    de Haro, Tracey; Furness, Peter

    2012-04-01

    Electron microscopy (EM) remains essential to delivering several specialist areas of diagnosis, especially the interpretation of native renal biopsies. However, there is anecdotal evidence of EM units struggling to survive, for a variety of reasons. The authors sought to obtain objective evidence of the extent and the causes of this problem. An online survey was undertaken of Fellows of the Royal College of Pathologists who use EM in diagnosis. A significant number of EM units anticipate having to close and hence outsource their EM work in the coming years. Yet most existing units are working to full capacity and would be unable to take on the substantial amounts of extra work implied by other units outsourcing their needs. Equipment and staffing are identified by most EM units as the major barriers to growth and are also the main reasons cited for units facing potential closure. In the current financial climate it seems unlikely that units will be willing to make the large investment in equipment and staff needed to take on extra work, unless they can be reasonably confident of an acceptable financial return as a result of increased external referral rates. The case is thus made for a degree of national coordination of the future provision of this specialist service, possibly through the National Commissioning Group or the new National Commissioning Board. Without this, the future of diagnostic EM services in the UK is uncertain. Its failure would pose a threat to good patient care.

  1. Laparoscopic simulation training in gynaecology: Current provision and staff attitudes - a cross-sectional survey.

    Science.gov (United States)

    Burden, Christy; Fox, Robert; Hinshaw, Kim; Draycott, Timothy J; James, Mark

    2016-01-01

    The objectives of this study were to explore current provision of laparoscopic simulation training, and to determine attitudes of trainers and trainees to the role of simulators in surgical training across the UK. An anonymous cross-sectional survey with cluster sampling was developed and circulated. All Royal College of Obstetricians and Gynaecologists (RCOG) Training Programme Directors (TPD), College Tutors (RCT) and Trainee representatives (TR) across the UK were invited to participate. One hundred and ninety-six obstetricians and gynaecologists participated. Sixty-three percent of hospitals had at least one box trainer, and 14.6% had least one virtual-reality simulator. Only 9.3% and 3.6% stated that trainees used a structured curriculum on box and virtual-reality simulators, respectively. Respondents working in a Large/Teaching hospital (p = 0.008) were more likely to agree that simulators enhance surgical training. Eighty-nine percent agreed that simulators improve the quality of training, and should be mandatory or desirable for junior trainees. Consultants (p = 0.003) and respondents over 40 years (p = 0.011) were more likely to hold that a simulation test should be undertaken before live operation. Our data demonstrated, therefore, that availability of laparoscopic simulators is inconsistent, with limited use of mandatory structured curricula. In contrast, both trainers and trainees recognise a need for greater use of laparoscopic simulation for surgical training.

  2. Youth With Disabilities in the Juvenile Justice System: Prevention and Intervention Strategies. Examining Current Challenges in Secondary Education and Transition. Issue Brief. Volume 4, Issue 1.

    Science.gov (United States)

    Stenhjem, Pam

    2005-01-01

    How do communities begin to address the issue of youth with disabilities who become involved with correctional systems? This brief provides information on proactive solutions based on restorative justice and wrap-around services, models, and strategies. This topic is receiving more attention as research has begun supporting a critical need for…

  3. Energy and materials conservation: applying pioneering research and techniques to current non-energy materials conservation issues.

    Science.gov (United States)

    Hannon, Bruce

    2013-03-13

    The research of the Energy Research Group (ERG) at the University of Illinois at Urbana-Champaign through the 1970s and early 1980s has recurring bouts of popularity. That research traced the flow of various energy types from nature to the final product or service, using modified economic input-output analysis. That information allowed for a comparison of alternative uses of products and services that delivered the same demand. The goal of the study was to identify the energy-conserving potential of the alternatives. Interest in that research has risen and fallen with the price of energy through three cycles now, with the current interest also encompassing materials conservation. Although the specific numerical results of this work are dated, the process by which the analysis was conducted creates, at least, a suggestion for future analysis in the arena of materials research. A review of the ERG history, including techniques pioneered for investigating the potential for energy conservation and some of the ancillary lessons learned along the way, may be of some use to those working on issues of materials conservation today. In the coming years, the most relevant research will include assessment of the socio-economic-ecological impact of technological materials conservation policies.

  4. The current status of pediatric radiology in India: A conference-based survey

    Directory of Open Access Journals (Sweden)

    Jacob Therakathu

    2017-01-01

    Full Text Available Introduction: Like most other developing countries, India has a large proportion of children among its population. However, the facilities for adequate treatment of this large population is inadequate. The development of pediatric radiology as a subspecialty is still at an infant stage in India. The goal of our study was to assess the awareness about the current status of pediatric radiology in India. Materials and Methods: A questionnaire was handed over to all attendees of a pediatric radiology conference to assess their opinion regarding the adequacy of pediatric training and practice in India. The questionnaire consisted of 10 multiple-choice and two descriptive questions. Descriptive statistical methods were used for analyzing the results. Results: Eighty-one out of 400 delegates responded to the questionnaire. Among these 81 respondents, 50 (61.7% felt that exposure to pediatric cases during postgraduate course was inadequate. Sixty-three out of 81 (77.7% respondents thought that specialized training is required for practicing pediatric radiology, and 79 respondents (97% felt that the number of such training programmes should increase. Forty-five out of 81 respondents (55.5% were interested in pursuing pediatric radiology as a career. Conclusion: According to the opinion of the respondents of our survey, pediatric radiology remains an underdeveloped speciality in India. Considering the proportion of the population in the pediatric age and the poor health indicators in this age group, elaborate measures, as suggested, need to be implemented to improve pediatric radiology training and the care of sick children in India.

  5. A survey on IVIVC/IVIVR development in the pharmaceutical industry - Past experience and current perspectives.

    Science.gov (United States)

    Nguyen, M A; Flanagan, T; Brewster, M; Kesisoglou, F; Beato, S; Biewenga, J; Crison, J; Holm, R; Li, R; Mannaert, E; McAllister, M; Mueller-Zsigmondy, M; Muenster, U; Ojala, K; Page, S; Parr, A; Rossenu, S; Timmins, P; Van Peer, A; Vermeulen, A; Langguth, P

    2017-05-01

    of non-compendial dissolution methods for establishing a successful IVIVC/IVIVR. The lack of appropriate in vivo data and regulatory uncertainty were considered the major difficulties in IVIVC/IVIVR development. The results of this survey provide unique insights into current IVIVC/IVIVR practices in the pharmaceutical industry. Pursuing an IVIVC/IVIVR should be generally encouraged, considering its high value from both industry and regulators' perspective. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Test result communication in primary care: a survey of current practice.

    Science.gov (United States)

    Litchfield, Ian; Bentham, Louise; Lilford, Richard; McManus, Richard J; Hill, Ann; Greenfield, Sheila

    2015-11-01

    The number of blood tests ordered in primary care continues to increase and the timely and appropriate communication of results remains essential. However, the testing and result communication process includes a number of participants in a variety of settings and is both complicated to manage and vulnerable to human error. In the UK, guidelines for the process are absent and research in this area is surprisingly scarce; so before we can begin to address potential areas of weakness there is a need to more precisely understand the strengths and weaknesses of current systems used by general practices and testing facilities. We conducted a telephone survey of practices across England to determine the methods of managing the testing and result communication process. In order to gain insight into the perspectives from staff at a large hospital laboratory we conducted paired interviews with senior managers, which we used to inform a service blueprint demonstrating the interaction between practices and laboratories and identifying potential sources of delay and failure. Staff at 80% of practices reported that the default method for communicating normal results required patients to telephone the practice and 40% of practices required that patients also call for abnormal results. Over 80% had no fail-safe system for ensuring that results had been returned to the practice from laboratories; practices would otherwise only be aware that results were missing or delayed when patients requested results. Persistent sources of missing results were identified by laboratory staff and included sample handling, misidentification of samples and the inefficient system for collating and resending misdirected results. The success of the current system relies on patients both to retrieve results and in so doing alert staff to missing and delayed results. Practices appear slow to adopt available technological solutions despite their potential for reducing the impact of recurring errors in the

  7. 76 FR 19282 - Direct Investment Surveys: Alignment of Regulations With Current Practices

    Science.gov (United States)

    2011-04-07

    ... eliminated from the regulations are: a survey of foreign direct investment in the U.S. seafood industry (BE... Foreign Person BE-21, Survey of Foreign Direct Investment in U.S. Business Enterprises Engaged in the... established or acquired entity. The data had been used to measure the amount of new foreign direct......

  8. State of the art of cattle dehorning in the EU Member States. A quantitative survey of the current practices

    NARCIS (Netherlands)

    Cozzi, G.; Gottardo, F.; Brscic, M.; Contiero, B.; Irrgang, N.; Knierim, U.; Pentelescu, O.; Windig, J.J.; Mirabito, L.; Kling Eveillard, F.; Dockes, A.C.; Veissier, I.; Velarde, A.; Fuentes, C.; Dalmau, A.; Winckler, C.

    2015-01-01

    A survey was carried out to describe the extent and current practice of cattle disbudding/dehorning in the EU Member States. Disbudding was defined as removal of horns in calves of up to 2 months of age, whereas dehorning was defined as removal of horns in older animals. Specific questionnaires were

  9. Exploring Ivorian perspectives on the effectiveness of the current Ivorian science curriculum in addressing issues related to HIV/AIDS

    Science.gov (United States)

    Ado, Gustave Firmin

    School-based HIV/AIDS science education has the potential to impact students when integrated into the science curriculum. However, this mixed method study shows that school-based HIV/AIDS science education is often not infused into career subjects such as science education but integrated into civics education and taught by teachers who lack the skills, knowledge, and the training in the delivery of effective school HIV/AIDS education. Since science is where biological events take place, it is suggested that HIV/AIDS science merits being taught in the science education classroom. This study took place in nine public middle schools within two school districts in Abidjan, Ivory Coast, one major urban city in the southern region. The study utilized triangulation of multiple data sources---both qualitative and quantitative. To substantiate the claims made in this study, a range of qualitative methods such as field notes and individual interviews with 39 teachers, 63 sixth grade students, 8 school administrators, and 20 community elders were used. For the quantitative portion 140 teachers and 3510 sixth grade students were surveyed. The findings from the study prioritize science education that includes HIV/AIDS science education for all, with emphasis on HIV/AIDS prevention in Ivory Coast. The factors that influence the implementation of HIV/AIDS curricula within the Ivorian sixth grade classrooms are discussed. Interview and survey data from students, teachers, school administrators, and community elders indicate that in the Ivorian school setting, "gerontocratic" cultural influences, religious beliefs, personal cultural beliefs, and time spent toward the discourse on HIV/AIDS have led to HIV/AIDS education that is often insufficient to change either misconceptions about HIV/AIDS or risky practices. It was also found that approaches to teaching HIV/AIDS does not connect with youth cultures. By reframing and integrating current HIV/AIDS curricula into the science

  10. Farmers' willingness to pay for power in India. Conceptual issues, survey results and implications for pricing

    Energy Technology Data Exchange (ETDEWEB)

    Dossani, Rafiq [Senior Research Scholar, Asia-Pacific Research Center, Stanford University, 616 Serra Street, Stanford, CA 94305-6055 (United States); Ranganathan, V. [Professor of Economics and Energy, Indian Institute of Management, Bangalore 560076 (India)

    2004-05-01

    The objective of this paper is to develop strategies useful for raising prices of rural power in India. Such power is currently subsidized and policymakers are eager to make the transition to more efficient prices. The traditionally used measure, willingness to pay (WTP), is shown to have no useful policy implications due to the rationing of power. Using survey data from rural Andhra Pradesh, we show that the utility's cost of power exceeds the income generated by the power. This suggests a political problem - the possibility that low power prices have led to large-scale farming of unproductive land - that will be hard to resolve. Our survey also shows that subsidies are regressive with income. We use measured WTP for higher income groups to propose a discriminatory pricing regime that will raise total revenue by 20%. When combined with removing the causes of motor burnout, such as voltage fluctuations, and eliminating rostering, subsidies can be reduced substantially but probably remain too high to be resolved without political action.

  11. Farmers' willingness to pay for power in India: conceptual issues, survey results and implications for pricing

    Energy Technology Data Exchange (ETDEWEB)

    Dossani, Rafiq [Stanford Univ., Asia-Pacific Research Center, Stanford, CA (United States); Ranganathan, V. [Indian Inst. of Management, Bangalore (India)

    2004-05-01

    The objective of this paper is to develop strategies useful for raising prices of rural power in India. Such power is currently subsidized and policymakers are eager to make the transition to more efficient prices. The traditionally used measure, willingness to pay (WTP), is shown to have no useful policy implications due to the rationing of power. Using survey data from rural Andhra Pradesh, we show that the utility's cost of power exceeds the income generated by the power. This suggests a political problem - the possibility that low power prices have led to large-scale farming of unproductive land - that will be hard to resolve. Our survey also shows that subsidies are regressive with income. We use measured WTP for higher income groups to propose a discriminatory pricing regime that will raise total revenue by 20%. When combined with removing the causes of motor burnout, such as voltage fluctuations, and eliminating rostering, subsidies can be reduced substantially but probably remain too high to be resolved without political action. (Author)

  12. Pilot survey of HIV risk and contextual problems and issues in Mexican/Latino migrant day laborers.

    Science.gov (United States)

    Organista, Kurt C; Kubo, Ai

    2005-10-01

    A preliminary survey was conducted with 102 migrant day laborers (MDLs) to assess HIV risk and related contextual problems and issues. These men were primarily Mexican, of low SES background, low in acculturation to the United States, and their income ranged from $100 and $400 a week, 40% of which is sent back home. The psychosocial context of HIV risk included concerns expressed about lack of money and employment, followed by racism, social isolation, sadness and loneliness. High rates of alcohol use and binge drinking that co-occur with sexual activities were reported. While only 7% of MDLs reported illegal injection drug use, needles were frequently shared without bleach cleaning. Men generally did not carry condoms and knowledge of proper condom use was poor. For the most common form of sex reported, vaginal sex, condom use was infrequent. However, men did report confidence in being able to insist on condom use in challenging sexual situations, and they also reported fairly frequent pro-condom attitudes and behaviors within their social circles. Slightly over half of the men reported sexual activity with female partners, during the past 2 months. These female partners were almost evenly divided into regular sex partners, including spouses, and riskier partners such as one time only sex partners, prostitutes, and multiple sex partners. Results also indicated encouraging efforts by MDLs to reduce risk with risky partners (e.g., more condom use).

  13. A national survey of how acupuncture is currently used in midwifery care at Swedish maternity units

    OpenAIRE

    Martensson, Lena; Kvist, LInda; Hermansson, Evelyn

    2011-01-01

    Objective: it is not known how acupuncture is used in midwifery care in Sweden and what kind of requirements health-care providers have for midwives and acupuncture training programmes. The aims of this study were to survey indications for the use of acupuncture in midwifery care in Sweden, and to examine the criteria and requirements used for purchase of acupuncture education programmes. Design: a postal survey using a structured questionnaire. Setting: 45 maternity units in Sweden. Particip...

  14. Domestic Violence Perpetrator Programs in Europe, Part I : A survey of Current Practice

    OpenAIRE

    Hamilton, Leah; Koehler, Johann A.; Lösel, Friedrich A.

    2014-01-01

    Most research on domestic violence perpetrator programs has been carried out in North America. It does not yet provide a clear picture on what works with these offenders and cannot be generalized to other cultural and legal systems. Therefore, in Part I of this article, we present the results of a survey of 54 programs that were in place in 19 European countries that addressed the programs’ practice and effects. The survey captured data about program design, delivery, administration, infrastr...

  15. Neuroimaging training among neuropsychologists: A survey of the state of current training and recommendations for trainees

    OpenAIRE

    2013-01-01

    Neuroimaging has gained widespread use in neuropsychological research and practice. However, there are neither established guidelines on how neuropsychologists might become competent researchers or consumers of neuroimaging data, nor any published studies describing the state of neuroimaging training among neuropsychologists. We report the results of two online surveys, one of 13 expert neuropsychologist-neuroimagers, whose responses informed the formulation of a second, larger survey to neur...

  16. The relationship between repeated unintended pregnancies and current contraceptive use: National Survey of Family Growth (NSFG) 2006-2008 data.

    Science.gov (United States)

    Matsuda, Yui; Masho, Saba; McGrath, Jacqueline M

    2012-01-01

    The purpose of this study is to examine the relationship between the number of unintended pregnancies and current contraceptive use. This is a secondary analysis of a cross-sectional survey, the 2006-2008 National Survey of Family Growth, which included 4,052 women between the ages of 15 and 44 years. A statistically significant association was found between the nonuse of contraceptives and repeated unintended pregnancies, as well as among those who used an effective contraceptive method and repeated unintended pregnancies. Nurses are encouraged to ask questions about intendedness of pregnancies during women's visits and help women choose appropriate contraceptive methods.

  17. Effectiveness of the palliative care 'Availability, Current issues and Anticipation' (ACA) communication training programme for general practitioners on patient outcomes: a controlled trial.

    Science.gov (United States)

    Slort, Willemjan; Blankenstein, Annette H; Schweitzer, Bart P M; Knol, Dirk L; van der Horst, Henriëtte E; Aaronson, Neil K; Deliens, Luc

    2014-09-01

    Although communicating effectively with patients receiving palliative care can be difficult, it may contribute to maintaining or enhancing patients' quality of life. Little is known about the effect of training general practitioners in palliative care-specific communication. We hypothesized that palliative care patients of general practitioners exposed to the 'Availability, Current issues and Anticipation' communication training programme would report better outcomes than patients of control general practitioners. To evaluate the effectiveness of the Availability, Current issues and Anticipation training programme for general practitioners on patient-reported outcomes. In a controlled trial, general practitioners followed the Availability, Current issues and Anticipation programme or were part of the control group. Patients receiving palliative care of participating general practitioners completed the Palliative Care Outcome Scale, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative, the Rest & Peace Scale, the Patient Satisfaction Questionnaire-III and the Availability, Current issues and Anticipation Scale, at baseline and 12 months follow-up. We analysed differences between groups using linear mixed models. ISRCTN56722368. General practitioners who attended a 2-year Palliative Care Training Course in the Netherlands. Questionnaire data were available for 145 patients (89 in intervention and 56 in control group). We found no significant differences over time between the intervention and control groups in any of the five outcome measures. Ceiling effects were observed for the Rest & Peace Scale, Patient Satisfaction Questionnaire-III and Availability, Current issues and Anticipation Scale. General practitioner participation in the Availability, Current issues and Anticipation training programme did not have a measurable effect on any of the outcomes investigated. Patients reported high levels of

  18. Current status of environmental, health, and safety issues of nickel metal-hydride batteries for electric vehicles

    Energy Technology Data Exchange (ETDEWEB)

    Corbus, D; Hammel, C J; Mark, J

    1993-08-01

    This report identifies important environment, health, and safety issues associated with nickel metal-hydride (Ni-MH) batteries and assesses the need for further testing and analysis. Among the issues discussed are cell and battery safety, workplace health and safety, shipping requirements, and in-vehicle safety. The manufacture and recycling of Ni-MH batteries are also examined. This report also overviews the ``FH&S`` issues associated with other nickel-based electric vehicle batteries; it examines venting characteristics, toxicity of battery materials, and the status of spent batteries as a hazardous waste.

  19. Southern Nevada residents` views about the Yucca Mountain high-level nuclear waste repository and related issues: A comparative analysis of urban and rural survey data

    Energy Technology Data Exchange (ETDEWEB)

    Krannich, R.S.; Little, R.L. [Utah State Univ., Logan, UT (United States); Mushkatel, A.; Pijawka, K.D.; Jones, P. [Arizona State Univ., Tempe, AZ (United States)

    1991-10-01

    two separate surveys were undertaken in 1988 to ascertain southern Nevadans` views about the Yucca Mountain repository and related issues. The first of these studies focused on the attitudes and perceptions of residents in the Las Vegas metropolitan area. The second study addressed similar issues, but focused on the views of residents in six rural communities in three counties adjacent to the Yucca Mountain site. However, parallel findings from the two data sets have not been jointly analyzed in order to identify ways in which the views and orientations of residents in the rural and urban study areas may be similar or different. The purpose of this report is to develop and present a comparative assessment of selected issues addressed in the rural and urban surveys. Because both urban and rural populations would potentially be impacted by the Yucca Mountain repository, such an analysis will provide important insights into possible repository impacts on the well-being of residents throughout southern Nevada.

  20. Current trends in robot assisted surgery: a survey of gynecologic oncologists.

    Science.gov (United States)

    duPont, Nefertiti C; Chandrasekhar, Rameela; Wilding, Gregory; Guru, Khurshid A

    2010-12-01

    To evaluate the perceptions of the importance and utility of robot assisted surgery in gynecologic oncology. A 39 question web-based survey was sent to members of the Society of Gynecologic Oncologists. The survey response rate was 28%, with 277 surveys completed. Nearly 40% of respondents felt robotic surgical training was required as a part of their career goals, and 73% of respondents have performed a robotic hysterectomy. Among respondents, 39% felt that robotic surgery was as good as laparoscopic surgery but 23% thought robot assisted surgery should be the gold standard for the treatment of endometrial cancer. Robot assisted surgery is gaining widespread acceptance and is perceived to be as good as laparoscopic surgery for the treatment of early stage endometrial and cervical cancers. Among respondents the greatest benefit of robot assisted surgery was its ease of use and perceived improvement in a patient's quality of life. Copyright © 2010 John Wiley & Sons, Ltd.

  1. Current Practice vs. Guideline Based Imaging in Abdominal Radiology in the German Speaking Area: Results of an Online Survey.

    Science.gov (United States)

    Schreyer, A G; Wessling, J; Grenacher, L

    2016-03-01

    The working group for abdominal imaging within the German Roentgen Society (DRG) performed an online survey amongst radiologist concerning the current status of techniques for abdominal imaging. The results of this survey were compared with the most recent guidelines. We performed an online survey open for all members of the DRG during a 76-day period with 65 questions and an overall estimated time for finishing the questionnaire of 15 minutes concerning technical specifications for abdominal radiological imaging. The results were evaluated using descriptive statistics. 90 of all participants, who filled out the survey covering more than 80% of the questions, were included in the statistical evaluation. 27% of all participants were registered radiologists while 73% represented radiologists working in a hospital. Most participants worked in a managerial position. The participants gave detailed information regarding the radiological techniques used in dedicated organ systems (esophagus, stomach, pancreas, liver, small intestines, colon) regarding acquired contrast phases and oral and intravenous administration of contrast medium. The results confirm that most radiologists participating in this survey perform their examinations and choose their modalities in conformity with the current existing clinical guidelines. Because most clinical guidelines do not specify radiological examinations in detail, there is a noteworthy heterogeneity of the acquired contrast phases and major divergence in terms of technical parameters. Therefore a joint radiological effort should be initiated for developing and publishing updated radiological parameters for abdominal imaging. • In German speaking countries indications for abdominal radiological examinations are performed with a high compliance to published guidelines. • There is a significant heterogeneity regarding the acquisition of different contrast phases for parenchymal abdominal organs. • There is an urgent need to

  2. Prevalence and correlates of current daily use of electronic cigarettes in the European Union: analysis of the 2014 Eurobarometer survey.

    Science.gov (United States)

    Farsalinos, Konstantinos E; Poulas, Konstantinos; Voudris, Vassilis; Le Houezec, Jacques

    2017-03-04

    The study purpose was to analyze current daily and current daily nicotine-containing electronic cigarette (EC) use in the European Union (EU). Special Eurobarometer 429, a cross-sectional survey performed in a representative sample of 28 member states of the EU in November and December of 2014, was analyzed. The prevalence of current daily and current daily nicotine-containing EC use was 1.08% (95% CI 0.95-1.20%) and 1.00% (95% CI 0.88-1.12%), respectively, and was mainly observed in current and former smokers. Minimal current daily (0.08%, 95% CI 0.03-0.12%) and current daily nicotine-containing EC use (0.04%, 95% CI 0.01-0.08%) was observed among never smokers. Smoking cessation with the help of ECs was reported by 47.12% (95% CI 41.28-52.96%) of current daily and 49.14% (95% CI 43.12-55.17%) of current daily nicotine-containing EC users. Additionally, 33.18% (95% CI 27.67-38.69%) and 31.40% (95% CI 25.80-36.99%) reported reduction in smoking consumption, respectively. The strongest correlates of daily EC use were being current and former smokers. In the EU in late 2014, current daily EC use was predominantly observed in current and former smokers and was associated with high self-reported rates of smoking cessation and reduction. Current daily EC use by never smokers was extremely infrequent.

  3. Weeding of Academic Library Reference Collections: A Survey of Current Practice.

    Science.gov (United States)

    Engeldinger, Eugene A.

    1986-01-01

    Reports results of survey investigating aspects of weeding of materials in reference collections at 377 U.S. colleges and universities: existence of written policy or unwritten weeding practice; extent of weeding; frequency; what happens to discards; effect of shelf space, staff time, and use of materials on weeding decisions. (5 references) (EJS)

  4. Survey on Current Conditions and Intention of Outbound Investment by Chinese Enterprises

    Institute of Scientific and Technical Information of China (English)

    China Council for the Promotion of International T

    2010-01-01

    @@ Analysis of the Sample 1.Sample size and characteristics Altogether 3000 questionnaires were distributed in the survey and 1377valid questionnaires were received,a response rate of 46%.The 1377 questionnaires recovered include enterprises in nearly 30 provinces,and cover various sectors such as agriculture,manufacturing,construction and financial intermediaries,thus providing good industrial and regional representativeness.

  5. 77 FR 58510 - Proposed Information Collection; Comment Request; Current Population Survey (CPS), Annual Social...

    Science.gov (United States)

    2012-09-21

    ... Survey (CPS), Annual Social and Economic Supplement (ASEC) AGENCY: U.S. Census Bureau, Commerce. ACTION... Annual Social and Economic Supplement (ASEC) to be conducted in conjunction with the February, March, and... casual attachment to the labor market. The income data from the ASEC are used by social...

  6. The TRacking Adolescents' Individual Lives Survey (TRAILS) : Design, Current Status, and Selected Findings

    NARCIS (Netherlands)

    Ormel, Johan; Oldehinkel, Albertine J; Sijtsema, Jelle; van Oort, Floor; Raven, Dennis; Veenstra, Rene; Vollebergh, Wilma A M; Verhulst, Frank C

    2012-01-01

    Objectives: The objectives of this study were as follows: to present a concise overview of the sample, outcomes, determinants, non-response and attrition of the ongoing TRacking Adolescents' Individual Lives Survey (TRAILS), which started in 2001; to summarize a selection of recent findings on conti

  7. Current Dermatologic Care in Dutch Nursing Homes and Possible Improvements: A Nationwide Survey

    NARCIS (Netherlands)

    Lubeek, S.F.; Geer, E.R. van der; Gelder, M.M. van; Koopmans, R.T.; Kerkhof, P.C. van de; Gerritsen, M.J.

    2015-01-01

    OBJECTIVES: To assess the provision and need of dermatologic care among Dutch nursing home patients and to obtain recommendations for improvement. DESIGN: Cross-sectional nationwide survey. SETTING: All 173 nursing home organizations in the Netherlands. PARTICIPANTS: Physicians working in nursing

  8. The TRacking Adolescents' Individual Lives Survey (TRAILS) : Design, Current Status, and Selected Findings

    NARCIS (Netherlands)

    Ormel, Johan; Oldehinkel, Albertine J; Sijtsema, Jelle; van Oort, Floor; Raven, Dennis; Veenstra, Rene; Vollebergh, Wilma A M; Verhulst, Frank C

    2012-01-01

    Objectives: The objectives of this study were as follows: to present a concise overview of the sample, outcomes, determinants, non-response and attrition of the ongoing TRacking Adolescents' Individual Lives Survey (TRAILS), which started in 2001; to summarize a selection of recent findings on

  9. Spectroscopic Confusion: Its Impact on Current and Future Extragalactic HI Surveys

    CERN Document Server

    Jones, Michael G; Haynes, Martha P; Giovanelli, Riccardo

    2015-01-01

    We present a comprehensive model to predict the rate of spectroscopic confusion in HI surveys, and demonstrate good agreement with the observable confusion in existing surveys. Generically the action of confusion on the HI mass function was found to be a suppression of the number count of sources below the `knee', and an enhancement above it. This results in a bias, whereby the `knee' mass is increased and the faint end slope is steepened. For ALFALFA and HIPASS we find that the maximum impact this bias can have on the Schechter fit parameters is similar in magnitude to the published random errors. On the other hand, the impact of confusion on the HI mass functions of upcoming medium depth interferometric surveys, will be below the level of the random errors. In addition, we find that previous estimates of the number of detections for upcoming surveys with SKA-precursor telescopes may have been too optimistic, as the framework implemented here results in number counts between 60% and 75% of those previously p...

  10. Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries

    DEFF Research Database (Denmark)

    Lassen, K; Hannemann, P; Ljungqvist, O;

    2005-01-01

    no bowel preparation, epidural anaesthesia/analgesia continued for one to two days postoperatively, no nasogastric decompression tube postoperatively, intravenous fluid/saline restriction, and free oral intake from postoperative day one. 1 - 5 This survey aimed to characterise perioperative practice...

  11. The TRacking Adolescents' Individual Lives Survey (TRAILS) : Design, Current Status, and Selected Findings

    NARCIS (Netherlands)

    Ormel, Johan; Oldehinkel, Albertine J; Sijtsema, Jelle; van Oort, Floor; Raven, Dennis; Veenstra, Rene; Vollebergh, Wilma A M; Verhulst, Frank C

    2012-01-01

    Objectives: The objectives of this study were as follows: to present a concise overview of the sample, outcomes, determinants, non-response and attrition of the ongoing TRacking Adolescents' Individual Lives Survey (TRAILS), which started in 2001; to summarize a selection of recent findings on conti

  12. Outpatient Art Therapy with Multiple Personality Disorder: A Survey of Current Practice.

    Science.gov (United States)

    Mills, Anne

    1995-01-01

    Reports findings of a 1993 questionnaire completed by 46 North American art therapists that focuses on the outpatient treatment of multiple personality disorder. Includes information on role in diagnosing, fees and third-party payment, and therapeutic activities. Treatment issues include pacing and containment, and managing the client's chronic…

  13. Outpatient Art Therapy with Multiple Personality Disorder: A Survey of Current Practice.

    Science.gov (United States)

    Mills, Anne

    1995-01-01

    Reports findings of a 1993 questionnaire completed by 46 North American art therapists that focuses on the outpatient treatment of multiple personality disorder. Includes information on role in diagnosing, fees and third-party payment, and therapeutic activities. Treatment issues include pacing and containment, and managing the client's chronic…

  14. Domestic violence perpetrator programs in Europe, Part I: A survey of current practice.

    Science.gov (United States)

    Hamilton, Leah; Koehler, Johann A; Lösel, Friedrich A

    2013-10-01

    Most research on domestic violence perpetrator programs has been carried out in North America. It does not yet provide a clear picture on what works with these offenders and cannot be generalized to other cultural and legal systems. Therefore, in Part I of this article, we present the results of a survey of 54 programs that were in place in 19 European countries that addressed the programs' practice and effects. The survey captured data about program design, delivery, administration, infrastructure, and other features. Most programs applied cognitive-behavioral, profeminist, or psychodynamic treatment, or a combination of multiple treatment types. There was a wide disparity in approaches to handling domestic violence perpetrators, and a particular dearth of high-quality evaluation throughout the continent. Possible explanations for this disparity and avenues for improvement are discussed, related to a systematic review of European outcome evaluations (Part II).

  15. Acellular Dermal Matrix in Reconstructive Breast Surgery: Survey of Current Practice among Plastic Surgeons

    Directory of Open Access Journals (Sweden)

    Ahmed M. S. Ibrahim, MD

    2015-04-01

    Conclusions: Plastic surgeons currently use ADM in breast reconstruction for both immediate and staged procedures. Of those responding, a majority of plastic surgeons will incorporate drains and use postoperative antibiotics for more than 48 hours.

  16. The U.S. Navy Littoral Combat Ship: Current Issues and How to Employ It in the Future

    Science.gov (United States)

    2012-03-07

    SH-60R or SH-60S helicopter’s BRU-14 bomb rack . There are two issues with mine sweeping aircraft: If the helicopter has an emergency and has to...bunks and personal stowage .62 In a February 15, 2012 Washington Post article, Secretary of the Navy Ray Maybus was reported as saying that four LCS

  17. Issues concerning Migrant Workers’ Participation in the New Rural Cooperative Medical System and Countermeasures——Based on the Survey in Wenjiang District and Jintang County, Chengdu City

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    We conduct questionnaire survey of migrant workers in Wenjiang District and Jintang County of Chengdu City,respectively,using the method of key-point investigation and the sampling survey. We describe the status quo of the sample migrant workers’ participation in the New Rural Cooperative Medical System,analyze the issues concerning migrant workers’ participation in the New Rural Cooperative Medical System,and put forward the countermeasures and recommendations as follows: using many types of medical insurance; establishing universal reimbursement points in strange land and premium-paying system for migrant workers; making the proportion of reimbursement open and transparent; establishing and improving medicare security system for migrant workers.

  18. The WiFeS S7 AGN survey: Current status and recent results on NGC 6300

    CERN Document Server

    Scharwächter, J; Shastri, P; Davies, R; Kewley, L; Hampton, E; Sutherland, R; Kharb, P; Jose, J; Bhatt, H; Ramya, S; Jin, C; Banfield, J; Zaw, I; Juneau, S; James, B; Srivastava, S

    2015-01-01

    The Siding Spring Southern Seyfert Spectroscopic Snapshot Survey (S7) is a targeted survey probing the narrow-line regions (NLRs) of a representative sample of ~140 nearby (z<0.02) Seyfert galaxies by means of optical integral field spectroscopy. The survey is based on a homogeneous data set observed using the Wide Field Spectrograph WiFeS. The data provide a 25x38 arcsec$^2$ field-of-view around the galaxy centre at typically ~1.5 arcsec spatial resolution and cover a wavelength range between ~3400 - 7100 $\\AA$ at spectral resolutions of ~100 km s$^{-1}$ and ~50 km s$^{-1}$ in the blue and red parts, respectively. The survey is primarily designed to study gas excitation and star formation around AGN, with a special focus on the shape of the AGN ionising continuum, the interaction between radio jets and the NLR gas, and the nature of nuclear LINER emission. We provide an overview of the current status of S7-based results and present new results for NGC 6300.

  19. A survey of the current use of neuromuscular blocking drugs among the Middle Eastern anesthesiologists

    Directory of Open Access Journals (Sweden)

    Abdelazeem Eldawlatly

    2013-01-01

    Full Text Available Background: This survey aimed to assess the extent of practice of the Middle Eastern anesthesiologists in the use of neuromuscular blocking agents (NMB in 2012. Methods: We distributed an electronic survey among 577 members of the Triple-M Middle Eastern Yahoo anesthesia group, enquiring about their practice in the use of neuromuscular blocking agents. Questions concerned the routine "first choice" use of NMB, choice for tracheal intubation, the use of neuromuscular monitoring (NMT, type of NMB used in difficult airway, frequency of using suxamethonium, cisatracurium, rocuronium and sugammadex, observed side effects of rocuronium, residual curarization, and the reversal of residual curarization of rocuronium. Results: A total of 71 responses from 22 Middle Eastern institutions were collected. Most of the Middle Eastern anesthesiologists were using cisatracurium and rocuronium frequently for tracheal intubation (39% and 35%, respectively. From the respondents, 2/3 were using suxamethonium for tracheal intubation in difficult airway, 1/3 were using rocuronium routinely and 17% have observed hypersensitivity reactions to rocuronium, 54% reported residual curarization from rocuronium, 78% were routinely using neostigmine to reverse the rocuronium, 21% used sugammadex occasionally, and 35% were using NMT routinely during the use of NMB. Conclusions: We believe that more could be done to increase the awareness of the Middle Eastern anesthesiologists about the high incidence of PROC (>20% and the need for routine monitoring of neuromuscular function. This could be accomplished with by developing formal training programs and providing official guidelines.

  20. [Survey of current conditions regarding awareness of the nutritional role of supplements for pharmacy students].

    Science.gov (United States)

    Shimizu, Rumiko; Sakamoto, Youko; Nishizawa, Tomoko; Iguchi, Shin; Yamaoka, Yumiko

    2007-09-01

    Various nutritional supplements have become available in recent years. However, health problems resulting from the misuse of these supplements are on the rise, and have been attributed to a lack of knowledge among consumers. In addition, a survey of university students revealed that approximately 20% of students erroneously considered nutritionally balanced supplements as substitutes for meals. Given this background, we conducted a questionnaire survey of first- and fourth-year students at the Faculty of Pharmaceutical Sciences at Kobe Gakuin University with the objective of elucidating factors such as the awareness of supplements among pharmacy students and whether these students had a superior understanding of supplements compared to the general student population. Awareness of supplements among students was determined in terms of the degrees of emphasis on meals and supplements in nutritional intake. The proportion of students who essentially believed that "nutritionally balanced supplements can be used as substitutes for meals" did not significantly differ between pharmacy students and the general student population. In addition, only 30% of students had an accurate understanding of supplements. Following graduation, pharmacy students may become pharmacists and thus be responsible for providing directions regarding usage of supplements. These findings suggest that in order to nurture professional pharmacists, it is necessary to first implement practical nutrition education and consumer education to promote healthier dietary habits among the students themselves.

  1. [Current status of non-invasive ventilation in German ICU's -- a postal survey].

    Science.gov (United States)

    Kumle, B; Haisch, G; Suttner, S W; Piper, S N; Maleck, W; Boldt, J

    2003-01-01

    The status of non-invasive ventilation (NIV) in intensive care units (ICU) in Germany was analysed by a national survey. Questionnaires consisting of multiple-choice and short-answer questions were sent to ICUs of university hospitals, hospitals with >1000 beds, with 500 - 1000 beds, and hospitals with pneumonia (64 %), pulmonary oedema (50 %), bronchial asthma (35 %) and ALI/ARDS (22 %). The use of NIV was considered when clinical signs of ventilation (93 %) and oxygenation [arterial blood gas analysis (92 %) and oxygen saturation (66 %)] were inadequate. Complications observed during NIV were panic reaction (83 %), ulceration of nose (38 %) and aspiration (14 %). The reasons to reject NIV were (total 13 %): lack of ventilators (64 %), expenditure of personnel (57 %) and risk of the procedure (11 %). 38 % of the ventilators used were older than 5 years. 56 % of the ICUs were content with the equipment for NIV. 76 % of the ICUs were interested to buy new equipment of NIV. 99 % of the survey have declined NIV as an alternative method of ventilation. In summary we found NIV as an accepted additional method of ventilatory support in respiratory failure in German ICUs. We found no significant increase in frequency of NIV in the last three years.

  2. Assessment of surgical competence in North American graduate periodontics programs: a survey of current practices.

    Science.gov (United States)

    Ghiabi, Edmond; Taylor, K Lynn

    2010-08-01

    This cross-sectional study was designed to document the methods utilized by North American graduate periodontics programs in assessing their residents' surgical skills. A survey of clinical skills assessment was mailed to directors of all fifty-eight graduate periodontics programs in Canada and the United States. Thirty-four programs (59 percent) responded. The data collected were analyzed using SPSS version 15.0. The results demonstrate that the most common practice for providing feedback and documenting residents' surgical skills in the programs surveyed was daily one-on-one verbal feedback given by an instructor. The next two most commonly reported methods were a standard checklist developed at program level and a combination of a checklist and verbal comments. The majority of the programs reported that the instructors met collectively once per term to evaluate the residents' progress. The results suggest that graduate periodontics programs provide their residents frequent opportunities for daily practice with verbal feedback from instructors. However, assessment strategies identified in other health professions as beneficial in fostering the integration of clinical skills practices are not employed.

  3. Neuroimaging training among neuropsychologists: a survey of the state of current training and recommendations for trainees.

    Science.gov (United States)

    Benitez, Andreana; Hassenstab, Jason; Bangen, Katherine J

    2014-01-01

    Neuroimaging has gained widespread use in neuropsychological research and practice. However, there are neither established guidelines on how neuropsychologists might become competent researchers or consumers of neuroimaging data, nor any published studies describing the state of neuroimaging training among neuropsychologists. We report the results of two online surveys, one of 13 expert neuropsychologist-neuroimagers whose responses informed the formulation of a second, larger survey to neuropsychologists-at-large that were a random selection of a third of the members of the International Neuropsychological Society and American Academy of Clinical Neuropsychology. A total of 237 doctoral-level neuropsychologists, or 15.3% of potential participants, provided complete responses. Most respondents (69.2%) received training in neuroimaging, mostly at the post-doctoral level, largely through independent study, clinical conferences, instruction by clinical supervisors, and individualized mentoring, on topics such as neuroimaging modalities in neurology, neuroanatomy, and the appropriate information to glean from neuroradiology reports. Of the remaining respondents who did not receive training in neuroimaging, 64.4% indicated that such training would be very or extremely beneficial to one's career as a neuropsychologist. Both neuropsychologist-neuroimagers and neuropsychologists-at-large provided specific recommendations for training. Findings from this initial effort will guide trainees who seek to develop competence in neuroimaging, and inform future formulations of neuropsychological training.

  4. Field issues for the plan and operation of the laboratory component of the Third National Health and Nutrition Examination Survey.

    Science.gov (United States)

    McQuillan, G M; Gunter, E W; Lannom, L

    1990-11-01

    The design of the laboratory component of a mobile examination survey such as the National Health and Nutrition Examination Survey requires that the physical limitation of the mobile examination center be balanced against the requirements of the laboratory analyses needed to fulfill the goals of the survey. In order to include an analysis in the survey, the scientific merit of the laboratory test must be established and a consensus must be reached on the appropriateness of the technology for the six years of the survey. The public health importance of the analysis and the subsequent results are also evaluated before inclusion into the laboratory protocol. Finally, the feasibility of incorporating the analysis into the protocol is reviewed. The laboratory component of NHANES III is discussed, addressing these points with descriptions of the reasons for inclusion and exclusion of key analytes.

  5. Engineering change management report 2012: Survey results on causes and effects, current practice, problems, and strategies in Brazil

    DEFF Research Database (Denmark)

    Chucholowski, Nepomuk; Langer, Stefan; Ferreira, Marcelo Gitirana Gomes

    management of engineering changes is a crucial precondition for Brazilian companies to successfully compete not only on the fast growing Brazilian market, but also on the world market which becomes more interesting due to the rising industrial power of Brazil. To achieve improvements in engineering change...... management practice, industry and universities need to work together. In this report the main findings of our study on Engineering Change Management (ECM) in Brazilian companies are presented, which indicate possible solution strategies and further research needs. Our survey aimed on the investigation...... of current practice, the biggest challenges and potential strategies of engineering change management. A total of 55 Brazilian companies from a broad range of industry sectors and company sizes participated from December 2011 until January 2012 in the survey which was elaborated and conducted by members...

  6. Surveys of current status in biomedical science grant review: funding organisations' and grant reviewers' perspectives

    DEFF Research Database (Denmark)

    Schroter, Sara; Groves, Trish; Højgaard, Liselotte

    2010-01-01

    The objectives of this research were (a) to describe the current status of grant review for biomedical projects and programmes from the perspectives of international funding organisations and grant reviewers, and (b) to explore funders' interest in developing uniform requirements for grant review...... aimed at making the processes and practices of grant review more consistent, transparent, and user friendly....

  7. Current Evaluation of Upper Oesophageal Sphincter Opening in Dysphagia Practice: An International SLT Survey

    Science.gov (United States)

    Regan, Julie; Walshe, Margaret; McMahon, Barry P.

    2012-01-01

    Background: The assessment of adequate upper oesophageal sphincter (UOS) opening during swallowing is an integral component of dysphagia evaluation. Aims: To ascertain speech and language therapists' (SLTs) satisfaction with current methods for assessing UOS function in people with dysphagia and to identify challenges encountered by SLTs with UOS…

  8. Experimental Results on Current-Driven Turbulence in Plasmas - a Survey

    NARCIS (Netherlands)

    Dekluiver, H.; Perepelkin, N. F.; Hirose, A.

    1991-01-01

    The experimental consequences of plasma turbulence driven by a current parallel to a magnetic field and concurrent anomalous plasma heating are reviewed, with an attempt to deduce universalities in key parameters such as the anomalous electrical conductivities observed in diverse devices. It has

  9. Surveys of current status in biomedical science grant review: funding organisations' and grant reviewers' perspectives

    DEFF Research Database (Denmark)

    Schroter, Sara; Groves, Trish; Højgaard, Liselotte

    2010-01-01

    The objectives of this research were (a) to describe the current status of grant review for biomedical projects and programmes from the perspectives of international funding organisations and grant reviewers, and (b) to explore funders' interest in developing uniform requirements for grant review...

  10. [Adolescents ask physicians on the Internet: a one-year survey of adolescents' questions on health issues in an Internet forum].

    Science.gov (United States)

    Hardoff, Daniel; Friedman, Rina; Pilo, Nurit; Friedman, Fernando; Greilsammer, Daniel; Rigler, Shmuel

    2012-06-01

    During the past decade, the internet has become a major information resource in various domains of life and a communication venue among young people and adolescents who seek health information via the internet. Until now, the contents of Israeli adolescents' questions regarding health issues on internet sites have not been published. (1) A survey of the characteristics of adolescents who seek health information and their questions presented to the Ynet forum "The body during adolescence". In this forum physicians experienced in adolescent medicine respond to these questions and to comments of other forum participants. (2) Presentation of problematic issues in professionals' responses to health questions in the internet. Survey of a representative sample of contacts to the Ynet forum "The body during adolescence" during 2009 gathering information on gender and age of contacting person, parents' contacts, contacts' contents and physicians responses. A total of 412 contacts were surveyed, 210 (51%) females, aged 14-17 years--60%, 10-13 years--17% and 18-21 years 15%. Parents' questions appeared in 39 (9%) of contacts. Of all contacts, 44% related to sexuality issues and 17% related to self image and body composition. The physicians provided complete responses to 60% of the contacts, while in 40% the physician's responses included referral to clinical medical consultation. An internet health forum enables adolescents and parents to ask questions and raise doubts and anxieties regarding various health issues without the fear of being exposed and enables them to express their concerns face-to-face with a healthcare provider Sensitive issues regarding sexuality and self-image, which are not raised frequently during clinical encounters, are expressed and receive professional responses in the forum. Notwithstanding the significance of a rapid professional contribution, physicians responding to contacts in internet forums need to recognize the barrier related to professional

  11. PREFACE: 5th International Workshop DICE2010: Space-Time-Matter - Current Issues in Quantum Mechanics and Beyond

    Science.gov (United States)

    Diósi, Lajos; Elze, Hans-Thomas; Fronzoni, Leone; Halliwell, Jonathan; Prati, Enrico; Vitiello, Giuseppe; Yearsley, James

    2011-07-01

    These proceedings present the Invited Lectures and Contributed Papers of the Fifth International Workshop on Decoherence, Information, Complexity and Entropy - DICE 2010, held at Castello Pasquini, Castiglioncello (Tuscany), 13-17 September 2010. These proceedings are intended to document the stimulating exchange of ideas at this conference for both the interested public and the wider scientific community, as well as for the participants. The number of participants attending this series of meetings has been growing steadily, which reflects its increasing attraction. Our intention to bring together leading researchers, advanced students, and renowned scholars from various areas in order to stimulate new ideas and their exchange across the borders of specialization seems to bear fruit. In this way, the series of meetings has continued successfully from the beginning with DICE 2002 [1], followed by DICE 2004 [2], DICE 2006 [3], and DICE 2008 [4], uniting more than 100 participants representing almost 30 countries worldwide. It has been a great honour and inspiration to have Professor Luc Montagnier (Nobel Prize for Medicine 2008) from the World Foundation for AIDS Research and Prevention with us, who presented the lecture DNA waves and water (included in this volume). The discussions took place under the wider theme Space-Time-Matter - current issues in quantum mechanics and beyond in the very pleasant and inspiring atmosphere of Castello Pasquini, which - with its beautiful surroundings, overlooking the Tuscany coast - hosted the conference very successfully for the second time. The five-day program was grouped according to the following topics: Gravity and Quantum Mechanics Quantum Coherent Processes in Biology / Many-Body Systems From Quantum Foundations to Particle Physics The Deep Structure of Spacetime Quantum - Relativity - Cosmology A Public Roundtable Discussion formed an integral part of the program under the theme Sull' Onda Della Coerenza" - le nuove

  12. Current practices in the management of malignant pleural effusions: a survey among members of the European Society of Thoracic Surgeons.

    Science.gov (United States)

    Scarci, Marco; Caruana, Edward; Bertolaccini, Luca; Bedetti, Benedetta; Brunelli, Alessandro; Varela, Gonzalo; Papagiannopoulos, Kostas; Kuzdzal, Jaroslaw; Massard, Gilbert; Ruffini, Enrico; Falcoz, Pierre Emmanuel; Opitz, Isabelle; Batirel, Hasan; Toker, Alper; Rocco, Gaetano

    2017-03-01

    Malignant pleural effusion (MPE) commonly complicates advanced malignancy and their exact management is still undefined. We undertook a survey to determine the current practice among members of the European Society of Thoracic Surgeons (ESTS). A cross-sectional survey focused on the current practice of management of MPE was developed by the authors. The questions were outlined after a review of the literature and circulated in an Internet-based survey format. Computed tomography (125, 92%) and chest X-ray (106, 78%) are the most common imaging modalities performed in the initial evaluation. Video-assisted thoracoscopic surgery for washout and pleurodesis (93, 68%) was reported as the preferred approach to patients with uncomplicated MPE. Sixty-one (45%) of the responding colleagues routinely use large bore chest tubes for draining malignant effusions. Forty-nine (35%) surgeons would not apply suction to the drainage system, whilst 50 (37%) would use -2 kPa or less. Talc (124, 91%) is the most commonly used sclerosing agent for pleurodesis in the context of malignant pleural effusion. The practice of 76 (56%) of the respondents is not informed by any clinical guidelines, whilst 60 (44%) reported adhering to the 2010 British Thoracic Society Pleural Disease Guideline. Seventy-one (52%) declared that the guidance was in need of updating or revision. This survey demonstrates the lacking adoption of the existing clinical guidance in this field, as well as the need for more contemporary guidelines for a better-informed practice. The ESTS Working Group on the management of MPE has been established for this purpose.

  13. European Communication Monitor: Current developments, issues and tendencies of the professional practice of public relations in Europe

    NARCIS (Netherlands)

    Moreno, A.; Zerfass, A.; Tench, R.; Verčič, D.; Verhoeven, P.

    2009-01-01

    The European Communication Monitor (ECM) research explores the current developments for communications disciplines, practices and instruments. It is an extensive research project to monitor trends in communication management, analyse the changing framework for the profession driven by European integ

  14. An evaluation of current Arapaho National Wildlife Refuge monitoring programs in regards to sample sizes and other monitoring issues

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is an evaluation of data produced by current monitoring programs at Arapahoe National Wildlife Refuge. For all of these programs there is an interest...

  15. European Communication Monitor: Current developments, issues and tendencies of the professional practice of public relations in Europe

    NARCIS (Netherlands)

    Moreno, A.; Zerfass, A.; Tench, R.; Verčič, D.; Verhoeven, P.

    2009-01-01

    The European Communication Monitor (ECM) research explores the current developments for communications disciplines, practices and instruments. It is an extensive research project to monitor trends in communication management, analyse the changing framework for the profession driven by European

  16. A Survey of Channel Measurements and Models for Current and Future Railway Communication Systems

    Directory of Open Access Journals (Sweden)

    Paul Unterhuber

    2016-01-01

    Full Text Available Modern society demands cheap, more efficient, and safer public transport. These enhancements, especially an increase in efficiency and safety, are accompanied by huge amounts of data traffic that need to be handled by wireless communication systems. Hence, wireless communications inside and outside trains are key technologies to achieve these efficiency and safety goals for railway operators in a cost-efficient manner. This paper briefly describes nowadays used wireless technologies in the railway domain and points out possible directions for future wireless systems. Channel measurements and models for wireless propagation are surveyed and their suitability in railway environments is investigated. Identified gaps are pointed out and solutions to fill those gaps for wireless communication links in railway environments are proposed.

  17. Inference from the small scales of cosmic shear with current and future Dark Energy Survey data

    CERN Document Server

    MacCrann, N; Amara, A; Bridle, S L; Bruderer, C; Chang, C; Dodelson, S; Eifler, T F; Huff, E M; Huterer, D; Kacprzak, T; Refregier, A; Suchyta, E; Wechsler, R H; Zuntz, J; Abbott, T M C; Allam, S; Annis, J; Armstrong, R; Benoit-Lévy, A; Brooks, D; Burke, D L; Rosell, A Carnero; Kind, M Carrasco; Carretero, J; Castander, F J; Crocce, M; Cunha, C E; da Costa, L N; Desai, S; Diehl, H T; Dietrich, J P; Doel, P; Evrard, A E; Flaugher, B; Fosalba, P; Gerdes, D W; Goldstein, D A; Gruen, D; Gruendl, R A; Gutierrez, G; Honscheid, K; James, D J; Jarvis, M; Krause, E; Kuehn, K; Kuropatkin, N; Lima, M; Marshall, J L; Melchior, P; Menanteau, F; Miquel, R; Plazas, A A; Romer, A K; Rykoff, E S; Sanchez, E; Scarpine, V; Sevilla-Noarbe, I; Sheldon, E; Soares-Santos, M; Swanson, M E C; Tarle, G; Thomas, D; Vikram, V

    2016-01-01

    Cosmic shear is sensitive to fluctuations in the cosmological matter density field, including on small physical scales, where matter clustering is affected by baryonic physics in galaxies and galaxy clusters, such as star formation, supernovae feedback and AGN feedback. While muddying any cosmological information that is contained in small scale cosmic shear measurements, this does mean that cosmic shear has the potential to constrain baryonic physics and galaxy formation. We perform an analysis of the Dark Energy Survey (DES) Science Verification (SV) cosmic shear measurements, now extended to smaller scales, and using the Mead et al. 2015 halo model to account for baryonic feedback. While the SV data has limited statistical power, we demonstrate using a simulated likelihood analysis that the final DES data will have the statistical power to differentiate among baryonic feedback scenarios. We also explore some of the difficulties in interpreting the small scales in cosmic shear measurements, presenting estim...

  18. Physiotherapy management of patients undergoing thoracotomy procedure: A survey of current practice in Gauteng

    Directory of Open Access Journals (Sweden)

    Liezel Schwellnus

    2017-02-01

    Full Text Available Background: Physiotherapy is included in the management of patients undergoing thoracic surgery. The aim of this study was to describe physiotherapy practice in the management of patients who undergo an open thoracotomy.Methods: A cross-sectional study using convenience sampling was undertaken. An electronic self-administered questionnaire was distributed via SurveyMonkey to 1389 physiotherapists registered with the South African Society of Physiotherapy in Gauteng. The data collection period was August and September 2014 and data were analysed descriptively.Results: A total of 323 physiotherapists (23.3% responded to the survey and 141 (10.2% indicated that they treated patients with open thoracotomies. Preoperative treatment was done by 65 (41.6% and consisted of teaching supported coughing (92.3%; n = 60, sustained maximal inspiration (70.8%; n = 46 and the active cycle of breathing technique (69.2%; n = 45. One hundred and sixteen (82.3% respondents treated patients during their hospital stay. Deep breathing exercises (97.6%; n = 83, coughing (95.3%; n = 81, early mobilisation (95.3%; n = 81, upper limb mobility exercises (91.8%; n = 78, chest wall vibrations (88.2%; n = 75 and trunk mobility exercises (85.9%; n = 73 were done frequently. Pain management modalities were less common, for example transcutaneous electrical nerve stimulation (12.9%; n = 11. Post hospital physiotherapy management was uncommon (32.6%; n = 46.Conclusion: Physiotherapy related to early mobilisation in hospital is in line with evidence-based practice, but further education is needed regarding the need for physiotherapy post hospital discharge and pain management.

  19. Management of third stage labour following vaginal birth in Iran: a survey of current policies.

    Science.gov (United States)

    Afshari, Poorandokht; Medforth, Janet; Aarabi, Mohsen; Abedi, Parvin; Soltani, Hora

    2014-01-01

    this study was aimed to provide information on policies for the practice of managing the third stage of labour in Iran, including discussion of related systematic evidence. this survey used a standard questionnaire to obtain information about prevention and early treatment of postpartum haemorrhage from all geographical areas in Iran, in 2010. the survey included maternity units from 23 provinces, covering 129 out of a total of 560 maternity units in Iran. at least one public hospital, one private hospital and one rural birth facility unit were included from each province. Questionnaires were completed by the unit's senior midwife with support from the unit's lead obstetrician. all the units who were approached responded to the study including 69 public hospitals, 32 private hospitals and 28 rural birth facility units. The rate of active management of the third stage of labour was 57 per cent, although answers to individual components of management indicated a higher rate for active interventions than expectant management. Ninety-four per cent of the responding centres indicated oxytocin administration, 71 per cent apply early cord clamping and 65 per cent apply controlled cord traction. A lack of standard definition for postpartum haemorrhage was reported in 18 per cent of units. a high rate of active management was reported in Iran with variation in its different components which is in line with the international findings. These policies were mainly congruent with the existing systematic evidence except for timing of cord clamping. there is a need for improvement in locally sensitive policy development, continuing education, establishing accurate auditing systems and ensuring access to facilities such as blood banks and products in rural units. Efforts to reduce maternal mortality and morbidity and investigations into their causes should be extended to factors beyond the third stage of labour care clinical components. Crown Copyright © 2013. Published by

  20. Gynaecological cancer follow-up: national survey of current practice in the UK.

    Science.gov (United States)

    Leeson, Simon; Stuart, Nick; Sylvestre, Yvonne; Hall, Liz; Whitaker, Rhiannon

    2013-01-01

    To establish a baseline of national practice for follow-up after treatment for gynaecological cancer. Questionnaire survey. Gynaecological cancer centres and units. Members of the British Gynaecological Cancer Society and the National Forum of Gynaecological Oncology Nurses. A questionnaire survey. To determine schedules of follow-up, who provides it and what routine testing is used for patients who have had previous gynaecological cancer. A total of 117 responses were obtained; 115 (98%) reported hospital scheduled regular follow-up appointments. Two involved general practitioners. Follow-up was augmented or replaced by telephone follow-up in 29 responses (25%) and patient-initiated appointments in 38 responses (32%). A total of 80 (68%) cancer specialists also offered combined follow-up clinics with other specialties. Clinical examinations for hospital-based follow-up were mainly performed by doctors (67% for scheduled regular appointments and 63% for patient-initiated appointments) while telephone follow-up was provided in the majority by nurses (76%). Most respondents (76/117 (65%)) provided routine tests, of which 66/76 (87%) reported carrying out surveillance tests for ovarian cancer, 35/76 (46%) for cervical cancer, 8/76 (11%) for vulval cancer and 7/76 (9%) for endometrial cancer. Patients were usually discharged after 5 years (82/117 (70%)), whereas three (3%) were discharged after 4 years, nine (8%) after three years and one (1%) after 2 years. Practice varied but most used a standard hospital-based protocol of appointments for 5 years and routine tests were performed usually for women with ovarian cancer. A minority utilised nurse-led or telephone follow-up. General practitioners were rarely involved in routine care. A randomised study comparing various models of follow-up could be considered.