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Sample records for definition cppd study

  1. Calcification in calcium pyrophosphate dihydrate (CPPD) crystalline deposits in the knee: anatomic, radiographic, MR imaging, and histologic study in cadavers

    Energy Technology Data Exchange (ETDEWEB)

    Abreu, M.; Chung, C.B.; Lima, J.E. de; Trudell, D. [Department of Musculoskeletal Radiology, University of California, San Diego, VA San Diego Healthcare System, 3350 La Jolla Village Drive, CA 92162, San Diego (United States); Johnson, K.; Terkeltaub, R.; Resnick, D. [Department of Rheumatology, University of California, San Diego, VA San Diego Healthcare System, 3350 La Jolla Village Drive, CA 92162, San Diego (United States); Pe, S. [University of California, San Diego, VA San Diego Healthcare System, 3350 La Jolla Village Drive, CA 92162, San Diego (United States)

    2004-07-01

    To demonstrate and determine the frequency and location of calcification within cadaveric knees with or without calcification typical of calcium pyrophosphate dihydrate (CPPD), utilizing histologic, radiographic and MR imaging techniques. Ten cadaveric knees of elderly individuals that demonstrated no radiographic evidence of prior surgery or trauma were studied with MR imaging and subsequently sectioned in planes corresponding to those obtained with MR imaging. The slices were imaged with high-resolution radiography. Two musculoskeletal radiologists correlated the anatomic, MR and radiographic findings. Three of the knees, which did not demonstrate calcifications, were utilized as controls. Histologic sections were obtained from four knees that contained calcifications and from the three controls, and analyzed with special histologic stains that demonstrate phosphorus and calcium. Radiographic imaging and histologic analysis demonstrated widespread CPPD crystal deposition in four of the 10 knee specimens (40%). MR imaging demonstrated some calcifications only within the articular cartilage of the femoral condyles in three of the four (75%) specimens that had CPPD deposits. In all four specimens radiographs and histologic analysis were more sensitive than MR imaging. Histologic analysis demonstrated no evidence of CPPD crystals in the control specimens. MR imaging is insensitive to the presence of CPPD deposits in the knee, even when such deposits are widespread. Our study suggests that the sensitivity of MR imaging was significantly better in detecting CPPD deposits in the hyaline cartilage of the femoral condyles when compared with other internal structures, even when such structures contained a higher amount of calcification. (orig.)

  2. Microstructural characterization of CPPD and hydroxyapatite crystal depositions on human menisci

    Energy Technology Data Exchange (ETDEWEB)

    Katsamenis, Orestis L. [Bioengineering Research Group, University of Southampton, Southampton, SO17 1BJ (United Kingdom); Department of Materials Science, University of Patras, 26504 Rio, Patras (Greece); Karoutsos, Vagelis [Department of Materials Science, University of Patras, 26504 Rio, Patras (Greece); Kontostanos, Konstantinos; Panagiotopoulos, Elias C. [Department of Orthopaedics, School of Medicine, University of Patras, 26500 Rio, Patras (Greece); Papadaki, Helen [Department of Anatomy-Histology-Embryology, School of Medicine, University of Patras, 26500 Rio, Patras (Greece); Bouropoulos, Nikolaos [Department of Materials Science, University of Patras, 26504 Rio, Patras (Greece); Foundation for Research and Technology, Hellas-Institute of Chemical Engineering and High Temperature Chemical Processes - FORTH/ICE-HT, P.O. Box 1414, GR-26504 Patras (Greece)

    2012-11-15

    Meniscus is a fibrocartilaginous tissue composed mainly of water and a dense elaborate collagen network with a predominantly circumferential alignment. Crystal formation and accumulation on meniscal tissue is frequently observed especially in elderly. In this study, we used X-ray diffraction (XRD), FTIR and FT-Raman for the structural identification of the depositions and Optical microscopy, Scanning Electron microscopy (SEM/EDX) and Atomic Force microscopy (AFM), in order to investigate the structural relationship between the crystal deposits and the collagen fibers of human meniscal tissues. We are reporting on the formation of intercalary ''colonies'' of Calcium Pyrophosphate Dihydrate (CPPD) crystals with two distinct morphologies corresponding to the monoclinic and the triclinic phase, as well as the formation of micro-aggregations composed of nano-crystalline HAP aggregations which are developed along the longitudinal axis of collagen fibers without extensively disturbing the collagens arrangement. (Copyright copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  3. Calcium pyrophosphate dihydrate deposition disease (CPPD/Pseudogout of the temporomandibular joint - FNA findings and microanalysis.

    Directory of Open Access Journals (Sweden)

    Naqvi Asghar

    2008-01-01

    Full Text Available We report a case of a Calcium pyrophosphate dihydrate deposition disease (CPPD presenting as a mass in the parotid and temporomandibular joint (TMJ that simulated a parotid tumor. A 35 year-old man presented with pain in the left ear area. A CT Scan of the area showed a large, calcified mass surrounding the left condylar head, and extending into the infratemporal fossa. FNA of the mass showed birefringent crystals, most of which were rhomboid with occasional ones being needle shaped, embedded in an amorphous pink substance. Scanning electron microscopy (SEM with energy dispersive x-ray spectroscopy (EDS of these crystals showed peaks corresponding to calcium and phosphorus. SEM/EDS is a rapid method of diagnosing calcium pyrophosphate dihydrate deposition disease (CPPD and an alternative to more commonly used method of special staining of cell block sections coupled with polarizing microscopy.

  4. Definition Study PHARUS

    Science.gov (United States)

    1991-11-01

    definitie studie zijn gebruikt in het voorontwerp van het PHARUS systeem . TNO report STUDelft Page 6 ABSTRACT 3 SAMENVAlTING 4 CONTENTS 6 1 INTRODUCTION 9...University of Technology, Laboratory for Telecommunication and Remote Sensing Technology. FEL-TNO had tke lead and was responsible for the project management ...Aerospace Programs in Delft was responsible for the program management . The definition study PHARUS was started in the first half of 1988 and ended

  5. A reinserção do estilete não afeta a incidência de cefaleia pós-punção dural (CPPD após raquianestesia

    Directory of Open Access Journals (Sweden)

    Nadir S. Sinikoglu

    2013-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Este estudo foi conduzido para investigar os efeitos da reinserção do estilete em cefaleia pós-punção dural (CPPD após raquianestesia. MÉTODOS: Foram selecionados para este estudo 630 pacientes submetidos a cirurgia eletiva com raquianestesia. Os pacientes foram randomicamente designados para dois grupos: Grupo A (reinserção do estilete antes da retirada da agulha e Grupo B (retirada da agulha sem reinserção do estilete. Os pacientes foram observados durante 24 horas no hospital e avaliados quanto à CPPD no terceiro e sétimo dias do estudo. RESULTADOS: No geral, a incidência da CPPD foi de 10,8% (68 pacientes. Trinta e três desses pacientes (10,5% que estavam no Grupo A e 35 (11,1% no grupo B tiveram CPPD. Não houve diferença significativa entre os dois grupos em relação à CPPD. CONCLUSÕES: Ao contrário da punção lombar diagnóstica, a reinserção do estilete após raquianestesia com agulhas tipo Quincke de calibre 25 não reduz a incidência de CPPD.

  6. Calcium Pyrophosphate Deposition (CPPD)

    Science.gov (United States)

    ... Cryopyrin-Associated Autoinflammatory Syndrome (CAPS) (Juvenile) Dermatomyositis (Juvenile) Familial Mediterranean Fever (Juvenile) Fibromyalgia Giant Cell Arteritis Glucocorticoid-induced Osteoperosis ...

  7. Calcium Pyrophosphate Deposition (CPPD)

    Science.gov (United States)

    ... can cause inflammation that leads to joint pain, warmth and swelling. In most cases, it is not ... support from other health care providers. These include physical and occupational therapists and nurses. Updated March 2017 ...

  8. The prevalence of chondrocalcinosis (CC) of the acromioclavicular (AC) joint on chest radiographs and correlation with calcium pyrophosphate dihydrate (CPPD) crystal deposition disease.

    Science.gov (United States)

    Parperis, Konstantinos; Carrera, Guillermo; Baynes, Keith; Mautz, Alan; Dubois, Melissa; Cerniglia, Ross; Ryan, Lawrence M

    2013-09-01

    Digital imaging combined with picture archiving and communication system (PACS) access allows detailed image retrieval and magnification. Calcium pyrophosphate dihydrate (CPPD) crystals preferentially deposit in fibrocartilages, the cartilage of the acromioclavicular (AC) joint being one such structure. We sought to determine if examination of the AC joints on magnified PACS imaging of chest films would be useful in identifying chondrocalcinosis (CC). Retrospective radiographic readings and chart reviews involving 1,920 patients aged 50 or more who had routine outpatient chest radiographs over a 4-month period were performed. Knee radiographs were available for comparison in 489 patients. Medical records were reviewed to abstract demographics, chest film reports, and diagnoses. AC joint CC was identified in 1.1 % (21/1,920) of consecutive chest films. Patients with AC joint CC were 75 years of age versus 65.4 in those without CC (p AC joint CC, and of these, five also had knee CC (83 %). Of the 483 without AC joint CC, 62 (12 %) had knee CC (p = 0.002). Patients with AC joint CC were more likely to have a recorded history of CPPD crystal deposition disease than those without AC joint CC (14 versus 1 %, p = 0.0017). The prevalence of AC joint CC increases with age and is associated with knee CC. A finding of AC joint CC should heighten suspicion of pseudogout or secondary osteoarthritis in appropriate clinical settings and, in a young patient, should alert the clinician to the possibility of an associated metabolic condition.

  9. Overview of aerothermodynamic loads definition study

    Science.gov (United States)

    Gaugler, Raymond E.

    1991-01-01

    The objective of the Aerothermodynamic Loads Definition Study is to develop methods of accurately predicting the operating environment in advanced Earth-to-Orbit (ETO) propulsion systems, such as the Space Shuttle Main Engine (SSME) powerhead. Development of time averaged and time dependent three dimensional viscous computer codes as well as experimental verification and engine diagnostic testing are considered to be essential in achieving that objective. Time-averaged, nonsteady, and transient operating loads must all be well defined in order to accurately predict powerhead life. Described here is work in unsteady heat flow analysis, improved modeling of preburner flow, turbulence modeling for turbomachinery, computation of three dimensional flow with heat transfer, and unsteady viscous multi-blade row turbine analysis.

  10. Definition study for photovoltaic residential prototype system

    Science.gov (United States)

    Imamura, M. S.; Hulstrom, R. L.; Cookson, C.; Waldman, B. H.; Lane, R. A.

    1976-01-01

    A parametric sensitivity study and definition of the conceptual design is presented. A computer program containing the solar irradiance, solar array, and energy balance models was developed to determine the sensitivities of solar insolation and the corresponding solar array output at five sites selected for this study as well as the performance of several solar array/battery systems. A baseline electrical configuration was chosen, and three design options were recommended. The study indicates that the most sensitive parameters are the solar insolation and the inverter efficiency. The baseline PST selected is comprised of a 133 sg m solar array, 250 ampere hour battery, one to three inverters, and a full shunt regulator to limit the upper solar array voltage. A minicomputer controlled system is recommended to provide the overall control, display, and data acquisition requirements. Architectural renderings of two photovoltaic residential concepts, one above ground and the other underground, are presented. The institutional problems were defined in the areas of legal liabilities during and after installation of the PST, labor practices, building restrictions and architectural guides, and land use.

  11. National Biomedical Tracer Facility: Project definition study

    Energy Technology Data Exchange (ETDEWEB)

    Heaton, R.; Peterson, E. [Los Alamos National Lab., NM (United States); Smith, P. [Smith (P.A.) Concepts and Designs (United States)

    1995-05-31

    The Los Alamos National Laboratory is an ideal institution and New Mexico is an ideal location for siting the National Biomedical Tracer Facility (NBTF). The essence of the Los Alamos proposal is the development of two complementary irradiation facilities that combined with our existing radiochemical processing hot cell facilities and waste handling and disposal facilities provide a low cost alternative to other proposals that seek to satisfy the objectives of the NBTF. We propose the construction of a 30 MeV cyclotron facility at the site of the radiochemical facilities, and the construction of a 100 MeV target station at LAMPF to satisfy the requirements and objectives of the NBTF. We do not require any modifications to our existing radiochemical processing hot cell facilities or our waste treatment and disposal facilities to accomplish the objectives of the NBTF. The total capital cost for the facility defined by the project definition study is $15.2 M. This cost estimate includes $9.9 M for the cyclotron and associated facility, $2.0 M for the 100 MeV target station at LAMPF, and $3.3 M for design.

  12. A reinserção do estilete não afeta a incidência de cefaleia pós-punção dural (CPPD) após raquianestesia La reinserción del estilete no afecta la incidencia de cefalea pos punción dural (CPPD) posteriormente a la raquianestesia Reinsertion of the stylet does not affect incidence of post dural puncture headaches (PDPH) after spinal anesthesia

    OpenAIRE

    Nadir S. Sinikoglu; Hacer Yeter; Funda Gumus; Enver Belli; Aysin Alagol; Nesrin Turan

    2013-01-01

    JUSTIFICATIVA E OBJETIVOS: Este estudo foi conduzido para investigar os efeitos da reinserção do estilete em cefaleia pós-punção dural (CPPD) após raquianestesia. MÉTODOS: Foram selecionados para este estudo 630 pacientes submetidos a cirurgia eletiva com raquianestesia. Os pacientes foram randomicamente designados para dois grupos: Grupo A (reinserção do estilete antes da retirada da agulha) e Grupo B (retirada da agulha sem reinserção do estilete). Os pacientes foram observados durante 24 h...

  13. Mars power system concept definition study. Volume 1: Study results

    Science.gov (United States)

    Littman, Franklin D.

    1994-12-01

    A preliminary top level study was completed to define power system concepts applicable to Mars surface applications. This effort included definition of power system requirements and selection of power systems with the potential for high commonality. These power systems included dynamic isotope, Proton Exchange Membrane (PEM) regenerative fuel cell, sodium sulfur battery, photovoltaic, and reactor concepts. Design influencing factors were identified. Characterization studies were then done for each concept to determine system performance, size/volume, and mass. Operations studies were done to determine emplacement/deployment maintenance/servicing, and startup/shutdown requirements. Technology development roadmaps were written for each candidate power system (included in Volume 2). Example power system architectures were defined and compared on a mass basis. The dynamic isotope power system and nuclear reactor power system architectures had significantly lower total masses than the photovoltaic system architectures. Integrated development and deployment time phasing plans were completed for an example DIPS and reactor architecture option to determine the development strategies required to meet the mission scenario requirements.

  14. Toward a Definition of Study Abroad Success

    OpenAIRE

    Schnickel, Jacob

    2015-01-01

    This paper presents a rationale and method for collecting critical incidents from university students who have returned from studying abroad. There are three main benefits to this process. First, it appears beneficial for students to record and reflect on their experiences abroad. Second, a collection of critical incidents, through analysis, can yield patterns of student experiences that can, in turn, inform decision making about the study-abroad program at a given institution. Third, critica...

  15. Discursive Study of Religion : Approaches, Definitions, Implications

    NARCIS (Netherlands)

    von Stuckrad, Kocku

    2013-01-01

    The article explores recent approaches to historical analysis of discourse that have been developed in disciplines such as the sociology of knowledge and historical epistemology. These approaches have only sporadically been taken seriously in the academic study of religion, although they have a

  16. Discursive Study of Religion : Approaches, Definitions, Implications

    NARCIS (Netherlands)

    von Stuckrad, Kocku

    2013-01-01

    The article explores recent approaches to historical analysis of discourse that have been developed in disciplines such as the sociology of knowledge and historical epistemology. These approaches have only sporadically been taken seriously in the academic study of religion, although they have a grea

  17. Problem Definition Study: Lead Beta-Resorcylate

    Science.gov (United States)

    1979-02-01

    Otto Barlocher GmbH Metallgesellschaft AG ITALY Stabilital SpA Spain Industrias Quimicas de Parets. SA UNITED KINGDOM Akzo Chemie UK Ltd...appears to be the motor activity of the bowel. In his studies with human «subjects, Kehoe (1942) found nc effect of dietary changes in calcium or...increase in cerebrocortical acetylchollne and a decrease in brain stem noreplnephrine. The changes in the regional levels of these biogenlc amines

  18. Solar dynamic power system definition study

    Science.gov (United States)

    Wallin, Wayne E.; Friefeld, Jerry M.

    1988-01-01

    The solar dynamic power system design and analysis study compared Brayton, alkali-metal Rankine, and free-piston Stirling cycles with silicon planar and GaAs concentrator photovoltaic power systems for application to missions beyond the Phase 2 Space Station level of technology for all power systems. Conceptual designs for Brayton and Stirling power systems were developed for 35 kWe and 7 kWe power levels. All power systems were designed for 7-year end-of-life conditions in low Earth orbit. LiF was selected for thermal energy storage for the solar dynamic systems. Results indicate that the Stirling cycle systems have the highest performance (lowest weight and area) followed by the Brayton cycle, with photovoltaic systems considerably lower in performance. For example, based on the performance assumptions used, the planar silicon power system weight was 55 to 75 percent higher than for the Stirling system. A technology program was developed to address areas wherein significant performance improvements could be realized relative to the current state-of-the-art as represented by Space Station. In addition, a preliminary evaluation of hardenability potential found that solar dynamic systems can be hardened beyond the hardness inherent in the conceptual designs of this study.

  19. Pontiac fever: an operational definition for epidemiological studies

    Directory of Open Access Journals (Sweden)

    Mathieu Laurence

    2006-04-01

    Full Text Available Abstract Background Pontiac fever is usually described in epidemic settings. Detection of Pontiac fever is a marker of an environmental contamination by Legionella and should thereby call for prevention measures in order to prevent outbreak of Legionnaire's disease. The objective of this study is to propose an operational definition of Pontiac fever that is amenable to epidemiological surveillance and investigation in a non epidemic setting. Methods A population of 560 elderly subjects residing in 25 nursing homes was followed during 4 months in order to assess the daily incidence of symptoms associated, in the literature, with Pontiac fever. The water and aerosol of one to 8 showers by nursing home were characterized combining conventional bacterial culture of Legionella and the Fluorescence In Situ Hybridization (FISH technique that used oligonucleotides probes specific for Legionellaceae. A definition of Pontiac fever was devised based on clinical symptoms described in epidemic investigations and on their timing after the exposure event. The association between incidence of Pontiac fever and shower contamination levels was evaluated to test the relevance of this definition. Results The proposed definition of Pontiac fever associated the following criteria: occurrence of at least one symptom among headache, myalgia, fever and shivers, possibly associated with other 'minor' symptoms, within three days after a shower contaminated by Legionella, during a maximum of 8 days (minimum 2 days. 23 such cases occurred during the study (incidence rate: 0.125 cases per person-year [95% CI: 0.122–0.127]. A concentration of Legionella in water equal to or greater than 104.L-1 (FISH method was associated with a significant increase of incidence of Pontiac fever (p = 0.04. Conclusion Once validated in other settings, the proposed definition of Pontiac fever might be used to develop epidemiological surveillance and help draw attention on sources of

  20. Gene–Environment Interaction: Definitions and Study Designs

    OpenAIRE

    Ottman, Ruth

    1996-01-01

    Study of gene–environment interaction is important for improving accuracy and precision in the assessment of both genetic and environmental influences. This overview presents a simple definition of gene–environment interaction and suggests study designs for detecting it. Gene–environment interaction is defined as “a different effect of an environmental exposure on disease risk in persons with different genotypes,” or, alternatively, “a different effect of a genotype on disease risk in persons...

  1. Developing a Framework for Analyzing Definitions: A Study of "The Feynman Lectures"

    Science.gov (United States)

    Wong, Chee Leong; Chu, Hye-Eun; Yap, Kueh Chin

    2014-01-01

    One important purpose of a definition is to explain the meaning of a word. Any problems associated with a definition may impede students' learning. However, research studies on the definitional problems from the perspective of physics education are limited. Physics educators may not be aware of the nature and extent of definitional problems.…

  2. Satellite Power Systems (SPS) concept definition study. Volume 4: SPS point design definition

    Science.gov (United States)

    Hanley, G.

    1978-01-01

    The satellite power systems point design concept is described. The concept definition includes satellite, ground and space systems, and their relationships. Emphasis is placed on the definition of the GaAlAs photovoltaic satellite system. The major subsystems of the satellite system including power conversion, power distribution and control, microwave, attitude control and stationkeeping, thermal control, structures, and information management and control are discussed.

  3. Developing a Framework for Analyzing Definitions: A study of The Feynman Lectures

    Science.gov (United States)

    Wong, Chee Leong; Chu, Hye-Eun; Yap, Kueh Chin

    2014-10-01

    One important purpose of a definition is to explain the meaning of a word. Any problems associated with a definition may impede students' learning. However, research studies on the definitional problems from the perspective of physics education are limited. Physics educators may not be aware of the nature and extent of definitional problems. As an example, The Feynman Lectures of Physics suggest that there are at least four problems of definition: precision, circularity, context and completeness in knowledge. Feynman had the tendency of mentioning the words 'define' and 'definition' and discussing the problems of definition: they can be insightful, or challenge the conventional, preconceived notions of many physical concepts. One benefit of this study is that a framework can be developed to improve statements of definitions. This framework may guide educators or students to analyze the knowledge that is embedded in a definition. In the future, the learning of definition need not be content-oriented, but problem-based instead, with the help of definitional problems. Therefore, the use of these problems of definition in lessons can be an interesting area for future physics education research. Furthermore, we should be cognizant of inadequacies or inaccuracies in definition that may result in alternative conceptions.

  4. Case studies can support definitions of workplace innovation in practice

    NARCIS (Netherlands)

    Vaas, F.; Žiauberytė-Jakštienė, R.; Oeij, P.R.

    2017-01-01

    Many practitioners find it problematic to understand and describe workplace innovation (WPI). Whereas there are well-known definitions of WPI, these remain highly abstract. We argue that, for practitioners, case examples of WPI best practices can be a valuable addition to these definitions. In this

  5. Survey Definitions of Gout for Epidemiologic Studies: Comparison With Crystal Identification as the Gold Standard.

    Science.gov (United States)

    Dalbeth, Nicola; Schumacher, H Ralph; Fransen, Jaap; Neogi, Tuhina; Jansen, Tim L; Brown, Melanie; Louthrenoo, Worawit; Vazquez-Mellado, Janitzia; Eliseev, Maxim; McCarthy, Geraldine; Stamp, Lisa K; Perez-Ruiz, Fernando; Sivera, Francisca; Ea, Hang-Korng; Gerritsen, Martijn; Scire, Carlo A; Cavagna, Lorenzo; Lin, Chingtsai; Chou, Yin-Yi; Tausche, Anne-Kathrin; da Rocha Castelar-Pinheiro, Geraldo; Janssen, Matthijs; Chen, Jiunn-Horng; Cimmino, Marco A; Uhlig, Till; Taylor, William J

    2016-12-01

    To identify the best-performing survey definition of gout from items commonly available in epidemiologic studies. Survey definitions of gout were identified from 34 epidemiologic studies contributing to the Global Urate Genetics Consortium (GUGC) genome-wide association study. Data from the Study for Updated Gout Classification Criteria (SUGAR) were randomly divided into development and test data sets. A data-driven case definition was formed using logistic regression in the development data set. This definition, along with definitions used in GUGC studies and the 2015 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) gout classification criteria were applied to the test data set, using monosodium urate crystal identification as the gold standard. For all tested GUGC definitions, the simple definition of "self-report of gout or urate-lowering therapy use" had the best test performance characteristics (sensitivity 82%, specificity 72%). The simple definition had similar performance to a SUGAR data-driven case definition with 5 weighted items: self-report, self-report of doctor diagnosis, colchicine use, urate-lowering therapy use, and hyperuricemia (sensitivity 87%, specificity 70%). Both of these definitions performed better than the 1977 American Rheumatism Association survey criteria (sensitivity 82%, specificity 67%). Of all tested definitions, the 2015 ACR/EULAR criteria had the best performance (sensitivity 92%, specificity 89%). A simple definition of "self-report of gout or urate-lowering therapy use" has the best test performance characteristics of existing definitions that use routinely available data. A more complex combination of features is more sensitive, but still lacks good specificity. If a more accurate case definition is required for a particular study, the 2015 ACR/EULAR gout classification criteria should be considered. © 2016, American College of Rheumatology.

  6. Study on the Relation of Definite Integral and Indefinite Integral

    Institute of Scientific and Technical Information of China (English)

    SUN Bao-fa

    2014-01-01

    Relation of definite integral and indefinite integral was discussed and an impor-tant result was gotten. If f (x) is bounded and has primary function, the formal definite integral R sx f˜(t)dt is the indefinite integral of f (x), where x is a self-variable, s is a param-eter, f˜(x) is a function defined in (−∞, +∞), which comes from f (x) by restriction and extension. In other words, the indefinite integral is a special form of definite integral, its lower integral limit and upper integral limit are all indefinite.

  7. Survey Definitions of Gout for Epidemiologic Studies: Comparison With Crystal Identification as the Gold Standard

    NARCIS (Netherlands)

    Dalbeth, N.; Schumacher, H.R.; Fransen, J.; Neogi, T.; Jansen, T.L; Brown, M.; Louthrenoo, W.; Vazquez-Mellado, J.; Eliseev, M.; McCarthy, G.; Stamp, L.K.; Perez-Ruiz, F.; Sivera, F.; Ea, H.K.; Gerritsen, M.; Scire, C.A.; Cavagna, L.; Lin, C.; Chou, Y.Y.; Tausche, A.K.; Rocha Castelar-Pinheiro, G. da; Janssen, M; Chen, J.H.; Cimmino, M.A.; Uhlig, T.; Taylor, W.J.

    2016-01-01

    OBJECTIVE: To identify the best-performing survey definition of gout from items commonly available in epidemiologic studies. METHODS: Survey definitions of gout were identified from 34 epidemiologic studies contributing to the Global Urate Genetics Consortium (GUGC) genome-wide association study.

  8. National Biomedical Tracer Facility (NBTF). Project definition study: Phase I

    Energy Technology Data Exchange (ETDEWEB)

    Lagunas-Solar, M.C.

    1995-02-15

    This report describes a five-year plan for the construction and commissioning of a reliable and versatile NBTF facility for the production of high-quality, high-yield radioisotopes for research, biomedical, and industrial applications. The report is organized in nine sections providing, in consecutive order, responses to the nine questions posed by the U.S. Department of Energy in its solicitation for the NBTF Project Definition Study. In order to preserve direct correspondence (e.g., Sec. 3 = 3rd item), this Introduction is numbered {open_quotes}0.{close_quotes} Accelerator and facility designs are covered in Section 1 (Accelerator Design) and Section 2 (Facility Design). Preliminary estimates of capital costs are detailed in Section 3 (Design and Construction Costs). Full licensing requirements, including federal, state, and local ordinances, are discussed in Section 4 (Permits). A plan for the management of hazardous materials to be generated by NBTF is presented in Section 5 (Waste Management). An evaluation of NBTF`s economic viability and its potential market impact is detailed in Section 6(Business Plan), and is complemented by the plans in Section 7 (Operating Plan) and Section 8 (Radioisotope Plan). Finally, a plan for NBTF`s research, education, and outreach programs is presented in Section 9 (Research and Education Programs).

  9. RESEARCH REPORT: Definitions of Physical Concepts: A study of physics teachers' knowledge and views

    Science.gov (United States)

    Galili, Igal; Lehavi, Yaron

    2006-04-01

    A study was made of the ability of a population of high-school physics teachers to define physics concepts and of their views regarding the importance of such definitions. It was found possible to arrange the definitions accumulated in categories, and the classification so obtained was consonant with that of the philosophy of science. Although the subjects of this study were experienced teachers, the definitions they supplied exhibited shortcomings. Despite this, however, the teachers attached great importance to a knowledge of concept definitions. The implications of these findings in connection with the ongoing debate regarding the importance of concept definitions in science education are discussed. The high educational value of concept definitions is argued and a deficiency in this knowledge points to the shortcoming in teacher training.

  10. Comparison of definitions for the metabolic syndrome in adolescents. The HELENA study.

    Science.gov (United States)

    Vanlancker, Tine; Schaubroeck, Emmily; Vyncke, Krishna; Cadenas-Sanchez, Cristina; Breidenassel, Christina; González-Gross, Marcela; Gottrand, Frederic; Moreno, Luis A; Beghin, Laurent; Molnár, Denes; Manios, Yannis; Gunter, Marc J; Widhalm, Kurt; Leclercq, Catherine; Dallongeville, Jean; Ascensión, Marcos; Kafatos, Anthony; Castillo, Manuel J; De Henauw, Stefaan; Ortega, Francisco B; Huybrechts, Inge

    2017-02-01

    Various definitions are used to define metabolic syndrome in adolescents. This study aimed to compare, in terms of prevalence and differences, five frequently used definitions for this population: International Diabetes Federation, National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP) modified by Cook, pediatric American Heart Association (AHA), World Health Organization, and Jolliffe and Janssen. A sample of 1004 adolescents (12.5-17.0 years) from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study was considered. The components of the definitions (waist circumference/BMI, plasma lipids, glycemia, and blood pressure) were applied, and definitions were compared by using crosstabs, sensitivity, specificity, and kappa coefficient. The prevalence of metabolic syndrome varied from 1.6 to 3.8% depending on the used definitions. Crosstabs comparing the definitions showed the fewest cases being misclassified (having metabolic syndrome or not) between NCEP-ATP and AHA. Analyses for kappa coefficient, sensitivity, and specificity confirmed this finding.

  11. The MSFC Collaborative Engineering Process for Preliminary Design and Concept Definition Studies

    Science.gov (United States)

    Mulqueen, Jack; Jones, David; Hopkins, Randy

    2011-01-01

    This paper describes a collaborative engineering process developed by the Marshall Space Flight Center's Advanced Concepts Office for performing rapid preliminary design and mission concept definition studies for potential future NASA missions. The process has been developed and demonstrated for a broad range of mission studies including human space exploration missions, space transportation system studies and in-space science missions. The paper will describe the design team structure and specialized analytical tools that have been developed to enable a unique rapid design process. The collaborative engineering process consists of integrated analysis approach for mission definition, vehicle definition and system engineering. The relevance of the collaborative process elements to the standard NASA NPR 7120.1 system engineering process will be demonstrated. The study definition process flow for each study discipline will be will be outlined beginning with the study planning process, followed by definition of ground rules and assumptions, definition of study trades, mission analysis and subsystem analyses leading to a standardized set of mission concept study products. The flexibility of the collaborative engineering design process to accommodate a wide range of study objectives from technology definition and requirements definition to preliminary design studies will be addressed. The paper will also describe the applicability of the collaborative engineering process to include an integrated systems analysis approach for evaluating the functional requirements of evolving system technologies and capabilities needed to meet the needs of future NASA programs.

  12. Analysis of agreement among definitions of metabolic syndrome in nondiabetic Turkish adults: a methodological study

    Directory of Open Access Journals (Sweden)

    Bersot Thomas P

    2007-12-01

    Full Text Available Abstract Background We aimed to explore the agreement among World Health Organization (WHO, European Group for the Study of Insulin Resistance (EGIR, National Cholesterol Education Program (NCEP, American College of Endocrinology (ACE, and International Diabetes Federation (IDF definitions of the metabolic syndrome. Methods 1568 subjects (532 men, 1036 women, mean age 45 and standard deviation (SD 13 years were evaluated in this cross-sectional, methodological study. Cardiometabolic risk factors were determined. Insulin sensitivity was calculated by HOMA-IR. Agreement among definitions was determined by the kappa statistic. ANOVA and post hoc Tukey's test were used to compare multiple groups. Results The agreement between WHO and EGIR definitions was very good (kappa: 0.83. The agreement between NCEP, ACE, and IDF definitions was substantial to very good (kappa: 0.77–0.84. The agreement between NCEP or ACE or IDF and WHO or EGIR definitions was fair (kappa: 0.32–0.37. The age and sex adjusted prevalence of metabolic syndrome was 38% by NCEP, 42% by ACE and IDF, 20% by EGIR and 19% by WHO definition. The evaluated definitions were dichotomized after analysis of design, agreement and prevalence: insulin measurement requiring definitions (WHO and EGIR and definitions not requiring insulin measurement (NCEP, ACE, IDF. One definition was selected from each set for comparison. WHO-defined subjects were more insulin resistant than subjects without the metabolic syndrome (mean and SD for log HOMA-IR, 0.53 ± 0.14 vs. 0.07 ± 0.23, respectively, p 0.05, but lower log HOMA-IR values (p Conclusion The metabolic syndrome definitions that do not require measurement of insulin levels (NCEP, ACE and IDF identify twice more patients with insulin resistance and increased Framingham risk scores and are more useful than the definitions that require measurement of insulin levels (WHO and EGIR.

  13. Zero-gravity cloud physics laboratory: Experiment program definition and preliminary laboratory concept studies

    Science.gov (United States)

    Eaton, L. R.; Greco, E. V.

    1973-01-01

    The experiment program definition and preliminary laboratory concept studies on the zero G cloud physics laboratory are reported. This program involves the definition and development of an atmospheric cloud physics laboratory and the selection and delineations of a set of candidate experiments that must utilize the unique environment of zero gravity or near zero gravity.

  14. Definitions of Physical Concepts: A Study of Physics Teachers' Knowledge and Views. Research Report

    Science.gov (United States)

    Galili, Igal; Lehavi, Yaron

    2006-01-01

    A study was made of the ability of a population of high-school physics teachers to define physics concepts and of their views regarding the importance of such definitions. It was found possible to arrange the definitions accumulated in categories, and the classification so obtained was consonant with that of the philosophy of science. Although the…

  15. Competing Definitions of Schizophrenia: What Can Be Learned From Polydiagnostic Studies?

    DEFF Research Database (Denmark)

    Jansson, Lennart Bertil; Parnas, Josef

    2007-01-01

    not a product of explicit conceptual analyses and empirical studies but defined through consensus with the purpose of improving reliability. The validity status of current definitions and of their predecessors remains unclear. The so-called "polydiagnostic approach" applies different definitions of a disorder...... to the same patient sample in order to compare these definitions on potential validity indicators. We reviewed 92 polydiagnostic sz studies published since the early 1970s. Different sz definitions show a considerable variation concerning frequency, concordance, reliability, outcome, and other validity...... measures. The DSM-IV and the ICD-10 show moderate reliability but both definitions appear weak in terms of concurrent validity, eg, with respect to an aggregation of a priori important features. The first-rank symptoms of Schneider are not associated with family history of sz or with prediction of poor...

  16. Competing Definitions of Schizophrenia: What Can Be Learned From Polydiagnostic Studies?

    DEFF Research Database (Denmark)

    Jansson, Lennart Bertil; Parnas, Josef

    2006-01-01

    not a product of explicit conceptual analyses and empirical studies but defined through consensus with the purpose of improving reliability. The validity status of current definitions and of their predecessors remains unclear. The so-called "polydiagnostic approach" applies different definitions of a disorder...... to the same patient sample in order to compare these definitions on potential validity indicators. We reviewed 92 polydiagnostic sz studies published since the early 1970s. Different sz definitions show a considerable variation concerning frequency, concordance, reliability, outcome, and other validity...... measures. The DSM-IV and the ICD-10 show moderate reliability but both definitions appear weak in terms of concurrent validity, eg, with respect to an aggregation of a priori important features. The first-rank symptoms of Schneider are not associated with family history of sz or with prediction of poor...

  17. Consensus on the Definition of Advanced Parkinson's Disease: A Neurologists-Based Delphi Study (CEPA Study)

    Science.gov (United States)

    Kulisevsky, Jaime; Tolosa, Eduardo S.

    2017-01-01

    To date, no consensus exists on the key factors for diagnosing advanced Parkinson disease (APD). To obtain consensus on the definition of APD, we performed a prospective, multicenter, Spanish nationwide, 3-round Delphi study (CEPA study). An ad hoc questionnaire was designed with 33 questions concerning the relevance of several clinical features for APD diagnosis. In the first-round, 240 neurologists of the Spanish Movement Disorders Group participated in the study. The results obtained were incorporated into the questionnaire and both, results and questionnaire, were sent out to and fulfilled by 26 experts in Movement Disorders. Review of results from the second-round led to a classification of symptoms as indicative of “definitive,” “probable,” and “possible” APD. This classification was confirmed by 149 previous participating neurologists in a third-round, where 92% completely or very much agreed with the classification. Definitive symptoms of APD included disability requiring help for the activities of daily living, presence of motor fluctuations with limitations to perform basic activities of daily living without help, severe dysphagia, recurrent falls, and dementia. These results will help neurologists to identify some key factors in APD diagnosis, thus allowing users to categorize the patients for a homogeneous recognition of this condition. PMID:28239501

  18. Study Finds Ebola Treatment ZMapp Holds Promise, Although Results Not Definitive

    Science.gov (United States)

    ... News Release Thursday, October 13, 2016 Study finds Ebola treatment ZMapp holds promise, although results not definitive ... emergency. A clinical trial to evaluate the experimental Ebola treatment ZMapp found it to be safe and ...

  19. The Definition and Treatment of Bulimarexia in College Women--A Pilot Study.

    Science.gov (United States)

    Boskind-Ledahl, Marlene; White, William C., Jr.

    1978-01-01

    A study of college women suffering from bulimarexia, a cyclical eating disorder characterized by bingeing/purging behaviors and abnormally low self-esteem, indicates the importance of sociocultural factors in female role definition. (JMF)

  20. The Definition and Treatment of Bulimarexia in College Women--A Pilot Study.

    Science.gov (United States)

    Boskind-Ledahl, Marlene; White, William C., Jr.

    1978-01-01

    A study of college women suffering from bulimarexia, a cyclical eating disorder characterized by bingeing/purging behaviors and abnormally low self-esteem, indicates the importance of sociocultural factors in female role definition. (JMF)

  1. College Students' Definitions of Intimate Partner Violence: A Comparative Study of Three Chinese Societies.

    Science.gov (United States)

    Jiao, Yanpeng; Sun, Ivan Y; Farmer, Ashley K; Lin, Kai

    2016-04-01

    Although a large number of studies have been conducted worldwide to examine various aspects of intimate partner violence (IPV), comparative study of people's views on such violence in Chinese societies has been scarce. Using survey data collected from more than 850 college students in China, Hong Kong, and Taiwan, this study specifically assessed the impact of attitudes toward gender role and violence, personal and vicarious experience, demographic characteristics, and locality on students' definitions of IPV. The Taiwanese students were most likely to define a broader range of abusive behavior as IPV, followed by Hong Kong and Beijing students. Gender role and violence attitudes appeared to be most important predictors of IPV definitions. College students who supported the notion of male dominance were more likely to have a narrower definition of IPV, whereas those who viewed domestic violence as crime were more inclined to have a broader definition of IPV. Implications for future research and policy were discussed.

  2. Towards a European definition for a drug shortage: a qualitative study

    Directory of Open Access Journals (Sweden)

    Elfi eDe Weerdt

    2015-10-01

    Full Text Available Background: Drug shortages are currently on the rise. In-depth investigation of the problem is necessary, however, a variety of definitions for ‘drug shortages’ are formulated in legislations, by different organisations, authorities and other initiatives. For international comparison, the underlying definition for drug shortages is important to allow appropriate interpretation of national databases and the results of scientific studies. The objective is to identify the different elements which should be considered in a uniform definition for drug shortages in the European Union and to detect the different conditions for reporting drug shortages.Methods: Definitions of drug shortages were searched in the scientific databases as well as in the grey literature. Similar topics were identified and organisations were contacted to formulate the reasoning underlying the definitions.Results: Over 20 different definitions for drug shortages were identified. A distinction is made between general definitions of drug shortages and definitions used for the reporting of drug shortages. Differences and similarities are observed in the elements within the definitions, e.g. when does a supply problem become a drug shortage, permanent and/or temporally shortages, the typology and time frame of a drug shortage. The moment a supply problem is considered as a shortage, can be defined at four levels: (i demand side, (ii supply side, (iii delivery of a drug and (iv availability of a drug. Permanent discontinuations of drugs are not always covered in definitions for drug shortages. Some definitions only consider those drugs used for the treatment of serious diseases or drugs for which no alternative is available. Different time frames were observed, varying between one day and 20 days.Conclusion: Obtaining a uniform definition for drug shortages is important as well as identifying which conditions are preferable to report drug shortages in order to facilitate

  3. Canadian ethnographic study of sources and definitions of theological reflection in pastoral care and counseling.

    Science.gov (United States)

    O'Connor, Thomas St James; Meakes, Elizabeth

    2008-01-01

    What are the sources and definitions of theological reflection developed by Canadian practitioners of pastoral care and counseling? This study is part of a larger qualitative research project on theological reflection. This research reviews the literature, describes the ethnographic method, and presents the findings with a sample of 75. Main sources are sacred texts, personal experience, experiences of clients, and traditions of faith group. Definitions are meaning making, discovering the divine and discipleship with recommendations for future research listed.

  4. Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union.

    Science.gov (United States)

    Fuller, Colin W; Molloy, Michael G; Bagate, Christian; Bahr, Roald; Brooks, John H M; Donson, Hilton; Kemp, Simon P T; McCrory, Paul; McIntosh, Andrew S; Meeuwisse, Willem H; Quarrie, Kenneth L; Raftery, Martin; Wiley, Preston

    2007-05-01

    Wide variations in the definitions and methodologies used for studies of injuries in rugby union have created inconsistencies in reported data and made interstudy comparisons of results difficult. The International Rugby Board established a Rugby Injury Consensus Group (RICG) to reach an agreement on the appropriate definitions and methodologies to standardise the recording of injuries and reporting of studies in rugby union. The RICG reviewed the consensus definitions and methodologies previously published for football (soccer) at a meeting in Dublin in order to assess their suitability for and application to rugby union. Following this meeting, iterative draft statements were prepared and circulated to members of the RICG for comment; a follow-up meeting was arranged in Dublin, at which time all definitions and procedures were finalised. At this stage, all authors confirmed their agreement with the consensus statement. The agreed document was presented to and approved by the International Rugby Board Council. Agreement was reached on definitions for injury, recurrent injury, non-fatal catastrophic injury, and training and match exposures, together with criteria for classifying injuries in terms of severity, location, type, diagnosis and causation. The definitions and methodology presented in this consensus statement for rugby union are similar to those proposed for football. Adoption of the proposals presented in this consensus statement should ensure that more consistent and comparable results will be obtained from studies of injuries within rugby union.

  5. Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union

    Science.gov (United States)

    Fuller, Colin W; Molloy, Michael G; Bagate, Christian; Bahr, Roald; Brooks, John H M; Donson, Hilton; Kemp, Simon P T; McCrory, Paul; McIntosh, Andrew S; Meeuwisse, Willem H; Quarrie, Kenneth L; Raftery, Martin; Wiley, Preston

    2007-01-01

    Wide variations in the definitions and methodologies used for studies of injuries in rugby union have created inconsistencies in reported data and made interstudy comparisons of results difficult. The International Rugby Board established a Rugby Injury Consensus Group (RICG) to reach an agreement on the appropriate definitions and methodologies to standardise the recording of injuries and reporting of studies in rugby union. The RICG reviewed the consensus definitions and methodologies previously published for football (soccer) at a meeting in Dublin in order to assess their suitability for and application to rugby union. Following this meeting, iterative draft statements were prepared and circulated to members of the RICG for comment; a follow‐up meeting was arranged in Dublin, at which time all definitions and procedures were finalised. At this stage, all authors confirmed their agreement with the consensus statement. The agreed document was presented to and approved by the International Rugby Board Council. Agreement was reached on definitions for injury, recurrent injury, non‐fatal catastrophic injury, and training and match exposures, together with criteria for classifying injuries in terms of severity, location, type, diagnosis and causation. The definitions and methodology presented in this consensus statement for rugby union are similar to those proposed for football. Adoption of the proposals presented in this consensus statement should ensure that more consistent and comparable results will be obtained from studies of injuries within rugby union. PMID:17452684

  6. Definition extraction for glossary creation : a study on extracting definitions for semi-automatic glossary creation in Dutch

    NARCIS (Netherlands)

    Westerhout, E.N.

    2010-01-01

    The central topic of this thesis is the automatic extraction of definitions from text. Definition extraction can play a role in various applications including the semi-automatic development of glossaries in an eLearning context, which constitutes the main focus of this dissertation. A glossary provi

  7. Floated pallet definition study. Volume 4: Summary volume

    Science.gov (United States)

    1975-01-01

    The conceptual design of a suspension system for the Floated Pallet and a retention system to support the pallet during launch, maneuvering and descent are described. In addition, a control moment gyroscope support equipment configuration study including installation and an experiment mount and erection study was performed. The impact of these separate hardware studies on the existing pallet configuration was assessed and a modified pallet common module defined.

  8. Presidential Rhetoric: Definition of a Field of Study.

    Science.gov (United States)

    Windt, Theodore Otto, Jr.

    1984-01-01

    Surveys literature published since 1960, dividing it into four categories of critical analyses. Evaluates current knowledge of presidential rhetoric and suggests directions for future research in this field of study. (PD)

  9. A preliminary study on the definitions and differences of main types of business arrangements

    Directory of Open Access Journals (Sweden)

    Anderson Tiago Peixoto Gonçalves

    2012-08-01

    Full Text Available With the growth of competitiveness and market requirements, several companies have been jointly organized with the aim of forming partnerships, forming the so-called Business Arrangements, to ensure that competitive advantages are achieved. This article came from the need to review the definitions and differences between the main types of existing Business Arrangements, as in the literature have been used different nomenclatures and classifications, either in terms of how the Arrangement is managed, how it is organized, the according to which members carry out their activities, how is the flow of resources and information, the degree of coordination and interaction, the form of production organization, and the strategies adopted. It is a basic research, descriptive and literature, which sought to collect the relevant sources, definitions about each Arrangement to meet the goal of the article is to study the definitions and differences between the main types of Business Arrangements. The article is justified by the scarcity of uniform definitions in the literature that make it possible to visualize the differences between each of the types of Arrangements, especially those in which the definitions are more similar.

  10. Definitions of medication-overuse headache in population-based studies and their implications on prevalence estimates

    DEFF Research Database (Denmark)

    Westergaard, Maria L.; Hansen, Ebba Holme; Glümer, Charlotte

    2014-01-01

    Case definitions of medication-overuse headache (MOH) in population-based research have changed over time. This study aims to review MOH prevalence reports with respect to these changes, and to propose a practical case definition for future studies based on the ICHD-3 beta.......Case definitions of medication-overuse headache (MOH) in population-based research have changed over time. This study aims to review MOH prevalence reports with respect to these changes, and to propose a practical case definition for future studies based on the ICHD-3 beta....

  11. Objectives and Model Payload Definition for NEO Human Mission Studies

    Science.gov (United States)

    Carnelli, I.; Galvez, A.; Carpenter, J.

    2011-10-01

    ESA has supported studies on NEO threat assessment systems and deflection concepts in the context of the General Studies Programme and in close cooperation with the directorates of Technical and Quality Management and of the Scientific Programme. This work has made it possible to identify a project for Europe to make a significant - yet realistic - contribution to the international efforts in this field: the Don Quijote NEO technology demonstration mission. This paper describes what such a small mission can do to prepare future human exploration and what is the in-situ data that can be obtained through such a project.

  12. Competing definitions of schizophrenia: what can be learned from polydiagnostic studies?

    DEFF Research Database (Denmark)

    Jansson, Lennart B; Parnas, Josef

    2007-01-01

    The contemporary diagnoses of schizophrenia (sz)-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition(DSM-IV) and International Classification of Diseases, 10th Revision(ICD-10)-are widely considered as important scientific achievements. However, these algorithms were not a product...... of explicit conceptual analyses and empirical studies but defined through consensus with the purpose of improving reliability. The validity status of current definitions and of their predecessors remains unclear. The so-called "polydiagnostic approach" applies different definitions of a disorder to the same...

  13. Preliminary Problem Definition Study on Munitions-Related Chemicals.

    Science.gov (United States)

    1979-04-01

    literature; how- S ever, Sander et al. (1975a, b) studied the effect of N-nitrosomorpholine in a series of experiments with cress plants (Lepidiwu sativum...Adenomas by Amines or Ureas Plus Nitrite and by N-Nitroso Compounds: Effect of Ascorbate, Gallic Acid, Thiocyanate, and Caffine ," j. Nat’l Cancer instit...Washington, D.C. Garber, K. (1970), "Air Pollution by Heavy-Metal-Containing Dusts. Effects on Plants ." LandAirt, Forsch, Sonderh., 25, 59-68

  14. Definitions and Uses: Case Study of Teachers Implementing Project-Based Learning

    Science.gov (United States)

    Tamim, Suha R.; Grant, Michael M.

    2013-01-01

    The purpose of this descriptive study was to explore inservice teachers' definitions of project-based learning (PjBL) and their accounts on the meaning of their PjBL implementations. A purposive sample of six teachers from grades four through twelve in public and private schools participated. Three themes evolved from inductive analysis: (1)…

  15. Ports: Definition and study of types, sizes and business models

    Directory of Open Access Journals (Sweden)

    Ivan Roa

    2013-09-01

    Full Text Available Purpose: In the world today there are thousands of port facilities of different types and sizes, competing to capture some market share of freight by sea, mainly. This article aims to determine the type of port and the most common size, in order to find out which business model is applied in that segment and what is the legal status of the companies of such infrastructure.Design/methodology/approach: To achieve this goal, we develop a research on a representative sample of 800 ports worldwide, which manage 90% of the containerized port loading. Then you can find out the legal status of the companies that manage them.Findings: The results indicate a port type and a dominant size, which are mostly managed by companies subject to a concession model.Research limitations/implications: In this research, we study only those ports that handle freight (basically containerized, ignoring other activities such as fishing, military, tourism or recreational.Originality/value: This is an investigation to show that the vast majority of the studied segment port facilities are governed by a similar corporate model and subject to pressure from the markets, which increasingly demand efficiency and service. Consequently, we tend to concession terminals to private operators in a process that might be called privatization, but in the strictest sense of the term, is not entirely realistic because the ownership of the land never ceases to be public

  16. Space station resistojet system requirements and interface definition study

    Science.gov (United States)

    Heckert, Bruce J.

    1987-01-01

    Preliminary resistojet design requirements were established based on initial technical requirements imposed by the results of NASA and Rocketdyne studies. The requirements are directed toward long life, simplicity, flexibility, and commonality with other space station components. The resistojet assembly is comprised of eight resistojets, fluid components downstream of the waste fluid storage system, a power controller, structure, and shielding. It consists of two identical subassemblies, one of which is redundant. Each subassembly consists of four 500-W resistojets, series redundant latch values, a power controller, a water vaporizer, two pressure regulators, filters, check valves, disconnects, fluid tubing, and electrical cables. All components are packaged at the end of the stinger aft of the JEM and Columbus modules. Different flow and power control methods were studied. A constant inlet pressure and a two-power setting controller were tentatively selected based on simplicity and reasonably high specific impulse for the range of waste gas compositions that are anticipated. The constant pressure is supplied by pressure regulators. The two set point power control includes individual power supplies to each resistojet heater and water vaporizer. An embedded data processor, a multiplexer-demultiplexer, and a network interface unit that are standard space station components are included in the power controller. The total dry weight of the resistojet assembly is approximately 172 lb. The total cost for design, development, test, evaluation, qualification, and flight hardware is estimated to be $16 million.

  17. A comparative study on the elastic modulus of polyvinyl alcohol sponge using different stress-strain definitions.

    Science.gov (United States)

    Karimi, Alireza; Navidbakhsh, Mahdi; Alizadeh, Mansour; Razaghi, Reza

    2014-10-01

    There have been different stress-strain definitions to measure the elastic modulus of spongy materials, especially polyvinyl alcohol (PVA) sponge. However, there is no agreement as to which stress-strain definition should be implemented. This study was aimed to show how different results are given by the various definitions of stress-strain used, and to recommend a specific definition when testing spongy materials. A fabricated PVA sponge was subjected to a series of tensile tests in order to measure its mechanical properties. Three stress definitions (second Piola-Kichhoff stress, engineering stress, and true stress) and four strain definitions (Almansi-Hamel strain, Green-St. Venant strain, engineering strain, and true strain) were used to determine the elastic modulus. The results revealed that the Almansi-Hamel strain definition exhibited the highest non-linear stress-strain relation and, as a result, may overestimate the elastic modulus at different stress definitions (second Piola-Kichhoff stress, engineering stress, and true stress). The Green-St. Venant strain definition failed to address the non-linear stress-strain relation using different definitions of stress and invoked an underestimation of the elastic modulus values. Engineering stress and strain definitions were only valid for small strains and displacements, which make them impractical when analyzing spongy materials. The results showed that the effect of varying the stress definition on the maximum stress measurements was significant but not when calculating the elastic modulus. It is important to consider which stress-strain definition is employed when characterizing the mechanical properties of spongy materials. Although the true stress-true strain definition exhibits a non-linear relation, we favor it in spongy materials mechanics as it gives more accurate measurements of the material's response using the instantaneous values.

  18. Definition of requirements for geothermal power conversion system studies

    Energy Technology Data Exchange (ETDEWEB)

    1977-06-30

    Candidate power conversion systems and criteria for comparing these systems are listed. The elements of each conceptual design and standard approaches to equipment design are described. The methods used to calculate heat and mass balances and the data used in the calculations are described. The method used in developing the economics of each system is described and factors such as construction wage rates common to all systems are included. Standard methods for developing the conceptual designs and corresponding economics are defined so that the results of each system study can be readily compared to those of the others. The candidate conversion systems are: multistage flash/binary; two stage flash with scrubbing; total flow; multistage flash/direct contact (Bechtel patented process); four stage flash/binary; binary with direct contact heat exchangers; hybrid-flash/binary; hybrid-flash/total flow; and flash/dual cycle binary. (MHR)

  19. Project definition study for the National Biomedical Tracer Facility

    Energy Technology Data Exchange (ETDEWEB)

    Roozen, K.

    1995-02-15

    The University of Alabama at Birmingham (UAB) has conducted a study of the proposed National Biomedical Tracer Facility (NBTF). In collaboration with General Atomics, RUST International, Coleman Research Corporation (CRC), IsoMed, Ernst and Young and the advisory committees, they have examined the issues relevant to the NBTF in terms of facility design, operating philosophy, and a business plan. They have utilized resources within UAB, CRC and Chem-Nuclear to develop recommendations on environmental, safety and health issues. The Institute of Medicine Panel`s Report on Isotopes for Medicine and the Life Sciences took the results of prior workshops further in developing recommendations for the mission of the NBTF. The IOM panel recommends that the NBTF accelerator have the capacity to accelerate protons to 80 MeV and a minimum of 750 microamperes of current. The panel declined to recommend a cyclotron or a linac. They emphasized a clear focus on research and development for isotope production including target design, separation chemistry and generator development. The facility needs to emphasize education and training in its mission. The facility must focus on radionuclide production for the research and clinical communities. The formation of a public-private partnership resembling the TRIUMF-Nordion model was encouraged. An advisory panel should assist with the NBTF operations and prioritization.

  20. Appropriateness of the definition of 'sedentary' in young children: Whole-room calorimetry study.

    Science.gov (United States)

    Reilly, John J; Janssen, Xanne; Cliff, Dylan P; Okely, Anthony D

    2015-09-01

    The present study aimed to measure the energy cost of three common sedentary activities in young children to test whether energy expended was consistent with the recent consensus definition of 'sedentary' as 'any behaviour conducted in a sitting or reclining posture and with an energy cost ≤ 1.5 metabolic equivalents (METs)' (Sedentary Behaviour Research Network, 2012). Observational study. Whole-room calorimetry measures of television viewing, sitting at a table drawing and reading, and sitting on the floor playing with toys were made in 40 young children (mean age 5.3 years, SD 1.0). The energy cost of each sedentary activity was consistent with the recent consensus definition of sedentary: 1.17 METs (95% CI 1.07-1.27) for TV viewing; 1.38 METs (95% CI 1.30-1.46) for sitting at a table; and 1.35 METs (95% CI 1.28-1.43) for floor-based play. Common sedentary activities in young children have energy costs which are consistent with the recent consensus definition of 'sedentary', and the present study is supportive of this definition. Copyright © 2014 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  1. Definitions of love in a sample of British women: an empirical study using Q methodology.

    Science.gov (United States)

    Watts, Simon; Stenner, Paul

    2014-09-01

    Social psychological research has increasingly acknowledged that any pretensions to a singular theory of love should be replaced with a concern about its affirmation and what people actually say and do in love's name. Lee's (1977) love styles research and Sternberg's (1995) theory of love as a story are prime examples. Despite traditional definitions of love in western cultures being dominated by feminine images and tales of gender difference, however, the personal definitions and experiences of women have received comparatively little empirical attention, particularly in recent years and despite some well-documented changes in their cultural circumstances. This study remedies that situation through presentation of a Q methodological study in which a convenience sample of 59 British women were asked to Q sort 54 single-word descriptors of love to define love as they had experienced it. Factor analysis of the resulting Q sorts revealed six distinct definitions of love, interpreted as 'attraction, passion & romance', 'unconditional love', 'sex & fun', 'friendship & spirituality', 'a permanent commitment', and 'separate people, separate lives'. The six definitions are then discussed in terms of their allegiance to traditionally feminine and/or masculine values and as a means of highlighting the changing face of Britain's relational culture.

  2. Zero-gravity cloud physics laboratory: Candidate experiments definition and preliminary concept studies

    Science.gov (United States)

    Eaton, L. R.; Greco, R. V.; Hollinden, A. B.

    1973-01-01

    The candidate definition studies on the zero-g cloud physics laboratory are covered. This laboratory will be an independent self-contained shuttle sortie payload. Several critical technology areas have been identified and studied to assure proper consideration in terms of engineering requirements for the final design. Areas include chambers, gas and particle generators, environmental controls, motion controls, change controls, observational techniques, and composition controls. This unique laboratory will allow studies to be performed without mechanical, aerodynamics, electrical, or other type techniques to support the object under study. This report also covers the candidate experiment definitions, chambers and experiment classes, laboratory concepts and plans, special supporting studies, early flight opportunities and payload planning data for overall shuttle payload requirements assessments.

  3. Knowledge of the definition of euthanasia: study with doctors and caregivers of Alzheimer's disease patients.

    Science.gov (United States)

    Vilela, Luciana Pricoli; Caramelli, Paulo

    2009-01-01

    Euthanasia is an increasingly debated subject among specialized professionals and also among lay people, even in countries such as Brazil where it is not authorized. It is questionable, however, if the concept of euthanasia is well known by these persons. The goal of this study was to investigate knowledge about the definition of euthanasia by family caregivers of patients with dementia and by specialized physicians and also to investigate their personal opinion on this topic. We prospectively interviewed 30 physicians from three different medical specialties and 40 family caregivers of patients with Alzheimer's disease using a structured questionnaire. Two clinical vignettes were also presented to the physicians in order to ascertain their personal opinion about euthanasia. Among the caregivers, 10 (25.0%) knew the correct definition of euthanasia. Regarding their personal view, nine (22.5%) were in favor, while 20 (50.0%) were against. The remaining 11 (27.5%) caregivers were unable to define their position. Among the physicians, 19 (63.3%) gave a coherent answer regarding the definition of euthanasia. When they were presented with the clinical vignettes, less than 50% of them were in favor of euthanasia. The definition of euthanasia was unknown by most of the lay individuals and also by one third of the physicians. Although it is not officially approved in Brazil, a small proportion of family caregivers and also of specialized physicians would be in favor of the practice of euthanasia.

  4. An experimental study on the mechanical properties of rat brain tissue using different stress-strain definitions.

    Science.gov (United States)

    Karimi, Alireza; Navidbakhsh, Mahdi

    2014-07-01

    There are different stress-strain definitions to measure the mechanical properties of the brain tissue. However, there is no agreement as to which stress-strain definition should be employed to measure the mechanical properties of the brain tissue at both the longitudinal and circumferential directions. It is worth knowing that an optimize stress-strain definition of the brain tissue at different loading directions may have implications for neuronavigation and surgery simulation through haptic devices. This study is aimed to conduct a comparative study on different results are given by the various definitions of stress-strain and to recommend a specific definition when testing brain tissues. Prepared cylindrical samples are excised from the parietal lobes of rats' brains and experimentally tested by applying load on both the longitudinal and circumferential directions. Three stress definitions (second Piola-Kichhoff stress, engineering stress, and true stress) and four strain definitions (Almansi-Hamel strain, Green-St. Venant strain, engineering strain, and true strain) are used to determine the elastic modulus, maximum stress and strain. The highest non-linear stress-strain relation is observed for the Almansi-Hamel strain definition and it may overestimate the elastic modulus at different stress definitions at both the longitudinal and circumferential directions. The Green-St. Venant strain definition fails to address the non-linear stress-strain relation using different definitions of stress and triggers an underestimation of the elastic modulus. The results suggest the application of the true stress-true strain definition for characterization of the brain tissues mechanics since it gives more accurate measurements of the tissue's response using the instantaneous values.

  5. The emerging science of quantitative imaging biomarkers terminology and definitions for scientific studies and regulatory submissions.

    Science.gov (United States)

    Kessler, Larry G; Barnhart, Huiman X; Buckler, Andrew J; Choudhury, Kingshuk Roy; Kondratovich, Marina V; Toledano, Alicia; Guimaraes, Alexander R; Filice, Ross; Zhang, Zheng; Sullivan, Daniel C

    2015-02-01

    The development and implementation of quantitative imaging biomarkers has been hampered by the inconsistent and often incorrect use of terminology related to these markers. Sponsored by the Radiological Society of North America, an interdisciplinary group of radiologists, statisticians, physicists, and other researchers worked to develop a comprehensive terminology to serve as a foundation for quantitative imaging biomarker claims. Where possible, this working group adapted existing definitions derived from national or international standards bodies rather than invent new definitions for these terms. This terminology also serves as a foundation for the design of studies that evaluate the technical performance of quantitative imaging biomarkers and for studies of algorithms that generate the quantitative imaging biomarkers from clinical scans. This paper provides examples of research studies and quantitative imaging biomarker claims that use terminology consistent with these definitions as well as examples of the rampant confusion in this emerging field. We provide recommendations for appropriate use of quantitative imaging biomarker terminological concepts. It is hoped that this document will assist researchers and regulatory reviewers who examine quantitative imaging biomarkers and will also inform regulatory guidance. More consistent and correct use of terminology could advance regulatory science, improve clinical research, and provide better care for patients who undergo imaging studies. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  6. Knowledge of the definition of euthanasia: study with doctors and caregivers of Alzheimer's disease patients

    OpenAIRE

    Luciana Pricoli Vilela; Paulo Caramelli

    2009-01-01

    BACKGROUND: Euthanasia is an increasingly debated subject among specialized professionals and also among lay people, even in countries such as Brazil where it is not authorized. It is questionable, however, if the concept of euthanasia is well known by these persons. OBJECTIVE: The goal of this study was to investigate knowledge about the definition of euthanasia by family caregivers of patients with dementia and by specialized physicians and also to investigate their personal opinion on this...

  7. A study of characteristics of intercity transportation systems. Phase 1: Definition of transportation comparison methodology

    Science.gov (United States)

    English, J. M.; Smith, J. L.; Lifson, M. W.

    1978-01-01

    The objectives of this study are: (1) to determine a unified methodological framework for the comparison of intercity passenger and freight transportation systems; (2) to review the attributes of existing and future transportation systems for the purpose of establishing measures of comparison. These objectives were made more specific to include: (1) development of a methodology for comparing long term transportation trends arising from implementation of various R&D programs; (2) definition of value functions and attribute weightings needed for further transportation goals.

  8. The relation of metabolic syndrome according to five definitions to cardiovascular risk factors - a population-based study

    Directory of Open Access Journals (Sweden)

    Lai Ming-May

    2009-12-01

    Full Text Available Abstract Background Although National Cholesterol Education Program (NCEP, International Diabetes Federation (IDF, American Heart Association and National Heart, Lung and Blood Institute (AHA/NHLBI, World Health Organization (WHO, and the European Group for the Study of Insulin Resistance (EGIR definitions of metabolic syndrome (MetS have been commonly used by studies, little is known about agreement among these five definitions. We examined the agreement among these five definitions and explored their relationship with risk factors of cardiovascular disease in a Taiwan population. Methods A total of 1305 subjects aged 40 years and over in Taiwan were analyzed. Biomedical markers and anthropometric indices were measured. Agreement among definitions was determined by the kappa statistic. Logistic regression models were fit to estimate the odds of a high cardiovascular risk group for five definitions of MetS. Results The agreement among the NCEP, IDF, and AHA/NHLBI definitions was from substantial to very good, and agreement between the WHO and EGIR definitions was also substantial. All MetS definitions were significantly associated prevalence of microalbuminuria, elevated highly sensitive CRP (hs-CRP, and arterial stiffness only in women. In men, MetS by NCEP and AHA/NHLBI was associated with elevated level of hs-CRP and arterial stiffness. MetS by WHO and EGIR were significantly associated with microalbuminuria. And MetS by WHO was the only MetS definition that significantly associated with prevalence of arterial stiffness (OR: 2.75, 95% CI: 1.22-6.19. Conclusions The associations of these five definitions with cardiovascular risk factors were similar in women, and it was evident that the five definitions performed better in women than in men, with higher ORs observed in relation to arterial stiffness, elevated hs-CRP, and higher Framingham risk scores.

  9. Genetic distance as an alternative to physical distance for definition of gene units in association studies.

    Science.gov (United States)

    Rodriguez-Fontenla, Cristina; Calaza, Manuel; Gonzalez, Antonio

    2014-05-28

    Some association studies, as the implemented in VEGAS, ALIGATOR, i-GSEA4GWAS, GSA-SNP and other software tools, use genes as the unit of analysis. These genes include the coding sequence plus flanking sequences. Polymorphisms in the flanking sequences are of interest because they involve cis-regulatory elements or they inform on untyped genetic variants trough linkage disequilibrium. Gene extensions have customarily been defined as ±50 Kb. This approach is not fully satisfactory because genetic relationships between neighbouring sequences are a function of genetic distances, which are only poorly replaced by physical distances. Standardized recombination rates (SRR) from the deCODE recombination map were used as units of genetic distances. We searched for a SRR producing flanking sequences near the ±50 Kb offset that has been common in previous studies. A SRR≥2 was selected because it led to gene extensions with median length=45.3 Kb and the simplicity of an integer value. As expected, boundaries of the genes defined with the ±50 Kb and with the SRR≥2 rules were rarely concordant. The impact of these differences was illustrated with the interpretation of top association signals from two large studies including many hits and their detailed analysis based in different criteria. The definition based in genetic distance was more concordant with the results of these studies than the based in physical distance. In the analysis of 18 top disease associated loci form the first study, the SRR≥2 genes led to a fully concordant interpretation in 17 loci; the ±50 Kb genes only in 6. Interpretation of the 43 putative functional genes of the second study based in the SRR≥2 definition only missed 4 of the genes, whereas the based in the ±50 Kb definition missed 10 genes. A gene definition based on genetic distance led to results more concordant with expert detailed analyses than the commonly used based in physical distance. The genome coordinates for each

  10. Competing Definitions of Schizophrenia: What Can Be Learned From Polydiagnostic Studies?

    DEFF Research Database (Denmark)

    Jansson, Lennart Bertil; Parnas, Josef

    2006-01-01

    The contemporary diagnoses of schizophrenia (sz)—Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and International Classification of Diseases,10th Revision (ICD-10)—are widely considered as important scientific achievements. However, these algorithms were not a prod......The contemporary diagnoses of schizophrenia (sz)—Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and International Classification of Diseases,10th Revision (ICD-10)—are widely considered as important scientific achievements. However, these algorithms were...... not a product of explicit conceptual analyses and empirical studies but defined through consensus with the purpose of improving reliability. The validity status of current definitions and of their predecessors remains unclear. The so-called "polydiagnostic approach" applies different definitions of a disorder...

  11. Multidisciplinary collaborative gross tumour volume definition for lung cancer radiotherapy: a prospective study.

    Science.gov (United States)

    Hollingdale, Abigail E; Roques, Tom W; Curtin, John; Martin, W M Craig; Horan, Gail; Barrett, Ann

    2011-12-07

    Variability in gross tumour volume (GTV) definition is a major source of systematic error in conformal radiotherapy. This prospective study assesses the role of multidisciplinary collaboration between oncologists and radiologists in defining lung cancer volumes. Twenty patients with non-small cell lung cancer due to receive three-dimensional conformal radiotherapy formed the study population. GTVs were defined by a radiologist (GTVrad) and an oncologist (GTVonc) using available clinical information and imaging. A collaborative meeting was then held to agree on a final, common GTV (GTVfin) to be used for treatment planning, and differences analysed. The collaboration changed the GTV in 19/20 patients with a total of 50 regions being edited. Changes made were categorized as (a) differentiation of tumour from atelectasis or ground glass shadowing, (b) separation of tumour from vasculature, and (c) defining mediastinal extent of tumour. Oncologists were more confident in the GTVfin than the GTVonc. The radiologist took longer to define the GTV than the oncologist. Real-time collaborative GTV definition by a radiologist and oncologist is practical and feasible. This approach allows specific areas of uncertainty to be categorized and focussed on, reducing systematic error in GTV definition. The physician's approach to risk and decision making for each patient may also play a role.

  12. Exploring Stakeholder Definitions within the Aerospace Industry: A Qualitative Case Study

    Science.gov (United States)

    Hebert, Jonathan R.

    A best practice in the discipline of project management is to identify all key project stakeholders prior to the execution of a project. When stakeholders are properly identified, they can be consulted to provide expert advice on project activities so that the project manager can ensure the project stays within the budget and schedule constraints. The problem addressed by this study is that managers fail to properly identify key project stakeholders when using stakeholder theory because there are multiple conflicting definitions for the term stakeholder. Poor stakeholder identification has been linked to multiple negative project outcomes such as budget and schedules overruns, and this problem is heightened in certain industries such as aerospace. The purpose of this qualitative study was to explore project managers' and project stakeholders' perceptions of how they define and use the term stakeholder within the aerospace industry. This qualitative exploratory single-case study had two embedded units of analysis: project managers and project stakeholders. Six aerospace project managers and five aerospace project stakeholders were purposively selected for this study. Data were collected through individual semi-structured interviews with both project managers and project stakeholders. All data were analyzed using Yin's (2011) five-phased cycle approach for qualitative research. The results indicated that the aerospace project managers and project stakeholder define the term stakeholder as "those who do the work of a company." The participants build upon this well-known concept by adding that, "a company should list specific job titles" that correspond to their company specific-stakeholder definition. Results also indicated that the definition of the term stakeholder is used when management is assigning human resources to a project to mitigate or control project risk. Results showed that project managers tended to include the customer in their stakeholder definitions

  13. Geosynchronous platform definition study. Volume 6: Geosynchronous program evaluation and recommendations

    Science.gov (United States)

    Myers, H. L.

    1973-01-01

    The programmatic analyses conducted to achieve the objectives of the study are presented. The characteristics are examined of alternate geosynchronous programs based on servicing concepts, geosynchronous platform configurations, and equipment definitions which have evolved during the study. The logistics support necessary to carry out programs using these systems is defined considering alternate approaches for on-orbit servicing. The costs of the resultant programs are then determined and the alternate program approaches compared. Conventional programs with expendable satellites are also defined to the extent necessary to permit comparison with on-orbit serviced platform programs.

  14. The Exploring Nature of Definitions and Classifications of Language Learning Strategies (LLSs) in the Current Studies of Second/Foreign Language Learning

    Science.gov (United States)

    Fazeli, Seyed Hossein

    2011-01-01

    This study aims to explore the nature of definitions and classifications of Language Learning Strategies (LLSs) in the current studies of second/foreign language learning in order to show the current problems regarding such definitions and classifications. The present study shows that there is not a universal agreeable definition and…

  15. Power Extension Package (PEP) system definition extension, orbital service module systems analysis study. Volume 10: PEP project plan

    Science.gov (United States)

    1979-01-01

    Contents: project plan summary; project and mission objectives; related studies and technology support activities; technical summary; management; procurement approach; project definition items and schedule; resources; management review; controlled items; and safety, reliability, and quality assurance.

  16. Biofuel Drying - Literature Study and Definitions, Concepts and Terms; Torkning av biobraensle - litteraturstudie samt definitioner, begrepp och termer

    Energy Technology Data Exchange (ETDEWEB)

    Sanati, Mehri; Faghihi, Mostafa

    2001-09-01

    The report contains one section with definitions and explications of terms in the field of drying of biofuels. The second section presents, in english, the result of a literature study in the same subject, based on 90 literature references.

  17. [Importance of the definition of urban zones in the study of cancer risk factors].

    Science.gov (United States)

    Pottier, D; Launoy, G; Le Coutour, X; Dugleux, G; Gignoux, M

    1989-01-01

    1446 cases of colorectal cancer have been collected in the Registry of digestive tract tumours in the "Department" of Calvados with the aim of studying the effect of residential location on cancer incidence. The risk-ratio was different in males and in females and between different types of urban areas. Using the urban category of "Zone de Peuplement Industriel ou Urbain" (ZPIU) increased the observed risk-ratio (1.6 for males, 1.2 for females), and enabled definition of homogeneous populations. This improved classification, thus allowed a more discriminating analysis of the effect of residential location on risk of cancer in both sexes.

  18. Residential buffer, perceived neighborhood, and individual activity space: New refinements in the definition of exposure areas - The RECORD Cohort Study.

    Science.gov (United States)

    Perchoux, Camille; Chaix, Basile; Brondeel, Ruben; Kestens, Yan

    2016-07-01

    Neighborhood effects on health have been widely investigated; yet the definition of neighborhoods is usually arbitrary. This study analyses how disparities in environmental exposure according to urbanicity vary when considering a home-centered network-buffer, the perceived residential neighborhood, or the activity space. Exposures to the density of destinations and proportion of green space were compared for three spatial definitions of exposure areas, overall and stratified by urbanicity of the residence. Environmental exposure levels and gradients by urbanicity were found to vary depending on the spatial definition of the exposure area.

  19. Defining the Field: Revisiting the ACA 1995 Definition of Communication Studies.

    Science.gov (United States)

    Korn, Charles J.; Morreale, Sherwyn P.; Boileau, Don M.

    2000-01-01

    Presents results of a survey of Association for Communication Administration (ACA) members concerning their awareness and use of the 1995 ACA Definition of the Field of Communication. Finds that 40% of administrators who responded were unaware of the definition. Urges the need to further promote the definition of the field. (NH)

  20. Comparative Effectiveness of 3-Dimensional vs 2-Dimensional and High-Definition vs Standard-Definition Neuroendoscopy: A Preclinical Randomized Crossover Study

    Science.gov (United States)

    Hughes-Hallett, Archie; Cundy, Thomas P.; Di Marco, Aimee; Pratt, Philip; Nandi, Dipankar; Darzi, Ara; Yang, Guang-Zhong

    2013-01-01

    BACKGROUND: Although the potential benefits of 3-dimensional (3-D) vs 2-dimensional (2-D) and high-definition (HD) vs standard-definition (SD) endoscopic visualization have long been recognized in other surgical fields, such endoscopes are generally considered too large and bulky for use within the brain. The recent development of 3-D and HD neuroendoscopes may therefore herald improved depth perception, better appreciation of anatomic details, and improved overall surgical performance. OBJECTIVE: To compare simultaneously the effectiveness of 3-D vs 2-D and HD vs SD neuroendoscopy. METHODS: Ten novice neuroendoscopic surgeons were recruited from a university hospital. A preclinical randomized crossover study design was adopted to compare 3-D vs 2-D and HD vs SD neuroendoscopy. The primary outcomes were time to task completion and accuracy. The secondary outcomes were perceived task workload using the NASA (National Aeronautics and Space Administration) Task Load Index and subjective impressions of the endoscopes using a 5-point Likert scale. RESULTS: Time to task completion was significantly shorter when using the 3-D vs the 2-D neuroendoscopy (P = .001), and accuracy of probe placement was significantly greater when using the HD vs the SD neuroendoscopy (P = .009). We found that 3-D endoscopy significantly improved perceived depth perception (P < .001), HD endoscopy significantly improved perceived image quality (P < .001), and both improved participants’ overall impression (P < .001). CONCLUSION: Three-dimensional neuroendoscopy and HD neuroendoscopy have differing but complementary effects on surgical performance, suggesting that neither alone can completely compensate for the lack of the other. There is therefore strong preclinical evidence to justify 3-D HD neuroendoscopy. ABBREVIATIONS: HD, high definition SD, standard definition PMID:24220007

  1. The management approach to the NASA space station definition studies at the Manned Spacecraft Center

    Science.gov (United States)

    Heberlig, J. C.

    1972-01-01

    The overall management approach to the NASA Phase B definition studies for space stations, which were initiated in September 1969 and completed in July 1972, is reviewed with particular emphasis placed on the management approach used by the Manned Spacecraft Center. The internal working organizations of the Manned Spacecraft Center and its prime contractor, North American Rockwell, are delineated along with the interfacing techniques used for the joint Government and industry study. Working interfaces with other NASA centers, industry, and Government agencies are briefly highlighted. The controlling documentation for the study (such as guidelines and constraints, bibliography, and key personnel) is reviewed. The historical background and content of the experiment program prepared for use in this Phase B study are outlined and management concepts that may be considered for future programs are proposed.

  2. A study of TB-associated immune reconstitution inflammatory syndrome using the consensus case-definition.

    Science.gov (United States)

    Sharma, Surendra K; Dhooria, Sahajal; Barwad, Parag; Kadhiravan, Tamilarasu; Ranjan, Sanjay; Miglani, Sunita; Gupta, Deepak

    2010-06-01

    A considerable proportion of patients with HIV associated tuberculosis (TB) started on highly active antiretroviral therapy (HAART) develop immune reconstitution inflammatory syndrome (IRIS), which is difficult to diagnose in a resource-limited setting. In view of the recently proposed consensus case-definitions for TB-IRIS for use in resource-limited settings we undertook this study to describe the incidence and risk factors of TB associated IRIS in a tertiary care hospital and research centre in north India. Retrospective analysis of antiretroviral treatment (ART) naïve adults started on highly active ART (HAART) from June 2006 to September 2008 was done. Of the 627 patients studied, 237 (38%) had TB at the initiation of HAART. In total, 18 (7.5%) of 237 patients with TB at baseline had paradoxical TB-associated IRIS, and 12 (3%) of 390 patients without TB at baseline developed ART-associated TB. Most IRIS events occurred during the initial 30 days of HAART. Two patients developed TB-associated IRIS after 90 days of HAART. Using univariate analysis, low CD4+ cell count at baseline [64 (28-89) vs. 95 (52-150); P=0.009] and early initiation of HAART [33 (24-41) vs. 48 (35-61) days; PART-associated TB. A considerable proportion of patients on HAART develop TB-associated IRIS. The consensus case-definition is a useful tool in resource-limited settings for the diagnosis of TB- associated IRIS.

  3. Overlap of food addiction and substance use disorders definitions: analysis of animal and human studies.

    Science.gov (United States)

    Hone-Blanchet, Antoine; Fecteau, Shirley

    2014-10-01

    Food has both homeostatic and hedonic components, which makes it a potent natural reward. Food related reward could therefore promote an escalation of intake and trigger symptoms associated to withdrawal, suggesting a behavioral parallel with substance abuse. Animal and human theoretical models of food reward and addiction have emerged, raising further interrogations on the validity of a bond between Substance Use Disorders, as clinically categorized in the DSM 5, and food reward. These models propose that highly palatable food items, rich in sugar and/or fat, are overly stimulating to the brain's reward pathways. Moreover, studies have also investigated the possibility of causal link between food reward and the contemporary obesity epidemic, with obesity being potentiated and maintained due to this overwhelming food reward. Although natural rewards are a hot topic in the definition and categorization of Substance Use Disorders, proofs of concept and definite evidence are still inconclusive. This review focuses on available results from experimental studies in animal and human models exploring the concept of food addiction, in an effort to determine if it depicts a specific phenotype and if there is truly a neurobiological similarity between food addiction and Substance Use Disorders. It describes results from sugar, fat and sweet-fat bingeing in rodent models, and behavioral and neurobiological assessments in different human populations. Although pieces of behavioral and neurobiological evidence supporting a food addiction phenotype in animals and humans are interesting, it seems premature to conclude on its validity.

  4. Cognitive Aids for Role Definition (CARD) to improve interprofessional team crisis resource management: An exploratory study.

    Science.gov (United States)

    Renna, Tania Di; Crooks, Simone; Pigford, Ashlee-Ann; Clarkin, Chantalle; Fraser, Amy B; Bunting, Alexandra C; Bould, M Dylan; Boet, Sylvain

    2016-09-01

    This study aimed to assess the perceived value of the Cognitive Aids for Role Definition (CARD) protocol for simulated intraoperative cardiac arrests. Sixteen interprofessional operating room teams completed three consecutive simulated intraoperative cardiac arrest scenarios: current standard, no CARD; CARD, no CARD teaching; and CARD, didactic teaching. Each team participated in a focus group interview immediately following the third scenario; data were transcribed verbatim and qualitatively analysed. After 6 months, participants formed eight new teams randomised to two groups (CARD or no CARD) and completed a retention intraoperative cardiac arrest simulation scenario. All simulation sessions were video recorded and expert raters assessed team performance. Qualitative analysis of the 16 focus group interviews revealed 3 thematic dimensions: role definition in crisis management; logistical issues; and the "real life" applicability of CARD. Members of the interprofessional team perceived CARD very positively. Exploratory quantitative analysis found no significant differences in team performance with or without CARD (p > 0.05). In conclusion, qualitative data suggest that the CARD protocol clarifies roles and team coordination during interprofessional crisis management and has the potential to improve the team performance. The concept of a self-organising team with defined roles is promising for patient safety.

  5. Final definition and preliminary design study for the initial atmospheric cloud physics laboratory, a Spacelab mission payload

    Science.gov (United States)

    1976-01-01

    The following areas related to the final definition and preliminary design study of the initial atmospheric cloud physics laboratory (ACPL) were covered: (1) proposal organization, personnel, schedule, and project management, (2) proposed configurations, (3) study objectives, (4) ACPL experiment program listing and description, (5) mission/flight flexibility and modularity/commonality, (6) study plan, and (7) description of following tasks: requirement analysis and definition task flow, systems analysis and trade studies, subsystem analysis and trade studies, specifications and interface control documents, preliminary design task flow, work breakdown structure, programmatic analysis and planning, and project costs. Finally, an overview of the scientific requirements was presented.

  6. Chronic Fatigue Syndrome – A clinically empirical approach to its definition and study

    Directory of Open Access Journals (Sweden)

    Papanicolaou Dimitris A

    2005-12-01

    Full Text Available Abstract Background The lack of standardized criteria for defining chronic fatigue syndrome (CFS has constrained research. The objective of this study was to apply the 1994 CFS criteria by standardized reproducible criteria. Methods This population-based case control study enrolled 227 adults identified from the population of Wichita with: (1 CFS (n = 58; (2 non-fatigued controls matched to CFS on sex, race, age and body mass index (n = 55; (3 persons with medically unexplained fatigue not CFS, which we term ISF (n = 59; (4 CFS accompanied by melancholic depression (n = 27; and (5 ISF plus melancholic depression (n = 28. Participants were admitted to a hospital for two days and underwent medical history and physical examination, the Diagnostic Interview Schedule, and laboratory testing to identify medical and psychiatric conditions exclusionary for CFS. Illness classification at the time of the clinical study utilized two algorithms: (1 the same criteria as in the surveillance study; (2 a standardized clinically empirical algorithm based on quantitative assessment of the major domains of CFS (impairment, fatigue, and accompanying symptoms. Results One hundred and sixty-four participants had no exclusionary conditions at the time of this study. Clinically empirical classification identified 43 subjects as CFS, 57 as ISF, and 64 as not ill. There was minimal association between the empirical classification and classification by the surveillance criteria. Subjects empirically classified as CFS had significantly worse impairment (evaluated by the SF-36, more severe fatigue (documented by the multidimensional fatigue inventory, more frequent and severe accompanying symptoms than those with ISF, who in turn had significantly worse scores than the not ill; this was not true for classification by the surveillance algorithm. Conclusion The empirical definition includes all aspects of CFS specified in the 1994 case definition and identifies persons with

  7. GACT: a Genome build and Allele definition Conversion Tool for SNP imputation and meta-analysis in genetic association studies.

    Science.gov (United States)

    Sulovari, Arvis; Li, Dawei

    2014-07-19

    Genome-wide association studies (GWAS) have successfully identified genes associated with complex human diseases. Although much of the heritability remains unexplained, combining single nucleotide polymorphism (SNP) genotypes from multiple studies for meta-analysis will increase the statistical power to identify new disease-associated variants. Meta-analysis requires same allele definition (nomenclature) and genome build among individual studies. Similarly, imputation, commonly-used prior to meta-analysis, requires the same consistency. However, the genotypes from various GWAS are generated using different genotyping platforms, arrays or SNP-calling approaches, resulting in use of different genome builds and allele definitions. Incorrect assumptions of identical allele definition among combined GWAS lead to a large portion of discarded genotypes or incorrect association findings. There is no published tool that predicts and converts among all major allele definitions. In this study, we have developed a tool, GACT, which stands for Genome build and Allele definition Conversion Tool, that predicts and inter-converts between any of the common SNP allele definitions and between the major genome builds. In addition, we assessed several factors that may affect imputation quality, and our results indicated that inclusion of singletons in the reference had detrimental effects while ambiguous SNPs had no measurable effect. Unexpectedly, exclusion of genotypes with missing rate > 0.001 (40% of study SNPs) showed no significant decrease of imputation quality (even significantly higher when compared to the imputation with singletons in the reference), especially for rare SNPs. GACT is a new, powerful, and user-friendly tool with both command-line and interactive online versions that can accurately predict, and convert between any of the common allele definitions and between genome builds for genome-wide meta-analysis and imputation of genotypes from SNP-arrays or deep

  8. What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review.

    Science.gov (United States)

    Lawal, Adegboyega K; Rotter, Thomas; Kinsman, Leigh; Machotta, Andreas; Ronellenfitsch, Ulrich; Scott, Shannon D; Goodridge, Donna; Plishka, Christopher; Groot, Gary

    2016-02-23

    Clinical pathways (CPWs) are a common component in the quest to improve the quality of health. CPWs are used to reduce variation, improve quality of care, and maximize the outcomes for specific groups of patients. An ongoing challenge is the operationalization of a definition of CPW in healthcare. This may be attributable to both the differences in definition and a lack of conceptualization in the field of clinical pathways. This correspondence article describes a process of refinement of an operational definition for CPW research and proposes an operational definition for the future syntheses of CPWs literature. Following the approach proposed by Kinsman et al. (BMC Medicine 8(1):31, 2010) and Wieland et al. (Alternative Therapies in Health and Medicine 17(2):50, 2011), we used a four-stage process to generate a five criteria checklist for the definition of CPWs. We refined the operational definition, through consensus, merging two of the checklist's criteria, leading to a more inclusive criterion for accommodating CPW studies conducted in various healthcare settings. The following four criteria for CPW operational definition, derived from the refinement process described above, are (1) the intervention was a structured multidisciplinary plan of care; (2) the intervention was used to translate guidelines or evidence into local structures; (3) the intervention detailed the steps in a course of treatment or care in a plan, pathway, algorithm, guideline, protocol or other 'inventory of actions' (i.e. the intervention had time-frames or criteria-based progression); and (4) the intervention aimed to standardize care for a specific population. An intervention meeting all four criteria was considered to be a CPW. The development of operational definitions for complex interventions is a useful approach to appraise and synthesize evidence for policy development and quality improvement.

  9. Different patient case mix by applying the 2003 SCCM/ESICM/ACCP/ATS/SIS sepsis definitions instead of the 1992 ACCP/SCCM sepsis definitions in surgical patients: a retrospective observational study

    Directory of Open Access Journals (Sweden)

    Kron Martina

    2009-05-01

    Full Text Available Abstract Background Revised consensus sepsis definitions have been published in 2003. The present study was performed to compare the prevalence of different stages of sepsis and ICU mortality rates and find out the case mix within the same collective of postoperative/posttraumatic patients applying either the original 1992 ACCP/SCCM or the revised 2003 SCCM/ESICM/ACCP/ATS/SIS sepsis definitions. Methods Retrospective observational single-centre study in surgical critically ill patients admitted to an University adult ICU. From 01/2007 to 12/2007, 742 patients were surveyed daily computer-assisted with respect to different stages of sepsis. Results Within the same patient collective, applying the 2003 definitions instead of the 1992 definitions, prevalence of severe sepsis (61 vs. 56 and septic shock (205 vs. 162 was higher (p Conclusion The prevalence and mortality rates of various sepsis severity stages differ if defined by the 1992 or the 2003 definitions. Thus, transferring conclusions drawn from data sets regarding severity of sepsis generated with the 1992 definitions to the same population applying the 2003 definitions may be misleading. The 1992 definitions may under-classify patients with severe sepsis.

  10. Consensus definitions and application guidelines for control groups in cerebrospinal fluid biomarker studies in multiple sclerosis

    DEFF Research Database (Denmark)

    Teunissen, Charlotte; Menge, Til; Altintas, Ayse

    2013-01-01

    definitions and nomenclature for the following groups: healthy controls (HCs), spinal anesthesia subjects (SASs), inflammatory neurological disease controls (INDCs), peripheral inflammatory neurological disease controls (PINDCs), non-inflammatory neurological controls (NINDCs), symptomatic controls (SCs...

  11. Enterprise Social Media: Definition, History, and Prospects for the Study of Social Technologies in Organizations

    National Research Council Canada - National Science Library

    Leonardi, Paul M; Huysman, Marleen; Steinfield, Charles

    2013-01-01

    ... and perpetuate organizations. We begin by offering a definition of enterprise social media and providing a rough historical account of the various avenues through which these technologies have entered and continue to enter the workplace...

  12. Critical appraisal of the International Study Group of Pancreatic Surgery (ISGPS) consensus definition of postoperative hemorrhage after pancreatoduodenectomy.

    Science.gov (United States)

    Welsch, Thilo; Eisele, Hanna; Zschäbitz, Stefanie; Hinz, Ulf; Büchler, Markus W; Wente, Moritz N

    2011-08-01

    Postpancreatectomy hemorrhage (PPH) is one of the most serious complications after pancreatoduodenectomy (PD). This study analyzed and validated the International Study Group of Pancreatic Surgery (ISGPS) definition of PPH and aimed to identify risk factors for early (<24 h) and late PPH. Patients who underwent PD for pancreatic head tumors between 2001 and 2008 were included and complications were prospectively recorded. Factors associated with PPH were assessed by uni- and multivariate analysis. Complete datasets were available for 796 patients. Classic and pylorus-preserving PD was performed in 13.8% and 86.2% of the patients, respectively. According to the ISGPS definition, PPH occurred in 29.1% of the cases (232 of 796 patients): 4.8% grade A, 15.2% grade B, and 9.2% grade C. The definition is based largely on surrogate markers (e.g., transfusion requirement) that are affected by other critical illnesses and more than 97% of patients with mild PPH had no clinical signs of bleeding. The need for postoperative intensive care as well as the incidence of pancreatic fistula, relaparotomy, and mortality rates significantly increased from grades A to C. Thirty-seven patients (4.6%) required interventional (endoscopy or angiography) and/or relaparotomy for PPH. Relaparotomy for PPH was performed in 3.1% of all patients. Independent risk factors for early PPH were preoperative anemia (hemoglobin, <11 mg/dl) and multivisceral resection while advanced age, chronic renal insufficiency, increased blood loss, and long operation time were associated with late PPH. The ISGPS definition of PPH is feasible and applicable but produces a high rate of false positive mild PPH cases. The different grades still significantly correlate with relevant outcome variables, thus the definition discriminates postoperative courses, but a minor modification of the definition of mild PPH is suggested. The new results further demonstrate the need to optimize preoperative anemia and chronic renal

  13. Problems Associated with Coordination and Role Definitions in Health Care Teams: A Hospice Program Evaluation and Intervention Case Study.

    Science.gov (United States)

    Berteotti, Carol R.; And Others

    Using an evaluation of a hospital-based hospice as a case study, this paper analyzes problematic issues surrounding health care teams (HCTs) in light of findings revealed in the literature concerning HCT structures and processes. The factors of coordination and role definitions in HCTs and their manifestations in a particular hospice HCT in terms…

  14. Cost optimal and nearly zero-energy buildings (nZEB) definitions, calculation principles and case studies

    CERN Document Server

    Kurnitski, Jarek

    2013-01-01

    This book introduces technical definitions, system boundaries, energy calculation methods and input data for setting primary energy based minimum/cost optimal and nZEB requirements in national energy frames. Offers five case studies of nZEB office buildings.

  15. What is my walking neighbourhood? A pilot study of English adults' definitions of their local walking neighbourhoods

    Directory of Open Access Journals (Sweden)

    Davey Rachel

    2010-05-01

    Full Text Available Abstract Background Existing measures of perceptions of the environment associated with walking commonly rely on providing a definition of 'neighbourhood', e.g. 1 mile area around the home. We have little understanding of how these examples relate with adults' own geographical definitions of their neighbourhood area. Our pilot study examined the congruence between definitions used in environmental questionnaires and adults' own definitions of neighbourhood. Methods We conducted 58 face-to-face interviews with participants randomly selected from 10 areas of Stoke-on-Trent, England. Participants were shown printed maps showing their local area with road names and places of interest (e.g. shops, services, green space and were asked: (i to recall usual walking destinations (from their home; (ii to draw their 'neighbourhood walking area' on the map. Annotated maps were scanned back into GIS for analysis. Results When asked to draw their 'neighbourhood' boundary, the resulting area drawn by participants on average represented only 16 ± 20% of the commonly used total straight-line buffer of 1 mile (or 1.6 km with a range of 0.3% to 111%. Even when repeated using a network buffer (rather than straight-line the same comparison resulted in a mean of 36% (± 47% and a range of 0.6 to 245%. Conclusions We found that adults' interpretation of their neighbourhood area does not appear to relate accurately to the definitions typically used in research into environmental perceptions and walking. This mis-match warrants further investigation as definitions used in existing measures may be consistently misclassifying perceived local walking neighbourhoods.

  16. An EULAR study group pilot study on reliability of simple capillaroscopic definitions to describe capillary morphology in rheumatic diseases.

    Science.gov (United States)

    Smith, Vanessa; Beeckman, Sam; Herrick, Ariane L; Decuman, Saskia; Deschepper, Ellen; De Keyser, Filip; Distler, Oliver; Foeldvari, Ivan; Ingegnoli, Francesca; Müller-Ladner, Ulf; Riccieri, Valeria; Riemekasten, Gabriela; Sulli, Alberto; Voskuyl, Alexandre; Cutolo, Maurizio

    2016-05-01

    To propose simple capillaroscopic definitions for interpretation of capillaroscopic morphologies and to assess inter-rater reliability. The simple definitions proposed were: normal--hairpin, tortuous or crossing; abnormal--not hairpin, not tortuous and not crossing; not evaluable--whenever rater undecided between normal and abnormal. Based upon an aimed kappa of 0.80 and default prevalences of normal (0.4), abnormal (0.4) and not evaluable (0.2) capillaries, 90 single capillaries were presented to three groups of raters: experienced independent raters, n = 5; attendees of the sixth EULAR capillaroscopy course, n = 34; novices after a 1-h course, n = 11. Inter-rater agreement was assessed by calculation of proportion of agreement and by kappa coefficients. Mean kappa based on 90 capillaries was 0.47 (95% CI: 0.39, 0.54) for expert raters, 0.40 (95% CI: 0.36, 0.44) for attendees and 0.46 (95% CI: 0.41, 0.52) for novices, with overall agreements of 67% (95% CI: 63, 71), 63% (95% CI: 60, 65) and 67% (95% CI: 63, 70), respectively. Comparing only normal vs the combined groups of abnormal and not evaluable capillaries did increase the kappa: 0.51 (95% CI: 0.37 ,: 0.65), 0.53 (95% CI: 0.49, 0.58) and 0.55 (95% CI: 0.49, 0.62). On the condition that the capillaries were classifiable, the mean kappa was 0.62 (95% CI: 0.50, 0.74) for expert raters (n = 65), 0.76 (95% CI: 0.69, 0.83) for attendees (n = 20) and 0.81 (95% CI: 0.74, 0.89) for novices (n = 44). This multicentre, international study showed moderate reliability of simple capillaroscopic definitions for describing morphology of capillaries by rheumatologists with varying levels of expertise. Novices were capable of distinguishing normal from abnormal capillaries by means of a 1-h training session. In future studies, the class not evaluable may be obsolete. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email

  17. Astronomy sortie missions definition study. Volume 3, book 1: Design analysis and trade studies

    Science.gov (United States)

    1972-01-01

    A study to define the astronomy sortie missions was conducted. The design analyses and tradeoff studies conducted for candidate concepts are presented. The subjects discussed are: (1) system and subsystem requirements, (2) space shuttle interfaces, (3) infrared telescope development, and (4) experiments to be conducted during the mission.

  18. Study on the Standard Definitions and Methods of Energy Supply and Demand Statistics

    Energy Technology Data Exchange (ETDEWEB)

    Park, T.S. [Korea Energy Economics Institute, Euiwang (Korea)

    2001-11-01

    It is no doubt that a successful national energy policy depends on how deeply is understood the structure of energy supply and demand. It, however, is quite difficult to make out the precise statistics of the energy supply and demand statistics without the technical knowledge. We need to consider reporting the energy statistics as constructing an infrastructure in its field. With several revisions of reporting data system, the energy statistics have been developed, but they still have many problems due to the shortage of energy statistic data. This study indicates the technical problems of reporting system by energy sources and suggests the improving ways about how to collect and report energy supply and demand statistics. Concerning the statistics of oil supply and demand, this study suggests definition and reporting methods on the annual oil statistics of IEA and shows revised data on the national report submitted to IEA 2000. Also to calculate precise coal supply and demand, coal conversion processes, relationship of inputs of coking coal through coke oven coke, COG and BFG are considered in this study. To include auto-producer electricity and heat for sale in the transformation sector of energy balance, related data are collected and how much is used for electricity generation and heat for sale are estimated. To avoid double counting, it shows how each amount is subtracted from the corresponding sector. In order to a success of establishing energy policies and strategies, they need to be based on the well-framed statistics on energy supply and demand. Therefore we all should keep in mind that continuing interests and supports are necessary to set up the energy data system. And to develop the energy statistical system, more consistent institutional framework is necessary to be established along with the technical solution. (author). 23 refs., 11 figs., 45 tabs.

  19. Astronomy sortie missions definition study. Volume 3, book 2: Appendix: Design analysis and trade studies

    Science.gov (United States)

    1972-01-01

    Backup or supporting data for the design analyses and trade studies which defined the astronomy sortie missions are presented. The subjects discussed are: (1) configuration of space shuttle orbiter, (2) electronic subsystems, (3) electric power requirements, and (4) payload requirements. Mathematical models are developed to illustrate the orbital rendezvous capabilities.

  20. Space biology initiative program definition review. Trade study 5: Modification of existing hardware (COTS) versus new hardware build cost analysis

    Science.gov (United States)

    Jackson, L. Neal; Crenshaw, John, Sr.; Davidson, William L.; Blacknall, Carolyn; Bilodeau, James W.; Stoval, J. Michael; Sutton, Terry

    1989-01-01

    The JSC Life Sciences Project Division has been directly supporting NASA Headquarters, Life Sciences Division, in the preparation of data from JSC and ARC to assist in defining the Space Biology Initiative (SBI). GE Government Services and Horizon Aerospace have provided contract support for the development and integration of review data, reports, presentations, and detailed supporting data. An SBI Definition (Non-Advocate) Review at NASA Headquarters, Code B, has been scheduled for the June-July 1989 time period. In a previous NASA Headquarters review, NASA determined that additional supporting data would be beneficial to determine the potential advantages in modifying commercial off-the-shelf (COTS) hardware for some SBI hardware items. In order to meet the demands of program implementation planning with the definition review in late spring of 1989, the definition trade study analysis must be adjusted in scope and schedule to be complete for the SBI Definition (Non-Advocate) Review. The relative costs of modifying existing commercial off-the-shelf (COTS) hardware is compared to fabricating new hardware. An historical basis for new build versus modifying COTS to meet current NMI specifications for manned space flight hardware is surveyed and identified. Selected SBI hardware are identified as potential candidates for off-the-shelf modification and statistical estimates on the relative cost of modifying COTS versus new build are provided.

  1. Bringing Definitions into High Definition

    Science.gov (United States)

    Mason, John

    2010-01-01

    Why do definitions play such a central role in mathematics? It may seem obvious that precision about the terms one uses is necessary in order to use those terms reasonably (while reasoning). Definitions are chosen so as to be definite about the terms one uses, but also to make both the statement of, and the reasoning to justify, theorems as…

  2. Definition of Successful Aging by Elderly Canadian Males: The Manitoba Follow-Up Study

    Science.gov (United States)

    Tate, Robert B.; Lah, Leedine; Cuddy, T. Edward

    2003-01-01

    Purpose: Although the concept of successful aging is used widely in the field of gerontology, there is no agreed-on standard or common underlying definition for measuring success in aging. Our recent survey of an elderly male population asked respondents to define "successful aging." This paper describes the themes that evolved from…

  3. Definitely Life but not Definitively

    Science.gov (United States)

    Oliver, Joan D.; Perry, Randall S.

    2006-12-01

    Although there have been attempts at a definition of life from many disciplines, none is accepted by all as definitive. Some people believe that it is impossible to define ‘life’ adequately at the moment. We agree with this point of view on linguistic grounds, examining the different types of definition, the contexts in which they are used and their relative usefulness as aids to arriving at a scientific definition of life. We look at some of the more recent definitions and analyse them in the light of our criteria for a good definition. We argue that since there are so many linguistic and philosophical difficulties with such a definition of life, what is needed is a series of working descriptions, which are suited to the audience and context in which they are used and useful for the intended purpose. We provide some ideas and examples of the forms these may take.

  4. Study on the Definition of Police Assistants%辅警定义研究

    Institute of Scientific and Technical Information of China (English)

    林海文; 王世卿

    2012-01-01

      The evolution of police assistants is a miniature of good governance executed by Chinese government, the study of which is related not only with economic factors but with political ones and has rich and profound policing, social and political connotation. However, to set up confidence in the study on the police assistants it is necessary to know the status of the study on police assistants theoretical foundation and its clear definition. At this stage, the police assistants show the unique attributes of society, the public and police. As such, it can be deduced that in the broad sense the police assistants refer to the force which is organized by the government agencies, markets or other organs to participate in policing or voluntary activities in order to attain the policing related goal of the public, social groups and some individuals. In the narrow sense, the police assistants refer to the public voluntary social force which is organized, used, purchased or employed by the government or functional departments.%  辅警的发展是中国政府施行良政的一个缩影,关于它的研究既涉及经济因素又有政治方面的考量,蕴含着丰富且深刻的警务、社会乃至政治内涵。然而,要为辅警深入研究奠定信心,必须掌握辅警理论的学科地位、理论基础以及深刻清晰的界定。社会性、群众性、警事性是我国现阶段辅警所呈现的特有属性,由此可以推出:广义辅警是指为实现国家公共的、部分利益团体的以及个人的警事目的,由政府部门、市场或者第三部门所组织起来的共同参与警事活动的力量;狭义辅警应当是指为实现警务效能,通过制度直接组织管理使用的,为政府或者职能部门购买、聘用或宣传发动起来志愿的社会群众力量。

  5. Systematic review and meta-analysis of validation studies on a diabetes case definition from health administrative records.

    Directory of Open Access Journals (Sweden)

    Aaron Leong

    Full Text Available OBJECTIVES: Health administrative data are frequently used for diabetes surveillance. We aimed to determine the sensitivity and specificity of a commonly-used diabetes case definition (two physician claims or one hospital discharge abstract record within a two-year period and their potential effect on prevalence estimation. METHODS: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA guidelines, we searched Medline (from 1950 and Embase (from 1980 databases for validation studies through August 2012 (keywords: "diabetes mellitus"; "administrative databases"; "validation studies". Reviewers abstracted data with standardized forms and assessed quality using Quality Assessment of Diagnostic Accuracy Studies (QUADAS criteria. A generalized linear model approach to random-effects bivariate regression meta-analysis was used to pool sensitivity and specificity estimates. We applied correction factors derived from pooled sensitivity and specificity estimates to prevalence estimates from national surveillance reports and projected prevalence estimates over 10 years (to 2018. RESULTS: The search strategy identified 1423 abstracts among which 11 studies were deemed relevant and reviewed; 6 of these reported sensitivity and specificity allowing pooling in a meta-analysis. Compared to surveys or medical records, sensitivity was 82.3% (95%CI 75.8, 87.4 and specificity was 97.9% (95%CI 96.5, 98.8. The diabetes case definition underestimated prevalence when it was ≤10.6% and overestimated prevalence otherwise. CONCLUSION: The diabetes case definition examined misses up to one fifth of diabetes cases and wrongly identifies diabetes in approximately 2% of the population. This may be sufficiently sensitive and specific for surveillance purposes, in particular monitoring prevalence trends. Applying correction factors to adjust prevalence estimates from this definition may be helpful to increase accuracy of estimates.

  6. Engineering Definitional Interpreters

    DEFF Research Database (Denmark)

    Midtgaard, Jan; Ramsay, Norman; Larsen, Bradford

    2013-01-01

    A definitional interpreter should be clear and easy to write, but it may run 4--10 times slower than a well-crafted bytecode interpreter. In a case study focused on implementation choices, we explore ways of making definitional interpreters faster without expending much programming effort. We imp...

  7. Engineering Definitional Interpreters

    DEFF Research Database (Denmark)

    Midtgaard, Jan; Ramsay, Norman; Larsen, Bradford

    2013-01-01

    A definitional interpreter should be clear and easy to write, but it may run 4--10 times slower than a well-crafted bytecode interpreter. In a case study focused on implementation choices, we explore ways of making definitional interpreters faster without expending much programming effort. We imp...

  8. Interrater reliability of the international consensus definition of drug-resistant epilepsy: a pilot study.

    Science.gov (United States)

    Hao, Xiao-ting; Wong, Irina S M; Kwan, Patrick

    2011-10-01

    We evaluated the interrater reliability of the consensus definition of drug-resistant epilepsy proposed by the International League Against Epilepsy. According to the definition framework, outcome of each antiepileptic drug (AED) trial was categorized as "seizure freedom" or "treatment failure." This level 1 assessment was used to determine the level 2 classification, which defined drug-resistant epilepsy as the failure of adequate trials of two or more AED schedules to achieve sustained seizure freedom. Two raters classified treatment outcomes of 150 patients independently. The patients had received a total of 428 trials of AEDs. Categorization of level 1 outcome to individual AED trials by the raters was consistent in 413 (96.5%). For the level 2 classification of drug-resistant or drug-responsive epilepsy, there was absolute agreement between the raters in 141 patients (94%), with a κ index of 0.91 (Pdefinition appeared to have a high degree of interrater reliability in this setting.

  9. Satellite power systems (SPS) concept definition study. Volume 7: SPS program plan and economic analysis, appendixes

    Science.gov (United States)

    Hanley, G.

    1978-01-01

    Three appendixes in support of Volume 7 are contained in this document. The three appendixes are: (1) Satellite Power System Work Breakdown Structure Dictionary; (2) SPS cost Estimating Relationships; and (3) Financial and Operational Concept. Other volumes of the final report that provide additional detail are: Executive Summary; SPS Systems Requirements; SPS Concept Evolution; SPS Point Design Definition; Transportation and Operations Analysis; and SPS Technology Requirements and Verification.

  10. Magnetometer instrument team studies for the definition phase of the outer planets grand tour

    Science.gov (United States)

    Coleman, P. J., Jr.

    1973-01-01

    The work performed by the magnetic fields investigation team during the mission definition phases of the Outer Planets Grand Tour (OPGT) and the Mariner Jupiter Saturn (MJS) Missions is reported. This work involved three tasks: (1) defining the objectives of the magnetic fields investigations, (2) defining the magnetometer systems required to meet these objectives, and (3) developing and testing hardware elements in certain mission-specific areas.

  11. On some positive definite functions

    OpenAIRE

    Bhatia, Rajendra; Jain, Tanvi

    2014-01-01

    We study the function $(1 - \\|x\\|)\\slash (1 - \\|x\\|^r),$ and its reciprocal, on the Euclidean space $\\mathbb{R}^n,$ with respect to properties like being positive definite, conditionally positive definite, and infinitely divisible.

  12. Definitions of Health Terms: Nutrition

    Science.gov (United States)

    ... gov/definitions/nutritiondefinitions.html Definitions of Health Terms: Nutrition To use the sharing features on this page, ... National Institutes of Health, Office of Dietary Supplements Nutrition This field of study focuses on foods and ...

  13. Time to definitive diagnosis of breast cancer in Latina and non-Hispanic white women: the six cities study.

    Science.gov (United States)

    Ramirez, Amelie G; Pérez-Stable, Eliseo J; Talavera, Gregory A; Penedo, Frank J; Carrillo, J Emilio; Fernandez, Maria E; Muñoz, Edgar; Long Parma, Dorothy; Holden, Alan Ec; San Miguel de Majors, Sandra; Nápoles, Anna; Castañeda, Sheila F; Gallion, Kipling J

    2013-12-01

    Time delay after an abnormal screening mammogram may have a critical impact on tumor size, stage at diagnosis, treatment, prognosis, and survival of subsequent breast cancer. This study was undertaken to evaluate disparities between Latina and non-Hispanic white (NHW) women in time to definitive diagnosis of breast cancer after an abnormal screening mammogram, as well as factors contributing to such disparities. As part of the activities of the National Cancer Institute (NCI)-funded Redes En Acción research network, clinical records of 186 Latinas and 74 NHWs who received abnormal screening mammogram results were reviewed to determine the time to obtain a definitive diagnosis. Data was obtained from participating clinics in six U.S. cities and included demographics, clinical history, and mammogram characteristics. Kaplan-Meier estimates and Cox proportional hazards models were used to test differences in median time to definitive diagnosis by ethnicity after adjusting for clinic site, demographics, and clinical characteristics. Time-to-event analysis showed that Latinas took 2.2 times longer to reach 50% definitively diagnosed with breast cancer relative to NHWs, and three times longer to reach 80% diagnosed (p=0.001). Latinas' median time to definitive diagnosis was 60 days compared to 27 for NHWs, a 59% gap in diagnosis rates (adjusted Hazard Ratio [aHR] = 1.59, 95% CI = 1.09, 2.31; p=0.015). BI-RADS-4/5 women's diagnosis rate was more than twice that of BI-RADS-3 (aHR = 2.11, 95% CI = 1.18, 3.78; p=0.011). Disparities in time between receipt of abnormal screening result and definitive diagnosis adversely affect Latinas compared to NHWs, and remain significant after adjusting for demographic and clinical variables. With cancer now the leading cause of mortality among Latinos, a greater need exists for ethnically and culturally appropriate interventions like patient navigation to facilitate Latinas' successful entry into, and progression through, the cancer care

  14. Time-Dependant Responses of High-Definition Induction Log and Case Studies

    Directory of Open Access Journals (Sweden)

    Jianhua Zhang

    2014-01-01

    Full Text Available The process of drilling mud filtrate invading into a reservoir is time dependant. It causes dynamic invasion profiles of formation parameters such as water saturation, salinity, and formation resistivity. Thus, the responses of a high-definition induction log (HDIL tool are time dependent. The logging time should be considered as an important parameter during logging interpretation for the purposes of determining true formation resistivity, estimating initial water saturation, and evaluating a reservoir. The time-dependent HDIL responses are helpful for log analysts to understand the invasion process physically. Field examples were illustrated for the application of present method.

  15. Competing definitions of schizophrenia: what can be learned from polydiagnostic studies?

    DEFF Research Database (Denmark)

    Jansson, Lennart B; Parnas, Josef

    2007-01-01

    The contemporary diagnoses of schizophrenia (sz)-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition(DSM-IV) and International Classification of Diseases, 10th Revision(ICD-10)-are widely considered as important scientific achievements. However, these algorithms were not a product....... The DSM-IV and the ICD-10 show moderate reliability but both definitions appear weak in terms of concurrent validity, eg, with respect to an aggregation of a priori important features. The first-rank symptoms of Schneider are not associated with family history of sz or with prediction of poor outcome...

  16. Orbital transfer vehicle concept definition and system analysis study. Volume 2: OTV concept definition and evaluation. Book 3: Subsystem trade studies

    Science.gov (United States)

    Dickman, Glen J.

    1987-01-01

    The technical trade studies and analyses reported in this book represent the accumulated work of the technical staff for the contract period. The general disciplines covered are as follows: (1) Guidance, Navigation, and Control; (2) Avionics Hardware; (3) Aeroassist Technology; (4) Propulsion; (5) Structure and Materials; and (6) Thermal Control Technology. The objectives in each of these areas were to develop the latest data, information, and analyses in support of the vehicle design effort.

  17. PROBLEM OF THE DEFINITION THE «RELIABILITY» TERM. METHODOLOGY OF CONSTRUCTION AND STUDY THE RELIABILITY OF FREIGHT CARS

    Directory of Open Access Journals (Sweden)

    S. V. Myamlin

    2015-09-01

    Full Text Available Purpose. Scientific paper is aimed at disclosing the existing problem of the «reliability» definition and provides a reasoned definition of the term. The study assumes the development of a complex that includes the methodology and appropriate terminology that will be true. Methodology. Currently there is reliability theory in the special case of the probabilistic and statistical theory, which is used to determine or predict the occurrence of object failures. Within the existing theories the term «reliability» is formulated, the parameters related to it are described. Findings. On the basis of the conducted analysis of the research within the existing theory of reliability and personal considerations of the authors, they formulated a definition of the term «reliability». The methodology and study of the object reliability on the example of a freight car was proposed. Originality. The authors proposed a new definition of the «reliability» term. Namely: reliability is an assessment of the ability of an object to maintain the original property within the established limits and temporary space, in the conditions of storage and transportation, as well as to perform the required functions in predetermined modes of operation with maintenance and repair facility. The reliability parameters include: reliability, durability, maintainability and safety that characterize the object. Also a methodology for developing and study the reliability of a freight car was developed, which comprises: 1 design, technological and operational reliability; 2 scientific experiment, including the modeling of the freight car in different conditions and operating modes; 3 the reliability theory is presented as combined or modified, covering the mathematical and physical foundations; 4 Bayesian statistics that describe the different states of a freight car with a breakdown of its basic components and with the appropriate probability for each component to describe the

  18. Study of high-definition and stereoscopic head-aimed vision for improved teleoperation of an unmanned ground vehicle

    Science.gov (United States)

    Tyczka, Dale R.; Wright, Robert; Janiszewski, Brian; Chatten, Martha Jane; Bowen, Thomas A.; Skibba, Brian

    2012-06-01

    Nearly all explosive ordnance disposal robots in use today employ monoscopic standard-definition video cameras to relay live imagery from the robot to the operator. With this approach, operators must rely on shadows and other monoscopic depth cues in order to judge distances and object depths. Alternatively, they can contact an object with the robot's manipulator to determine its position, but that approach carries with it the risk of detonation from unintentionally disturbing the target or nearby objects. We recently completed a study in which high-definition (HD) and stereoscopic video cameras were used in addition to conventional standard-definition (SD) cameras in order to determine if higher resolutions and/or stereoscopic depth cues improve operators' overall performance of various unmanned ground vehicle (UGV) tasks. We also studied the effect that the different vision modes had on operator comfort. A total of six different head-aimed vision modes were used including normal-separation HD stereo, SD stereo, "micro" (reduced separation) SD stereo, HD mono, and SD mono (two types). In general, the study results support the expectation that higher resolution and stereoscopic vision aid UGV teleoperation, but the degree of improvement was found to depend on the specific task being performed; certain tasks derived notably more benefit from improved depth perception than others. This effort was sponsored by the Joint Ground Robotics Enterprise under Robotics Technology Consortium Agreement #69-200902 T01. Technical management was provided by the U.S. Air Force Research Laboratory's Robotics Research and Development Group at Tyndall AFB, Florida.

  19. Neuroretinitis -- definition

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/007624.htm Neuroretinitis - definition To use the sharing features on this page, ... this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial ...

  20. Definition of curriculum and approach: study of a training course for teachers of non-formal education in NGOs

    OpenAIRE

    Deivis Perez

    2014-01-01

    This article presents a research aimed to analyze the approach and the definition of guiding curriculum of teacher training for work in the non-formal education in non-governmental organizations (NGOs). We opted for a qualitative approach and case study of Te- acher Training Course for NGOs, developed by Ong São Paulo-SP. The research instruments were: analysis of documents of the cou- rse, interviews with trainers and coordinator and literature review. In this course, curriculum is defined a...

  1. Market Definition

    OpenAIRE

    Kaplow, Louis

    2014-01-01

    Market definition has long held a central place in competition law. This entry surveys recent analytical work that has called the market definition paradigm into question on a number of fronts: whether the process is feasible, whether market share threshold tests are coherent, whether the hypothetical monopolist test in merger guidelines is counterproductive, and whether and when the frequent focus on cross-elasticities is useful.

  2. A study of characteristics of intercity transportation systems. Phase 1: Definition of transportation comparison methodology

    Science.gov (United States)

    English, J. M.; Smith, J. L.; Lifson, M. W.

    1978-01-01

    Decision making in early transportation planning must be responsive to complex value systems representing various policies and objectives. The assessment of alternative transportation concepts during the early initial phases of the system life cycle, when supportive research and technology development activities are defined, requires estimates of transportation, environmental, and socio-economic impacts throughout the system life cycle, which is a period of some 40 or 50 years. A unified methodological framework for comparing intercity passenger and freight transportation systems is described and is extended to include the comparison of long term transportation trends arising from implementation of the various R & D programs. The attributes of existing and future transportation systems are reviewed in order to establish measures for comparison, define value functions, and attribute weightings needed for comparing alternative policy actions for furthering transportation goals. Comparison criteria definitions and an illustrative example are included.

  3. Robust Design Rule with Definite Purpose Character Based on Fuzzy Probability and Study of its Characteristics

    Institute of Scientific and Technical Information of China (English)

    ZHANG Long-ting; HE Zhe-ming; GUO Hui-xin

    2003-01-01

    The design target with definite purpose character of product quality was described in a real fuzzy number ( named fury target for short in this paper), and its membership functions in common use were given. According to the fury probability theory and the robust design principle, the robust design rule based on fuzzy probability (named fuzzy robust design rule for short) was put forward and its validity and practicability were analyzed and tested with a design example. The theoretical analysis and the design examples make clear that, while the fuzzy robust design rule was used, the fine design effect can be obtained and the fury robust design rule can be very suitable for the choice of the membership function of the fuzzy target; so it has a particular advantage.

  4. Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies.

    Science.gov (United States)

    Clark, Steven L; Romero, Roberto; Dildy, Gary A; Callaghan, William M; Smiley, Richard M; Bracey, Arthur W; Hankins, Gary D; D'Alton, Mary E; Foley, Mike; Pacheco, Luis D; Vadhera, Rakesh B; Herlihy, J Patrick; Berkowitz, Richard L; Belfort, Michael A

    2016-10-01

    Amniotic fluid embolism is a leading cause of maternal mortality in developed countries. Our understanding of risk factors, diagnosis, treatment, and prognosis is hampered by a lack of uniform clinical case definition; neither histologic nor laboratory findings have been identified unique to this condition. Amniotic fluid embolism is often overdiagnosed in critically ill peripartum women, particularly when an element of coagulopathy is involved. Previously proposed case definitions for amniotic fluid embolism are nonspecific, and when viewed through the eyes of individuals with experience in critical care obstetrics, would include women with a number of medical conditions much more common than amniotic fluid embolism. We convened a working group under the auspices of a committee of the Society for Maternal-Fetal Medicine and the Amniotic Fluid Embolism Foundation whose task was to develop uniform diagnostic criteria for the research reporting of amniotic fluid embolism. These criteria rely on the presence of the classic triad of hemodynamic and respiratory compromise accompanied by strictly defined disseminated intravascular coagulopathy. It is anticipated that limiting research reports involving amniotic fluid embolism to women who meet these criteria will enhance the validity of published data and assist in the identification of risk factors, effective treatments, and possibly useful biomarkers for this condition. A registry has been established in conjunction with the Perinatal Research Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development to collect both clinical information and laboratory specimens of women with suspected amniotic fluid embolism in the hopes of identifying unique biomarkers of this condition.

  5. [New definition of ventilator associated pneumonia might not necessarily have been a step in the right direction. Key takeaways from published studies after two years in clinical use].

    Science.gov (United States)

    Zamaro-Michalska, Aleksandra; Adamczyk, Agata; Mikaszewska-Sokolewicz, Małgorzata; Siewiera, Jacek; Łazowski, Tomasz

    2015-12-01

    Ventilator-associated pneumonia (VAP) is one of the most common hospital-acquired infections. VAP is associated with prolonged hospitalization and visibly increased mortality, which in the group of patients with VAP ranges from 25% to 47%. In January 2013 Centers of Disease Control and Prevention introduced a new definition for VAP. Subjective criteria in the previous VAP definition were the reason for difficulties in VAP surveillance and assessment of efficacy of ventilator bundles and other quality improvement initiatives. The purpose of this article is to summarise the new definition of VAP and the first researches after two years of use of the new definition. The new definition of ventilator-associated events (VAE) identifies a broader group of patients than the previous VAP definition. Surveillance of all complications of mechanical ventilation aimed to create more efficient prophylaxis bundles and to decrease the mortality in critically ill patients. The latest published studies suggest that most of the complications defined as VAE are patient-related, not modifiable risk factors and these patients had no evidence of hospital-acquired complications. The new definition failed to detect many patients with VAP and it has not resolved the ambiguities related to the diagnosis of this complication. It seems that the new surveillance program will not lead to introducing new prevention strategies that could decrease the mortality in intensive care unit patients.

  6. Toward a definition of intolerance of uncertainty: a review of factor analytical studies of the Intolerance of Uncertainty Scale.

    Science.gov (United States)

    Birrell, Jane; Meares, Kevin; Wilkinson, Andrew; Freeston, Mark

    2011-11-01

    Since its emergence in the early 1990s, a narrow but concentrated body of research has developed examining the role of intolerance of uncertainty (IU) in worry, and yet we still know little about its phenomenology. In an attempt to clarify our understanding of this construct, this paper traces the way in which our understanding and definition of IU have evolved throughout the literature. This paper also aims to further our understanding of IU by exploring the latent variables measures by the Intolerance of Uncertainty Scale (IUS; Freeston, Rheaume, Letarte, Dugas & Ladouceur, 1994). A review of the literature surrounding IU confirmed that the current definitions are categorical and lack specificity. A critical review of existing factor analytic studies was carried out in order to determine the underlying factors measured by the IUS. Systematic searches yielded 9 papers for review. Two factors with 12 consistent items emerged throughout the exploratory studies, and the stability of models containing these two factors was demonstrated in subsequent confirmatory studies. It is proposed that these factors represent (i) desire for predictability and an active engagement in seeking certainty, and (ii) paralysis of cognition and action in the face of uncertainty. It is suggested that these factors may represent approach and avoidance responses to uncertainty. Further research is required to confirm the construct validity of these factors and to determine the stability of this structure within clinical samples.

  7. The Need for a Definition of Big Data for Nursing Science: A Case Study of Disaster Preparedness

    Directory of Open Access Journals (Sweden)

    Ho Ting Wong

    2016-10-01

    Full Text Available The rapid development of technology has made enormous volumes of data available and achievable anytime and anywhere around the world. Data scientists call this change a data era and have introduced the term “Big Data”, which has drawn the attention of nursing scholars. Nevertheless, the concept of Big Data is quite fuzzy and there is no agreement on its definition among researchers of different disciplines. Without a clear consensus on this issue, nursing scholars who are relatively new to the concept may consider Big Data to be merely a dataset of a bigger size. Having a suitable definition for nurse researchers in their context of research and practice is essential for the advancement of nursing research. In view of the need for a better understanding on what Big Data is, the aim in this paper is to explore and discuss the concept. Furthermore, an example of a Big Data research study on disaster nursing preparedness involving six million patient records is used for discussion. The example demonstrates that a Big Data analysis can be conducted from many more perspectives than would be possible in traditional sampling, and is superior to traditional sampling. Experience gained from the process of using Big Data in this study will shed light on future opportunities for conducting evidence-based nursing research to achieve competence in disaster nursing.

  8. The Need for a Definition of Big Data for Nursing Science: A Case Study of Disaster Preparedness

    Science.gov (United States)

    Wong, Ho Ting; Chiang, Vico Chung Lim; Choi, Kup Sze; Loke, Alice Yuen

    2016-01-01

    The rapid development of technology has made enormous volumes of data available and achievable anytime and anywhere around the world. Data scientists call this change a data era and have introduced the term “Big Data”, which has drawn the attention of nursing scholars. Nevertheless, the concept of Big Data is quite fuzzy and there is no agreement on its definition among researchers of different disciplines. Without a clear consensus on this issue, nursing scholars who are relatively new to the concept may consider Big Data to be merely a dataset of a bigger size. Having a suitable definition for nurse researchers in their context of research and practice is essential for the advancement of nursing research. In view of the need for a better understanding on what Big Data is, the aim in this paper is to explore and discuss the concept. Furthermore, an example of a Big Data research study on disaster nursing preparedness involving six million patient records is used for discussion. The example demonstrates that a Big Data analysis can be conducted from many more perspectives than would be possible in traditional sampling, and is superior to traditional sampling. Experience gained from the process of using Big Data in this study will shed light on future opportunities for conducting evidence-based nursing research to achieve competence in disaster nursing. PMID:27763525

  9. The Need for a Definition of Big Data for Nursing Science: A Case Study of Disaster Preparedness.

    Science.gov (United States)

    Wong, Ho Ting; Chiang, Vico Chung Lim; Choi, Kup Sze; Loke, Alice Yuen

    2016-10-17

    The rapid development of technology has made enormous volumes of data available and achievable anytime and anywhere around the world. Data scientists call this change a data era and have introduced the term "Big Data", which has drawn the attention of nursing scholars. Nevertheless, the concept of Big Data is quite fuzzy and there is no agreement on its definition among researchers of different disciplines. Without a clear consensus on this issue, nursing scholars who are relatively new to the concept may consider Big Data to be merely a dataset of a bigger size. Having a suitable definition for nurse researchers in their context of research and practice is essential for the advancement of nursing research. In view of the need for a better understanding on what Big Data is, the aim in this paper is to explore and discuss the concept. Furthermore, an example of a Big Data research study on disaster nursing preparedness involving six million patient records is used for discussion. The example demonstrates that a Big Data analysis can be conducted from many more perspectives than would be possible in traditional sampling, and is superior to traditional sampling. Experience gained from the process of using Big Data in this study will shed light on future opportunities for conducting evidence-based nursing research to achieve competence in disaster nursing.

  10. Definition of the basic DEMO tokamak geometry based on systems code studies

    Energy Technology Data Exchange (ETDEWEB)

    Meszaros, Botond, E-mail: botond.meszaros@efda.org [EFDA Power Plant Physics and Technology, Garching (Germany); Bachmann, Christian [EFDA Power Plant Physics and Technology, Garching (Germany); Kemp, Richard [CCFE, Culham Science Centre, Abingdon, Oxfordshire OX14 3DB (United Kingdom); Federici, Gianfranco [EFDA Power Plant Physics and Technology, Garching (Germany)

    2015-10-15

    Highlights: • The definition of the DEMO 2D geometry has been introduced. • A methodology to derive the DEMO radial and vertical builds from the PROCESS systems code results has been defined. • Other 2D and 3D geometrical assumptions required to create a sensible 3D configuration model of DEMO have been defined. - Abstract: This paper describes the methodology that has been developed and applied to derive the principal geometry of the main DEMO tokamak systems, in particular the radial and vertical cross section based on the systems code output parameters, while exact parameters are described elsewhere [1]. This procedure reviews the analysis of the radial and vertical build provided by the system code to verify critical integration interfaces, e.g. missing or too large gaps and/or insufficient thickness of components, and updates these dimensions based on results of more detailed analyses (e.g. neutronics, plasma scenario modelling, etc.) that were carried out outside of the system code in the past years. As well as providing a 3D configuration model of the DEMO tokamak for integrated engineering analysis, the results can also be used to refine the systems code model. This method, subject to continuous refinement, controls the derivation of the main machine parameters and ensures their coherence vis-à-vis a number of agreed controlled physics and engineering assumptions.

  11. Definition of curriculum and approach: study of a training course for teachers of non-formal education in NGOs

    Directory of Open Access Journals (Sweden)

    Deivis Perez

    2014-06-01

    Full Text Available This article presents a research aimed to analyze the approach and the definition of guiding curriculum of teacher training for work in the non-formal education in non-governmental organizations(NGOs. We opted for a qualitative approach and case study of Teacher Training Course for NGOs, developed by Ong São Paulo-SP. The research instruments were: analysis of documents of the course, interviews with trainers and coordinator and literature review. In this course, curriculum is defined as a path to be followed by students and instructors and the coordinator of the subjects studied. We adopted the so-called Integrated Curriculum, in which teaching occurs by the study of problem situations and integrators of learning projects. At the end, we suggest improving the course and following that information, it is hoped, one will support the production of further comparative research.

  12. Indeterminacy of definitions and criteria in mental health: case study of emotional disorders.

    Science.gov (United States)

    Nikolaidis, George

    2013-06-01

    such as the ones of theorists like Solomon, Nash, Rey, Pugmire and Lyons) as well as in comprehensive theoretical schemes combining experimental data (such as the ones provided by the works of Schachter and Singer, Ekman and Friesen, Panksepp, Damasio and Griffiths), there seems to be a radical indeterminacy of conceptual content and fundamental features of emotions in general, as well as of particular emotional states. Furthermore, there is an apparent conceptual incapability to include each and every feature of emotional states within a single comprehensive definition without making reference to contingent particularities of their biological instantiation. At least in the crucial concept of emotional states, when examined carefully, it seems that (1) there are substantial barriers to the ambitious quest for a scientific grounding of taxonomies and definitions of phenomena like emotions, due to the inability to provide an independent verification of scientific propositions; (2) all major approaches in Psychology and Psychiatry seem to have serious shortcomings in defining emotions; (3) such shortcomings have to do with fundamental issues such as the nature of mental states; (4) most ordinary concepts of emotions utilized by clinicians and researchers tend to be circular and question begging when scrutinized theoretically; and (5) historically dominant beliefs, values and cultural systems tend to influence heavily both the acceptability of such representations of emotions as well as their very nature. © 2013 John Wiley & Sons Ltd.

  13. Nosocomial infections in a Dutch neonatal intensive care unit: surveillance study with definitions for infection specifically adapted for neonates.

    Science.gov (United States)

    van der Zwet, W C; Kaiser, A M; van Elburg, R M; Berkhof, J; Fetter, W P F; Parlevliet, G A; Vandenbroucke-Grauls, C M J E

    2005-12-01

    The incidence of nosocomial infection in neonatal intensive care units (NICUs) is high compared with other wards. However, no definitions for hospital-acquired infection are available for NICUs. The aim of this study was to measure the incidence of such infections and to identify risk factors in the NICU of the VU University Medical Center, which serves as a level III regional NICU. For this purpose, a prospective surveillance was performed in 1998-2000. We designed definitions by adjusting the current definitions of the Centers for Disease Control and Prevention (CDC) for children risk factors were dichotomized. Analysis of risk factors was performed by Cox regression with time-dependent variables. The relationship between the Clinical Risk Index for Babies (CRIB) and nosocomial infection was investigated. Furthermore, for a random sample of cases, we determined whether bloodstream infection and pneumonia would also have been identified with the CDC definitions. Seven hundred and forty-two neonates were included in the study. One hundred and ninety-one neonates developed 264 infections. Bloodstream infection (N=138, 14.9/1000 patient-days) and pneumonia (N=69, 7.5/1000 patient-days) were the most common infections. Of bloodstream infections, 59% were caused by coagulase-negative staphylococci; in 21% of neonates, blood cultures remained negative. In 25% of pneumonias, Enterobacteriaceae were the causative micro-organisms; 26% of cultures remained negative. Compared with the Nosocomial Infections Surveillance System (NNIS) of the CDC, our device utilization ratios and device-associated nosocomial infection rates were high. The main risk factors for bloodstream infection were birth weight [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.45-2.17] and parenteral feeding with hospital-pharmacy-produced, all-in-one mixture 'Minimix' (HR 3.69, 95%CI 2.03-6.69); administration of intravenous antibiotics (HR 0.39, 95%CI 0.26-0.56) was a protective risk factor. The

  14. Geosynchronous platform definition study. Volume 4, Part 1: Traffic analysis and system requirements for the baseline traffic model

    Science.gov (United States)

    1973-01-01

    The traffic analyses and system requirements data generated in the study resulted in the development of two traffic models; the baseline traffic model and the new traffic model. The baseline traffic model provides traceability between the numbers and types of geosynchronous missions considered in the study and the entire spectrum of missions foreseen in the total national space program. The information presented pertaining to the baseline traffic model includes: (1) definition of the baseline traffic model, including identification of specific geosynchronous missions and their payload delivery schedules through 1990; (2) Satellite location criteria, including the resulting distribution of the satellite population; (3) Geosynchronous orbit saturation analyses, including the effects of satellite physical proximity and potential electromagnetic interference; and (4) Platform system requirements analyses, including satellite and mission equipment descriptions, the options and limitations in grouping satellites, and on-orbit servicing criteria (both remotely controlled and man-attended).

  15. A Prospective, Multicenter Study of Complementary/Alternative Medicine (CAM) Utilization During Definitive Radiation for Breast Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Moran, Meena S., E-mail: meena.moran@yale.edu [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States); Department of Radiation Therapy, William W. Backus Hospital, Norwich, Connecticut (United States); Ma Shuangge [Department of Epidemiology and Public Health, Yale University, New Haven, Connecticut (United States); Jagsi, Reshma [University of Michigan, Department of Radiation Oncology, Ann Arbor, MI (United States); Yang, Tzu-I Jonathan [Yale University School of Medicine, New Haven, Connecticut (United States); Higgins, Susan A. [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States); Department of Radiation Therapy, Shoreline Medical Center, Guilford, Connecticut (United States); Weidhaas, Joanne B. [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States); Wilson, Lynn D. [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States); Department of Radiation Therapy, Lawrence and Memorial Hospital, New London, Connecticut (United States); Lloyd, Shane [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States); Peschel, Richard [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States); Department of Radiation Therapy, Lawrence and Memorial Hospital, New London, Connecticut (United States); Gaudreau, Bryant [Department of Radiation Therapy, William W. Backus Hospital, Norwich, Connecticut (United States); Rockwell, Sara [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut (United States)

    2013-01-01

    Purpose: Although complementary and alternative medicine (CAM) utilization in breast cancer patients is reported to be high, there are few data on CAM practices in breast patients specifically during radiation. This prospective, multi-institutional study was conducted to define CAM utilization in breast cancer during definitive radiation. Materials/Methods: A validated CAM instrument with a self-skin assessment was administered to 360 Stage 0-III breast cancer patients from 5 centers during the last week of radiation. All data were analyzed to detect significant differences between users/nonusers. Results: CAM usage was reported in 54% of the study cohort (n=194/360). Of CAM users, 71% reported activity-based CAM (eg, Reiki, meditation), 26% topical CAM, and 45% oral CAM. Only 16% received advice/counseling from naturopathic/homeopathic/medical professionals before initiating CAM. CAM use significantly correlated with higher education level (P<.001), inversely correlated with concomitant hormone/radiation therapy use (P=.010), with a trend toward greater use in younger patients (P=.066). On multivariate analysis, level of education (OR: 6.821, 95% CI: 2.307-20.168, P<.001) and hormones/radiation therapy (OR: 0.573, 95% CI: 0.347-0.949, P=.031) independently predicted for CAM use. Significantly lower skin toxicity scores were reported in CAM users vs nonusers, respectively (mild: 34% vs 25%, severe: 17% vs 29%, P=.017). Conclusion: This is the first prospective study to assess CAM practices in breast patients during radiation, with definition of these practices as the first step for future investigation of CAM/radiation interactions. These results should alert radiation oncologists that a large percentage of breast cancer patients use CAM during radiation without disclosure or consideration for potential interactions, and should encourage increased awareness, communication, and documentation of CAM practices in patients undergoing radiation treatment for breast

  16. Satellite-aided mobile radio concepts study: Concept definition of a satellite-aided mobile and personal radio communication system

    Science.gov (United States)

    Anderson, R. E.

    1979-01-01

    The satellite system requires the use of a large satellite antenna and spacecraft array power of about 12 kW or more depending on the operating frequency. Technology developments needed include large offset reflector multibeam antennas, satellite electrical power sybsystems providing greater than 12 kW of power, signal switching hardware, and linearized efficient solid state amplifiers for the satellite-aided mobile band. Presently there is no frequency assignment for this service, and it is recommended that an allocation be pursued. The satellite system appears to be within reasonable extrapolation of the state of the art. It is further recommended that the satellite-aided system spacecraft definition studies and supporting technology development be initiated.

  17. Review of project definition studies of possible on-site uses of superconducting super collider assets and facilities. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-01

    This document reports on the results of a peer review and evaluation of studies made of potential uses of assets from the terminated Superconducting Super Collider (SSC) project. These project definition studies focused on nine areas of use of major assets and facilities at the SSC site near Waxahachie, Texas. The studies were undertaken as part of the effort to maximize the value of the investment made in the SSC and were supported by two sets of grants, one to the Texas National Research Laboratory Commission (TNRLC) and the second to various universities and other institutions for studies of ideas raised by a public call for expressions of interest. The Settlement Agreement, recently signed by the Department of Energy (DOE) and TNRLC, provides for a division of SSC property. As part of the goal of maximizing the value of the SSC investment, the findings contained in this report are thus addressed to officials in both the Department and TNRLC. In addition, this review had several other goals: to provide constructive feedback to those doing the studies; to judge the benefits and feasibility (including funding prospects) of the projects studied; and to help worthy projects become reality by matching projects with possible funding sources.

  18. Review of project definition studies of possible on-site uses of superconducting super collider assets and facilities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-01

    This document reports on the results of a peer review and evaluation of studies made of potential uses of assets from the terminated Superconducting Super Collider (SSC) project. These project definition studies focused on nine areas of use of major assets and facilities at the SSC site near Waxahachie, Texas. The studies were undertaken as part of the effort to maximize the value of the investment made in the SSC and were supported by two sets of grants, one to the Texas National Research Laboratory Commission (TNRLC) and the second to various universities and other institutions for studies of ideas raised by a public call for expressions of interest. The Settlement Agreement, recently signed by the Department of Energy (DOE) and TNRLC, provides for a division of SSC property. As part of the goal of maximizing the value of the SSC investment, the findings contained in this report are thus addressed to officials in both the Department and TNRLC. In addition, this review had several other goals: to provide constructive feedback to those doing the studies; to judge the benefits and feasibility (including funding prospects) of the projects studied; and to help worthy projects become reality by matching projects with possible funding sources.

  19. Volumetric definition of shoulder range of motion and its correlation with clinical signs of shoulder hyperlaxity. A motion capture study.

    Science.gov (United States)

    Ropars, Mickaël; Cretual, Armel; Thomazeau, Hervé; Kaila, Rajiv; Bonan, Isabelle

    2015-02-01

    Shoulder hyperlaxity (SHL) is assessed with clinical signs. Quantification of SHL remains difficult, however, because no quantitative definition has yet been described. With use of a motion capture system (MCS), the aim of this study was to categorize SHL through a volumetric MCS-based definition and to compare this volume with clinical signs used for SHL diagnosis. Twenty-three subjects were examined with passive and active measurement of their shoulder range of motion (SROM) and then with an MCS protocol, allowing computation of the shoulder configuration space volume (SCSV). Clinical data of SHL were assessed by the sulcus sign, external rotation with the arm at the side (ER1) >85° in a standing position, external rotation >90° in a lying position, and Beighton score for general joint laxity. Active and passive ER1, EIR2 (sum of external and internal rotation at 90° of abduction), flexion-extension, and abduction were also measured and correlated to SCSV. Except for the sulcus sign, SCSV was significantly correlated with all clinical signs used for SHL. Passive examination of the different SROMs was better correlated to SCSV than active examination. In passive examination, the worst SROM was ER1 (R = 0.36; P = .09), whereas EIR2, flexion, and abduction were highly correlated to SCSV (P 85° in a standing position appear less discriminating and should be replaced by EIR2 measurement for SHL diagnosis. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  20. 绩效定义的探索性研究%An Exploratory Study on the Definition of Performance

    Institute of Scientific and Technical Information of China (English)

    曹娜娜

    2009-01-01

    So far there isn't a definition of performance which has been unanimously approved by the people. Based on the literature, we made an exploratory study for the definition of performance by using the method of brain storming. We found that there are three appearances of performance: the goal, the result and the factor. We revealed that there are three natures of performance: the directivity, the existence and the traceability. We summarized that the essence of performance is more efficiently and effectively stepping to the target and its core questions are "doing the right things" and "doing things right". Finally, we defined performance.%目前还没有一个得到人们一致认可的绩效定义.本文在文献述评的基础上,运用BS法对绩效定义作了探索性研究.研究发现了绩效的目标、结果和因素等三个面相,揭示了绩效的指向性、存在性和可溯性等三种性质,总结出绩效的本质在于更加有效地向目标迈进,其核心问题是"做正确的事"与"正确地做事",并在此基础上创建了一个在维持完整性和科学性的基础上保持更大限度的包容性和扩展性、更加具有解释力和预见力的绩效定义.

  1. Phenotype definition is a main point in genome-wide association studies for bovine Mycobacterium avium ssp. paratuberculosis infection status.

    Science.gov (United States)

    Küpper, J; Brandt, H; Donat, K; Erhardt, G

    2014-10-01

    Paratuberculosis caused by Mycobacterium avium ssp. paratuberculosis (MAP) causes economic losses and is present in dairy herds worldwide. Different studies used different diagnostic tests to detect infection status and are the basis of genome-wide association (GWA) studies with inconsistent results. Therefore, the aim of this study was to identify and compare genomic regions associated with MAP susceptibility in the same cohort of cattle using different diagnostic tests. The GWA study was performed in German Holsteins within a case-control assay using 305 cows tested for MAP by fecal culture and additional with four different commercial ELISA-tests. Genotyping was performed with the Illumina Bovine SNP50 BeadChip. The results using fecal culture or ELISA test led to the identification of different genetic loci. Two single-nucleotide polymorphisms showed significant association with the ELISA-status. However, no significant association for MAP infection could be confirmed. Our results show that the definition of the MAP-phenotype has an important impact on the outcome of GWA studies for paratuberculosis.

  2. Health-Related Quality of Life in Locally Advanced Cervical Cancer Patients After Definitive Chemoradiation Therapy Including Image Guided Adaptive Brachytherapy: An Analysis From the EMBRACE Study

    DEFF Research Database (Denmark)

    Kirchheiner, Kathrin; Pötter, Richard; Tanderup, Kari

    2016-01-01

    Purpose This study analyzed functioning and symptom scores for longitudinal quality of life (QoL) from patients with locally advanced cervical cancer who underwent definitive chemoradiation therapy with image guided adaptive brachytherapy in the EMBRACE study. Methods and Materials In total, 744 ...

  3. Report on a Study to Determine the Effect of Knowledge of Recursive Definitions upon Subsequent Application of the Principle of Mathematical Induction.

    Science.gov (United States)

    Waters, William Meade, Jr.

    The objective of the study was to determine the effect which a unit dealing with recursive definitions would have on students' achievement in applying the principle of mathematical induction (PMI). Twenty-four secondary school students were randomly assigned to control and experimental groups. Students in the control group studied programmed units…

  4. An Empirical Study of Students' Understanding of a Logical Structure in the Definition of Limit via the epsilon-Strip Activity

    Science.gov (United States)

    Roh, Kyeong Hah

    2010-01-01

    This study explored students' understanding of a logical structure in defining the limit of a sequence, focusing on the relationship between epsilon and N. The subjects of this study were college students who had already encountered the concept of limit but did not have any experience with rigorous proofs using the epsilon-N definition. This study…

  5. An Empirical Study of Students' Understanding of a Logical Structure in the Definition of Limit via the epsilon-Strip Activity

    Science.gov (United States)

    Roh, Kyeong Hah

    2010-01-01

    This study explored students' understanding of a logical structure in defining the limit of a sequence, focusing on the relationship between epsilon and N. The subjects of this study were college students who had already encountered the concept of limit but did not have any experience with rigorous proofs using the epsilon-N definition. This study…

  6. Optimizing the definition of intrauterine growth restriction: the multicenter prospective PORTO Study.

    LENUS (Irish Health Repository)

    Unterscheider, Julia

    2013-04-01

    The objective of the Prospective Observational Trial to Optimize Pediatric Health in Intrauterine Growth Restriction (IUGR) (PORTO Study), a national prospective observational multicenter study, was to evaluate which sonographic findings were associated with perinatal morbidity and mortality in pregnancies affected by growth restriction, originally defined as estimated fetal weight (EFW) <10th centile.

  7. Omani Students' Definitions of Geography

    Science.gov (United States)

    Al-Nofli, Mohammed Abdullah

    2014-01-01

    Very few studies have been conducted on students' definitions of geography. The purpose of the present study was to add to the existing literature by exploring Omani students' definitions of geography. Participants were 477 students of grade 6 (ages 11-12) and grade 10 (ages 15-16) in one school district in Oman. They had been taught geography…

  8. Consensus and controversies in the definition, assessment, treatment and monitoring of BTcP: results of a Delphi study.

    Science.gov (United States)

    Boceta, J; De la Torre, A; Samper, D; Farto, M; Sánchez-de la Rosa, R

    2016-11-01

    There is no unanimous consensus on the clinical features to define breakthrough cancer pain (BTcP). The current project aimed to investigate the opinion of a panel of experts on cancer pain on how to define, diagnose, assess, treat and monitor BTcP. A two-round Spanish multi-centre exploratory Delphi study was conducted with medical experts (n = 90) previously selected from Medical Oncology Services, Radiation Oncology, Palliative Care/Home Care Teams, and Pain Units. The study intended to seek experts' consensus and to define a set of recommendations for the management of BTcP. It was generally agreed that, definition of BTcP implies that baseline pain should be controlled (84 %), although not necessarily with opioids (only 30 %); there must be exacerbations (98.9 %); the duration of each episode should last <1 h (70 %); the intensity of pain ≥7 out of 10 (67.8 %); and the number of flares per day should not be less than four. All participants supported the use of the Davies algorithm for the diagnosis. The use of a 'Patient Diary' was highly recommended. The optimal treatment should have a rapid onset, a short-acting analgesic effect (1-2 h) and transmucosal nasal or oral administration. It was considered very important to develop protocols for the management of cancer pain. The present Delphi study identified a set of recommendations to define, assess and monitor BTcP.

  9. Systematic Review on the Definition of Allergic Diseases in Children : The MeDALL Study

    NARCIS (Netherlands)

    Pinart, Mariona; Albang, Richard; Maier, Dieter; Duran-Tauleria, Enric; Mena, Guillermo; Gimeno-Santos, Elena; Solà, Ivan; Garcia-Aymerich, Judith; Guerra, Stefano; Stein, Renato T; Benet, Marta; Carlsen, Kai-Håkon; Herr, Marie; Jacquemin, Bénédicte; Momas, Isabelle; Pin, Isabelle; Rancière, Fanny; Smit, Henriëtte A; Varraso, Raphaelle; Bonfill, Xavier; Keil, Thomas; Bousquet, Jean; Antó, Josep M

    2015-01-01

    BACKGROUND: During the last decades, a large number of phenotypes and disease classifications of allergic diseases have been proposed. Despite the heterogeneity across studies, no systematic review has been conducted on phenotype classification and the criteria that define allergic diseases. We

  10. Recommendations for standardization and phenotype definitions in genetic studies of osteoarthritis: The TREAT-OA consortium

    NARCIS (Netherlands)

    J.M. Kerkhof (Hanneke); I. Meulenbelt (Ingrid); T. Akune (Toru); N.K. Arden (Nigel); A. Aromaa (Arpo); S.M. Bierma-Zeinstra (Sita); C. Cooper (Charles); J. Dai; M. Doherty (Michael); S. Doherty (Sally); D. Felson; A. Gonzalez (Antonio); A. Gordon; A. Harilainen (Arsi); D.J. Hart; V.B. Hauksson (Valdimar); M. Heliovaara (Markku); A. Hofman (Albert); S. Ikegawa; T. Ingvarsson (Torvaldur); Q. Jiang; H. Jonsson; I. Jonsdottir (Ingileif); H. Kawaguchi; M. Kloppenburg (Margreet); U.M. Kujala (Urho); N.E. Lane; P. Leino-Arjas (Päivi I.); L.S. Lohmander (Stefan); F.P. Luyten (Frank); K.N. Malizos (Konstantinos); M. Nakajima; M.C. Nevitt (Michael); H.A.P. Pols (Huib); F. Rivadeneira Ramirez (Fernando); D. Shi; E. Slagboom (Eline); T.D. Spector (Timothy); K. Stefansson (Kari); A. Sudo (Akihiro); A. Tamm; A.E. Tamm (Aile); A. Tsezou (Aspasia); A. Uchida; A.G. Uitterlinden (André); J.M. Wilkinson (Mark); N. Yoshimura; A.M. Valdes (Ana Maria); J.B.J. van Meurs (Joyce); A.J. Carr (Andrew Jonathan)

    2011-01-01

    textabstractObjective: To address the need for standardization of osteoarthritis (OA) phenotypes by examining the effect of heterogeneity among symptomatic (SOA) and radiographic osteoarthritis (ROA) phenotypes. Methods: Descriptions of OA phenotypes of the 28 studies involved in the TREAT-OA consor

  11. [Telescience : Feasibility studies, definition and a fair answer to the scientific brain drain].

    Science.gov (United States)

    Craemer, E M; Bassa, B; Jacobi, C; Becher, H; Meyding-Lamadé, U

    2017-02-01

    What is telescience? Is it feasible to transfer academic information with the help of telematics to educate and teach young scientists over large distances? The term telescience has so far not been defined but covers a variety of possibilities, which could be successfully implemented worldwide. This article gives examples and highlights the feasibility analysis of telescience. We have carried out feasibility analyses for neurological functional diagnostics, an epidemiological cross-sectional study as well as a laboratory study for detection of thrombocyte function during dengue fever with the help of telemedicine. The basis for all these projects was a telemedical transcontinental cooperation over a distance of 12,000 km. All performed studies demonstrated the feasibility. With the help of telematics the laboratory techniques, planning, conduction and interpretation of results as well as publication skills can be transferred. Telescience is feasible. Our studies showed that telescience is a very promising option to transfer knowledge, which will help to enable professional expertise to be transferred directly to the region/country without a brain drain. All too often young motivated scientists are enticed to move to well-known institutions, which involves the danger of a brain drain. Brain drain can be avoided in favor of local implementation of scientific projects. Our results illustrate that it is feasible to educate and guide scientists with the help of telematics infrastructures.

  12. Systematic Review on the Definition of Allergic Diseases in Children : The MeDALL Study

    NARCIS (Netherlands)

    Pinart, Mariona; Albang, Richard; Maier, Dieter; Duran-Tauleria, Enric; Mena, Guillermo; Gimeno-Santos, Elena; Solà, Ivan; Garcia-Aymerich, Judith; Guerra, Stefano; Stein, Renato T; Benet, Marta; Carlsen, Kai-Håkon; Herr, Marie; Jacquemin, Bénédicte; Momas, Isabelle; Pin, Isabelle; Rancière, Fanny; Smit, Henriëtte A; Varraso, Raphaelle; Bonfill, Xavier; Keil, Thomas; Bousquet, Jean; Antó, Josep M

    2015-01-01

    BACKGROUND: During the last decades, a large number of phenotypes and disease classifications of allergic diseases have been proposed. Despite the heterogeneity across studies, no systematic review has been conducted on phenotype classification and the criteria that define allergic diseases. We aime

  13. Definition of curriculum and approach: study of a training course for teachers of non-formal education in NGOs

    National Research Council Canada - National Science Library

    Deivis Perez

    2014-01-01

    This article presents a research aimed to analyze the approach and the definition of guiding curriculum of teacher training for work in the non-formal education in non-governmental organizations(NGOs...

  14. Definition and Management of Hypertension Among Haitian Immigrants: A Qualitative Study

    OpenAIRE

    Sanon, Marie-Anne; Mohammed, Selina A.; Marjorie C McCullagh

    2014-01-01

    Hypertension is a major health concern among Haitian immigrants, one of the largest Caribbean immigrant groups in the United States. Yet, little is known about how Hatian immigrants define and manage hypertension. For this qualitative study, face-to-face semi-structured interviews were conducted with 31 Haitian immigrants in Miami Dade County, Florida. Results indicated that most Haitian immigrants used the Haitian Creole word tansyon to represent hypertension. Tansyon was considered as eithe...

  15. Mammalian Toxicology Testing: Problem Definition Study, AMTR Protocol/Pricing Report.

    Science.gov (United States)

    1981-04-01

    and water must be provided ad used in the reproductive study. Strains cesarean section approximately I day libitum. Pregnant females must be with low...justification for not providing such specific stain tested must be submitted. be sacrificed at time of cesarean section material must be submitted...This approach allows for comparisons of costs between various performance alternatives and uses a standardized pricing approach that can be updated

  16. Bullying by Definition: An Examination of Definitional Components of Bullying

    Science.gov (United States)

    Goldsmid, Susan; Howie, Pauline

    2014-01-01

    Lack of definitional consensus remains an important unresolved issue within bullying research. This study examined the ability of definitional variables to predict overall level of victimisation (distress, power inequity, and provocation as predictors) and bullying (intention to harm, power inequity, and provocation as predictors) in 246…

  17. The Multidimensional Efficiency of Pension System: Definition and Measurement in Cross-Country Studies.

    Science.gov (United States)

    Chybalski, Filip

    The existing literature on the efficiency of pension system, usually addresses the problem between the choice of different theoretical models, or concerns one or few empirical pension systems. In this paper quite different approach to the measurement of pension system efficiency is proposed. It is dedicated mainly to the cross-country studies of empirical pension systems, however it may be also employed to the analysis of a given pension system on the basis of time series. I identify four dimensions of pension system efficiency, referring to: GDP-distribution, adequacy of pension, influence on the labour market and administrative costs. Consequently, I propose four sets of static and one set of dynamic efficiency indicators. In the empirical part of the paper, I use Spearman's rank correlation coefficient and cluster analysis to verify the proposed method on statistical data covering 28 European countries in years 2007-2011. I prove that the method works and enables some comparisons as well as clustering of analyzed pension systems. The study delivers also some interesting empirical findings. The main goal of pension systems seems to become poverty alleviation, since the efficiency of ensuring protection against poverty, as well as the efficiency of reducing poverty, is very resistant to the efficiency of GDP-distribution. The opposite situation characterizes the efficiency of consumption smoothing-this is generally sensitive to the efficiency of GDP-distribution, and its dynamics are sensitive to the dynamics of GDP-distribution efficiency. The results of the study indicate the Norwegian and the Icelandic pension systems to be the most efficient in the analyzed group.

  18. GLYCOSYLATED HAEMOGLOBIN LEVEL IS A DEFINITIVE PREDICTOR OF DIABETIC NEPHROPATHY- A STUDY

    Directory of Open Access Journals (Sweden)

    Saroja

    2015-12-01

    Full Text Available BACKGROUND Diabetes Mellitus is a part of a metabolic syndrome, which leads to severe morbidity and mortality. It has emerged as an illness which is beset with numerous complications and incapacitation. Out of all complications Diabetic Nephropathy takes a heavy toll on our health system. Therefore, it is imperative to find not only a cure, but also a feature which predicts the onset of the disease. Fortunately, microalbuminaria (Excretion of minute quantities of albumin in urine is one such factor. Moreover, it is also linked to glycemic control which in turn is reflected by glycosylated haemoglobin levels which can be measured with reasonable accuracy. Also the stage of MA is reversible. Our study was an attempt at correlating the two factors. MATERIALS AND METHODS The study was conducted on 100 patients (50 T2DM patients without DN and 50 T2DM patients with DN who attended the Medical and Nephrology In-Patient and Out-Patient Departments of Gandhi Hospital. Clinical DN was diagnosed by the presence of albumin excretion and creatinine clearance. Estimation of glycosylated hemoglobin was done by Cation-Exchange chromatography. Micral-Test strip was used to screen for Microalbuminuria Percentage of hemoglobin was estimated by modified Sahli-Adam’s method. RESULTS Significant correlation was found between levels of HbA1c and occurrence of MA as all MA cases in patients of T2DM without DN had >8% HbA1c levels. Mean MA levels were compared between in T2DM and Diabetic Nephropathy which showed statistical significance. CONCLUSION Our study reiterates the correlation between glycosylated haemoglobin levels and microalbuminuria. As MA occurs prior to overt Diabetic Nephropathy, it predicts the onset of the latter. Also MA is a disturbance in renal function in early DN, which is reversible and hence can be targeted for preventive measures.

  19. Space biology initiative program definition review. Trade study 4: Design modularity and commonality

    Science.gov (United States)

    Jackson, L. Neal; Crenshaw, John, Sr.; Davidson, William L.; Herbert, Frank J.; Bilodeau, James W.; Stoval, J. Michael; Sutton, Terry

    1989-01-01

    The relative cost impacts (up or down) of developing Space Biology hardware using design modularity and commonality is studied. Recommendations for how the hardware development should be accomplished to meet optimum design modularity requirements for Life Science investigation hardware will be provided. In addition, the relative cost impacts of implementing commonality of hardware for all Space Biology hardware are defined. Cost analysis and supporting recommendations for levels of modularity and commonality are presented. A mathematical or statistical cost analysis method with the capability to support development of production design modularity and commonality impacts to parametric cost analysis is provided.

  20. Problem definition study of subsidence caused by geopressured geothermal resource development

    Energy Technology Data Exchange (ETDEWEB)

    1980-12-01

    The environmental and socio-economic settings of four environmentally representative Gulf Coast geopressured geothermal fairways were inventoried. Subsidence predictions were prepared using feasible development scenarios for the four representative subsidence sites. Based on the results of the subsidence estimates, an assessment of the associated potential environmental and socioeconomic impacts was prepared. An inventory of mitigation measures was also compiled. Results of the subsidence estimates and impact assessments are presented, as well as conclusions as to what are the major uncertainties, problems, and issues concerning the future study of geopressured geothermal subsidence.

  1. Connecting functional and statistical definitions of genotype by genotype interactions in coevolutionary studies

    Directory of Open Access Journals (Sweden)

    Katy Denise Heath

    2014-04-01

    Full Text Available Predicting how species interactions evolve requires that we understand the mechanistic basis of coevolution, and thus the functional genotype-by-genotype interactions (G × G that drive reciprocal natural selection. Theory on host-parasite coevolution provides testable hypotheses for empiricists, but depends upon models of functional G × G that remain loosely tethered to the molecular details of any particular system. In practice, reciprocal cross-infection studies are often used to partition the variation in infection or fitness in a population that is attributable to G × G (statistical G × G. Here we use simulations to demonstrate that within-population statistical G × G likely tells us little about the existence of coevolution, its strength, or the genetic basis of functional G × G. Combined with studies of multiple populations or points in time, mapping and molecular techniques can bridge the gap between natural variation and mechanistic models of coevolution, while model-based statistics can formally confront coevolutionary models with cross-infection data. Together these approaches provide a robust framework for inferring the infection genetics underlying statistical G × G, helping unravel the genetic basis of coevolution.

  2. Aspirin, salicylate, sulfite and tartrazine induced bronchoconstriction. Safe doses and case definition in epidemiological studies.

    Science.gov (United States)

    Corder, E H; Buckley, C E

    1995-10-01

    Allergic-like reactions to chemical components of foods and medicines may be common. The prevalence of idiosyncratic reactions to aspirin, salicylate, metabisulfite and tartrazine is not known. We used a tertiary referral clinic population to estimate safe exposure doses for epidemiological studies. A 15% decrease in the amount of air expired in one second was defined a positive response. The median effective molar doses of the agents were remarkably similar: metabisulfite 0.19 mM, 34.4 mg [95% confidence interval (CI) 0.14, 0.27 mM]; tartrazine 0.10 M, 55.0 mg (95% CI 0.05, 0.21 mM); aspirin 0.09 mM, 16.5 mg (95% CI 0.04, 0.19 mM); and salicylate 0.11 mM, 15.3 mg (95% CI 0.05, 0.27 mM). Doses to which the most sensitive (5%) and practically all (95%) susceptible persons might respectively respond are: metabisulfite 4.6 mg, 255.8 mg; tartrazine 3.4 mg, 885.6 mg; aspirin 0.8 mg, 332.3 mg; and salicylate 2.6 mg, 89.9 mg. Doses within these ranges can be used in epidemiological studies.

  3. Definition and management of hypertension among Haitian immigrants: a qualitative study.

    Science.gov (United States)

    Sanon, Marie-Anne; Mohammed, Selina A; McCullagh, Marjorie C

    2014-08-01

    Hypertension is a major health concern among Haitian immigrants, one of the largest Caribbean immigrant groups in the United States. Yet, little is known about how Hatian immigrants define and manage hypertension. For this qualitative study, face-to-face semi-structured interviews were conducted with 31 Haitian immigrants in Miami Dade County, Florida. Results indicated that most Haitian immigrants used the Haitian Creole word tansyon to represent hypertension. Tansyon was considered as either a normal condition of the human body or a maladi (illness). Both traditional biomedical and alternative approaches were used to manage hypertension. The findings show that how Haitian immigrants defined hypertension shaped their beliefs about its occurrence and the resulting management strategies used. Those who believed tansyon was a normal body condition did not take any management measures. Awareness and understanding of Haitian immigrants' beliefs about and approaches to hypertension management can enhance culturally sensitive care and improve health outcomes.

  4. DustPedia - A Definitive Study of Cosmic Dust in the Local Universe

    CERN Document Server

    Davies, J I; Bianchi, S; Jones, A; Madden, S; Xilouris, M; Bocchio, M; Casasola, V; Cassara, L; Clark, C; De Looze, I; Evans, R; Fritz, J; Galametz, M; Galliano, F; Lianou, S; Mosenkov, A V; Smith, M; Verstocken, S; Viaene, S; Vika, M; Wagle, G; Ysard, N

    2016-01-01

    The European Space Agency has invested heavily in two cornerstones missions; Herschel and Planck. The legacy data from these missions provides us with an unprecedented opportunity to study cosmic dust in galaxies so that we can answer fundamental questions about, for example: the origin of the chemical elements, physical processes in the interstellar medium (ISM), its effect on stellar radiation, its relation to star formation and how this relates to the cosmic far infrared background. In this paper we describe the DustPedia project, which is enabling us to develop tools and computer models that will help us relate observed cosmic dust emission to its physical properties (chemical composition, size distribution, temperature), to its origins (evolved stars, super novae, growth in the ISM) and the processes that destroy it (high energy collisions and shock heated gas). To carry out this research we will combine the Herschel/Planck data with that from other sources of data, providing observations at numerous wav...

  5. The "residential" effect fallacy in neighborhood and health studies: formal definition, empirical identification, and correction.

    Science.gov (United States)

    Chaix, Basile; Duncan, Dustin; Vallée, Julie; Vernez-Moudon, Anne; Benmarhnia, Tarik; Kestens, Yan

    2017-07-31

    Because of confounding from the urban/rural and socioeconomic organizations of territories and resulting correlation between residential and nonresidential exposures, classically estimated residential neighborhood-outcome associations capture nonresidential environment effects, overestimating residential intervention effects. Our study diagnosed and corrected this "residential" effect fallacy bias applicable to a large fraction of neighborhood and health studies. Our empirical application investigated the effect that hypothetical interventions raising the residential number of services would have on the probability that a trip is walked. Using global positioning systems (GPS) tracking and mobility surveys over 7 days (227 participants, 7440 trips), we employed a multilevel linear probability model to estimate the trip-level association between residential number of services and walking to derive a naïve intervention effect estimate; and a corrected model accounting for numbers of services at the residence, trip origin, and trip destination to determine a corrected intervention effect estimate (true effect conditional on assumptions). There was a strong correlation in service densities between the residential neighborhood and nonresidential places. From the naïve model, hypothetical interventions raising the residential number of services to 200, 500, and 1000 were associated with an increase by 0.020, 0.055, and 0.109 of the probability of walking in the intervention groups. Corrected estimates were of 0.007, 0.019, and 0.039. Thus, naïve estimates were overestimated by multiplicative factors of 3.0, 2.9, and 2.8. Commonly estimated residential intervention-outcome associations substantially overestimate true effects. Our somewhat paradoxical conclusion is that, to estimate residential effects, investigators critically need information on nonresidential places visited.

  6. Morally disengaged and unempathic: do cyberbullies fit these definitions? An exploratory study.

    Science.gov (United States)

    Renati, Roberta; Berrone, Carlo; Zanetti, Maria Assunta

    2012-08-01

    In recent years, the phenomenon of cyberbullying has been gaining scholars' growing interest under various aspects, including its overlap with face-to-face bullying. Nevertheless, its relationships with cognitive and affective empathy, proactive and reactive aggression, and moral disengagement, constructs that proved to be crucial in distinguishing aggressive subjects from their targets and nonaggressive peers in traditional bullying, still represent, to some extent, an unexplored domain. The main purpose of the present exploratory study was to investigate the associations between cyberbullying and the mentioned constructs among Italian adolescents. 819 high-school students (mean age 16.08) were administered a battery of standardized tools, along with Cyberties, a new instrument created to assess the prevalence of (and the type of involvement in) different forms of electronic assaults. Analyses of variance were conducted to compare four roles ("pure" bullies, "pure" victims, bully victims, and noninvolved subjects). Participants who identified themselves as cyberbullies or cyberbully victims showed significantly higher levels of overall moral disengagement and of both types of aggression. Cyberbullies also displayed a lack of affective empathy. Our findings are in line with the ones in extant literature about correlates of traditional and electronic forms of bullying. Implications for prevention strategies are discussed.

  7. DustPedia: A Definitive Study of Cosmic Dust in the Local Universe

    Science.gov (United States)

    Davies, J. I.; Baes, M.; Bianchi, S.; Jones, A.; Madden, S.; Xilouris, M.; Bocchio, M.; Casasola, V.; Cassara, L.; Clark, C.; De Looze, I.; Evans, R.; Fritz, J.; Galametz, M.; Galliano, F.; Lianou, S.; Mosenkov, A. V.; Smith, M.; Verstocken, S.; Viaene, S.; Vika, M.; Wagle, G.; Ysard, N.

    2017-04-01

    The European Space Agency has invested heavily in two cornerstones missions: Herschel and Planck. The legacy data from these missions provides an unprecedented opportunity to study cosmic dust in galaxies so that we can, for example, answer fundamental questions about the origin of the chemical elements, physical processes in the interstellar medium (ISM), its effect on stellar radiation, its relation to star formation and how this relates to the cosmic far-infrared background. In this paper we describe the DustPedia project, which enables us to develop tools and computer models that will help us relate observed cosmic dust emission to its physical properties (chemical composition, size distribution, and temperature), its origins (evolved stars, supernovae, and growth in the ISM), and the processes that destroy it (high-energy collisions and shock heated gas). To carry out this research, we combine the Herschel/Planck data with that from other sources of data, and provide observations at numerous wavelengths (≤slant 41) across the spectral energy distribution, thus creating the DustPedia database. To maximize our spatial resolution and sensitivity to cosmic dust, we limit our analysis to 4231 local galaxies (venergy distributions (HerBIE) and a state-of-the-art Monte Carlo photon-tracing radiative transfer model (SKIRT). In this, the first of the DustPedia papers, we describe the project objectives, data sets used, and provide an insight into the new scientific methods we plan to implement.

  8. Park roads: A comparative study for definitions for a Brazilian touristic experience.

    Directory of Open Access Journals (Sweden)

    Luciano Torres Tricárico

    2012-04-01

    Full Text Available The configuration of park roads in the Brazilian experience is very recent. Yet, it is a precursor for a worldwide fact, especially regarding the progress of legislation that can support this demonstration space to promote the protection of an ecological corridor with touristic uses, it is the thought of park road category in the National System of Conservation Units (SNUC. However, compared to the foreign experience, mainly Canadian and American, we find a mismatch in the gains that the realization of a park road can lead to environmental planning and tourism in Brazil. The interpretive method of this research is based on Semiotics by Charles Sanders Peirce, highlighting the role of representation as the election of two signs bearing the ideologies of the issuer. Different modes of park road representation may reveal a "matrix" of common content, denoted in foreign or national experience, and between the two; so, characteristics that identify them could be interpreted. For this, the methodology is to study the cases of park road in Brazil and abroad, in order to define specific parameters from one case to another, as well as common elements between the two cases.

  9. Determination of insoluble, soluble, and total dietary fiber (CODEX definition) by enzymatic-gravimetric method and liquid chromatography: collaborative study.

    Science.gov (United States)

    McCleary, Barry V; DeVries, Jonathan W; Rader, Jeanne I; Cohen, Gerald; Prosky, Leon; Mugford, David C; Okuma, Kazuhiro

    2012-01-01

    A method for the determination of insoluble (IDF), soluble (SDF), and total dietary fiber (TDF), as defined by the CODEX Alimentarius, was validated in foods. Based upon the principles of AOAC Official Methods 985.29, 991.43, 2001.03, and 2002.02, the method quantitates water-insoluble and water-soluble dietary fiber. This method extends the capabilities of the previously adopted AOAC Official Method 2009.01, Total Dietary Fiber in Foods, Enzymatic-Gravimetric-Liquid Chromatographic Method, applicable to plant material, foods, and food ingredients consistent with CODEX Definition 2009, including naturally occurring, isolated, modified, and synthetic polymers meeting that definition. The method was evaluated through an AOAC/AACC collaborative study. Twenty-two laboratories participated, with 19 laboratories returning valid assay data for 16 test portions (eight blind duplicates) consisting of samples with a range of traditional dietary fiber, resistant starch, and nondigestible oligosaccharides. The dietary fiber content of the eight test pairs ranged from 10.45 to 29.90%. Digestion of samples under the conditions of AOAC 2002.02 followed by the isolation, fractionation, and gravimetric procedures of AOAC 985.29 (and its extensions 991.42 and 993.19) and 991.43 results in quantitation of IDF and soluble dietary fiber that precipitates (SDFP). The filtrate from the quantitation of water-alcohol-insoluble dietary fiber is concentrated, deionized, concentrated again, and analyzed by LC to determine the SDF that remains soluble (SDFS), i.e., all dietary fiber polymers of degree of polymerization = 3 and higher, consisting primarily, but not exclusively, of oligosaccharides. SDF is calculated as the sum of SDFP and SDFS. TDF is calculated as the sum of IDF and SDF. The within-laboratory variability, repeatability SD (Sr), for IDF ranged from 0.13 to 0.71, and the between-laboratory variability, reproducibility SD (SR), for IDF ranged from 0.42 to 2.24. The within

  10. 基于概念置换的大数据定义研究%Study on the Definitions of Big Data Based on the Concept Replacement

    Institute of Scientific and Technical Information of China (English)

    李天柱; 王圣慧; 马佳

    2015-01-01

    In the current researches about big data,the crisis of definition disorder emerges.The poor big data definitions, neither because of vague nor because of inconsistency,would affect the further researches of big data in related areas. Based on the literature review,this study then brings forward a strict,clarified and broadly -accepted definition of big data by the concept replacement method in analytic philosophy.The fair concept of big data can make the follow -up researches easier and more workable.In the end,this study discusses the application prospect of the definition of big data by case studies in enterprise technological innovation.%目前大数据研究领域正面临概念危机,定义的模糊不清和互换性较差将影响该领域研究的深入进行。在文献回顾的基础上,运用分析哲学中的概念置换方法提出一个严格、清晰且普适性较好的大数据定义,基于这个公允定义,一系列后续问题的研究变得简易可行了。进一步以企业技术创新管理为例研究了该定义的应用前景。

  11. Consumer-driven definition of traditional food products and innovation in traditional foods. A qualitative cross-cultural study.

    Science.gov (United States)

    Guerrero, Luis; Guàrdia, Maria Dolors; Xicola, Joan; Verbeke, Wim; Vanhonacker, Filiep; Zakowska-Biemans, Sylwia; Sajdakowska, Marta; Sulmont-Rossé, Claire; Issanchou, Sylvie; Contel, Michele; Scalvedi, M Luisa; Granli, Britt Signe; Hersleth, Margrethe

    2009-04-01

    Traditional food products (TFP) are an important part of European culture, identity, and heritage. In order to maintain and expand the market share of TFP, further improvement in safety, health, or convenience is needed by means of different innovations. The aim of this study was to obtain a consumer-driven definition for the concept of TFP and innovation and to compare these across six European countries (Belgium, France, Italy, Norway, Poland and Spain) by means of semantic and textual statistical analyses. Twelve focus groups were performed, two per country, under similar conditions. The transcriptions obtained were submitted to an ordinary semantic analysis and to a textual statistical analysis using the software ALCESTE. Four main dimensions were identified for the concept of TFP: habit-natural, origin-locality, processing-elaboration and sensory properties. Five dimensions emerged around the concept of innovation: novelty-change, variety, processing-technology, origin-ethnicity and convenience. TFP were similarly perceived in the countries analysed, while some differences were detected for the concept of innovation. Semantic and statistical analyses of the focus groups led to similar results for both concepts. In some cases and according to the consumers' point of view the application of innovations may damage the traditional character of TFP.

  12. Clinical Implications of the 2016 International Study Group on Pancreatic Surgery Definition and Grading of Postoperative Pancreatic Fistula on 775 Consecutive Pancreatic Resections.

    Science.gov (United States)

    Pulvirenti, Alessandra; Marchegiani, Giovanni; Pea, Antonio; Allegrini, Valentina; Esposito, Alessandro; Casetti, Luca; Landoni, Luca; Malleo, Giuseppe; Salvia, Roberto; Bassi, Claudio

    2017-07-03

    The aim of the present study was to evaluate the clinical implications of the 2016 International Study Group for Pancreatic Surgery (ISGPS) definition and classification of postoperative pancreatic fistula (POPF) using a single high-volume institutional cohort of patients undergone pancreatic surgery. The ISGPS definition and grading system of POPF has been recently updated. Although the rationale for the changes was supported by previous studies, the effect of the new definition and classification scheme on surgical series has not been established. A total of 775 patients undergone pancreatic surgery in our institute from 2013 to 2015 were reviewed. The parameters modified in the ISGPS classification were analyzed according to postoperative outcomes. Finally the classification was validated by external clinical and economical outcomes. Applying the 2016 scheme, 17.5% of patients changed classification group compared to the 2015 system. Grade B increased from 11.5% to 22.1%, whereas grade C decreased from 15.2% to 4.6%. Biochemical leak occurred in 7% of patients, and it did not differ from the non-POPF condition in terms of surgical outcomes. Non-POPF group, grades B and C POPF differed significantly in terms of intensive care unit staying (P < 0.001), length of stay (P < 0.001), readmission rate (P < 0.001), and hospital costs (P < 0.001). The present study has confirmed the pertinence of the changes introduced in the 2016 ISGPS POPF definition and grading. This updated classification is effective in identifying three conditions that differ in terms of clinical and economic outcomes. These results suggested the reliability of the new definition and scheme in classifying POPF-related outcomes.

  13. Euclid Definition Study Report

    CERN Document Server

    Laureijs, R; Arduini, S.; Augueres, J.L.; Brinchmann, J.; Cole, R.; Cropper, M.; Dabin, C.; Duvet, L.; Ealet, A.; Garilli, B.; Gondoin, P.; Guzzo, L.; Hoar, J.; Hoekstra, H.; Holmes, R.; Kitching, T.; Maciaszek, T.; Mellier, Y.; Pasian, F.; Percival, W.; Rhodes, J.; Criado, G.Saavedra; Sauvage, M.; Scaramella, R.; Valenziano, L.; Warren, S.; Bender, R.; Castander, F.; Cimatti, A.; Le, O.; Kurki-Suonio, H.; Levi, M.; Lilje, P.; Mellier, Y.; Meylan, G.; Nichol, R.; Pedersen, K.; Popa, V.; Rebolo Lopez, R.; Rix, H.W.; Rottgering, H.; Zeilinger, W.; Grupp, F.; Hudelot, P.; Massey, R.; Meneghetti, M.; Miller, L.; Paltani, S.; Paulin-Henriksson, S.; Pires, S.; Saxton, C.; Schrabback, T.; Seidel, G.; Walsh, J.; Aghanim, N.; Amendola, L.; Bartlett, J.; Baccigalupi, C.; Beaulieu, J.P.; Benabed, K.; Cuby, J.G.; Elbaz, D.; Fosalba, P.; Gavazzi, G.; Helmi, A.; Hook, I.; Irwin, M.; Kneib, J.P.; Kunz, M.; Mannucci, F.; Moscardini, L.; Tao, C.; Teyssier, R.; Weller, J.; Zamorani, G.; Osorio, M.R.Zapatero; Boulade, O.; Foumond, J.J.; Di Giorgio, A.; Guttridge, P.; James, A.; Kemp, M.; Martignac, J.; Spencer, A.; Walton, D.; Blumchen, T.; Bonoli, C.; Bortoletto, F.; Cerna, C.; Corcione, L.; Fabron, C.; Jahnke, K.; Ligori, S.; Madrid, F.; Martin, L.; Morgante, G.; Pamplona, T.; Prieto, E.; Riva, M.; Toledo, R.; Trifoglio, M.; Zerbi, F.; Abdalla, F.; Douspis, M.; Grenet, C.; Borgani, S.; Bouwens, R.; Courbin, F.; Delouis, J.M.; Dubath, P.; Fontana, A.; Frailis, M.; Grazian, A.; Koppenhofer, J.; Mansutti, O.; Melchior, M.; Mignoli, M.; Mohr, J.; Neissner, C.; Noddle, K.; Poncet, M.; Scodeggio, M.; Serrano, S.; Shane, N.; Starck, J.L.; Surace, C.; Taylor, A.; Verdoes-Kleijn, G.; Vuerli, C.; Williams, O.R.; Zacchei, A.; Altieri, B.; Sanz, I.Escudero; Kohley, R.; Oosterbroek, T.; Astier, P.; Bacon, D.; Bardelli, S.; Baugh, C.; Bellagamba, F.; Benoist, C.; Bianchi, D.; Biviano, A.; Branchini, E.; Carbone, C.; Cardone, V.; Clements, D.; Colombi, S.; Conselice, C.; Cresci, G.; Deacon, N.; Dunlop, J.; Fedeli, C.; Fontanot, F.; Franzetti, P.; Giocoli, C.; Garcia-Bellido, J.; Gow, J.; Heavens, A.; Hewett, P.; Heymans, C.; Holland, A.; Huang, Z.; Ilbert, O.; Joachimi, B.; Jennins, E.; Kerins, E.; Kiessling, A.; Kirk, D.; Kotak, R.; Krause, O.; Lahav, O.; van Leeuwen, F.; Lesgourgues, J.; Lombardi, M.; Magliocchetti, M.; Maguire, K.; Majerotto, E.; Maoli, R.; Marulli, F.; Maurogordato, S.; McCracken, H.; McLure, R.; Melchiorri, A.; Merson, A.; Moresco, M.; Nonino, M.; Norberg, P.; Peacock, J.; Pello, R.; Penny, M.; Pettorino, V.; Di Porto, C.; Pozzetti, L.; Quercellini, C.; Radovich, M.; Rassat, A.; Roche, N.; Ronayette, S.; Rossetti, E.; Sartoris, B.; Schneider, P.; Semboloni, E.; Serjeant, S.; Simpson, F.; Skordis, C.; Smadja, G.; Smartt, S.; Spano, P.; Spiro, S.; Sullivan, M.; Tilquin, A.; Trotta, R.; Verde, L.; Wang, Y.; Williger, G.; Zhao, G.; Zoubian, J.; Zucca, E.

    2011-01-01

    Euclid is a space-based survey mission from the European Space Agency designed to understand the origin of the Universe's accelerating expansion. It will use cosmological probes to investigate the nature of dark energy, dark matter and gravity by tracking their observational signatures on the geometry of the universe and on the cosmic history of structure formation. The mission is optimised for two independent primary cosmological probes: Weak gravitational Lensing (WL) and Baryonic Acoustic Oscillations (BAO). The Euclid payload consists of a 1.2 m Korsch telescope designed to provide a large field of view. It carries two instruments with a common field-of-view of ~0.54 deg2: the visual imager (VIS) and the near infrared instrument (NISP) which contains a slitless spectrometer and a three bands photometer. The Euclid wide survey will cover 15,000 deg2 of the extragalactic sky and is complemented by two 20 deg2 deep fields. For WL, Euclid measures the shapes of 30-40 resolved galaxies per arcmin2 in one broad...

  14. Recombinant TSH stimulated remnant ablation therapy in thyroid cancer: the success rate depends on the definition of ablation success--an observational study.

    Directory of Open Access Journals (Sweden)

    Anouk N A van der Horst-Schrivers

    Full Text Available Patients with differentiated thyroid cancer (DTC are treated with (near-total thyroidectomy followed by remnant ablation. Optimal radioiodine-131 (131I uptake is achieved by withholding thyroid hormone (THW, pretreatment with recombinant human Thyrotropin Stimulating Hormone (rhTSH is an alternative. Six randomized trials have been published comparing THW and rhTSH, however comparison is difficult because an uniform definition of ablation success is lacking. Using a strict definition, we performed an observational study aiming to determine the efficacy of rhTSH as preparation for remnant ablation.Adult DTC patients with, tumor stage T1b to T3, Nx, N0 and N1, M0 were included in a prospective multicenter observational study with a fully sequential design, using a stopping rule. All patients received remnant ablation with 131I using rhTSH. Ablation success was defined as no visible uptake in the original thyroid bed on a rhTSH stimulated 150 MBq 131I whole body scan (WBS 9 months after remnant ablation, or no visible uptake in the original thyroid bed on a post therapeutic WBS when a second high dose was necessary.After interim analysis of the first 8 patients, the failure rate was estimated to be 69% (90% confidence interval (CI 20-86% and the inclusion of new patients had to be stopped. Final analysis resulted in an ablation success in 11 out of 17 patients (65%, 95% CI 38-86%.According to this study, the efficacy of rhTSH in the preparation of 131I ablation therapy is inferior, when using a strict definition of ablation success. The current lack of agreement as to the definition of successful remnant ablation, makes comparison between different ablation strategies difficult. Our results point to the need for an international consensus on the definition of ablation success, not only in routine patient's care but also for scientific reasons.Dutch Trial Registration NTR2395.

  15. Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies : The Copenhagen Osteoarthritis Study

    DEFF Research Database (Denmark)

    Laxafoss, Erling; Jacobsen, Steffen; Gosvig, Kasper K

    2010-01-01

    -morphological change over age in individuals without radiological features of OA. MATERIALS AND METHODS: The Copenhagen Osteoarthritis Study - COS is a substudy of the Copenhagen City Heart Study, a longitudinal regional health survey. From the third inclusion of the CCHS (1992-1994) 4,151 subjects were selected...

  16. Self reference in word definitions

    CERN Document Server

    Levary, David; Moses, Elisha; Tlusty, Tsvi

    2011-01-01

    Dictionaries are inherently circular in nature. A given word is linked to a set of alternative words (the definition) which in turn point to further descendants. Iterating through definitions in this way, one typically finds that definitions loop back upon themselves. The graph formed by such definitional relations is our object of study. By eliminating those links which are not in loops, we arrive at a core subgraph of highly connected nodes. We observe that definitional loops are conveniently classified by length, with longer loops usually emerging from semantic misinterpretation. By breaking the long loops in the graph of the dictionary, we arrive at a set of disconnected clusters. We find that the words in these clusters constitute semantic units, and moreover tend to have been introduced into the English language at similar times, suggesting a possible mechanism for language evolution.

  17. Study on the Definition of Western Police Roles%西方警察角色界定的研究

    Institute of Scientific and Technical Information of China (English)

    宁珂鑫

    2013-01-01

    由于从事的工作不同,肩负的职责不同,不同的行业在社会中所扮演的角色也不同。警察是国家暴力机器的组成部分,其角色被定义为“打击犯罪的战士”;警察又是社会公共安全服务的提供者,从这个角度看,警察是“服务民众的公仆”。除此之外,警察还被赋予了其他多种角色,但是也多与其工作性质和内容联系在一起。对于西方警察角色的界定,有助于我国警务改革过程中界定警察的核心职能。%Belonging to different works and duties, professions with different characters play different roles in society. On one hand, the police is an component of the country machine, which makes itself defined as the “criminal fighter”; on the other hand, it is the social public security provider, carrying the duty of “civil servant of the people”. Besides, the police have some other roles, and all are related to the characters and contents of its works. Thus, the study of the definition of western police roles will be helpful in the defining of the duties and powers of people ’ s police in our country’s policing reformation.

  18. Stimulation of Dorsolateral Prefrontal Cortex Enhances Adaptive Cognitive Control: A High-Definition Transcranial Direct Current Stimulation Study.

    Science.gov (United States)

    Gbadeyan, Oyetunde; McMahon, Katie; Steinhauser, Marco; Meinzer, Marcus

    2016-12-14

    Conflict adaptation is a hallmark effect of adaptive cognitive control and refers to the adjustment of control to the level of previously experienced conflict. Conflict monitoring theory assumes that the dorsolateral prefrontal cortex (DLPFC) is causally involved in this adjustment. However, to date, evidence in humans is predominantly correlational, and heterogeneous with respect to the lateralization of control in the DLPFC. We used high-definition transcranial direct current stimulation (HD-tDCS), which allows for more focal current delivery than conventional tDCS, to clarify the causal involvement of the DLPFC in conflict adaptation. Specifically, we investigated the regional specificity and lateralization of potential beneficial stimulation effects on conflict adaptation during a visual flanker task. One hundred twenty healthy participants were assigned to four HD-tDCS conditions: left or right DLPFC or left or right primary motor cortex (M1). Each group underwent both active and sham HD-tDCS in crossover, double-blind designs. We obtained a sizeable conflict adaptation effect (measured as the modulation of the flanker effect as a function of previous response conflict) in all groups and conditions. However, this effect was larger under active HD-tDCS than under sham stimulation in both DLPFC groups. In contrast, active stimulation had no effect on conflict adaptation in the M1 groups. In sum, the present results indicate that the DLPFC plays a causal role in adaptive cognitive control, but that the involvement of DLPFC in control is not restricted to the left or right hemisphere. Moreover, our study confirms the potential of HD-tDCS to modulate cognition in a regionally specific manner.

  19. Definitive (chemo)radiotherapy in patients with esophageal cancer : A population-based study in northeast Netherlands

    NARCIS (Netherlands)

    Smit, Justin Kendrick; Muijs, Christina T.; Timmer, Paul R.; Paardekooper, Gabriel; Muller, Karin; Woutersen, Dankert; Mul, Veronique E.; Beukema, Jannet; Hospers, Geesiena; Langendijk, Johannes A.; Plukker, John Theodorus

    2012-01-01

    83 Background: Definitive (chemo)radiation as primary treatment modality is offered to esophageal cancer (EC) patients, as an alternative for patients considered medically unfit for surgery or having irresectable tumors. We evaluated the results in our cohort to improve selection of patients for int

  20. What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review

    NARCIS (Netherlands)

    A.K. Lawal (Adegboyega K.); T. Rotter (Thomas); L. Kinsman (Leigh); A. Machotta (Andreas); U. Ronellenfitsch (Ulrich); S.D. Scott (Shannon D.); D. Goodridge (Donna); C. Plishka (Christopher); G. Groot (Gary)

    2016-01-01

    textabstractClinical pathways (CPWs) are a common component in the quest to improve the quality of health. CPWs are used to reduce variation, improve quality of care, and maximize the outcomes for specific groups of patients. An ongoing challenge is the operationalization of a definition of CPW in h

  1. Definite Discourse--New Reference in L1 and L2: A Study of Bridging in Mandarin, Korean, and English

    Science.gov (United States)

    Crosthwaite, Peter Robert

    2014-01-01

    Definite expressions may be used to introduce a referent into discourse when their familiarity between speaker and listener can be inferred, a strategy known as bridging. However, for a number of reasons, bridging may be difficult to acquire compared to the acquisition of indefinite introductions for noninferable referent types, with the native…

  2. High definition bronchoscopy: a randomized exploratory study of diagnostic value compared to standard white light bronchoscopy and autofluorescence bronchoscopy

    NARCIS (Netherlands)

    Heijden, E. van der; Hoefsloot, W.; Hees, H.W. van; Schuurbiers, O.C.J.

    2015-01-01

    BACKGROUND: Videobronchoscopy is an essential diagnostic procedure for evaluation of the central airways and pivotal for the diagnosis and staging of lung cancer. Technological improvements have resulted in high definition (HD) images with advanced real time image enhancement techniques (i-scan). OB

  3. A Study of Semiotic Registers in the Development of the Definite Integral of Functions of Two and Three Variables

    Science.gov (United States)

    McGee, Daniel Lee; Martinez-Planell, Rafael

    2014-01-01

    Tracing the path from a numerical Riemann sum approximating the area under a curve to a definite integral representing the precise area in various texts and online presentations, we found 3 semiotic registers that are used: the geometric register, the numerical register, and the symbolic register. The symbolic register had 3 representations: an…

  4. Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies : The Copenhagen Osteoarthritis Study

    DEFF Research Database (Denmark)

    Laxafoss, Erling; Jacobsen, Steffen; Gosvig, Kasper K;

    2010-01-01

    INTRODUCTION: The aims of the present study were threefold: to examine the distribution of knee joint osteoarthritis in a large, standardized radiological study; to examine the relationships between self reported knee pain and radiological OA; and to examine the natural history of radio-morphological...... for subsequent standardized radiography of the pelvis, the knees, the hands, the wrists, and the lumbar spine. Images were analyzed and knee joint osteoarthritis (OA) was classified according to the radiographic atlas of Kellgren and Lawrence. Joint space width (JSW) was measured at three sites within both...... the medial and the lateral compartment. RESULTS: For the entire cohort the prevalence of radiological knee joint OA of all grades was 38.7% for men and 44.2% for women. Age stratification documented increasing knee joint OA both in regard to prevalence and morphological severity. Knee pain was universally...

  5. Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies. The Copenhagen osteoarthritis study

    Energy Technology Data Exchange (ETDEWEB)

    Laxafoss, Erling; Jacobsen, Steffen; Gosvig, Kasper K.; Sonne-Holm, Stig [Copenhagen University Hospital of Hvidovre (Denmark). Department of Orthopaedic Surgery

    2010-09-15

    The aims of the present study were threefold: to examine the distribution of knee joint osteoarthritis in a large, standardized radiological study; to examine the relationships between self reported knee pain and radiological OA; and to examine the natural history of radio-morphological change over age in individuals without radiological features of OA. The Copenhagen Osteoarthritis Study - COS is a substudy of the Copenhagen City Heart Study, a longitudinal regional health survey. From the third inclusion of the CCHS (1992-1994) 4,151 subjects were selected for subsequent standardized radiography of the pelvis, the knees, the hands, the wrists, and the lumbar spine. Images were analyzed and knee joint osteoarthritis (OA) was classified according to the radiographic atlas of Kellgren and Lawrence. Joint space width (JSW) was measured at three sites within both the medial and the lateral compartment. For the entire cohort the prevalence of radiological knee joint OA of all grades was 38.7% for men and 44.2% for women. Age stratification documented increasing knee joint OA both in regard to prevalence and morphological severity. Knee pain was universally correlated to the Kellgren and Lawrence severity of OA. In a subgroup with no features of radiological OA, a significant and linear decline in JSW with increasing age was found. We found a clear relationship between self-reported knee pain and radiological osteoarthritis. Pain was proportionally related to the severity of change. We also demonstrated a significant diminishing of joint space width with increasing age in individuals without apparent radiological degeneration. (orig.)

  6. The Definition of Everyday Aesthetics

    Directory of Open Access Journals (Sweden)

    Kevin Melchionne

    2013-01-01

    Full Text Available This article responds to recent controversy in the aesthetics of everyday life with a succinct definition designed to clarify the domain of study. The article is intentionally designed for brevity and accessibility in order to facilitate usage.

  7. A cost-effectiveness analysis to illustrate the impact of cost definitions on results, interpretations and comparability of pharmacoeconomic studies in the US.

    Science.gov (United States)

    Tunis, Sandra L

    2009-01-01

    There is a lack of a uniform proxy for defining direct medical costs in the US. This potentially important source of variation in modelling and other types of economic studies is often overlooked. The extent to which increased expenditures for an intervention can be offset by reductions in subsequent service costs can be directly related to the choice of cost definitions. To demonstrate how different cost definitions for direct medical costs can impact results and interpretations of a cost-effectiveness analysis. The IMS-CORE Diabetes Model was used to project the lifetime (35-year) cost effectiveness in the US of one pharmacological intervention 'medication A' compared with a second 'medication B' (both unspecified) for type 2 diabetes mellitus. The complications modelled included cardiovascular disease, renal disease, eye disease and neuropathy. The model had a Markov structure with Monte Carlo simulations. Utility values were derived from the published literature. Complication costs were obtained from a retrospective database study that extracted anonymous patient-level data from (primarily private payer) adjudicated medical and pharmaceutical claims. Costs for pharmacy services, outpatient services and inpatient hospitalizations were included. Cost definitions for complications included charged, allowed and paid amounts, and for medications included both wholesale acquisition cost (WAC) and average wholesale price (AWP). Costs were reported in year 2007 values. The cost-effectiveness results differed according to the particular combination of cost definitions employed. The use of charges greatly increased costs for complications. When the analysis incorporated WAC medication prices with charged amounts for complication costs, the incremental cost-effectiveness ratio (ICER) for medication A versus medication B was $US6337 per QALY. When AWP prices were used with charged amounts, medication A became a dominant treatment strategy, i.e. lower costs with greater

  8. Counselors' Clinical Use of Definitive Drug Testing Results in Their Work with Substance-Use Clients: a Qualitative Study.

    Science.gov (United States)

    Rzetelny, Adam; Zeller, Barbara; Miller, Nicholas; City, Kathy Egan; Kirsh, Kenneth L; Passik, Steven D

    We conducted a psychotherapeutic examination of the use of definitive drug testing (liquid chromatography with tandem mass spectrometry) in the treatment of substance use disorders (SUD). Employing a generic qualitative method (Caelli et al. in International Journal of Qualitative Methods, 2(2), 2003; Merriam, 2009) we asked SUD counselors to provide narratives about cases where drug testing had revealed new or unexpected information about clients' drug-taking behaviors. Semi-structured interviews with 12 SUD counselors were conducted by phone and analyzed for themes derived from the literature. These counselors reported many new positive drug tests in clients previously believed to be adherent with treatment. Key themes assessed in counselors' narratives included initial client denial that was often followed by later acknowledgement of relapse and increased motivation, at times presenting new opportunities for clients to engage in treatment and enhance the therapeutic alliance. These results suggest that definitive drug testing can be used in a non-stigmatizing and therapeutic manner.

  9. A longitudinal study examining adherence to guidelines in diabetes care according to different definitions of adequacy and timeliness.

    Directory of Open Access Journals (Sweden)

    Grigory Sidorenkov

    Full Text Available BACKGROUND: Performance indicators assessing quality of diabetes care often look at single processes, e.g. whether an HbA1c test was conducted. Adequate care, however, consists of consecutive processes which should be taken in time (clinical pathways. We assessed quality of diabetes care by looking at single processes versus clinical pathways. In addition, we evaluated the impact of time period definitions on this quality assessment. METHODOLOGY: We conducted a cohort study in 2007-2008 using the GIANTT (Groningen Initiative to Analyse type 2 diabetes Treatment database. Proportions of patients adequately managed for HbA1c, systolic blood pressure (SBP, LDL-cholesterol (LDL-C, and albumin/creatinine ratio (ACR were calculated for the pathway of (1 risk factor level testing, (2 treatment intensification when indicated, (3 response to treatment evaluation. Strict and wide time periods for each step were defined. Proportions of patients adequately managed regarding the overall pathway and single steps, using strict or wide time periods were compared using odds ratios (OR with 95% confidence intervals. FINDINGS: Of 11,176 patients diagnosed with type 2 diabetes, 9439 with complete follow-up were included. The majority received annual examination of HbA1c (86% and SBP (86%, whereas this was 67% for LDL-C and 49% for ACR. Adequate management regarding the three-step pathway was observed in 73%, 53%, 46%, 41% of patients for HbA1c, SBP, LDL-C, and ACR respectively. Quality scores reduced significantly due to the second step (OR 0.43, 0.18, 0.44, 0.74, but were not much further reduced by the third step. Timely treatment evaluation occurred in 88% for HbA1c, 87% for SBP, 83% for LDL-C, and 76% for ACR. The overall score was not significantly changed by using strict time windows. CONCLUSION: Quality estimates of glycemic, blood pressure and cholesterol management are substantially reduced when looking at clinical pathways as compared to estimates based

  10. Prevalence of the metabolic syndrome in Luxembourg according to the Joint Interim Statement definition estimated from the ORISCAV-LUX study

    Directory of Open Access Journals (Sweden)

    Scheen André

    2011-01-01

    Full Text Available Abstract Background The prevalence of the metabolic syndrome (MS has been determined in many countries worldwide but never in Luxembourg. This research aimed to 1 establish the gender- and age-specific prevalence of MS and its components in the general adult population of Luxembourg, according to the most recent Joint Interim Statement (JIS definition, by using both the high and low cut-off points to define abdominal obesity, and 2 compare and assess the degree of agreement with the Revised National Cholesterol Education Programme-Adult Treatment Panel III (R-ATPIII and the International Diabetes Federation (IDF definitions. Methods A representative stratified random sample of 1349 European subjects, aged 18-69 years, participated to ORISCAV-LUX survey. Logistic regression and odds ratios (OR were used to study MS prevalence with respect to gender and age. The Framingham risk score (FRS to predict the 10-year coronary heart disease (CHD risk was calculated to compare the proportion of MS cases below or above 20%, according to both high and low waist circumference (WC thresholds. Cohen's kappa coefficient (κ was utilized to measure the degree of agreement between MS definitions. Results The prevalence of the MS defined by the JIS was 28.0% and 24.7% when using the low (94/80 and the high (102/88 WC cut-off points, respectively. The prevalence was significantly higher in men than in women (OR = 2.6 and 2.3 for the low and high WC thresholds, as were all components of the MS except abdominal obesity measured by both thresholds. It also increased with age (OR values in age categories ranging from 2.7 to 28 when compared to the younger subjects for low WC and from 3.3 to 31 for the high WC cut-offs. The 10-year predicted risk of CHD by FRS did not depend on the threshold used. Globally, excellent agreement was observed between the three definitions of MS (κ= 0.89, in particular between JIS and IDF (κ = 0.93. Agreement was significantly higher in

  11. Radiographic case definitions and prevalence of osteoarthrosis of the hip: a survey of 4 151 subjects in the Osteoarthritis Substudy of the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, Kjeld

    2004-01-01

    BACKGROUND: The diagnosis of osteoarthrosis (OA) is founded on radiographic evidence of joint degeneration and characteristic subjective symptoms. Due to the lack of consensus radiographic case definitions, the prevalence and incidence of OA reported in the literature varies. The aims of the curr......BACKGROUND: The diagnosis of osteoarthrosis (OA) is founded on radiographic evidence of joint degeneration and characteristic subjective symptoms. Due to the lack of consensus radiographic case definitions, the prevalence and incidence of OA reported in the literature varies. The aims...... of the current study were to establish an accurate and workable radiographic definition of OA in hip joints and to examine the association of OA (thus defined) with self-reported pain. METHODS: Radiographic features of hip OA were classified in pelvic radiographs of 3 807 subjects (1448 males and 2 359 females......: Formation of cysts, osteophytes and subchondral sclerosis was significantly more frequent in men. Average minimum JSW was narrower in women than in men (p life, but progressively more so in women. Women reported hip pain more...

  12. Radiographic case definitions and prevalence of osteoarthrosis of the hip: a survey of 4 151 subjects in the Osteoarthritis Substudy of the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, Kjeld

    2004-01-01

    BACKGROUND: The diagnosis of osteoarthrosis (OA) is founded on radiographic evidence of joint degeneration and characteristic subjective symptoms. Due to the lack of consensus radiographic case definitions, the prevalence and incidence of OA reported in the literature varies. The aims of the curr......BACKGROUND: The diagnosis of osteoarthrosis (OA) is founded on radiographic evidence of joint degeneration and characteristic subjective symptoms. Due to the lack of consensus radiographic case definitions, the prevalence and incidence of OA reported in the literature varies. The aims...... of the current study were to establish an accurate and workable radiographic definition of OA in hip joints and to examine the association of OA (thus defined) with self-reported pain. METHODS: Radiographic features of hip OA were classified in pelvic radiographs of 3 807 subjects (1448 males and 2 359 females......) according to the OA classifications of Kellgren and Lawrence (1957) and Croft (1990), and according to minimum joint space width (JSW) of 2.0 mm regardless of other radiographic features of OA. The relationships between these radiographic discriminators and self-reported hip pain were investigated. RESULTS...

  13. A comparative study on the uniaxial mechanical properties of the umbilical vein and umbilical artery using different stress-strain definitions.

    Science.gov (United States)

    Karimi, Alireza; Navidbakhsh, Mahdi

    2014-12-01

    The umbilical cord is part of the fetus and generally includes one umbilical vein (UV) and two umbilical arteries (UAs). As the saphenous vein and UV are the most commonly used veins for the coronary artery disease treatment as a coronary artery bypass graft (CABG), understating the mechanical properties of UV has a key asset in its performance for CABG. However, there is not only a lack of knowledge on the mechanical properties of UV and UA but there is no agreement as to which stress-strain definition should be implemented to measure their mechanical properties. In this study, the UV and UA samples were removed after caesarean from eight individuals and subjected to a series of tensile testing. Three stress definitions (second Piola-Kichhoff stress, engineering stress, and true stress) and four strain definitions (Almansi-Hamel strain, Green-St. Venant strain, engineering strain, and true strain) were employed to determine the linear mechanical properties of UVs and UAs. The nonlinear mechanical behavior of UV/UA was computationally investigated using hyperelastic material models, such as Ogden and Mooney-Rivlin. The results showed that the effect of varying the stress definition on the maximum stress measurements of the UV/UA is significant but not when calculating the elastic modulus. In the true stress-strain diagram, the maximum strain of UV was 92 % higher, while the elastic modulus and maximum stress were 162 and 42 % lower than that of UA. The Mooney-Rivlin material model was designated to represent the nonlinear mechanical behavior of the UV and UA under uniaxial loading.

  14. Clinical usefulness of the definitions for defining characteristics of activity intolerance, excess fluid volume and decreased cardiac output in decompensated heart failure: a descriptive exploratory study.

    Science.gov (United States)

    de Souza, Vanessa; Zeitoun, Sandra Salloum; Lopes, Camila Takao; de Oliveira, Ana Paula Dias; Lopes, Juliana de Lima; de Barros, Alba Lucia Bottura Leite

    2015-09-01

    To assess the clinical usefulness of the operational definitions for the defining characteristics of the NANDA International nursing diagnoses, activity intolerance, decreased cardiac output and excess fluid volume, and the concomitant presence of those diagnoses in patients with decompensated heart failure. Content validity of the operational definitions for the defining characteristics of activity intolerance, excess fluid volume and decreased cardiac output have been previously validated by experts. Their clinical usefulness requires clinical validation. This was a descriptive exploratory study. Two expert nurses independently assessed 25 patients with decompensated heart failure for the presence or absence of 29 defining characteristics. Interrater reliability was analysed using the Kappa coefficient as a measure of clinical usefulness. The Fisher's exact test was used to test the association of the defining characteristics of activity intolerance and excess fluid volume in the presence of decreased cardiac output, and the correlation between the three diagnoses. Assessments regarding the presence of all defining characteristics reached 100% agreement, except with anxiety. Five defining characteristics of excess fluid volume were significantly associated with the presence of decreased cardiac output. Concomitant presence of the three diagnoses occurred in 80% of the patients. However, there was no significant correlation between the three diagnoses. The operational definitions for the diagnoses had strong interrater reliability, therefore they were considered clinically useful. Only five defining characteristics were representative of the association between excess fluid volume and decreased cardiac output. Therefore, excess fluid volume is related to decreased cardiac output, although these diagnoses are not necessarily associated with activity intolerance. The operational definitions may favour early recognition of the sequence of responses to decompensation

  15. JaCVAM-organized international validation study of the in vivo rodent alkaline comet assay for detection of genotoxic carcinogens: II. Summary of definitive validation study results.

    Science.gov (United States)

    Uno, Yoshifumi; Kojima, Hajime; Omori, Takashi; Corvi, Raffaella; Honma, Masamistu; Schechtman, Leonard M; Tice, Raymond R; Beevers, Carol; De Boeck, Marlies; Burlinson, Brian; Hobbs, Cheryl A; Kitamoto, Sachiko; Kraynak, Andrew R; McNamee, James; Nakagawa, Yuzuki; Pant, Kamala; Plappert-Helbig, Ulla; Priestley, Catherine; Takasawa, Hironao; Wada, Kunio; Wirnitzer, Uta; Asano, Norihide; Escobar, Patricia A; Lovell, David; Morita, Takeshi; Nakajima, Madoka; Ohno, Yasuo; Hayashi, Makoto

    2015-07-01

    The in vivo rodent alkaline comet assay (comet assay) is used internationally to investigate the in vivo genotoxic potential of test chemicals. This assay, however, has not previously been formally validated. The Japanese Center for the Validation of Alternative Methods (JaCVAM), with the cooperation of the U.S. NTP Interagency Center for the Evaluation of Alternative Toxicological Methods (NICEATM)/the Interagency Coordinating Committee on the Validation of Alternative Methods (ICCVAM), the European Centre for the Validation of Alternative Methods (ECVAM), and the Japanese Environmental Mutagen Society/Mammalian Mutagenesis Study Group (JEMS/MMS), organized an international validation study to evaluate the reliability and relevance of the assay for identifying genotoxic carcinogens, using liver and stomach as target organs. The ultimate goal of this exercise was to establish an Organisation for Economic Co-operation and Development (OECD) test guideline. The study protocol was optimized in the pre-validation studies, and then the definitive (4th phase) validation study was conducted in two steps. In the 1st step, assay reproducibility was confirmed among laboratories using four coded reference chemicals and the positive control ethyl methanesulfonate. In the 2nd step, the predictive capability was investigated using 40 coded chemicals with known genotoxic and carcinogenic activity (i.e., genotoxic carcinogens, genotoxic non-carcinogens, non-genotoxic carcinogens, and non-genotoxic non-carcinogens). Based on the results obtained, the in vivo comet assay is concluded to be highly capable of identifying genotoxic chemicals and therefore can serve as a reliable predictor of rodent carcinogenicity.

  16. Topological characteristics of brainstem lesions in clinically definite and clinically probable cases of multiple sclerosis: An MRI-study

    Energy Technology Data Exchange (ETDEWEB)

    Brainin, M.; Omasits, M.; Reisner, T.; Neuhold, A.; Wicke, L.

    1987-11-01

    Disseminated lesions in the white matter of the cerebral hemispheres and confluent lesions at the borders of the lateral ventricles as seen on MRI are both considered acceptable paraclinical evidence for the diagnosis of multiple sclerosis. Similar changes are, however, also found in vascular diseases of the brain. We therefore aimed at identifying those additional traits in the infratentorial region, which in our experience are not frequently found in cerebrovascular pathology. We evaluated MR brain scans of 68 patients and found pontine lesions in 71% of cases with a clinically definite diagnosis (17 out of 24) and in 33% of cases with a probable diagnosis (14 out of 43). Lesions in the medulla oblongata were present in 50% and 16%, respectively, and in the midbrain in 25% and 7%, respectively. With rare exceptions all brainstem lesions were contiguous with the cisternal or ventricular cerebrospinal fluid spaces. In keeping with post-mortem reports the morphological spectrum ranged from large confluent patches to solitary, well delineated paramedian lesions or discrete linings of the cerebrospinal fluid border zones and were most clearly depicted from horizontal and sagittal T2 weighted SE-sequences. If there is a predilection for the outer or inner surfaces of the brainstem, such lesions can be considered an additional typical feature of multiple sclerosis and can be more reliably weighted as paraclinical evidence for a definite diagnosis.

  17. 知识定义及转化研究%Study on definition and conversion of knowledge

    Institute of Scientific and Technical Information of China (English)

    孟增辉

    2015-01-01

    Firstly, through the analysis of the definitions and classifications of knowledge that already exist, the paper indi-cates the deficiencies and general characteristics of these definitions, redefines the knowledge in the form of set. Secondly, the paper analyzes the relationships between knowledge, data, information and wisdom, gives the conversion model of knowledge and summarizes the characteristics of knowledge that defined in the form of set. Based on the K-Set, the paper finally interprets the SECI model and points out the flaws of SECI.%通过分析已有知识定义和分类,找出知识定义的共性和当前定义存在的不足,以集合形式对知识进行重新定义;剖析知识与数据、信息和智慧之间的关系,给出知识的传播模式,总结基于K-Set定义的知识特性;以K-Set视角对SECI模型进行解读,剖析其作为知识创造模型存在的缺陷。

  18. Genome-wide Association Study for Radiographic Vertebral Fractures: A Potential Role for the 16q24 BMD Locus versus Lessons Learned from Challenging Phenotype Definition.

    Science.gov (United States)

    Oei, Ling; Estrada, Karol; Duncan, Emma L; Christiansen, Claus; Liu, Ching-Ti; Langdahl, Bente L; Obermayer-Pietsch, Barbara; Riancho, José A; Prince, Richard L; van Schoor, Natasja M; McCloskey, Eugene; Hsu, Yi-Hsiang; Evangelou, Evangelos; Ntzani, Evangelia; Evans, David M; Alonso, Nerea; Husted, Lise B; Valero, Carmen; Hernandez, Jose L; Lewis, Joshua R; Kaptoge, Stephen K; Zhu, Kun; Cupples, L Adrienne; Medina-Gómez, Carolina; Vandenput, Liesbeth; Kim, Ghi Su; Lee, Seung Hun; Castaño-Betancourt, Martha C; Oei, Edwin H G; Martinez, Josefina; Daroszewska, Anna; van der Klift, Marjolein; Mellström, Dan; Herrera, Lizbeth; Karlsson, Magnus K; Hofman, Albert; Ljunggren, Osten; Pols, Huibert A P; Stolk, Lisette; van Meurs, Joyce B J; Ioannidis, John P A; Zillikens, M Carola; Lips, Paul; Karasik, David; Uitterlinden, André G; Styrkarsdottir, Unnur; Brown, Matthew A; Koh, Jung-Min; Richards, J Brent; Reeve, Jonathan; Ohlsson, Claes; Ralston, Stuart H; Kiel, Douglas P; Rivadeneira, Fernando

    2013-10-25

    Vertebral fracture risk is a heritable complex trait. The aim of this study was to identify genetic susceptibility factors for osteoporotic vertebral fractures applying a genome-wide association study (GWAS) approach. The GWAS discovery was based on the Rotterdam Study, a population-based study of elderly Dutch individuals aged >55years; and comprising 329 cases and 2,666 controls with radiographic scoring (McCloskey-Kanis) and genetic data. Replication of one top-associated SNP was pursued by de-novo genotyping of 15 independent studies across Europe, the United States, Australia and one Asian study. Radiographic vertebral fracture assessment was performed using McCloskey-Kanis or Genant semi-quantitative definitions. SNPs were analyzed in relation to vertebral fracture using logistic regression models corrected for age and sex. Fixed effects inverse variance and Han-Eskin alternative random effects meta-analyses were applied. Genome-wide significance was set at P 1.25) may still be consistent with an effect size definitions are needed to confirm or reject the involvement of this locus on the risk for vertebral fractures. © 2013.

  19. "GOLD or lower limit of normal definition? a comparison with expert-based diagnosis of chronic obstructive pulmonary disease in a prospective cohort-study"

    Directory of Open Access Journals (Sweden)

    Güder Gülmisal

    2012-02-01

    Full Text Available Abstract Background The Global initiative for chronic Obstructive Lung Disease (GOLD defines COPD as a fixed post-bronchodilator ratio of forced expiratory volume in 1 second and forced vital capacity (FEV1/FVC below 0.7. Age-dependent cut-off values below the lower fifth percentile (LLN of this ratio derived from the general population have been proposed as an alternative. We wanted to assess the diagnostic accuracy and prognostic capability of the GOLD and LLN definition when compared to an expert-based diagnosis. Methods In a prospective cohort study, 405 patients aged ≥ 65 years with a general practitioner's diagnosis of COPD were recruited and followed up for 4.5 (median; quartiles 3.9; 5.1 years. Prevalence rates of COPD according to GOLD and three LLN definitions and diagnostic performance measurements were calculated. The reference standard was the diagnosis of COPD of an expert panel that used all available diagnostic information, including spirometry and bodyplethysmography. Results Compared to the expert panel diagnosis, 'GOLD-COPD' misclassified 69 (28% patients, and the three LLNs misclassified 114 (46%, 96 (39%, and 98 (40% patients, respectively. The GOLD classification led to more false positives, the LLNs to more false negative diagnoses. The main predictors beyond the FEV1/FVC ratio for an expert diagnosis of COPD were the FEV1 % predicted, and the residual volume/total lung capacity ratio (RV/TLC. Adding FEV1 and RV/TLC to GOLD or LLN improved the diagnostic accuracy, resulting in a significant reduction of up to 50% of the number of misdiagnoses. The expert diagnosis of COPD better predicts exacerbations, hospitalizations and mortality than GOLD or LLN. Conclusions GOLD criteria over-diagnose COPD, while LLN definitions under-diagnose COPD in elderly patients as compared to an expert panel diagnosis. Incorporating FEV1 and RV/TLC into the GOLD-COPD or LLN-based definition brings both definitions closer to expert panel

  20. Assessment of Severe Extremity Wound Bioburden at the Time of Definitive Wound Closure or Coverage: Correlation With Subsequent Postclosure Deep Wound Infection (Bioburden Study).

    Science.gov (United States)

    Bosse, Michael J; Murray, Clinton K; Carlini, Anthony R; Firoozabadi, Reza; Manson, Theodore; Scharfstein, Daniel O; Wenke, Joseph C; Zadnik, Mary; Castillo, Renan C

    2017-04-01

    Infection remains the most common and significant complication after high-energy fractures. The Bioburden Study is a multicenter, prospective, observational cohort study of wound bacterial bioburden and antibiotic care in severe open lower extremity fractures. The aims of this study are to (1) characterize the contemporary extremity wound "bioburden" at the time of definitive wound closure; (2) determine the concordance between polymerase chain reaction results and hospital microbiology; (3) determine, among those who develop deep infections, the concordance between the pathogens at wound closure and at deep infection; and (4) compare the probability of deep infection between those who did and did not receive an appropriate course of antibiotics based on bioburden at the time of wound closure. To address these aims, sites collected tissue samples from severe lower extremity injuries at the time of wound closure and at first surgery for treatment of a deep infection, nonunion, flap failure, amputation, or other complications (because these surgeries may be due to undetected infection). Otherwise, if no further surgical treatment occurred, participants were followed for 12 months. The study was conducted at 38 US trauma centers and has enrolled 655 participants aged 18-64 years. This is the first large multi-institutional study evaluating the wound bioburden of severe open tibia fractures and correlating this bioburden with the risk of wound complications after definitive soft tissue closure.

  1. Definition of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage as an outcome event in clinical trials and observational studies: proposal of a multidisciplinary research group.

    Science.gov (United States)

    Vergouwen, Mervyn D I; Vermeulen, Marinus; van Gijn, Jan; Rinkel, Gabriel J E; Wijdicks, Eelco F; Muizelaar, J Paul; Mendelow, A David; Juvela, Seppo; Yonas, Howard; Terbrugge, Karel G; Macdonald, R Loch; Diringer, Michael N; Broderick, Joseph P; Dreier, Jens P; Roos, Yvo B W E M

    2010-10-01

    In clinical trials and observational studies there is considerable inconsistency in the use of definitions to describe delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage. A major cause for this inconsistency is the combining of radiographic evidence of vasospasm with clinical features of cerebral ischemia, although multiple factors may contribute to DCI. The second issue is the variability and overlap of terms used to describe each phenomenon. This makes comparisons among studies difficult. An international ad hoc panel of experts involved in subarachnoid hemorrhage research developed and proposed a definition of DCI to be used as an outcome measure in clinical trials and observational studies. We used a consensus-building approach. It is proposed that in observational studies and clinical trials aiming to investigate strategies to prevent DCI, the 2 main outcome measures should be: (1) cerebral infarction identified on CT or MRI or proven at autopsy, after exclusion of procedure-related infarctions; and (2) functional outcome. Secondary outcome measure should be clinical deterioration caused by DCI, after exclusion of other potential causes of clinical deterioration. Vasospasm on angiography or transcranial Doppler can also be used as an outcome measure to investigate proof of concept but should be interpreted in conjunction with DCI or functional outcome. The proposed measures reflect the most relevant morphological and clinical features of DCI without regard to pathogenesis to be used as an outcome measure in clinical trials and observational studies.

  2. X-ray characteristics of wrists in calcium pyrophosphate crystal deposition disease. Is pseudogout a major cause of scapholunate advanced collapse?

    Science.gov (United States)

    Taniguchi, Y; Yoshida, M; Tamaki, T

    1997-10-01

    Deposition of calcium pyrophosphate dihydrate (CPPD) crystals has been considered to be a cause of scapholunate advanced collapse (SLAC) wrist. The aim of this study was to look at X-ray changes in wrist joints affected by CPPD crystal deposition disease and to determine whether crystal deposition is a cause of SLAC wrist. A total of 150 wrists of 78 patients with CPPD crystal deposition disease were examined. In our population of Japanese patients with CPPD crystal deposition disease, the incidence of SLAC wrist was very low, and no case of Stage III SLAC wrist was found. We therefore conclude that SLAC wrist is not a radiographic characteristic of CPPD crystal deposition disease and that pyrophosphate crystal deposition cannot be a major cause of SLAC wrist.

  3. WhatisKT wiki: a case study of a platform for knowledge translation terms and definitions — descriptive analysis

    Directory of Open Access Journals (Sweden)

    McKibbon Kathleen Ann

    2013-01-01

    Full Text Available Abstract Background More than a hundred terms, often with unclear definitions and varying emphases, are used by health research and practice communities across the world who are interested in getting the best possible evidence applied (e.g., knowledge translation, implementation science, diffusion of innovations, and technology transfer. This makes finding published evidence difficult and can result in reduced, misinterpreted, or challenging interactions among professionals. Open dialogue and interaction among various professionals is needed to achieve consolidation of vocabulary. We use case report methods to describe how we sought to build an online tool to present the range of terms and facilitate the dialogue process across groups and disciplines interested in harnessing research evidence for healthcare. Methods We used a wiki platform from Wikispaces to present the problem of terminology and make a case and opportunity for collaboration on usage. Wikis are web sites where communities of users can collaborate online to build content and discuss progress. We gathered terms related to getting research into practice, sought published definitions, and posted these on the wiki (WhatisKT http://whatiskt.wikispaces.com/. We built the wiki in mid-2008 and promoted it through various groups and publications. This report describes the content of the site, our promotion efforts, use of the site, and how the site was used for collaboration up to the end of 2011. Results The WhatisKT wiki site now includes more than 120 pages. Traffic to the site has increased substantially from an average of 200 monthly visits in 2008 to 1700 in 2011. Visitors from 143 countries viewed the wiki in 2011, compared with 12 countries in 2008. However, most use has been limited to short term accesses of about 40 seconds per visit, and discussion of consolidation and solidifying terminology is conspicuously absent. Conclusions Although considerable interest exists in the

  4. Efficient biological process characterization by definitive-screening designs: the formaldehyde treatment of a therapeutic protein as a case study.

    Science.gov (United States)

    Erler, Axel; de Mas, Nuria; Ramsey, Philip; Henderson, Grant

    2013-03-01

    As part of the process-characterization campaign of a candidate vaccine product, a recently developed class of three-level designs-definitive-screening designs-was employed to select a quadratic model that describes the effect of six input process parameters, including protein concentration, formaldehyde-to-protein ratio, lysine concentration, reaction duration, pH, and reaction temperature, on a formylation protein-crosslinking reaction. This design requires only 17 experimental runs. The resulting model was then used to simulate 10,000 runs that account for the variability in the inputs expected on manufacturing scale. The extent of protein polymerization was predicted to be within specifications for all simulated runs, demonstrating the robustness of the unit operation for subsequent process validation and future commercial manufacturing.

  5. Use of fuzzy edge single-photon emission computed tomography analysis in definite Alzheimer's disease - a retrospective study

    Directory of Open Access Journals (Sweden)

    Rusina Robert

    2010-09-01

    Full Text Available Abstract Background Definite Alzheimer's disease (AD requires neuropathological confirmation. Single-photon emission computed tomography (SPECT may enhance diagnostic accuracy, but due to restricted sensitivity and specificity, the role of SPECT is largely limited with regard to this purpose. Methods We propose a new method of SPECT data analysis. The method is based on a combination of parietal lobe selection (as regions-of-interest (ROI, 3D fuzzy edge detection, and 3D watershed transformation. We applied the algorithm to three-dimensional SPECT images of human brains and compared the number of watershed regions inside the ROI between AD patients and controls. The Student's two-sample t-test was used for testing domain number equity in both groups. Results AD patients had a significantly reduced number of watershed regions compared to controls (p Conclusions Our non-invasive, relatively low-cost, and easy method can contribute to a more precise diagnosis of AD.

  6. Hadoop The Definitive Guide

    CERN Document Server

    White, Tom

    2009-01-01

    Hadoop: The Definitive Guide helps you harness the power of your data. Ideal for processing large datasets, the Apache Hadoop framework is an open source implementation of the MapReduce algorithm on which Google built its empire. This comprehensive resource demonstrates how to use Hadoop to build reliable, scalable, distributed systems: programmers will find details for analyzing large datasets, and administrators will learn how to set up and run Hadoop clusters. Complete with case studies that illustrate how Hadoop solves specific problems, this book helps you: Use the Hadoop Distributed

  7. Outcome disparities between medical personnel and nonmedical personnel patients receiving definitive surgery for colorectal cancer: a nationwide population-based study.

    Science.gov (United States)

    Liu, Chia-Jen; Huang, Nicole; Lin, Chun-Chi; Lee, Yu-Ting; Hu, Yu-Wen; Yeh, Chiu-Mei; Chen, Tzeng-Ji; Chou, Yiing-Jenq

    2015-01-01

    Disparities in quality of care have always been a major challenge in health care. Providing information to patients may help to narrow such disparities. However, the relationship between level of patient information and outcomes remains to be explored. More importantly, would better-informed patients have better outcomes through their choice of higher quality providers? We hypothesize that medical professionals may have better outcomes than nonmedical professionals following definitive surgery for colorectal cancer (CRC), and their choice of provider may mediate this relationship. We identified 61,728 patients with CRC receiving definitive surgery between 2005 and 2011 from the Taiwan National Health Insurance Research Database. Medical professionals were identified via the registry for medical personnel. Indicators for surgical outcome such as emergency room (ER) visits within 30 days, medical expenses, length of hospital stay (LOS), and 5-year mortality were analyzed by using fixed and random effects multivariate regression models. Compared with nonmedical personnel CRC patients, a greater proportion of medical personnel received definitive surgery from higher volume surgeons (median 390 vs 311 within the study period) and/or in higher volume hospitals (median 1527 vs 1312 within the study period). CRC patients who are medical personnel had a shorter median LOS (12 vs 14 days), lower median medical expenses (112,687 vs 121,332 New Taiwan dollars), a lower ER visit rate within 30 days (11.3% vs 13.0%), and lower 5-year mortality. After adjusting for patient characteristics, medical personnel had a significantly lower hazard of 5-year mortality, and were significantly more likely to have a LOS shorter than 14 days than their nonmedical personnel counterparts. However, after adjusting for patient and provider characteristics, while medical personnel were significantly less likely to have a long LOS, no significant difference was observed in 5-year mortality between

  8. Scarce means with alternative uses: robbins' definition of economics and its extension to the behavioral and neurobiological study of animal decision making.

    Science.gov (United States)

    Shizgal, Peter

    2012-01-01

    Almost 80 years ago, Lionel Robbins proposed a highly influential definition of the subject matter of economics: the allocation of scarce means that have alternative ends. Robbins confined his definition to human behavior, and he strove to separate economics from the natural sciences in general and from psychology in particular. Nonetheless, I extend his definition to the behavior of non-human animals, rooting my account in psychological processes and their neural underpinnings. Some historical developments are reviewed that render such a view more plausible today than would have been the case in Robbins' time. To illustrate a neuroeconomic perspective on decision making in non-human animals, I discuss research on the rewarding effect of electrical brain stimulation. Central to this discussion is an empirically based, functional/computational model of how the subjective intensity of the electrical reward is computed and combined with subjective costs so as to determine the allocation of time to the pursuit of reward. Some successes achieved by applying the model are discussed, along with limitations, and evidence is presented regarding the roles played by several different neural populations in processes posited by the model. I present a rationale for marshaling convergent experimental methods to ground psychological and computational processes in the activity of identified neural populations, and I discuss the strengths, weaknesses, and complementarity of the individual approaches. I then sketch some recent developments that hold great promise for advancing our understanding of structure-function relationships in neuroscience in general and in the neuroeconomic study of decision making in particular.

  9. Positive predictive value of a case definition for diabetes mellitus using automated administrative health data in children and youth exposed to antipsychotic drugs or control medications: a Tennessee Medicaid study

    Directory of Open Access Journals (Sweden)

    Bobo William V

    2012-08-01

    Full Text Available Abstract Background We developed and validated an automated database case definition for diabetes in children and youth to facilitate pharmacoepidemiologic investigations of medications and the risk of diabetes. Methods The present study was part of an in-progress retrospective cohort study of antipsychotics and diabetes in Tennessee Medicaid enrollees aged 6–24 years. Diabetes was identified from diabetes-related medical care encounters: hospitalizations, outpatient visits, and filled prescriptions. The definition required either a primary inpatient diagnosis or at least two other encounters of different types, most commonly an outpatient diagnosis with a prescription. Type 1 diabetes was defined by insulin prescriptions with at most one oral hypoglycemic prescription; other cases were considered type 2 diabetes. The definition was validated for cohort members in the 15 county region geographically proximate to the investigators. Medical records were reviewed and adjudicated for cases that met the automated database definition as well as for a sample of persons with other diabetes-related medical care encounters. Results The study included 64 cases that met the automated database definition. Records were adjudicated for 46 (71.9%, of which 41 (89.1% met clinical criteria for newly diagnosed diabetes. The positive predictive value for type 1 diabetes was 80.0%. For type 2 and unspecified diabetes combined, the positive predictive value was 83.9%. The estimated sensitivity of the definition, based on adjudication for a sample of 30 cases not meeting the automated database definition, was 64.8%. Conclusion These results suggest that the automated database case definition for diabetes may be useful for pharmacoepidemiologic studies of medications and diabetes.

  10. Phenotype definition in epilepsy.

    Science.gov (United States)

    Winawer, Melodie R

    2006-05-01

    Phenotype definition consists of the use of epidemiologic, biological, molecular, or computational methods to systematically select features of a disorder that might result from distinct genetic influences. By carefully defining the target phenotype, or dividing the sample by phenotypic characteristics, we can hope to narrow the range of genes that influence risk for the trait in the study population, thereby increasing the likelihood of finding them. In this article, fundamental issues that arise in phenotyping in epilepsy and other disorders are reviewed, and factors complicating genotype-phenotype correlation are discussed. Methods of data collection, analysis, and interpretation are addressed, focusing on epidemiologic studies. With this foundation in place, the epilepsy subtypes and clinical features that appear to have a genetic basis are described, and the epidemiologic studies that have provided evidence for the heritability of these phenotypic characteristics, supporting their use in future genetic investigations, are reviewed. Finally, several molecular approaches to phenotype definition are discussed, in which the molecular defect, rather than the clinical phenotype, is used as a starting point.

  11. The Impact of Definitive Local Therapy for Lymph Node-Positive Prostate Cancer: A Population-Based Study

    Energy Technology Data Exchange (ETDEWEB)

    Rusthoven, Chad G., E-mail: chad.rusthoven@ucdenver.edu [Department of Radiation Oncology, University of Colorado-Denver, Aurora, Colorado (United States); Carlson, Julie A.; Waxweiler, Timothy V.; Raben, David [Department of Radiation Oncology, University of Colorado-Denver, Aurora, Colorado (United States); Dewitt, Peter E. [Department of Biostatistics, University of Colorado-Denver, Aurora, Colorado (United States); Crawford, E. David [Department of Radiation Oncology, University of Colorado-Denver, Aurora, Colorado (United States); Department of Urology, University of Colorado-Denver, Aurora, Colorado (United States); Maroni, Paul D. [Department of Urology, University of Colorado-Denver, Aurora, Colorado (United States); Kavanagh, Brian D. [Department of Radiation Oncology, University of Colorado-Denver, Aurora, Colorado (United States)

    2014-04-01

    Purpose: To evaluate the survival outcomes for patients with lymph node-positive, nonmetastatic prostate cancer undergoing definitive local therapy (radical prostatectomy [RP], external beam radiation therapy [EBRT], or both) versus no local therapy (NLT) in the US population in the modern prostate specific antigen (PSA) era. Methods and Materials: The Surveillance, Epidemiology, and End Results database was queried for patients with T1-4N1M0 prostate cancer diagnosed from 1995 through 2005. To allow comparisons of equivalent datasets, patients were analyzed in separate clinical (cN+) and pathologically confirmed (pN+) lymph node-positive cohorts. Kaplan-Meier overall survival (OS) and prostate cancer-specific survival (PCSS) estimates were generated, with accompanying univariate log-rank and multivariate Cox proportional hazards comparisons. Results: A total of 796 cN+ and 2991 pN+ patients were evaluable. Among cN+ patients, 43% underwent EBRT and 57% had NLT. Outcomes for cN+ patients favored EBRT, with 10-year OS rates of 45% versus 29% (P<.001) and PCSS rates of 67% versus 53% (P<.001). Among pN+ patients, 78% underwent local therapy (RP 57%, EBRT 10%, or both 11%) and 22% had NLT. Outcomes for pN+ also favored local therapy, with 10-year OS rates of 65% versus 42% (P<.001) and PCSS rates of 78% versus 56% (P<.001). On multivariate analysis, local therapy in both the cN+ and pN+ cohorts remained independently associated with improved OS and PCSS (all P<.001). Local therapy was associated with favorable hazard ratios across subgroups, including patients aged ≥70 years and those with multiple positive lymph nodes. Among pN+ patients, no significant differences in survival were observed between RP versus EBRT and RP with or without adjuvant EBRT. Conclusions: In this large, population-based cohort, definitive local therapy was associated with significantly improved survival in patients with lymph node-positive prostate cancer.

  12. Developing a comprehensive definition of sustainability.

    Science.gov (United States)

    Moore, Julia E; Mascarenhas, Alekhya; Bain, Julie; Straus, Sharon E

    2017-09-02

    Understanding sustainability is one of the significant implementation science challenges. One of the big challenges in researching sustainability is the lack of consistent definitions in the literature. Most implementation studies do not present a definition of sustainability, even when assessing sustainability. The aim of the current study was to systematically develop a comprehensive definition of sustainability based on definitions already used in the literature. We searched for knowledge syntheses of sustainability and abstracted sustainability definitions from the articles identified through any relevant systematic and scoping reviews. The constructs in the abstracted sustainability definitions were mapped to an existing definition. The comprehensive definition of sustainability was revised to include emerging constructs. We identified four knowledge syntheses of sustainability, which identified 209 original articles. Of the 209 articles, 24 (11.5%) included a definition of sustainability. These definitions were mapped to three constructs from an existing definition, and nine new constructs emerged. We reviewed all constructs and created a revised definition: (1) after a defined period of time, (2) a program, clinical intervention, and/or implementation strategies continue to be delivered and/or (3) individual behavior change (i.e., clinician, patient) is maintained; (4) the program and individual behavior change may evolve or adapt while (5) continuing to produce benefits for individuals/systems. All 24 definitions were remapped to the comprehensive definition (percent agreement among three coders was 94%). Of the 24 definitions, 17 described the continued delivery of a program (70.8%), 17 mentioned continued outcomes (70.8%), 13 mentioned time (54.2%), 8 addressed the individual maintenance of a behavior change (33.3%), and 6 described the evolution or adaptation (25.0%). We drew from over 200 studies to identify 24 existing definitions of sustainability

  13. Efficient definitive endoderm induction from mouse embryonic stem cell adherent cultures: A rapid screening model for differentiation studies

    Directory of Open Access Journals (Sweden)

    Josué Kunjom Mfopou

    2014-01-01

    Full Text Available Definitive endoderm (DE differentiation from mouse embryonic stem cell (mESC monolayer cultures has been limited by poor cell survival or low efficiency. Recently, a combination of TGFβ and Wnt activation with BMP inhibition improved DE induction in embryoid bodies cultured in suspension. Based on these observations we developed a protocol to efficiently induce DE cells in monolayer cultures of mESCs. We obtained a good cell yield with 54.92% DE induction as shown by Foxa2, Sox17, Cxcr4 and E-Cadherin expression. These DE-cells could be further differentiated into posterior foregut and pancreatic phenotypes using a culture protocol initially developed for human embryonic stem cell (hESC differentiation. In addition, this mESC-derived DE gave rise to hepatocyte-like cells after exposure to BMP and FGF ligands. Our data therefore indicate a substantial improvement of monolayer DE induction from mESCs and support the concept that differentiation conditions for mESC-derived DE are similar to those for hESCs. As mESCs are easier to maintain and manipulate in culture compared to hESCs, and considering the shorter duration of embryonic development in the mouse, this method of efficient DE induction on monolayer will promote the development of new differentiation protocols to obtain DE-derivatives, like pancreatic beta-cells, for future use in cell replacement therapies.

  14. Orbital transfer vehicle concept definition and system analysis study, 1985. Volume 5: Work breakdown structure and dictionary

    Science.gov (United States)

    Nelson, James H.; Callan, Daniel R.

    1985-01-01

    To establish consistency and visibility within the Orbital Transfer Vehicle (OTV) program, a preliminary work breakdown structure (WBS) and dictionary were developed. The dictionary contains definitions of terms to be used in conjunction with the WBS so that a clear understanding of the content of the hardware, function, and cost elements may be established. The OTV WBS matrix is a two-dimensional structure which shows the interrelationship of these dimensions: the hardware elements dimension and the phase and function dimension. The dimension of time cannot be shown graphically, but must be considered. Each cost entry varies with time so that it is necessary to know these cost values by year for budget planning and approval as well as for establishing cost streams for discounting purposes in the economic analysis. While a multiple dimensional approach may at first appear complex, it actually provides benefits which outweigh any concern. This structural interrelationship provides the capability to view and analyze the OTV costs from a number of different financial and management aspects. Cost may be summed by hardware groupings, phases, or functions. The WBS may be used in a number of dimensional or single listing format applications.

  15. A STUDY OF WAVELET ENTROPY MEASURE DEFINITION AND ITS APPLICATION FOR FAULT FEATURE PICK-UP AND CLASSIFICATION

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Shannon entropy in time domain is a measure of signal or system uncertainty. When based on spectrum entropy, Shannon entropy can be taken as a measure of signal or system complexity.Therefore, wavelet analysis based on wavelet entropy measure can signify the complexity of non-steady signal or system in both time and frequency domain. In this paper, in order to meet the requirements of post-analysis on abundant wavelet transform result data and the need of information mergence, the basic definition of wavelet entropy measure is proposed, corresponding algorithms of several wavelet entropies, such as wavelet average entropy, wavelet time-frequency entropy, wavelet distance entropy,etc. are put forward, and the physical meanings of these entropies are analyzed as well. The application principle of wavelet entropy measure in ElectroEncephaloGraphy (EEG) signal analysis, mechanical fault diagnosis, fault detection and classification in power system are analyzed. Finally, take the transmission line fault detection in power system for example, simulations in two different systems, a 10kV automatic blocking and continuous power transmission line and a 500kV Extra High Voltage (EHV) transmission line, are carried out, and the two methods, wavelet entropy and wavelet modulus maxima, are compared, the results show feasibility and application prospect of the six wavelet entropies.

  16. European Mixed Forests: Definition and research perspectives

    NARCIS (Netherlands)

    Bravo-Oviedo, A.; Pretzsch, H.; Ammer, C.; Andenmatten, E.; Barbati, A.; Barreiro, S.; Brang, P.; Bravo, F.; Coll, L.; Corona, P.; Ouden, den J.

    2014-01-01

    Aim of study: We aim at (i) developing a reference definition of mixed forests in order to harmonize comparative research in mixed forests and (ii) briefly review the research perspectives in mixed forests. Area of study: The definition is developed in Europe but can be tested worldwide. Material an

  17. Omani Students' Definitions of Geography

    Science.gov (United States)

    Al-Nofli, Mohammed Abdullah

    2014-01-01

    Very few studies have been conducted on students' definitions of geography. The purpose of the present study was to add to the existing literature by exploring Omani students' definitions of geography. Participants were 477 students of grade 6 (ages 11-12) and grade 10 (ages 15-16) in one school district in Oman. They had been taught…

  18. Recovery definitions: Do they change?

    Science.gov (United States)

    Kaskutas, Lee Ann; Witbrodt, Jane; Grella, Christine E

    2015-09-01

    The term "recovery" is widely used in the substance abuse literature and clinical settings, but data have not been available to empirically validate how recovery is defined by individuals who are themselves in recovery. The "What Is Recovery?" project developed a 39-item definition of recovery based on a large nationwide online survey of individuals in recovery. The objective of this paper is to report on the stability of those definitions one to two years later. To obtain a sample for studying recovery definitions that reflected the different pathways to recovery, the parent study involved intensive outreach. Follow-up interviews (n=1237) were conducted online and by telephone among respondents who consented to participate in follow-up studies. Descriptive analyses considered endorsement of individual recovery items at both surveys, and t-tests of summary scores studied significant change in the sample overall and among key subgroups. To assess item reliability, Cronbach's alpha was estimated. Rates of endorsement of individual items at both interviews was above 90% for a majority of the recovery elements, and there was about as much transition into endorsement as out of endorsement. Statistically significant t-test scores were of modest magnitude, and reliability statistics were high (ranging from .782 to .899). Longitudinal analyses found little evidence of meaningful change in recovery definitions at follow-up. Results thus suggest that the recovery definitions developed in the parent "What Is Recovery?" survey represent stable definitions of recovery that can be used to guide service provision in Recovery-Oriented Systems of Care. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. The influence of affective temperaments and psychopathological traits on the definition of bipolar disorder subtypes: a study on bipolar I Italian national sample.

    Science.gov (United States)

    Perugi, G; Toni, C; Maremmani, I; Tusini, G; Ramacciotti, S; Madia, A; Fornaro, M; Akiskal, H S

    2012-01-01

    Affective temperament and psychopathological traits such as separation anxiety (SA) and interpersonal sensitivity (IPS) are supposed to impact on the clinical manifestation and on the course of Bipolar Disorder (BD); in the present study we investigated their influence on the definition of BD subtypes. : Among 106 BD-I patients with DSM-IV depressive, manic or mixed episode included in a multi-centric Italian study and treated according to the routine clinical practice, 89 (84.0%) were in remission after a follow-up period ranging from 3 to 6 months (Clinical Global Impression-BP [CGI-BP] data are consistent with the hypothesis that affective temperaments, and in particular cyclothymia, could be utilized as quantitative, intermediate phenotypes in order to identify BD susceptibility genes. Copyright © 2010 Elsevier B.V. All rights reserved.

  20. Definitions of oppression.

    Science.gov (United States)

    LeBlanc, R G

    1997-12-01

    How we begin to serve others as healthcare professionals and how it is we define underserved and oppressed peoples is important in understanding issues in the organization and allocation of health care. This exploration, based on feminist post-structuralist theory, explores how nurses formulate definitions of 'underserved' and 'vulnerable'. This study goes beyond prescribed definitions to locate meanings used to identify oppression. I present, through an analysis of a literature search, the context and construction of the terms 'vulnerable population' and 'medically underserved'. Professional nursing journals are the source of relevant text. The implications of working with particular understandings of the terms 'vulnerable' and 'underserved' is based on my assumption that healthcare providers need to critically focus on the personal and political meanings they attribute to the labels used to define the clients and communities with whom they work. The presentation of this material supports that the way we define 'vulnerable' and 'underserved' is related to how our work fighting racism, ageism, AIDS, poverty, homophobia, addiction, domestic violence, sexism and colonization is realized.

  1. European Contribution to Human Aspect Investigations for Future Planetary Habitat Definition Studies: Field Tests at MDRS on Crew Time Utilisation and Habitat Interfaces

    Science.gov (United States)

    Pletser, Vladimir; Foing, Bernard

    2011-02-01

    Human factors are a dominant aspect in space missions, which may strongly influence work results and efficiency. To assess their impact on future long term space missions and to attempt a general quantification, the environmental and technical conditions to which astronauts may be confronted need to be reproduced as closely as possible. Among the stressors that occur during space missions, limited resources, limited social interactions, long term living and working in confined and isolated areas are among the most important for future planetary exploration. The European Space Agency (ESA) has a strong interest in obtaining data and insights in human aspects to prepare for future studies on the definition of future Lunar and Martian planetary habitats. In this frame, ESA's Directorate of Human Space Flight was associated to the EuroGeoMars campaign conducted by the Crews 76 and 77 in February 2009 in The Mars Society's `Mars Desert Research Station' (MDRS) in the Desert of Utah. The EuroGeoMars Campaign lasted 5 weeks and encompassed two groups of experiments, on human crew related aspects and field experiments in geology, biology and astronomy/astrophysics. The human crew related aspects covered (1) crew time organization in a planetary habitat, (2) an evaluation of the different functions and interfaces of this habitat, (3) an evaluation of man-machine interfaces of science and technical equipment. Several forms and questionnaires were filled in by all crew members: time and location evaluation sheets and two series of questionnaires. In addition, the crew participated in another on-going food study where the type of food was imposed and crew impressions were collected via questionnaires. The paper recalls the objectives of the human crew related experiments of the EuroGeoMars project and presents the first results of these field investigations. Some recommendations and lessons learnt will be presented and used as first inputs for future planetary habitat

  2. Definition of postprandial lipaemia

    DEFF Research Database (Denmark)

    Kolovou, Genovefa D; Mikhailidis, Dimitri P; Nordestgaard, Børge G

    2011-01-01

    At the present time, there is no widely agreed definition of postprandial lipaemia (PPL). This lack of a shared definition limits the identification and treatment of patients with exaggerated PPL as well as the evaluation of potential therapeutic agents. PPL is a complex syndrome characterized...... by non-fasting hypertriglyceridaemia that is associated with an increased risk of vascular events. This review considers the definition of PPL and the methodology for assessing this process....

  3. Cryogenic fluid management program flight concept definition

    Science.gov (United States)

    Kroeger, Erich

    1987-01-01

    The Lewis Research Center's cryogenic fluid management program flight concept definition is presented in viewgraph form. Diagrams are given of the cryogenic fluid management subpallet and its configuration with the Delta launch vehicle. Information is given in outline form on feasibility studies, requirements definition, and flight experiments design.

  4. Definitive airway management of patients presenting with a pre-hospital inserted King LT(S)-D laryngeal tube airway: a historical cohort study.

    Science.gov (United States)

    Subramanian, Arun; Garcia-Marcinkiewicz, Annery G; Brown, Daniel R; Brown, Michael J; Diedrich, Daniel A

    2016-03-01

    The King LT(S)-D laryngeal tube (King LT) has gained popularity as a bridge airway for pre-hospital airway management. In this study, we retrospectively reviewed the use of the King LT and its associated airway outcomes at a single Level 1 trauma centre. The data on all adult patients presenting to the Mayo Clinic in Rochester, Minnesota with a King LT in situ from July 1, 2007 to October 10, 2012 were retrospectively evaluated. Data collected and descriptively analyzed included patient demographics, comorbidities, etiology of respiratory failure, airway complications, subsequent definitive airway management technique, duration of mechanical ventilation, and status at discharge. Forty-eight adult patients met inclusion criteria. The most common etiology for respiratory failure requiring an artificial airway was cardiac arrest [28 (58%) patients] or trauma [9 (19%) patients]. Four of the nine trauma patients had facial trauma. Surgical tracheostomy was the definitive airway management technique in 14 (29%) patients. An airway exchange catheter, direct laryngoscopy, and video laryngoscopy were used in 11 (23%), ten (21%), and ten (21%) cases, respectively. Seven (78%) of the trauma patients underwent surgical tracheostomy compared with seven (18%) of the medical patients. Adverse events associated with King LT use occurred in 13 (27%) patients, with upper airway edema (i.e., tongue engorgement and glottic edema) being most common (19%). In this study of patients presenting to a hospital with a King LT, the majority of airway exchanges required an advanced airway management technique beyond direct laryngoscopy. Upper airway edema was the most common adverse observation associated with King LT use.

  5. Study on influential factors on the definition of CBCT images%锥形束CT影像清晰度影响因素的分析研究

    Institute of Scientific and Technical Information of China (English)

    郭珊; 高润涛; 陈星

    2015-01-01

    目的:评估患者锥形束CT( CBCT)影像清晰度,探讨其影响因素。方法选择2014年口腔科患者的CBCT影像学资料共700例,以10年为一年龄段将其分为9组,分别记录各组中重叠影像和金属物伪影的数量及种类,计算百分比并比较各组间的差异。结果1~10岁组中,重叠影像的比率为25%,21~30岁组该比率迅速降至4.2%,随后缓慢增高,于80岁以上组达到20%;伪影的比率则随年龄由0(1~10岁组)逐渐增至90%(≥81岁组)。结论年龄及口内各种金属物是影响CBCT影像清晰度的重要因素,在行CBCT检查前对影响因素给予高度重视及适当处理将提高影像清晰率。%Objective To evaluate the definition of images of cone beam computed tomography( CBCT)and to provide the reference for methods of clinical examination. Methods The imaging data of 700 patients treated in the department of Stomatology in Friendship Hospital dur-ing 2014 were selected and reviewed. They were divided into 9 groups with the age range of every ten years and the number of overlapped images and metal artifacts were studied respectively,and their difference had been compared. Results The rate of overlapped images had been rapidly declined from 25%(age group 1~10 yrs)to 4. 2%(age group 21~ -30 yrs),and then slowly increased to 20%(age group over 81yrs). The rate of metal artifacts increased from 0( age group 1~10 yrs)to 90%( age group over 81 yrs). Conclusion Age and intraoral metallic material are important factors influencing the definition of images. For those above-mentioned patients,better definition of images can be achieved,if high attention has been paid to these influential factors with some appropriate intervention before CBCT examination.

  6. Study on the quantitative definition of occupational exposures%职业接触定量化定义探讨

    Institute of Scientific and Technical Information of China (English)

    田昊渊; 黄汉林; 郑玉新

    2012-01-01

    Objective To discuss the quantitative definition of occupational exposure by comparing and analyzing the occupational exposure limits (OEL) and environmental air pollutants limits (EAPL). Methods The concentrations of OEL and EAPL of chemical substances from China, United States, and Europe were collected and statistically analyzed. Results A total of 30 chemical substances were collected, and made up 45 pairs of concentrations. The geometric mean ( GM) of OEL and EAPL were 2. 09 mg/m3 and 0.01 mg/m3, indicating OEL was on average 200. 17 times larger than EAPL. A logarithmic regression of OEL on EAPL gave lgy = 1. 182 lgx - 2. 36 (R2 =0. 567). The concentration at the intersection of the two probability density function curve for OEL and EAPL was 0. 092 9 mg/m3, which was 1/22.45 of OEL and 8. 93 limes of EAPL. If the concentration was 1/20 of OEL, the percentage of the concentration lower than the corresponding EAPL was 20%. Conclusion When chemical concentration in work place is more than 1/10 of OEL, it can be considered as an occupational exposure.%目的 比较化学物职业接触限值(OEL)与环境空气污染物浓度限值,探讨职业接触定量化的界定.方法 搜集中国、美国、欧洲化学物OEL与环境空气污染物浓度限值,并进行统计分析.结果 共收集到30种化学物的45对OEL和环境浓度限值.OEL和环境空气污染物浓度限值几何均数分别为2.09 mg/m3和0.01 mg/m3,OEL是环境空气污染物浓度限值的200.17倍.2限值回归方程为lgy=1.182 lgx-2.36[决定系数(R2)=0.567].2限值概率密度函数曲线交点浓度值为0.092 9 mg/m3,是OEL的1/22.45,环境空气污染物浓度限值8.93倍.当浓度取1/20 OEL时,该浓度低于对应的环境空气污染物浓度限值比例为20%.结论 当工作场所化学物浓度高于OEL 1/10时,可定义为职业接触.

  7. A Complete Definition of College and Career Readiness

    Science.gov (United States)

    Conley, David T.

    2012-01-01

    In many circles, efforts are under way to develop definitions of college readiness, career readiness, or both. This brief contains a definition that is the culmination of 18 years of study and research on this topic. This definition, then, is based on both empirical evidence gathered via multiple research studies and on-the-ground interactions…

  8. Sociocultural definitions of risk

    Energy Technology Data Exchange (ETDEWEB)

    Rayner, S.

    1990-10-01

    Public constituencies frequently are criticized by technical experts as being irrational in response to low-probability risks. This presentation argued that most people are concerned with a variety of risk attributes other than probability and that is rather irrational to exclude these from the definition and analysis of technological risk. Risk communication, which is at the heart of the right-to-know concept, is described as the creation of shared meaning rather than the mere transmission of information. A case study of utilities, public utility commissions, and public interest groups illustrates how the diversity of institutional cultures in modern society leads to problems for the creation of shared meanings in establishing trust, distributing liability, and obtaining consent to risk. This holistic approach to risk analysis is most appropriate under conditions of high uncertainty and/or decision stakes. 1 fig., 5 tabs.

  9. Definitions of deafblindness and congenital deafblindness

    DEFF Research Database (Denmark)

    Ask Larsen, Flemming; Damen, Saskia

    2014-01-01

    of the studies reported no definition of DB and 76.7% reported no definition of CDB. Main discrepancies are: (1) medical/functional versus ability/functioning definitions regarding DB; and (2) different criteria for onset of DB in the case of defining CDB (e.g. age versus developmental level). The results...... of this study call attention to a scientifically inadequate approach to the study of DB and CDB. Findings indicate that clear guidelines for sample descriptions of the DB and/or CDB populations are needed. It is suggested that studies including DB and CDB participants provide the following information...

  10. A pilot study of the tolerability and effects of high-definition transcranial direct current stimulation (HD-tDCS) on pain perception.

    Science.gov (United States)

    Borckardt, Jeffrey J; Bikson, Marom; Frohman, Heather; Reeves, Scott T; Datta, Abhishek; Bansal, Varun; Madan, Alok; Barth, Kelly; George, Mark S

    2012-02-01

    Several brain stimulation technologies are beginning to evidence promise as pain treatments. However, traditional versions of 1 specific technique, transcranial direct current stimulation (tDCS), stimulate broad regions of cortex with poor spatial precision. A new tDCS design, called high definition tDCS (HD-tDCS), allows for focal delivery of the charge to discrete regions of the cortex. We sought to preliminarily test the safety and tolerability of the HD-tDCS technique as well as to evaluate whether HD-tDCS over the motor cortex would decrease pain and sensory experience. Twenty-four healthy adult volunteers underwent quantitative sensory testing before and after 20 minutes of real (n = 13) or sham (n = 11) 2 mA HD-tDCS over the motor cortex. No adverse events occurred and no side effects were reported. Real HD-tDCS was associated with significantly decreased heat and cold sensory thresholds, decreased thermal wind-up pain, and a marginal analgesic effect for cold pain thresholds. No significant effects were observed for mechanical pain thresholds or heat pain thresholds. HD-tDCS appears well tolerated, and produced changes in underlying cortex that are associated with changes in pain perception. Future studies are warranted to investigate HD-tDCS in other applications, and to examine further its potential to affect pain perception. This article presents preliminary tolerability and efficacy data for a new focal brain stimulation technique called high definition transcranial direct current stimulation. This technique may have applications in the management of pain. Copyright © 2012. Published by Elsevier Inc.

  11. Definition of postprandial lipaemia

    DEFF Research Database (Denmark)

    Kolovou, Genovefa D; Mikhailidis, Dimitri P; Nordestgaard, Børge G

    2011-01-01

    At the present time, there is no widely agreed definition of postprandial lipaemia (PPL). This lack of a shared definition limits the identification and treatment of patients with exaggerated PPL as well as the evaluation of potential therapeutic agents. PPL is a complex syndrome characterized by...

  12. Productivity of Stream Definitions

    NARCIS (Netherlands)

    Endrullis, Jörg; Grabmayer, Clemens; Hendriks, Dimitri; Isihara, Ariya; Klop, Jan

    2007-01-01

    We give an algorithm for deciding productivity of a large and natural class of recursive stream definitions. A stream definition is called ‘productive’ if it can be evaluated continuously in such a way that a uniquely determined stream is obtained as the limit. Whereas productivity is undecidable

  13. Productivity of stream definitions

    NARCIS (Netherlands)

    Endrullis, J.; Grabmayer, C.A.; Hendriks, D.; Isihara, A.; Klop, J.W.

    2008-01-01

    We give an algorithm for deciding productivity of a large and natural class of recursive stream definitions. A stream definition is called ‘productive’ if it can be evaluated continually in such a way that a uniquely determined stream in constructor normal form is obtained as the limit. Whereas prod

  14. Definition of intractable epilepsy.

    Science.gov (United States)

    Sinha, Shobhit; Siddiqui, Khurram A

    2011-01-01

    Defining intractable epilepsy is essential not only to identify up to 40% of patients refractory to pharmacological management, but also to facilitate selection and comparison of such patients for research purposes. The ideal definition still eludes us. Multiple factors including number of antiepileptic drug (AED) failures, seizure frequency and duration of unresponsiveness, etiology, and epilepsy syndromes are considered in formulating the definition of pharmaco-resistant epilepsy. Most definitions used in the literature agree on the number of AED failures, which seem to be 2 or 3, however, the seizure frequency and time factor are varied. The International League Against Epilepsy proposed a definition of drug-resistant epilepsy as a failure of adequate trials of 2 tolerated and appropriately chosen and used AED schedules. This for now, could provide an operational definition for clinical and research settings. However, with emergence of new data and novel treatments the criteria for intractability may change.

  15. Sexting and the Definition Issue.

    Science.gov (United States)

    Barrense-Dias, Yara; Berchtold, André; Surís, Joan-Carles; Akre, Christina

    2017-07-19

    Sexting among youths has become a necessary topic of interest in research because of the negative consequences that this activity could create, especially when content is shared with others. Indeed, this loss of control could lead to humiliation, (cyber)bullying, or harassment. The development of new technologies, press coverage, and increase of prevalence rates could also explain the growth of interest in sexting. However, its definition is still a gray area. This review examines the different definitions of sexting used in the literature and its correlates. Several elements of the definition of sexting were assessed: actions (sending, receiving, and forwarding); media types (text, images, and videos); sexual characteristics; and transmission modes. Nine databases were searched for studies on sexting among youths up to 18 years of age. Eighteen studies published between 2012 and 2015 were included. Prevalence rates of sexting ranged between .9% and 60% partly depending on the definition. Most studies assessed sending, but when sending and receiving were measured, prevalence rates were higher for receiving. Some articles found associations with age, gender, race, sexual behavior, romantic relationships, risky behaviors, online activity, psychological difficulties, and social pressure. Finding a consensus regarding the definition is essential to assess accurately the activity and adapt prevention. Adolescents' interpretations of the activity are important as sexting could be used as a sexual behavior between two consenting persons. Prevention strategies should focus on sexting that goes wrong when it is forwarded to a third party and when it occurs in a context of pressure or harassment. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  16. Geosynchronous platform definition study. Volume 4, Part 2: Traffic analysis and system requirements for the new traffic model

    Science.gov (United States)

    1973-01-01

    A condensed summary of the traffic analyses and systems requirements for the new traffic model is presented. The results of each study activity are explained, key analyses are described, and important results are highlighted.

  17. The definition of cross polarization

    DEFF Research Database (Denmark)

    Ludwig, Arthur

    1973-01-01

    There are at least three different definitions of cross polarization used in the literature. The alternative definitions are discussed with respect to several applications, and the definition which corresponds to one standard measurement practice is proposed as the best choice.......There are at least three different definitions of cross polarization used in the literature. The alternative definitions are discussed with respect to several applications, and the definition which corresponds to one standard measurement practice is proposed as the best choice....

  18. Adjective Definitions and the Influence of Word Frequency

    Science.gov (United States)

    Marinellie, Sally A.; Johnson, Cynthia J.

    2003-01-01

    The present investigation is a study of the development of adjective definitions given by participants in Grades 6 and 10 and by young adults, as well as the influence of word frequency on those definitions. A total of 150 participants (50 per age group) wrote definitions for 6 high-frequency and 6 low-frequency adjectives. Adjective definitions…

  19. Definitions of Idioms in Preadolescents, Adolescents, and Adults

    Science.gov (United States)

    Chan, Yen-Ling; Marinellie, Sally A.

    2008-01-01

    The purpose of this study was to expand the current literature on word definitions by focusing on definitions of idioms provided by several age groups. Preadolescents, young adolescents, older adolescents, and adults wrote definitions for 10 frequently used idioms and also rated their familiarity with the idiomatic expressions. Participants'…

  20. Justifying Definitions in Mathematics---Going Beyond Lakatos

    OpenAIRE

    Werndl, Charlotte

    2013-01-01

    This paper addresses the actual practice of justifying definitions in mathematics. First, I introduce the main account of this issue, namely Lakatos's proof-generated definitions. Based on a case study of definitions of randomness in ergodic theory, I identify three other common ways of justifying definitions: natural-world-justification, condition-justification and redundancy-justification. Also, I clarify the interrelationships between the different kinds of justification. Finally, I point ...

  1. High definition versus standard definition white light endoscopy for detecting dysplasia in patients with Barrett's esophagus.

    Science.gov (United States)

    Sami, S S; Subramanian, V; Butt, W M; Bejkar, G; Coleman, J; Mannath, J; Ragunath, K

    2015-01-01

    High-definition endoscopy systems provide superior image resolution. The aim of this study was to assess the utility of high definition compared with standard definition endoscopy system for detecting dysplastic lesions in patients with Barrett's esophagus. A retrospective cohort study of patients with non-dysplastic Barrett's esophagus undergoing routine surveillance was performed. Data were retrieved from the central hospital electronic database. Procedures performed for non-surveillance indications, Barrett's esophagus Prague C0M1 classification with no specialized intestinal metaplasia on histology, patients diagnosed with any dysplasia or cancer on index endoscopy, and procedures using advanced imaging techniques were excluded. Logistic regression models were constructed to estimate adjusted odds ratios and 95% confidence intervals comparing outcomes with standard definition and high-definition systems. The high definition was superior to standard definition system in targeted detection of all dysplastic lesions (odds ratio 3.27, 95% confidence interval 1.27-8.40) as well as overall dysplasia detected on both random and target biopsies (odds ratio 2.36, 95% confidence interval 1.50-3.72). More non-dysplastic lesions were detected with the high-definition system (odds ratio 1.16, 95% confidence interval 1.01-1.33). There was no difference between high definition and standard definition endoscopy in the overall (random and target) high-grade dysplasia or cancers detected (odds ratio 0.93, 95% confidence interval 0.83-1.04). Trainee endoscopists, number of biopsies taken, and male sex were all significantly associated with a higher yield for dysplastic lesions. The use of the high-definition endoscopy system is associated with better targeted detection of any dysplasia during routine Barrett's esophagus surveillance. However, high-definition endoscopy cannot replace random biopsies at present time.

  2. Negotiating a Shared Definition of Curriculum Integration: A Self-Study of Two Teacher Educators from Different Disciplines

    Science.gov (United States)

    Hall-Kenyon, Kendra M.; Smith, Leigh K.

    2013-01-01

    The aim of this self-study was to critically consider the authors' individual thinking and practices as they worked toward a shared understanding of connecting science and literacy during instruction. As teacher educators from different disciplines, this work required them to carefully and recurrently examine their individual understandings of the…

  3. Manned remote work station development article. Volume 1, book 2, appendix B: Trade and design definition studies

    Science.gov (United States)

    1979-01-01

    System trades, evaluations, and selection were organized under the appropriate manned remote work station roles and subsystems. Those trades/evaluations that have an impact on simulator fidelity were given emphasis in terms of identifying alternate concepts, making a selection, and defining the system approach. Those trades that do not impact simulator fidelity have the issues delineated and future study requirements identified.

  4. Interactive web visualization tools to the results interpretation of a seismic risk study aimed at the emergency levels definition

    Science.gov (United States)

    Rivas-Medina, A.; Gutierrez, V.; Gaspar-Escribano, J. M.; Benito, B.

    2009-04-01

    Results of a seismic risk assessment study are often applied and interpreted by users unspecialised on the topic or lacking a scientific background. In this context, the availability of tools that help translating essentially scientific contents to broader audiences (such as decision makers or civil defence officials) as well as representing and managing results in a user-friendly fashion, are on indubitable value. On of such tools is the visualization tool VISOR-RISNA, a web tool developed within the RISNA project (financed by the Emergency Agency of Navarre, Spain) for regional seismic risk assessment of Navarre and the subsequent development of emergency plans. The RISNA study included seismic hazard evaluation, geotechnical characterization of soils, incorporation of site effects to expected ground motions, vulnerability distribution assessment and estimation of expected damage distributions for a 10% probability of exceedance in 50 years. The main goal of RISNA was the identification of higher risk area where focusing detailed, local-scale risk studies in the future and the corresponding urban emergency plans. A geographic information system was used to combine different information layers, generate tables of results and represent maps with partial and final results. The visualization tool VISOR-RISNA is intended to facilitate the interpretation and representation of the collection of results, with the ultimate purpose of defining actuation plans. A number of criteria for defining actuation priorities are proposed in this work. They are based on combinations of risk parameters resulting from the risk study (such as expected ground motion and damage and exposed population), as determined by risk assessment specialists. Although the values that these parameters take are a result of the risk study, their distribution in several classes depends on the intervals defined by decision takers or civil defense officials. These criteria provide a ranking of

  5. Motives for choosing and resigning from nursing by men and the definition of masculinity: a qualitative study.

    Science.gov (United States)

    Kluczyńska, Urszula

    2017-06-01

    The aim of the study is to establish the main motives for choosing nursing by men in Poland and the results for leaving the profession. Nursing is a profession less frequently chosen by men. On average, one person in ten working in nursing is a man, but in Poland this percentage is especially low, amounting to 1·8%. Qualitative research with a grounded theory approach. Individual semi-structured interviews were used for data collection. The study included 17 licensed male nurses. Data were collected between January 2014-June 2015. The study revealed the most common motives for choosing nursing as declared by men: vocation, interest in medicine, accident and pragmatic motivation. The men for whom hegemonic masculinity constitutes the point of reference more frequently emphasize their interest in medicine and the pragmatic reasons for choosing nursing; they also more frequently try to gain managerial positions and higher income. The most common reason for men leaving the nursing profession was low income. Despite the common stereotype, men also choose nursing because of vocation and/or their willingness to help others, but they more frequently declare that chance was the direct reason for their choice of nursing, which helps reduce the dissonance associated with choosing a non-traditional male career path. Leaving the profession was associated with beliefs about its feminine dimension, but it seems that in Poland low income is a much more important reason for such a decision. © 2016 John Wiley & Sons Ltd.

  6. An edge density definition of overlapping and weighted graph communities

    CERN Document Server

    Ronhovde, Richard K Darst David R Reichman Peter

    2013-01-01

    Community detection in networks refers to the process of seeking strongly internally connected groups of nodes which are weakly externally connected. In this work, we introduce and study a community definition based on internal edge density. Beginning with the simple concept that edge density equals number of edges divided by maximal number of edges, we apply this definition to a variety of node and community arrangements to show that our definition yields sensible results. Our community definition is equivalent to that of the Absolute Potts Model community detection method (Phys. Rev. E 81, 046114 (2010)), and the performance of that method validates the usefulness of our definition across a wide variety of network types. We discuss how this definition can be extended to weighted, and multigraphs, and how the definition is capable of handling overlapping communities and local algorithms. We further validate our definition against the recently proposed Affiliation Graph Model (arXiv:1205.6228 [cs.SI]) and sho...

  7. Three case studies of three high school teachers' definitions, beliefs, and implementation practices of inquiry-based science method including barriers to and facilitators of successful implementation

    Science.gov (United States)

    Blackburn-Morrison, Kimberly D.

    This study involved three teachers in various stages of implementation of inquiry-based science method. The cases were chosen because one participant was a novice in using inquiry-based science method, one participant was in her second year of implementation, and the third participant was experienced with inquiry-based science method. The cases were set in a rural high school in three different science classrooms. One of the classrooms was a regular biology class. One of the classrooms was an honors oceanography class and another was an advanced placement environmental science classroom. Data sources included interviews, observations, and document collection. Interviews, observations, and document collection were used to triangulate data. Each classroom was observed five times. Interviews were conducted at the beginning of the semester with each participant and at the end of the semester. Follow-up interviews were conducted after each observation. Documents were collected such as each teacher's lesson plans, student work, and assignments. Data was initially organized according to the research areas of teacher's definition, teacher's beliefs, teacher's barriers to implementation, and teacher's enablers to implementation. Then, patterns emerging from each of these cases were organized. Lastly, patterns emerging across cases were compared in a cross-case analysis. Patterns shared between cases were: Participants related inquiry-based science method with hands-on learning activities. Participants saw students as the center of the learning process. Participants had positive beliefs about constructivist learning practices that were strengthened after implementation of inquiry-based teaching. Facilitators of successful implementation of inquiry-based science method were positive student motivation, students' retention of knowledge, and a positive experience for lower level students. Barriers to successful implementation were teachers not having complete control of the

  8. Raphe of the posterior neural tube in the chick embryo: its closure and reopening as studied in living embryos with a high definition light microscope.

    Science.gov (United States)

    van Straaten, H W; Jaskoll, T; Rousseau, A M; Terwindt-Rouwenhorst, E A; Greenberg, G; Shankar, K; Melnick, M

    1993-09-01

    Chick embryos cultured on a curved substratum show a transient enlargement of the posterior neuropore (PN), mimicking the temporary delay of PN closure as seen in the curly tail (ct) mouse mutant (van Straaten et al. [1993] Development 117:1163-1172). In the present study the PN enlargement in the chick embryo was investigated further with a high definition light microscope (HDmic), allowing high resolution viewing of living embryos in vitro. The temporary PN enlargement appeared due to considerable reopening of the raphe of the posterior neural tube, which was followed by reclosure after several hours. The raphe was subsequently studied in detail. It appeared very irregular, with small zones of apposed, open and fused neural folds. During closure, these raphe features shifted posteriorly. A distinct fusion sequence between surface epithelium and neuroepithelium was not seen. During experimental reopening of the raphe in vitro, small bridges temporarily arose, broke and disappeared quickly; they likely represented the first adhesion sites between the neural folds. More prominent adhesion sites partly detached, resulting in bridging filopodia-like connections; they probably represented the first anteroposterior locations of neural fold fusion. Our observations in the living chick embryo in vitro thus show that the caudal neural tube has an irregular raphe with few adhesion sites, which can be readily reopened. As a result of the irregularity, the PN does not close zipper-like, but button-like by forming multiple closure sites.

  9. Structural Definition and Mass Estimation of Lunar Surface Habitats for the Lunar Architecture Team Phase 2 (LAT-2) Study

    Science.gov (United States)

    Dorsey, John T.; Wu, K, Chauncey; Smith, Russell W.

    2008-01-01

    The Lunar Architecture Team Phase 2 study defined and assessed architecture options for a Lunar Outpost at the Moon's South Pole. The Habitation Focus Element Team was responsible for developing concepts for all of the Habitats and pressurized logistics modules particular to each of the architectures, and defined the shapes, volumes and internal layouts considering human factors, surface operations and safety requirements, as well as Lander mass and volume constraints. The Structures Subsystem Team developed structural concepts, sizing estimates and mass estimates for the primary Habitat structure. In these studies, the primary structure was decomposed into a more detailed list of components to be sized to gain greater insight into concept mass contributors. Structural mass estimates were developed that captured the effect of major design parameters such as internal pressure load. Analytical and empirical equations were developed for each structural component identified. Over 20 different hard-shell, hybrid expandable and inflatable soft-shell Habitat and pressurized logistics module concepts were sized and compared to assess structural performance and efficiency during the study. Habitats were developed in three categories; Mini Habs that are removed from the Lander and placed on the Lunar surface, Monolithic habitats that remain on the Lander, and Habitats that are part of the Mobile Lander system. Each category of Habitat resulted in structural concepts with advantages and disadvantages. The same modular shell components could be used for the Mini Hab concept, maximizing commonality and minimizing development costs. Larger Habitats had higher volumetric mass efficiency and floor area than smaller Habitats (whose mass was dominated by fixed items such as domes and frames). Hybrid and pure expandable Habitat structures were very mass-efficient, but the structures technology is less mature, and the ability to efficiently package and deploy internal subsystems

  10. Predicting relatedness and self-definition depressive experiences in aging women based on personality traits: a preliminary study.

    Science.gov (United States)

    Henriques-Calado, Joana; Duarte-Silva, Maria Eugénia; Campos, Rui C; Sacoto, Carlota; Keong, Ana Marta; Junqueira, Diana

    2013-01-01

    As part of the research relating personality and depression, this study seeks to predict depressive experiences in aging women according to Sidney Blatt's perspective based on the Five-Factor Model of Personality. The NEO-Five Factor Inventory and the Depressive Experiences Questionnaire were administered. The domains Neuroticism, Agreeableness, and Conscientiousness predicted self-criticism, explaining 68% of the variance; the domains Neuroticism and Extraversion predicted dependency, explaining 62% of the variance. The subfactors Neediness and Connectedness were differently related to personality traits. These findings are relevant to the research relating personality and anaclitic / introjective depressive experiences in late adulthood.

  11. The 15 kW sub e (nominal) solar thermal electric power conversion concept definition study: Steam Rankine turbine system

    Science.gov (United States)

    Bland, T. J.

    1979-01-01

    A study to define the performance and cost characteristics of a solar powered, steam Rankine turbine system located at the focal point of a solar concentrator is presented. A two stage re-entry turbine with reheat between stages, which has an efficiency of 27% at a turbine inlet temperature of 732 C was used. System efficiency was defined as 60 Hertz electrical output divided by absorbed thermal input in the working fluid. Mass production costs were found to be approximately 364 dollars/KW.

  12. Impact of alternate definitions of fever resolution on the composite endpoint in clinical trials of empirical antifungal therapy for neutropenic patients with persistent fever: analysis of results from the Caspofungin Empirical Therapy Study.

    NARCIS (Netherlands)

    Pauw, B.E. de; Sable, C.A.; Walsh, T.J.; Lupinacci, R.J.; Bourque, M.R.; Wise, B.A.; Nguyen, B.Y.; DiNubile, M.J.; Teppler, H.

    2006-01-01

    BACKGROUND: Sensitivity analyses were incorporated in a Phase III study of caspofungin vs. liposomal amphotericin B as empirical antifungal therapy for febrile neutropenic patients to determine the impact of varying definitions of fever resolution on response rates. METHODS: The primary analysis use

  13. Book review: The success of policy analysis studies: an actor perspective, a search for success definitions based on cases in the field of transport and infrastructure in The Netherlands / by Patricia G.J. Twaalfhoven. - Eburon, Delft, 1999

    NARCIS (Netherlands)

    Klok, Pieter-Jan

    2001-01-01

    This doctoral dissertation is an attempt to formulate a theory on how different actors define the success of a policy analysis study and on the factors that underlie the various definitions of success. The choice for an actor perspective is motivated by the fact that many actors play different roles

  14. Functional definition of the N450 event-related brain potential marker of conflict processing: a numerical stroop study

    Directory of Open Access Journals (Sweden)

    Szűcs Dénes

    2012-03-01

    Full Text Available Abstract Background Several conflict processing studies aimed to dissociate neuroimaging phenomena related to stimulus and response conflict processing. However, previous studies typically did not include a paradigm-independent measure of either stimulus or response conflict. Here we have combined electro-myography (EMG with event-related brain potentials (ERPs in order to determine whether a particularly robust marker of conflict processing, the N450 ERP effect usually related to the activity of the Anterior Cingulate Cortex (ACC, is related to stimulus- or to response-conflict processing. EMG provided paradigm-independent measure of response conflict. In a numerical Stroop paradigm participants compared pairs of digits and pressed a button on the side where they saw the larger digit. 50% of digit-pairs were preceded by an effective cue which provided accurate information about the required response. 50% of trials were preceded by a neutral cue which did not communicate the side of response. Results EMG showed that response conflict was significantly larger in neutrally than in effectively cued trials. The N450 was similar when response conflict was high and when it was low. Conclusions We conclude that the N450 is related to stimulus or abstract, rather than to response conflict detection/resolution. Findings may enable timing ACC conflict effects.

  15. An assessment of the effectiveness of high definition cameras as remote monitoring tools for dolphin ecology studies.

    Science.gov (United States)

    Guimarães Paiva, Estênio; Salgado-Kent, Chandra; Gagnon, Marthe Monique; Parnum, Iain; McCauley, Robert

    2015-01-01

    Research involving marine mammals often requires costly field programs. This paper assessed whether the benefits of using cameras outweighs the implications of having personnel performing marine mammal detection in the field. The efficacy of video and still cameras to detect Indo-Pacific bottlenose dolphins (Tursiops aduncus) in the Fremantle Harbour (Western Australia) was evaluated, with consideration on how environmental conditions affect detectability. The cameras were set on a tower in the Fremantle Port channel and videos were perused at 1.75 times the normal speed. Images from the cameras were used to estimate position of dolphins at the water's surface. Dolphin detections ranged from 5.6 m to 463.3 m for the video camera, and from 10.8 m to 347.8 m for the still camera. Detection range showed to be satisfactory when compared to distances at which dolphins would be detected by field observers. The relative effect of environmental conditions on detectability was considered by fitting a Generalised Estimation Equations (GEEs) model with Beaufort, level of glare and their interactions as predictors and a temporal auto-correlation structure. The best fit model indicated level of glare had an effect, with more intense periods of glare corresponding to lower occurrences of observed dolphins. However this effect was not large (-0.264) and the parameter estimate was associated with a large standard error (0.113). The limited field of view was the main restraint in that cameras can be only applied to detections of animals observed rather than counts of individuals. However, the use of cameras was effective for long term monitoring of occurrence of dolphins, outweighing the costs and reducing the health and safety risks to field personal. This study showed that cameras could be effectively implemented onshore for research such as studying changes in habitat use in response to development and construction activities.

  16. Definition of a family of tissue-protective cytokines using functional cluster analysis: a proof-of-concept study

    Directory of Open Access Journals (Sweden)

    Manuela eMengozzi

    2014-03-01

    Full Text Available The discovery of the tissue-protective activities of erythropoietin (EPO has underlined the importance of some cytokines in tissue protection, repair and remodeling. As such activities have been reported for other cytokines, we asked whether we could define a class of tissue-protective cytokines. We therefore explored a novel approach based on functional clustering. In this pilot study, we started by analyzing a small number of cytokines (30. We functionally classified the 30 cytokines according to their interactions by using the bioinformatics tool STRING (Search Tool for the Retrieval of Interacting Genes, followed by hierarchical cluster analysis. The results of this functional clustering were different from those obtained by clustering cytokines simply according to their sequence. We previously reported that the protective activity of EPO in a model of cerebral ischemia was paralleled by an upregulation of synaptic plasticity genes, particularly early growth response 2 (EGR2. To assess the predictivity of functional clustering, we tested some of the cytokines clustering close to EPO (interleukin-11, IL-11; kit ligand, KITLG; leukemia inhibitory factor, LIF; thrombopoietin, THPO in an in vitro model of human neuronal cells for their ability to induce EGR2. Two of these, LIF and IL-11, induced EGR2 expression. Although these data would need to be extended to a larger number of cytokines and the biological validation should be done using more robust in vivo models, rather then just one cell line, this study shows the feasibility of this approach. This type of functional cluster analysis could be extended to other fields of cytokine research and help design biological experiments.

  17. Definition of a Family of Tissue-Protective Cytokines Using Functional Cluster Analysis: A Proof-of-Concept Study.

    Science.gov (United States)

    Mengozzi, Manuela; Ermilov, Peter; Annenkov, Alexander; Ghezzi, Pietro; Pearl, Frances

    2014-01-01

    The discovery of the tissue-protective activities of erythropoietin (EPO) has underlined the importance of some cytokines in tissue-protection, repair, and remodeling. As such activities have been reported for other cytokines, we asked whether we could define a class of tissue-protective cytokines. We therefore explored a novel approach based on functional clustering. In this pilot study, we started by analyzing a small number of cytokines (30). We functionally classified the 30 cytokines according to their interactions by using the bioinformatics tool STRING (Search Tool for the Retrieval of Interacting Genes), followed by hierarchical cluster analysis. The results of this functional clustering were different from those obtained by clustering cytokines simply according to their sequence. We previously reported that the protective activity of EPO in a model of cerebral ischemia was paralleled by an upregulation of synaptic plasticity genes, particularly early growth response 2 (EGR2). To assess the predictivity of functional clustering, we tested some of the cytokines clustering close to EPO (interleukin-11, IL-11; kit ligand, KITLG; leukemia inhibitory factor, LIF; thrombopoietin, THPO) in an in vitro model of human neuronal cells for their ability to induce EGR2. Two of these, LIF and IL-11, induced EGR2 expression. Although these data would need to be extended to a larger number of cytokines and the biological validation should be done using more robust in vivo models, rather then just one cell line, this study shows the feasibility of this approach. This type of functional cluster analysis could be extended to other fields of cytokine research and help design biological experiments.

  18. Rotor Wake Vortex Definition: Initial Evaluation of 3-C PIV Results of the Hart-II Study

    Science.gov (United States)

    Burley, Casey L.; Brooks, Thomas F.; vanderWall, Berend; Richard, Hughes; Raffel, Markus; Beaumier, Philippe; Delrieux, Yves; Lim, Joon W.; Yu, Yung H.; Tung, Chee

    2002-01-01

    An initial evaluation is made of extensive three-component (3C) particle image velocimetry (PIV) measurements within the wake across a rotor disk plane. The model is a 40 percent scale BO-105 helicopter main rotor in forward flight simulation. This study is part of the HART II test program conducted in the German-Dutch Wind Tunnel (DNW). Included are wake vortex field measurements over the advancing and retreating sides of the rotor operating at a typical descent landing condition important for impulsive blade-vortex interaction (BVI) noise. Also included are advancing side results for rotor angle variations from climb to steep descent. Using detailed PIV vector maps of the vortex fields, methods of extracting key vortex parameters are examined and a new method was developed and evaluated. An objective processing method, involving a center-of-vorticity criterion and a vorticity 'disk' integration, was used to determine vortex core size, strength, core velocity distribution characteristics, and unsteadiness. These parameters are mapped over the rotor disk and offer unique physical insight for these parameters of importance for rotor noise and vibration prediction.

  19. Implications of a high-definition multileaf collimator (HD-MLC on treatment planning techniques for stereotactic body radiation therapy (SBRT: a planning study

    Directory of Open Access Journals (Sweden)

    Chen Yiyi

    2009-07-01

    Full Text Available Abstract Purpose To assess the impact of two multileaf collimator (MLC systems (2.5 and 5 mm leaf widths on three-dimensional conformal radiotherapy, intensity-modulated radiotherapy, and dynamic conformal arc techniques for stereotactic body radiation therapy (SBRT of liver and lung lesions. Methods Twenty-nine SBRT plans of primary liver (n = 11 and lung (n = 18 tumors were the basis of this study. Five-millimeter leaf width 120-leaf Varian Millennium (M120 MLC-based plans served as reference, and were designed using static conformal beams (3DCRT, sliding-window intensity-modulated beams (IMRT, or dynamic conformal arcs (DCA. Reference plans were either re-optimized or recomputed, with identical planning parameters, for a 2.5-mm width 120-leaf BrainLAB/Varian high-definition (HD120 MLC system. Dose computation was based on the anisotropic analytical algorithm (AAA, Varian Medical Systems with tissue heterogeneity taken into account. Each plan was normalized such that 100% of the prescription dose covered 95% of the planning target volume (PTV. Isodose distributions and dose-volume histograms (DVHs were computed and plans were evaluated with respect to target coverage criteria, normal tissue sparing criteria, as well as treatment efficiency. Results Dosimetric differences achieved using M120 and the HD120 MLC planning were generally small. Dose conformality improved in 51.7%, 62.1% and 55.2% of the IMRT, 3DCRT and DCA cases, respectively, with use of the HD120 MLC system. Dose heterogeneity increased in 75.9%, 51.7%, and 55.2% of the IMRT, 3DCRT and DCA cases, respectively, with use of the HD120 MLC system. DVH curves demonstrated a decreased volume of normal tissue irradiated to the lower (90%, 50% and 25% isodose levels with the HD120 MLC. Conclusion Data derived from the present comparative assessment suggest dosimetric merit of the high definition MLC system over the millennium MLC system. However, the clinical significance of these results

  20. The posterior communicating artery: morphometric study in 3D angio-computed tomography reconstruction. The proof of the mathematical definition of the hypoplasia.

    Science.gov (United States)

    Dzierżanowski, J; Szarmach, A; Słoniewski, P; Czapiewski, P; Piskunowicz, M; Bandurski, T; Szmuda, T

    2014-08-01

    The aim of this study was to investigate the morphometry of the posterior communicating artery (PCoA), on the basis of angio-computed tomography (CT), and to give proof of the mathematical definition of the term "hypopal sia of the PCoA". One hundred 3-dimensional (3D) angio-CT images, performed in adult patients with bilateral reconstruction of the PCoA (200 results) were used tocalculate the morphometry of the vessel. The average length of the vessel on the right side was 14.48 ± 3.47 mm, andon the left side 14.98 ± 4.77 mm (in women 14.75 mm, in men 14.70 mm). The mean of the diameter at the "proximal" point (the junction with P1) on the right side was 1.49 ± 0.51 mm, and on the left 1.46 ± 0.47 mm (in women 1.44 mm and in men 1.51 mm). The mean of the diameter in the "distal" part (the connection with ICA) on the right side was 1.4 ± 0.49 mm, and on the left 1.37 ± 0.41 mm (in women 1.38 mm, and in men 1.39 mm). No statistical correlation between the length and the diameter of the PCoA in relation to the sex and side was shown. On the basis of our measurements, we defined the hypoplasia of the artery as the estimated value less than the average diameter minus the standard deviation. The percentage distribution was as follows: the left artery 15.5%, the right artery 24%, women 11.5%, and the men 9%. Similarly to the above parameters, we have not found any statistical differences. The presence of the foetal origin was noted in 25% of the radiological examinations. The infundibular widening was visualised in 11.5% of cases of 3D reconstructions. The agenesis of PCoA was found in 9% (never bilaterally), and in 1 case the unilateral duplication of the artery was observed. No statistical differences between those parameters in relation to sex and the examined side were revealed. Morphological calculation of the PCoA on the basis of angio-CT from adult patients did not show any statistical differences depending on sex or the investigated side. The presented

  1. Determination of total dietary fiber (CODEX definition) by enzymatic-gravimetric method and liquid chromatography: collaborative study.

    Science.gov (United States)

    McCleary, Barry V; DeVries, Jonathan W; Rader, Jeanne I; Cohen, Gerald; Prosky, Leon; Mugford, David C; Champ, Martine; Okuma, Kazuhiro

    2010-01-01

    A method for the determination of total dietary fiber (TDF), as defined by the CODEX Alimentarius, was validated in foods. Based upon the principles of AOAC Official Methods 985.29, 991.43, 2001.03, and 2002.02, the method quantitates high- and low-molecular-weight dietary fiber (HMWDF and LMWDF, respectively). In 2007, McCleary described a method of extended enzymatic digestion at 37 degrees C to simulate human intestinal digestion followed by gravimetric isolation and quantitation of HMWDF and the use of LC to quantitate low-molecular-weight soluble dietary fiber (LMWSDF). The method thus quantitates the complete range of dietary fiber components from resistant starch (by utilizing the digestion conditions of AOAC Method 2002.02) to digestion resistant oligosaccharides (by incorporating the deionization and LC procedures of AOAC Method 2001.03). The method was evaluated through an AOAC collaborative study. Eighteen laboratories participated with 16 laboratories returning valid assay data for 16 test portions (eight blind duplicates) consisting of samples with a range of traditional dietary fiber, resistant starch, and nondigestible oligosaccharides. The dietary fiber content of the eight test pairs ranged from 11.57 to 47.83%. Digestion of samples under the conditions of AOAC Method 2002.02 followed by the isolation and gravimetric procedures of AOAC Methods 985.29 and 991.43 results in quantitation of HMWDF. The filtrate from the quantitation of HMWDF is concentrated, deionized, concentrated again, and analyzed by LC to determine the LMWSDF, i.e., all nondigestible oligosaccharides of degree of polymerization > or =3. TDF is calculated as the sum of HMWDF and LMWSDF. Repeatability standard deviations (Sr) ranged from 0.41 to 1.43, and reproducibility standard deviations (S(R)) ranged from 1.18 to 5.44. These results are comparable to other official dietary fiber methods, and the method is recommended for adoption as Official First Action.

  2. Skilled Birth Attendants: who is who? A descriptive study of definitions and roles from nine Sub Saharan African countries.

    Science.gov (United States)

    Adegoke, Adetoro; Utz, Bettina; Msuya, Sia E; van den Broek, Nynke

    2012-01-01

    Availability of a Skilled Birth Attendant (SBA) during childbirth is a key indicator for MDG5 and a strategy for reducing maternal and neonatal mortality in Africa. There is limited information on how SBAs and their functions are defined. The aim of this study was to map the cadres of health providers considered SBAs in Sub Saharan Africa (SSA); to describe which signal functions of Essential Obstetric Care (EmOC) they perform and assess whether they are legislated to perform these functions. Key personnel in the Ministries of Health, teaching institutions, referral, regional and district hospitals completed structured questionnaires in nine SSA countries in 2009-2011. A total of 21 different cadres of health care providers (HCP) were reported to be SBA. Type and number of EmOC signal functions reported to be provided, varied substantially between cadres and countries. Parenteral antibiotics, uterotonic drugs and anticonvulsants were provided by most SBAs. Removal of retained products of conception and assisted vaginal delivery were the least provided signal functions. Except for the cadres of obstetricians, medical doctors and registered nurse-midwives, there was lack of clarity regarding signal functions reported to be performed and whether they were legislated to perform these. This was particularly for manual removal of placenta, removal of retained products and assisted vaginal delivery. In some countries, cadres not considered SBA performed deliveries and provided EmOC signal functions. In other settings, cadres reported to be SBA were able to but not legislated to perform key EmOC signal functions. Comparison of cadres of HCPs reported to be SBA across countries is difficult because of lack of standardization in names, training, and functions performed. There is a need for countries to develop clear guidelines defining who is a SBA and which EmOC signal functions each cadre of HCP is expected to provide.

  3. Skilled Birth Attendants: who is who? A descriptive study of definitions and roles from nine Sub Saharan African countries.

    Directory of Open Access Journals (Sweden)

    Adetoro Adegoke

    Full Text Available BACKGROUND: Availability of a Skilled Birth Attendant (SBA during childbirth is a key indicator for MDG5 and a strategy for reducing maternal and neonatal mortality in Africa. There is limited information on how SBAs and their functions are defined. The aim of this study was to map the cadres of health providers considered SBAs in Sub Saharan Africa (SSA; to describe which signal functions of Essential Obstetric Care (EmOC they perform and assess whether they are legislated to perform these functions. METHODS AND FINDINGS: Key personnel in the Ministries of Health, teaching institutions, referral, regional and district hospitals completed structured questionnaires in nine SSA countries in 2009-2011. A total of 21 different cadres of health care providers (HCP were reported to be SBA. Type and number of EmOC signal functions reported to be provided, varied substantially between cadres and countries. Parenteral antibiotics, uterotonic drugs and anticonvulsants were provided by most SBAs. Removal of retained products of conception and assisted vaginal delivery were the least provided signal functions. Except for the cadres of obstetricians, medical doctors and registered nurse-midwives, there was lack of clarity regarding signal functions reported to be performed and whether they were legislated to perform these. This was particularly for manual removal of placenta, removal of retained products and assisted vaginal delivery. In some countries, cadres not considered SBA performed deliveries and provided EmOC signal functions. In other settings, cadres reported to be SBA were able to but not legislated to perform key EmOC signal functions. CONCLUSIONS: Comparison of cadres of HCPs reported to be SBA across countries is difficult because of lack of standardization in names, training, and functions performed. There is a need for countries to develop clear guidelines defining who is a SBA and which EmOC signal functions each cadre of HCP is expected to

  4. Definition of done in practice

    OpenAIRE

    Björgólfur Guðbjörnsson 1985

    2016-01-01

    Definition of Done is an artifact that is used to define when a software feature is completed and what work has to be performed so that a feature can fulfill its main goal of being a potentially releasable functionality. It is especially used in Agile processes for project management, like Scrum. Customers often experience that they are not being delivered the right kind of quality when development teams push out a new product feature from their latest project period. This study gives insight...

  5. The Effect of a Transcranial Channel as a Skull/Brain Interface in High-Definition Transcranial Direct Current Stimulation—A Computational Study

    Science.gov (United States)

    Seo, Hyeon; Kim, Hyoung-Ihl; Jun, Sung Chan

    2017-01-01

    A transcranial channel is an interface between the skull and brain; it consists of a biocompatible and highly conductive material that helps convey the current induced by transcranial direct current stimulation (tDCS) to the target area. However, it has been proposed only conceptually, and there has been no concrete study of its efficacy. In this work, we conducted a computational investigation of this conceptual transcranial model with high-definition tDCS, inducing focalized neuromodulation to determine whether inclusion of a transcranial channel performs effectively. To do so, we constructed an anatomically realistic head model and compartmental pyramidal neuronal models. We analyzed membrane polarization by extracellular stimulation and found that the inclusion of a transcranial channel induced polarization at the target area 11 times greater than conventional HD-tDCS without the transcranial channel. Furthermore, the stimulation effect of the transcranial channel persisted up to approximately 80%, even when the stimulus electrodes were displaced approximately 5 mm from the target area. We investigated the efficacy of the transcranial channel and found that greatly improved stimulation intensity and focality may be achieved. Thus, the use of these channels may be promising for clinical treatment.

  6. In Vivo Noninvasive Imaging of Healthy Lower Lip Mucosa: A Correlation Study between High-Definition Optical Coherence Tomography, Reflectance Confocal Microscopy, and Histology

    Directory of Open Access Journals (Sweden)

    Alejandra García-Hernández

    2013-01-01

    Full Text Available In recent years, technology has allowed the development of new diagnostic techniques which allow real-time, in vivo, noninvasive evaluation of morphological changes in tissue. This study compares and correlates the images and findings obtained by high-definition optical coherence tomography (HD-OCT and reflectance confocal microscopy (RCM with histology in normal healthy oral mucosa. The healthy lip mucosa of ten adult volunteers was imaged with HD-OCT and RCM. Each volunteer was systematically evaluated by RCM starting in the uppermost part of the epithelium down to the lamina propia. Afterwards, volunteers were examined with a commercially available full-field HD-OCT system using both the “slice” and the “en-face” mode. A “punch” biopsy of the lower lip mucosa was obtained and prepared for conventional histology. The architectural overview offered by “slice” mode HD-OCT correlates with histologic findings at low magnification. In the superficial uppermost layers of the epithelium, RCM imaging provided greater cellular detail than histology. As we deepened into the suprabasal layers, the findings are in accordance with physiological cellular differentiation and correlate with the images obtained from conventional histology. The combined use of these two novel non-invasive imaging techniques provides morphological imaging with sufficient resolution and penetration depth, resulting in quasihistological images.

  7. A Phase 1/2 Study of Definitive Chemoradiation Therapy Using Docetaxel, Nedaplatin, and 5-Fluorouracil (DNF-R) for Esophageal Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Ohnuma, Hiroyuki; Sato, Yasushi; Hirakawa, Masahiro; Okagawa, Yutaka; Osuga, Takahiro; Hayashi, Tsuyoshi; Sato, Tsutomu; Miyanishi, Koji; Kobune, Masayoshi; Takimoto, Rishu [Department of Medical Oncology and Hematology, Sapporo Medical University School of Medicine, Sapporo (Japan); Sagawa, Tamotsu [Division of Gastroenterology, Hokkaido Cancer Center, Sapporo (Japan); Hori, Masakazu; Someya, Masanori; Nakata, Kensei; Sakata, Koh-ichi [Department of Radiology, Sapporo Medical University School of Medicine, Sapporo (Japan); Takayama, Tetsuji [Department of Gastroenterology and Oncology, University of Tokushima, Tokushima (Japan); Kato, Junji, E-mail: jkato@sapmed.ac.jp [Department of Medical Oncology and Hematology, Sapporo Medical University School of Medicine, Sapporo (Japan)

    2015-10-01

    Purpose: Patient survival in esophageal cancer (EC) remains poor. The purpose of this study was to investigate a regimen of definitive chemoradiation therapy (CRT) that exerts good local control of EC. We performed a phase 1/2 study to assess the safety and efficacy of CRT with docetaxel, nedaplatin, and 5-fluorouracil (DNF-R). Methods and Materials: Eligible patients presented with stage IB to IV EC. Patients received 2 cycles of docetaxel (20, 30, or 40 mg/m{sup 2}) and nedaplatin (50 mg/m{sup 2}) on days 1 and 8 and a continuous infusion of 5-fluorouracil (400 mg/m{sup 2}/day) on days 1 to 5 and 8 to 12, every 5 weeks, with concurrent radiation therapy (59.4 Gy/33 fractions). The recommended dose (RD) was determined using a 3 + 3 design. Results: In the phase 1 study, the dose-limiting toxicities were neutropenia and thrombocytopenia. The RD of docetaxel was determined to be 20 mg/m{sup 2}. In the phase 2 study, grade 3 to 4 acute toxicities included neutropenia (42.8%), febrile neutropenia (7.14%), thrombocytopenia (17.9%), and esophagitis (21.4%). Grade 3 to 4 late radiation toxicity included esophagostenosis (10.7%). The complete response rate was 82.1% (95% confidence interval: 67.9-96.3%). Both the median progression-free survival and overall survival were 41.2 months. Conclusions: DNF-R showed good tolerability and strong antitumor activity, suggesting that it is a potentially effective therapeutic regimen for EC.

  8. Idiopathic environmental intolerance: case definition issues.

    Science.gov (United States)

    Kreutzer, R

    2000-01-01

    Case definitions of the same phenomenon may be different for different purposes. Case definitions usually become more specific over time as more information about the condition becomes available. Idiopathic environmental intolerance is one of many labels for a heterogeneous group of conditions in which subjects describe multiple symptoms that are attributed to exposure to extremely low doses of common chemicals. Dr. Kreutzer presents issues in case definition for clinical purposes and for population-based studies, and makes recommendations for the clinician and for the public health investigator.

  9. Statin intolerance - a question of definition.

    Science.gov (United States)

    Algharably, Engi Abdel-Hady; Filler, Iris; Rosenfeld, Stephanie; Grabowski, Katja; Kreutz, Reinhold

    2017-01-01

    Statin therapy is the backbone of pharmacologic therapy for low-density lipoproteins cholesterol lowering and plays a pivotal role in cardiovascular disease prevention. Statin intolerance is understood as the inability to continue using a statin to reduce individual cardiovascular risk sufficiently, due to the development of symptoms or laboratory abnormalities attributable to the initiation or dose escalation of a statin. Muscle symptoms are the most common side effects observed. Areas covered: The main aim of this article is to present a review on published definitions of statin intolerance. In addition, a brief review on clinical aspects and risk factors of statin intolerance is provided and features for a common definition for statin intolerance are suggested. Expert opinion: A definition of statin intolerance by major drug regulatory agencies is not available. In clinical studies, different definitions are chosen and results are not comparable; different medical associations do not agree on one common definition. There is an unmet need to establish a common definition of statin intolerance to ensure an appropriate clinical use of this important drug class. Further work is required to develop a consensus definition on statin intolerance that could have significant positive impact on both research and clinical management.

  10. V.A. Cooperative Study on antiplatelet agents in diabetic patients after amputation for gangrene: III. Definitions and review of design and baseline characteristics.

    Science.gov (United States)

    Colwell, J A; Bingham, S F; Abraira, C; Anderson, J W; Kwaan, H C

    1985-01-01

    This report summarizes the major design features, methods, and baseline characteristics of patients enrolled in a Veterans Administration Cooperative Study. In eleven V.A. centers, 231 male diabetic patients who had either a recent amputation for gangrene (N = 207) or active gangrene (N = 24) were randomly assigned to a group which received aspirin (325 mg t.i.d.) plus dipyridamole (75 mg t.i.d.) (N = 110) or two placeboes t.i.d. (N = 121). Major end point were vascular death and amputation of the opposite extremity for gangrene. Forty-one percent of the 563 patients screened were enrolled during a 39 month period. Enrollment errors were found in 8.7%. Historically, the two groups were well matched regarding the following variables: age, duration of diabetes, insulin therapy, previous oral agent therapy, hypertension, myocardial infarction, congestive heart failure, renal disease, sensory neuropathy, and smoking. The drug therapy group had an increased frequency of a history of cerebrovascular disease (19% vs 7%, p = 0.01). The groups were well matched regarding amputation site, obesity, extent of lower extremity vascular disease, retinopathy, and neuropathy upon examination. Their baseline fasting values of glucose, cholesterol, triglycerides, and creatinine were also comparable. We conclude that this study should provide definitive data on the efficacy of these antiplatelet agents in preventing further vascular disease in this patient group. It should also provide new prospective data on the natural history of vascular disease, and the association of vascular risk factors with subsequent vascular events in this patient population.

  11. Comparison of time to detect definitions

    OpenAIRE

    Dubois, Laurence M.

    1986-01-01

    Approved for public release; distribution is unlimited This thesis concerns the measurement of times to detect multiple targets. It compares two common definitions of times to detection--interdetection time, and search time to detection--to a relatively new definition called time in field-of-view until detection. This comparison uses the data from the Thermal Pinpoint Test conducted from July to December 1983. Detection time distributions and mean times to detection were studied, lookin...

  12. Sequent calculus proof systems for inductive definitions

    OpenAIRE

    Brotherston, James

    2006-01-01

    Inductive definitions are the most natural means by which to represent many families of structures occurring in mathematics and computer science, and their corresponding induction / recursion principles provide the fundamental proof techniques by which to reason about such families. This thesis studies formal proof systems for inductive definitions, as needed, e.g., for inductive proof support in automated theorem proving tools. The systems are formulated as sequent calculi for...

  13. High-Definition Medicine.

    Science.gov (United States)

    Torkamani, Ali; Andersen, Kristian G; Steinhubl, Steven R; Topol, Eric J

    2017-08-24

    The foundation for a new era of data-driven medicine has been set by recent technological advances that enable the assessment and management of human health at an unprecedented level of resolution-what we refer to as high-definition medicine. Our ability to assess human health in high definition is enabled, in part, by advances in DNA sequencing, physiological and environmental monitoring, advanced imaging, and behavioral tracking. Our ability to understand and act upon these observations at equally high precision is driven by advances in genome editing, cellular reprogramming, tissue engineering, and information technologies, especially artificial intelligence. In this review, we will examine the core disciplines that enable high-definition medicine and project how these technologies will alter the future of medicine. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Prebiotics: why definitions matter.

    Science.gov (United States)

    Hutkins, Robert W; Krumbeck, Janina A; Bindels, Laure B; Cani, Patrice D; Fahey, George; Goh, Yong Jun; Hamaker, Bruce; Martens, Eric C; Mills, David A; Rastal, Robert A; Vaughan, Elaine; Sanders, Mary Ellen

    2016-02-01

    The prebiotic concept was introduced twenty years ago, and despite several revisions to the original definition, the scientific community has continued to debate what it means to be a prebiotic. How prebiotics are defined is important not only for the scientific community, but also for regulatory agencies, the food industry, consumers and healthcare professionals. Recent developments in community-wide sequencing and glycomics have revealed that more complex interactions occur between putative prebiotic substrates and the gut microbiota than previously considered. A consensus among scientists on the most appropriate definition of a prebiotic is necessary to enable continued use of the term.

  15. Definition of Entity Authentication

    DEFF Research Database (Denmark)

    Ahmed, Naveed; Jensen, Christian D.

    2010-01-01

    Authentication is considered a pre-requisite for communication security, but the definition of authentication is generally not agreed upon. Many attacks on authentication protocols are the result of misunderstanding of the goals of authentication. This state of affairs indicate limitations...... in theoretical understanding of the meanings of authentication. We provide a new insight in this direction and formalize it in CFPS (Common Framework for authentication Protocols' Specifications). CFPS provides a precise scope of definition for authentication protocols, which could make the design and analysis...

  16. Prebiotics: why definitions matter

    Science.gov (United States)

    Hutkins, Robert W; Krumbeck, Janina A; Bindels, Laure B; Cani, Patrice D; Fahey, George; Goh, Yong Jun; Hamaker, Bruce; Martens, Eric C; Mills, David A; Rastal, Robert A; Vaughan, Elaine; Sanders, Mary Ellen

    2015-01-01

    The prebiotic concept was introduced twenty years ago, and despite several revisions to the original definition, the scientific community has continued to debate what it means to be a prebiotic. How prebiotics are defined is important not only for the scientific community, but also for regulatory agencies, the food industry, consumers and healthcare professionals. Recent developments in community-wide sequencing and glycomics have revealed that more complex interactions occur between putative prebiotic substrates and the gut microbiota than previously considered. A consensus among scientists on the most appropriate definition of a prebiotic is necessary to enable continued use of the term. PMID:26431716

  17. Definition of Information

    Directory of Open Access Journals (Sweden)

    Boris Sunik

    2011-12-01

    Full Text Available This definition can be applied to information of every kind, level and complexity. Information is considered as the feature manifesting itself in the relations between certain real world
    entities. The real world has to be seen in terms of objects, actions, relations and properties.. The defintion is used as the basis of the Theory of Meaningful Information [1] that explains the nature and functionality of information and enables the production of relevant definitions regarding language and knowledge, which remain operative also in the case of non-human languages and
    knowledge systems.

  18. Value of adjuvant misonidazole in the definitive irradiation of advanced head and neck squamous cancer: an RTOG pilot study (78-02)

    Energy Technology Data Exchange (ETDEWEB)

    Fazekas, J.T. (Thomas Jefferson Univ. Hospital, Philadelphia, PA); Goodman, R.L.; McLean, C.J.

    1981-12-01

    This RTOG Phase II trial was instituted to determine the toxicity and potential value of the electron-affinic agent, Misonidazole, adjunctive to definitive radiotherapy of T3 and T4 squamous cancers of the oral cavity, oropharynx, or hypopharynx. The fractionation schema was altered to deliver two separate treatments (250 rad and 210 rad) on each day when Misonidazole was administered, while maintaining relatively ''standard'' fractionation (5 fractions and 1000 rad per week). In order to achieve effective enhancement while minimizing toxicity, Misonidazole doses were limited to 2.5 gm/m/sup 2/ once per week, not to exceed 24 gm total cumulative in 6 weeks. The dosage was reduced to 2.0 gm/m/sup 2//wk after the first 30 patients were entered. Among the 50 patients entered, toxicity was confined to the nervous system, with one-third of the patients experiencing mild or moderate peripheral neuropathies and an equal number developing nausea and/or vomiting following p.o. drug administration. Encephalopathy occurred in 10% of the 30 patients receiving 2.5 mg/m/sup 2/ dosage. Serum drug levels and cumulative Misonidazole doses did not correlate well with toxicity or response except in comparison of the ''no response'' to the ''complete response'' categories. Immediate mucosal and skin reactions were not enhanced and unusual late normal tissue effects were not encountered. Complete disappearance of all visible and palpable primary tumor was noted in 67% of the 36 patients who completed the adjuvant sensitizer program. Tumor response and survival did not generally correlate with measured (serum) Misonidazole concentration; recurrence was also independent of these measured levels. These preliminary results seemed sufficiently encouraging to warrant a Phase III (randomized) study, now underway by the RTOG.

  19. Sensitivity of Cross-Tropopause Convective Transport to Tropopause Definition

    Science.gov (United States)

    Maddox, E.; Mullendore, G. L.

    2016-12-01

    An idealized three-dimensional cloud-resolving model is used to simulate cross-tropopause boundary layer mass transport in a midlatitude supercell. A ten-hour simulation is conducted to encompass the growth and decay cycle, with focus on irreversible transport above the tropopause. However, several tropopause definitions are present in the literature, and the impact of tropopause definition on irreversible cross-tropopause transport has not been quantified. Six previously published tropopause definitions are evaluated to determine the sensitivity of tropopause definition on midlatitude irreversible cross-tropopause transport. These definitions include specific values of altitude, temperature lapse rate (i.e., WMO definition), potential vorticity, stratospheric tracer concentration, static stability, and curvature of static stability. This investigation highlights the challenge of defining a tropopause during active deep convection and shows that some definitions (e.g., potential vorticity) may not be appropriate for cross-tropopause transport studies that resolve deep convection.

  20. Effects of diabetes definition on global surveillance of diabetes prevalence and diagnosis: a pooled analysis of 96 population-based studies with 331¿288 participants

    NARCIS (Netherlands)

    Kromhout, D.; Geleijnse, J.M.; et al.,

    2015-01-01

    Background Diabetes has been defined on the basis of different biomarkers, including fasting plasma glucose (FPG), 2-h plasma glucose in an oral glucose tolerance test (2hOGTT), and HbA1c. We assessed the effect of different diagnostic definitions on both the population prevalence of diabetes and th

  1. Development of a definition for Rapid Progression (RP) of renal function in HIV-positive persons: the D:A:D study

    NARCIS (Netherlands)

    Kamara, D.A.; Ryom, L.; Ross, M.; Kirk, O.; Reiss, P.; Morlat, P.; Moranne, O.; Fux, C.A.; Mocroft, A.; Sabin, C.; Lundgren, J.D.; Smith, C.J.; Koopmans, P.P.; Keuter, M.; Ven, A.J.A.M. van der; Hofstede, H.J.M. ter; Dofferhoff, A.S.M.; Warris, A.; Crevel, R. van

    2014-01-01

    BACKGROUND: No consensus exists on how to define abnormally rapid deterioration in renal function (Rapid Progression, RP). We developed an operational definition of RP in HIV-positive persons with baseline estimated glomerular filtration rate (eGFR) >90 ml/min/1.73 m2 (using Cockcroft Gault) in t

  2. OMERACT Rheumatoid Arthritis Magnetic Resonance Imaging Studies. Core set of MRI acquisitions, joint pathology definitions, and the OMERACT RA-MRI scoring system

    DEFF Research Database (Denmark)

    Østergaard, Mikkel; Peterfy, C; Conaghan, P

    2003-01-01

    This article describes the 2002 OMERACT rheumatoid arthritis magnetic resonance image scoring system (RAMRIS) for evaluation of inflammatory and destructive changes in RA hands and wrists, which was developed by an international MRI-OMERACT group. MRI definitions of important RA joint pathologies...

  3. Effects of diabetes definition on global surveillance of diabetes prevalence and diagnosis: a pooled analysis of 96 population-based studies with 331¿288 participants

    NARCIS (Netherlands)

    Kromhout, D.; Geleijnse, J.M.; et al.,

    2015-01-01

    Background Diabetes has been defined on the basis of different biomarkers, including fasting plasma glucose (FPG), 2-h plasma glucose in an oral glucose tolerance test (2hOGTT), and HbA1c. We assessed the effect of different diagnostic definitions on both the population prevalence of diabetes and th

  4. Examining the Definition and Measurement of Quality in Early Childhood Education: A Review of Studies Using the ECERS-R from 2003 to 2010

    Science.gov (United States)

    La Paro, Karen M.; Thomason, Amy C.; Lower, Joanna K.; Kintner-Duffy, Victoria L.; Cassidy, Deborah J.

    2012-01-01

    The field of early childhood education continues to grapple with the issue of understanding quality in classrooms. The lack of clarity in definition (or conceptualization) and related ability to assess (or operationalize) quality has contributed to a reliance on the Early Childhood Environment Rating Scale (ECERS-R), which is often interpreted to…

  5. An Italian national multicenter study for the definition of reference ranges for normal values of peripheral blood lymphocyte subsets in healthy adults.

    Science.gov (United States)

    Santagostino, A; Garbaccio, G; Pistorio, A; Bolis, V; Camisasca, G; Pagliaro, P; Girotto, M

    1999-06-01

    Reference ranges are necessary in clinical chemistry and hematology to compare an observed value and to provide meaningful information. The aim of this multicenter study was the definition of reference ranges of the relative and absolute numbers of lymphocyte subsets by evaluating a large cohort of healthy adults and by using a standard protocol to reduce the variability in both sample preparation methodology and flow cytometer operation. Other aims of this study were the evaluation of the influence of sex, age, obesity, smoking, sport and some methodological variables on lymphocyte subsets and the comparison of differential white blood cell values obtained by flow cytometry and those obtained by hematology counters. Blood samples from 1311 healthy adults (blood donors and volunteers chosen according to the Italian law for donor selection) were analyzed to study, by flow cytometry, the immunophenotype of lymphocyte subsets and their distribution in terms of percentages and absolute values. Pre-analytical and analytical phases were performed according to the guidelines of the International Federation of Clinical Chemistry (IFCC) and the Italian Group of Cytometry (GIC). T cells were defined by the expression of CD3; T subpopulations by the coexpression of CD4 or CD8 or HLA-DR; B-lymphocytes were identified by the expression of CD19 while natural killer lymphocytes were identified by positivity of CD16 and/or CD56 without CD3. We calculated, for each laboratory and for all data collected, the frequency distribution percent values and absolute values of each lymphocyte subset. The influence of age, sex, smoking, obesity and sport was calculated by the t-test. The influence of some methodological variables was calculated by the t-test and multiple regression test. Fifty-three flow cytometry laboratories at different institutions in Italy participated in this study. Data was obtained from 1311 healthy adults aged from 18 to 70; 968 phenotype analyses (74%) were

  6. Subjective poverty line definitions

    NARCIS (Netherlands)

    J. Flik; B.M.S. van Praag (Bernard)

    1991-01-01

    textabstractIn this paper we will deal with definitions of subjective poverty lines. To measure a poverty threshold value in terms of household income, which separates the poor from the non-poor, we take into account the opinions of all people in society. Three subjective methods will be discussed

  7. Definition of Entity Authentication

    DEFF Research Database (Denmark)

    Ahmed, Naveed; Jensen, Christian D.

    2010-01-01

    Authentication is considered a pre-requisite for communication security, but the definition of authentication is generally not agreed upon. Many attacks on authentication protocols are the result of misunderstanding of the goals of authentication. This state of affairs indicate limitations in the...

  8. Romanian definite article revisited

    Directory of Open Access Journals (Sweden)

    Sorin Paliga

    1999-12-01

    Full Text Available I shall attempt to resume a long, almost endless discussion: the origin of the Romanian definite article. Any grammar of Romanian or any comparative grammar the Romance languages (e. g. Tagliavini 1977 always observes that Romanian, an iso­ lated case in the Romance family, has an agglutinated definite article. The typology is not indeed rare: Bulgarian, Albanian, Armenian, Basque and Swedish witness the same mechanism. We cannot approach the topic by analysing all these languages, yet a comparative analysis would be finally useful. In our case, it is obvious that Romanian cannot be isolated from Albanian and Bulgarian. A potential solution must explain the situation in ALL these three "Balkanic" languages, even if Romanian is not Balkanic stricto sensu1. The paper shall focus on the deep roots of the Romanian and Albanian definite arti­ cle, its typological relations with other linguistic areas, and shall attempt to explain this isolated situation in the field of Romance linguistics. For sure, the Romanian definite article mainly reflects the Latin heritage. Nevertheless, by saying only this, the tableau is not complete: some forms are not Latin but Pre-Latin, Thracian. This paper will try to substantiate this assertion.

  9. Subjective poverty line definitions

    NARCIS (Netherlands)

    J. Flik; B.M.S. van Praag (Bernard)

    1991-01-01

    textabstractIn this paper we will deal with definitions of subjective poverty lines. To measure a poverty threshold value in terms of household income, which separates the poor from the non-poor, we take into account the opinions of all people in society. Three subjective methods will be discussed a

  10. The definition of sarcopenia

    NARCIS (Netherlands)

    Bijlsma, Astrid Y.

    2013-01-01

    Sarcopenia in old age has been associated with a higher mortality, poor physical functioning, poor outcome of surgery and higher drug toxicity. There is no general consensus on the definition of sarcopenia. The aim of the research presented in this thesis was to assess the implications of the use of

  11. Definition af primitiver

    DEFF Research Database (Denmark)

    Christensen, Morten

    1997-01-01

    tidspunkt, kan der spares meget tid senere, hvor det er besværligt at definerer primitiverne helt om.I denne rapport er de primitiver, der skal bruges til Sydkrafts net gennemgået. Der er taget stilling til hver enkelt tilstand for de forskellige primitiver. Dette er gjort for at få en definition, som er...

  12. Definition of Professional Development

    Science.gov (United States)

    Learning Forward, 2015

    2015-01-01

    President Obama signed into law the Every Student Succeeds Act, the reauthorization of the Elementary and Secondary Education Act, on December 10, 2015. "Learning Forward's focus in this new law is its improved definition of professional learning," said Stephanie Hirsh, executive director of Learning Forward. "We've long advocated…

  13. The definition of sarcopenia

    NARCIS (Netherlands)

    Bijlsma, Astrid Y.

    2013-01-01

    Sarcopenia in old age has been associated with a higher mortality, poor physical functioning, poor outcome of surgery and higher drug toxicity. There is no general consensus on the definition of sarcopenia. The aim of the research presented in this thesis was to assess the implications of the use of

  14. COPD: Definition and Phenotypes

    DEFF Research Database (Denmark)

    Vestbo, J.

    2014-01-01

    particles or gases. Exacerbations and comorbidities contribute to the overall severity in individual patients. The evolution of this definition and the diagnostic criteria currently in use are discussed. COPD is increasingly divided in subgroups or phenotypes based on specific features and association...

  15. Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS)

    Science.gov (United States)

    Patel, Harnish P.; Syddall, Holly Emma; Jameson, Karen; Robinson, Sian; Denison, Hayley; Roberts, Helen C.; Edwards, Mark; Dennison, Elaine; Cooper, Cyrus; Aihie Sayer, Avan

    2013-01-01

    Introduction: sarcopenia is associated with adverse health outcomes. The aim of this study was to describe the prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) consensus definition. Methods: we applied the EWGSOP definition to 103 community-dwelling men participating in the Hertfordshire Sarcopenia Study (HSS) using both the lowest third of dual-energy X-ray absorptiometry (DXA) lean mass (LM) and the lowest third of skin-fold-based fat-free mass (FFM) as markers of low muscle mass. We also used the FFM approach among 765 male and 1,022 female participants in the Hertfordshire Cohort Study (HCS). Body size, physical performance and self-reported health were compared in participants with and without sarcopenia. Results: the prevalence of sarcopenia in HSS men (mean age 73 years) was 6.8% and 7.8% when using the lowest third of DXA LM and FFM, respectively. DXA LM and FFM were highly correlated (0.91, P sarcopenia among the HCS men and women (mean age 67 years) was 4.6% and 7.9%, respectively. HSS and HCS participants with sarcopenia were shorter, weighed less and had worse physical performance. HCS men and women with sarcopenia had poorer self-reported general health and physical functioning scores. Conclusions: this is one of the first studies to describe the prevalence of sarcopenia in UK community-dwelling older people. The EWGSOP consensus definition was of practical use for sarcopenia case finding. The next step is to use this consensus definition in other ageing cohorts and among older people in a range of health-care settings. PMID:23384705

  16. High Definition Video Streaming Using H.264 Video Compression

    OpenAIRE

    Bechqito, Yassine

    2009-01-01

    This thesis presents high definition video streaming using H.264 codec implementation. The experiment carried out in this study was done for an offline streaming video but a model for live high definition streaming is introduced, as well. Prior to the actual experiment, this study describes digital media streaming. Also, the different technologies involved in video streaming are covered. These include streaming architecture and a brief overview on H.264 codec as well as high definition t...

  17. A New Definition of Creativity

    Science.gov (United States)

    Dorin, Alan; Korb, Kevin B.

    Creative artifacts can be generated by employing A-Life software, but programmers must first consider, explicitly or implicitly, what would count as creative. Most apply standard definitions that incorporate notions of novelty, value and appropriateness. Here we re-assess this approach. Some basic facts about creativity suggest criteria that guide us to a new definition of creativity. We briefly defend our definition against some plausible objections and explore the ways in which this new definition differs and improves upon the alternatives.

  18. A Definition of Artificial Intelligence

    OpenAIRE

    2012-01-01

    In this paper we offer a formal definition of Artificial Intelligence and this directly gives us an algorithm for construction of this object. Really, this algorithm is useless due to the combinatory explosion. The main innovation in our definition is that it does not include the knowledge as a part of the intelligence. So according to our definition a newly born baby also is an Intellect. Here we differs with Turing's definition which suggests that an Intellect is a person with knowledge gai...

  19. Demonstration and Comparison Study for V- and W-Band Real-Time High-Definition Video Delivery in Diverse Fiber-Wireless Infrastructure

    DEFF Research Database (Denmark)

    Lebedev, Alexander; Vegas Olmos, Juan José; Pang, Xiaodan;

    2013-01-01

    This article experimentally demonstrates uncompressed high-definition video distribution in V-band (50–75 GHz) and W-band (75–110 GHz) fiber-wireless links achieving 3 m of wireless transmission in both cases. Access architecture is experimentally emulated by deploying single/multi-mode fibers......-band fiber-wireless systems is demonstrated with prospects to pave the way for application-focused fiber-wireless connectivity........ For the W-band, experimental assessment of passive and active approaches for implementation of remote antenna units is reported. The bit error rate performance of the optical and wireless channels is reported. A successful transmission of real-time uncompressed high-definition video in the V- and W...

  20. Building a Definition of Irritability From Academic Definitions and Lay Descriptions.

    Science.gov (United States)

    Barata, Paula C; Holtzman, Susan; Cunningham, Shannon; O'Connor, Brian P; Stewart, Donna E

    2016-04-08

    The current work builds a definition of irritability from both academic definitions and lay perspectives. In Study 1, a quantitative content analysis of academic definitions resulted in eight main content categories (i.e., behaviour, emotion or affect, cognition, physiological, qualifiers, irritant, stability or endurance, and other). In Study 2, a community sample of 39 adults participated in qualitative interviews. A deductive thematic analysis resulted in two main themes. The first main theme dealt with how participants positioned irritability in relation to other negative states. The second dealt with how participants constructed irritability as both a loss of control and as an experience that should be controlled. The discussion integrates the findings of both studies and provides a concise, but comprehensive definition.

  1. Considering the Definition of Addiction

    Science.gov (United States)

    Sussman, Steve; Sussman, Alan N.

    2011-01-01

    The definition of addiction is explored. Elements of addiction derived from a literature search that uncovered 52 studies include: (a) engagement in the behavior to achieve appetitive effects, (b) preoccupation with the behavior, (c) temporary satiation, (d) loss of control, and (e) suffering negative consequences. Differences from compulsions are suggested. While there is some debate on what is intended by the elements of addictive behavior, we conclude that these five constituents provide a reasonable understanding of what is intended by the concept. Conceptual challenges for future research are mentioned. PMID:22073026

  2. On the definition of learning

    DEFF Research Database (Denmark)

    , and disciplinary approaches. This book is a first publication in the ‘On the definition of learning’ network. The network arose out of the aspiration to study the phenomenon of learning in depth and to understand its complex relationship to empirical investigation and teaching. Based on the assumption...... relationships that exist between conceptualizations of learning and the empirical phenomenon of learning and teaching. It discusses how conceptualizations of learning are put to work in educational contexts and how the normative aspects of learning in relation to discussions of what is considered worth learning...

  3. Effects of diabetes definition on global surveillance of diabetes prevalence and diagnosis: a pooled analysis of 96 population-based studies with 331,288 participants

    OpenAIRE

    Gaspoz, Jean-Michel; Guessous, Idris

    2015-01-01

    Diabetes has been defined on the basis of different biomarkers, including fasting plasma glucose (FPG), 2-h plasma glucose in an oral glucose tolerance test (2hOGTT), and HbA1c. We assessed the effect of different diagnostic definitions on both the population prevalence of diabetes and the classification of previously undiagnosed individuals as having diabetes versus not having diabetes in a pooled analysis of data from population-based health examination surveys in different regions.

  4. Knee effusion: ultrasound as a useful tool for the detection of calcium pyrophosphate crystals.

    Science.gov (United States)

    Ruta, Santiago; Catay, Erika; Marin, Josefina; Rosa, Javier; García-Monaco, Ricardo; Soriano, Enrique R

    2016-04-01

    The objective of this study was to evaluate the sensitivity and specificity of ultrasound (US) and conventional radiography (CR) for the detection of calcium pyrophosphate (CPP) crystals in patients with knee effusion. Consecutive patients ≥50 years old with knee effusion were included. All patients underwent arthrocentesis with aspiration of synovial fluid (SF) and subsequent analysis of CPP crystals using plain light and polarizing light microscopy. US and CR of the involved knee were performed immediately after arthrocentesis. CR results were read by an experienced rheumatologist, searching for chondrocalcinosis. US examinations were carried out by an experienced rheumatologist blinded to all clinical and imaging data. The following US abnormal findings were considered indicative of CPP crystals deposition (CPPD): (1) hyperechoic bands within the femoral hyaline cartilage layer, and (2) hyperechoic sparkling spots in meniscal fibrocartilage. A total of 75 knees were evaluated in the same number of patients. Analysis of SF revealed CPP crystals in 15 out of 75 (20 %) knees: all (10) patients with previous diagnosis of CPPD, 3 patients with previous diagnosis of primary knee osteoarthritis (OA) and 2 patients without previous definitive diagnosis of a rheumatic condition. Using SF analysis as reference method, sensitivity and specificity for US findings was 60 and 96.7 %, respectively, while CR showed a sensitivity of 40 % and a specificity of 83.3 %. US results showed high specificity with acceptable sensitivity to detect CPP crystals in patients with knee effusion. Compared with CR, US results had better specificity and sensitivity. US may be used in daily rheumatologic practice when CPPD is suspected.

  5. Age-Related Vitamin D Deficiency Is Associated with Reduced Macular Ganglion Cell Complex: A Cross-Sectional High-Definition Optical Coherence Tomography Study.

    Directory of Open Access Journals (Sweden)

    Mathieu Uro

    Full Text Available Vitamin D deficiency is associated with smaller volume of optic chiasm in older adults, indicating a possible loss of the visual axons and their cellular bodies. Our objective was to determine whether vitamin D deficiency in older adults is associated with reduced thickness of the ganglion cell complex (GCC and of the retinal nerve fibre layer (RNFL, as measured with high-definition optical coherence tomography (HD-OCT.Eighty-five French older community-dwellers without open-angle glaucoma and patent age-related macular degeneration (mean, 71.1±4.7 years; 45.9% female from the GAIT study were separated into 2 groups according to serum 25OHD level (i.e., deficient≤25 nmol/L or sufficient>25 nmol/L. Measurements of GCC and RNFL thickness were performed using HD-OCT. Age, gender, body mass index, number of comorbidities, dementia, functional autonomy, intracranial volume, visual acuity, serum calcium concentration and season of testing were considered as potential confounders.Mean serum 25OHD concentration was 58.4±26.8 nmol/L. Mean logMAR visual acuity was 0.03±0.06. Mean visual field mean deviation was -1.25±2.29 dB. Patients with vitamin D deficiency (n=11 had a reduced mean GCC thickness compared to those without vitamin D deficiency (72.1±7.4 μm versus 77.5±7.5 μm, P=0.028. There was no difference of the mean RNFL thickness in these two groups (P=0.133. After adjustment for potential confounders, vitamin D deficiency was associated with reduced GCC thickness (ß=-5.12, P=0.048 but not RNFL thickness (ß=-9.98, P=0.061. Specifically, vitamin D deficiency correlated with the superior medial GCC area (P=0.017 and superior temporal GCC area (P=0.010.Vitamin D deficiency in older patients is associated with reduced mean GCC thickness, which can represent an early stage of optic nerve damage, prior to RNFL loss.

  6. Definitions of Health Terms: Fitness

    Science.gov (United States)

    ... this page: https://medlineplus.gov/definitions/fitnessdefinitions.html Definitions of Health Terms: Fitness To use the sharing features on ... the most of your exercise routine. Find more definitions on Fitness | General Health | Minerals | Nutrition | Vitamins Activity Count Physical activity is ...

  7. Definitions of Health Terms: Minerals

    Science.gov (United States)

    ... this page: https://medlineplus.gov/definitions/mineralsdefinitions.html Definitions of Health Terms : Minerals To use the sharing features on ... of the minerals that you need. Find more definitions on Fitness | General Health | Minerals | Nutrition | Vitamins Antioxidants Antioxidants are substances that ...

  8. Devising a consensus definition and framework for non-technical skills in healthcare to support educational design: A modified Delphi study.

    Science.gov (United States)

    Gordon, Morris; Baker, Paul; Catchpole, Ken; Darbyshire, Daniel; Schocken, Dawn

    2015-01-01

    Non-technical skills are a subset of human factors that focus on the individual and promote safety through teamwork and awareness. There is no widely adopted competency- or outcome-based framework for non-technical skills training in healthcare. The authors set out to devise such a framework using a modified Delphi approach. An exhaustive list of published and team suggested items was presented to the expert panel for ranking and to propose a definition. In the second round, a focused list was presented, as well as the proposed definition elements. The finalised framework was sent to the panel for review. Sixteen experts participated. The final framework consists of 16 competencies for all and eight specific competencies for team leaders. The consensus definition describes non-technical skills as "a set of social (communication and team work) and cognitive (analytical and personal behaviour) skills that support high quality, safe, effective and efficient inter-professional care within the complex healthcare system". The authors have produced a new competency framework, through the works of an International expert panel, which is not discipline specific that can be used by curriculum developers, educational innovators and clinical teachers to support developments in the field.

  9. Up-regulated expression of cartilage intermediate-layer protein and ANK in articular hyaline cartilage from patients with calcium pyrophosphate dihydrate crystal deposition disease.

    Science.gov (United States)

    Hirose, Jun; Ryan, Lawrence M; Masuda, Ikuko

    2002-12-01

    Excess accumulation of extracellular inorganic pyrophosphate (ePPi) in aged human cartilage is crucial in calcium pyrophosphate dihydrate (CPPD) crystal formation in cartilage matrix. Two sources of ePPi are ePPi-generating ectoenzymes (NTPPPH) and extracellular transport of intracellular PPi by ANK. This study was undertaken to evaluate the role of NTPPPH and ANK in ePPi elaboration, by investigating expression of NTPPPH enzymes (cartilage intermediate-layer protein [CILP] and plasma cell membrane glycoprotein 1 [PC-1]) and ANK in human chondrocytes from osteoarthritic (OA) articular cartilage containing CPPD crystals and without crystals. Chondrocytes were harvested from knee cartilage at the time of arthroplasty (OA with CPPD crystals [CPPD], n = 8; OA without crystals [OA], n = 10). Normal adult human chondrocytes (n = 1) were used as a control. Chondrocytes were cultured with transforming growth factor beta1 (TGFbeta1), which stimulates ePPi elaboration, and/or insulin-like growth factor 1 (IGF-1), which inhibits ePPi elaboration. NTPPPH and ePPi were measured in the media at 48 hours. Media CILP, PC-1, and ANK were determined by dot-immunoblot analysis. Chondrocyte messenger RNA (mRNA) was extracted for reverse transcriptase-polymerase chain reaction to study expression of mRNA for CILP, PC-1, and ANK. NTPPPH and ANK mRNA and protein were also studied in fresh frozen cartilage. Basal ePPi elaboration and NTPPPH activity in conditioned media from CPPD chondrocytes were elevated compared with normal chondrocytes, and tended to be higher compared with OA chondrocytes. Basal expression of mRNA for CILP (chondrocytes) and ANK (cartilage) was higher in both CPPD chondrocytes and CPPD cartilage extract than in OA or normal samples. PC-1 mRNA was less abundant in CPPD chondrocytes and cartilage extract than in OA chondrocytes and extract, although the difference was not significant. CILP, PC-1, and ANK protein levels were similar in CPPD, OA, and normal chondrocytes

  10. A Corpus-Based Investigation of Definite Description Use

    CERN Document Server

    Poesio, M; Poesio, Massimo; Vieira, Renata

    1997-01-01

    We present the results of a study of definite descriptions use in written texts aimed at assessing the feasibility of annotating corpora with information about definite description interpretation. We ran two experiments, in which subjects were asked to classify the uses of definite descriptions in a corpus of 33 newspaper articles, containing a total of 1412 definite descriptions. We measured the agreement among annotators about the classes assigned to definite descriptions, as well as the agreement about the antecedent assigned to those definites that the annotators classified as being related to an antecedent in the text. The most interesting result of this study from a corpus annotation perspective was the rather low agreement (K=0.63) that we obtained using versions of Hawkins' and Prince's classification schemes; better results (K=0.76) were obtained using the simplified scheme proposed by Fraurud that includes only two classes, first-mention and subsequent-mention. The agreement about antecedents was al...

  11. Maven The Definitive Guide

    CERN Document Server

    Company, Sonatype

    2009-01-01

    Written by Maven creator Jason Van Zyl and his team at Sonatype, Maven: The Definitive Guide clearly explains how this popular tool can bring order to your software development projects. The first part of the book demonstrates Maven's capabilities through the development of several sample applications from ideation to deployment, and the second part offers a complete reference guide. Concise and to the point, this is the only guide you need to manage your project.

  12. The Logic of Definition

    Science.gov (United States)

    2009-05-01

    Wittgenstein , in his Philosophical Investigations (1953), observed that, for many phenomena, there are no necessary conditions common to all members of... Wittgenstein 1953: §66, p.27e). Wittgenstein refers to these overlapping similarities as “family resemblances” (Ibid., §67, p.27e). Few, if any, of...that is, we may resort to stipulative definition). But this is not necessary for the concept to be usable. Indeed, as Wittgenstein says, sometimes

  13. XMPP The Definitive Guide

    CERN Document Server

    Saint-Andre, Peter; Smith, Kevin

    2009-01-01

    This practical book provides everything you need to know about the Extensible Messaging and Presence Protocol (XMPP) -- the open technology for real-time communication used in instant messaging, Voice over IP, real-time collaboration, social networking, microblogging, lightweight middleware, cloud computing, and more. XMPP: The Definitive Guide walks you through the thought processes and design decisions involved in building a complete XMPP-enabled application, and adding real-time interfaces to existing applications.

  14. Prioritising Project Scope Definition Elements in Public Building Projects

    Directory of Open Access Journals (Sweden)

    Mohammed K Fageha

    2014-09-01

    Full Text Available A complete definition of the scope of a project upfront during early stages ensures smooth and successful implementation during the project execution. This research identifies and prioritises project scope definition elements for public buildings in Saudi Arabia. Elements that could significantly contribute to complete project scope definition package at pre-project planning stage are identified and their interrelationship determined and prioritised. Using the Project Definition Rating Index (PDRI as a basis, the study uses analytical network process (ANP technique based on data obtained from project managers who have been involved in public sector projects in Saudi Arabia. Data collection and analysis was conducted in three steps. The first step involved identification of scope definition elements while the second involved an investigation into interrelationships among the elements. In the third step, ANP was used to determine the weight of the elements’ importance in terms of contribution to project scope definition completeness. Finally, Pareto analysis was used to prioritise and assess the distribution pattern of the elements. The outcome from this research is the prioritisation of project scope definition elements for public building projects in Saudi Arabia. The prioritised list developed indicates the importance of project scope definition elements. It should help project management teams identify elements to consider when evaluating project scope definition for completeness at the pre-project planning stage. Keywords: Project scope definition, pre-project planning, prioritising, public building projects, Saudi Arabia, Analytical Network Process (ANP

  15. Controversy around the definition of waste

    CSIR Research Space (South Africa)

    Oelofse, Suzanna HH

    2009-11-20

    Full Text Available This paper presents the information concerning the definition of waste. Discussing the importance of the clear definition, ongoing debates, broad definition of waste, problems with the broad definition, interpretation, current waste management model...

  16. A New Definition of Virus

    Institute of Scientific and Technical Information of China (English)

    HE Hongjun; CAO Sihua; LUO Li; FENG Tao; PAN Li; ZOU Zhiji

    2006-01-01

    Security experts have not formally defined the distinction between viruses and normal programs. The paper takes user's intension as the criteria for malice, gives a formal definition of viruses that aim at stealing or destroying files, and proposes an algorithm to detect virus correctly. Compared with traditional definitions, this new definition is easy to understand, covers more malwares, adapts development of virus technology, and defines virus on the spot. The paper has also analyzed more than 250 real viruses and finds that they are all in the domain of the new definition, this implies that the new definition has great practical significance.

  17. Students' Understanding of the Definite Integral Concept

    Science.gov (United States)

    Serhan, Derar

    2015-01-01

    This study investigated students' procedural and conceptual knowledge of the definite integral. Twenty-five students enrolled in one section of an undergraduate Calculus II class participated in this study. Data were collected from a test that was conducted during the fourth week of the semester. The test aimed at collecting information about the…

  18. On an elementary definition of visual saliency

    DEFF Research Database (Denmark)

    Loog, Marco

    2008-01-01

    Various approaches to computational modelling of bottom-up visual attention have been proposed in the past two decades. As part of this trend, researchers have studied ways to characterize the saliency map underlying many of these models. In more recent years, several definitions based on probabi......Various approaches to computational modelling of bottom-up visual attention have been proposed in the past two decades. As part of this trend, researchers have studied ways to characterize the saliency map underlying many of these models. In more recent years, several definitions based...... on probabilistic and information or decision theoretic considerations have been proposed. These provide experimentally successful, appealing, low-level, operational, and elementary definitions of visual saliency (see eg, Bruce, 2005 Neurocomputing 65 125 - 133). Here, I demonstrate that, in fact, all...

  19. Metaphyseal locking plate as a definitive external fixator for treating open tibial fractures--clinical outcome and a finite element study.

    Science.gov (United States)

    Ma, Ching-Hou; Wu, Chin-Hsien; Tu, Yuan-Kun; Lin, Ting-Sheng

    2013-08-01

    We evaluated both the outcome of using a locking plate as a definitive external fixator for treating open tibial fractures and, using finite element analysis, the biomechanical performance of external and internal metaphyseal locked plates in treating proximal tibial fractures. Eight open tibial patients were treated using a metaphyseal locked plate as a low-profile definitive external fixator. Then, finite element models of internal (IPF) as well as two different external plate fixations (EPFs) for proximal tibial fractures were reconstructed. The offset distances from the bone surface to the EPFs were 6 cm and 10 cm. Both axial stiffness and angular stiffness were calculated to evaluate the biomechanical performance of these three models. The mean follow-up period was 31 months (range, 18-43 months). All the fractures united and the mean bone healing time was 37.5 weeks (range, 20-52 weeks). All patients had excellent or good functional results and were walking freely at the final follow-up. The finite element finding revealed that axial stiffness and angular stiffness decreased as the offset distance from the bone surface increased. Compared to the IPF models, in the two EPF models, axial stiffness decreased by 84-94%, whereas the angular stiffness decreased by 12-21%. The locking plate used as a definitive external fixator provided a high rate of union. While the locking plate is not totally rigid, it is clinically stable and may be advisable for stiffness reduction of plating constructs, thus promoting fracture healing by callus formation. Our patients experienced a comfortable clinical course, excellent knee and ankle joint motion, satisfactory functional results and an acceptable complication rate.

  20. Practical definition of averages of tensors in general relativity

    CERN Document Server

    Boero, Ezequiel F

    2016-01-01

    We present a definition of tensor fields which are average of tensors over a manifold, with a straightforward and natural definition of derivative for the averaged fields; which in turn makes a suitable and practical construction for the study of averages of tensor fields that satisfy differential equations. Although we have in mind applications to general relativity, our presentation is applicable to a general n-dimensional manifold. The definition is based on the integration of scalars constructed from a physically motivated basis, making use of the least amount of geometrical structure. We also present definitions of covariant derivative of the averaged tensors and Lie derivative.

  1. Justifying Definitions in Mathematics---Going Beyond Lakatos

    CERN Document Server

    Werndl, Charlotte

    2013-01-01

    This paper addresses the actual practice of justifying definitions in mathematics. First, I introduce the main account of this issue, namely Lakatos's proof-generated definitions. Based on a case study of definitions of randomness in ergodic theory, I identify three other common ways of justifying definitions: natural-world-justification, condition-justification and redundancy-justification. Also, I clarify the interrelationships between the different kinds of justification. Finally, I point out how Lakatos's ideas are limited: they fail to show that various kinds of justification can be found and can be reasonable, and they fail to acknowledge the interplay between the different kinds of justification.

  2. The ANKH gene and familial calcium pyrophosphate dihydrate deposition disease.

    Science.gov (United States)

    Netter, Patrick; Bardin, Thomas; Bianchi, Arnaud; Richette, Pascal; Loeuille, Damien

    2004-09-01

    Familial calcium pyrophosphate dihydrate deposition (CPPD) disease is a chronic condition in which CPPD microcrystals deposit in the joint fluid, cartilage, and periarticular tissues. Two forms of familial CPPD disease have been identified: CCAL1 and CCAL2. The CCAL1 locus is located on the long arm of chromosome 8 and is associated with CPPD and severe osteoarthritis. The CCAL2 locus has been mapped to the short arm of chromosome 5 and identified in families from the Alsace region of France and the United Kingdom. The ANKH protein is involved in pyrophosphate metabolism and, more specifically, in pyrophosphate transport from the intracellular to the extracellular compartment. Numerous ANKH gene mutations cause familial CCAL2; they enhance ANKH protein activity, thereby elevating extracellular pyrophosphate levels and promoting the formation of pyrophosphate crystals, which produce the manifestations of the disease. Recent studies show that growth factors and cytokines can modify the expression of the normal ANKH protein. These results suggest a role for ANKH in sporadic CPPD disease and in CPPD associated with degenerative disease.

  3. External threat and the definition of deviance.

    Science.gov (United States)

    Laudedale, P; Smith-Cunnien, P; Parker, J; Inverarity, J

    1984-05-01

    Research ( Lauderdale , 1976; Schachter , 1951) suggests that an external threat to a group can lead to the rejection of deviant members of the group and alteration of group communication patterns and solidarity. This study sought to extend those findings, integrate them with concepts from Simmel 's (1917/1955) work on group conflict, and link them to key issues in the societal reaction approach to deviant behavior. We examined the effect of variation in level of threat, the relationship between deviant status and nonconformity to the central task norm, the role of high-status actors in deviance designation, the relationship between rejection and negative definition of the deviant, and the effects of rejection and negative definition on group solidarity. Hypotheses were tested in an experimental design involving three conditions (strong threat, weak threat, and no threat). The results suggest that (a) the level of threat is directly related to the extent of rejection and negative definition, (b) nonconformity to the central task norm is not systematically related to deviant status, (c) high-status actors are more involved in the rejection of the deviant, (d) sociometric rejection of the deviant is accompanied by negative definition in the strong-threat condition, and (e) the level of group solidarity is related to the extent of rejection and negative definition. Implications of these findings are discussed relative to the societal reaction approach to deviant behavior and analogous processes in other social groups.

  4. Metabolic syndrome: definitions and controversies

    Directory of Open Access Journals (Sweden)

    Kaltsas Gregory

    2011-05-01

    Full Text Available Abstract Metabolic syndrome (MetS is a complex disorder defined by a cluster of interconnected factors that increase the risk of cardiovascular atherosclerotic diseases and diabetes mellitus type 2. Currently, several different definitions of MetS exist, causing substantial confusion as to whether they identify the same individuals or represent a surrogate of risk factors. Recently, a number of other factors besides those traditionally used to define MetS that are also linked to the syndrome have been identified. In this review, we critically consider existing definitions and evolving information, and conclude that there is still a need to develop uniform criteria to define MetS, so as to enable comparisons between different studies and to better identify patients at risk. As the application of the MetS model has not been fully validated in children and adolescents as yet, and because of its alarmingly increasing prevalence in this population, we suggest that diagnosis, prevention and treatment in this age group should better focus on established risk factors rather than the diagnosis of MetS.

  5. Apache The Definitive Guide

    CERN Document Server

    Laurie, Ben

    2003-01-01

    Apache is far and away the most widely used web server platform in the world. This versatile server runs more than half of the world's existing web sites. Apache is both free and rock-solid, running more than 21 million web sites ranging from huge e-commerce operations to corporate intranets and smaller hobby sites. With this new third edition of Apache: The Definitive Guide, web administrators new to Apache will come up to speed quickly, and experienced administrators will find the logically organized, concise reference sections indispensable, and system programmers interested in customizin

  6. Jenkins The Definitive Guide

    CERN Document Server

    Smart, John

    2011-01-01

    Streamline software development with Jenkins, the popular Java-based open source tool that has revolutionized the way teams think about Continuous Integration (CI). This complete guide shows you how to automate your build, integration, release, and deployment processes with Jenkins-and demonstrates how CI can save you time, money, and many headaches. Ideal for developers, software architects, and project managers, Jenkins: The Definitive Guide is both a CI tutorial and a comprehensive Jenkins reference. Through its wealth of best practices and real-world tips, you'll discover how easy it is

  7. Cassandra the definitive guide

    CERN Document Server

    Hewitt, Eben

    2011-01-01

    What could you do with data if scalability wasn't a problem? With this hands-on guide, you'll learn how Apache Cassandra handles hundreds of terabytes of data while remaining highly available across multiple data centers -- capabilities that have attracted Facebook, Twitter, and other data-intensive companies. Cassandra: The Definitive Guide provides the technical details and practical examples you need to assess this database management system and put it to work in a production environment. Author Eben Hewitt demonstrates the advantages of Cassandra's nonrelational design, and pays special

  8. Definitive surgery and intraoperative photodynamic therapy: a prospective study of local control and survival for patients with pleural dissemination of non-small cell lung cancer.

    Science.gov (United States)

    Simone, Charles B; Cengel, Keith A

    2014-02-01

    Patients with non-small cell lung cancer (NSCLC) with pleural dissemination have very limited survivals often of just 6-9 months. Prior reports of aggressive surgical resection of pleural metastases have shown no consistent improvements in overall survival and very high rates of local recurrences. Based on this and the generally very diffuse pleural dissemination seen in patients, chemotherapy and palliative interventions are standard of care. By attempting to sterile microscopic residual disease after surgical resection, intraoperative photodynamic therapy (PDT) could improve local pleural control and overall survival compared with surgery alone for patients with NSCLC with pleural metastasis. Prior attempts to demonstrate an improvement in clinical outcomes with PDT as an intraoperative adjuvant combined with definitive surgery to treat pleural malignancies have not been successful, perhaps due, in part, to limited ability to perform real-time dosimetry and ensure adequate and even light distribution throughout the chest cavity. A stratified phase II trial assessed the efficacy of definitive surgery and intraoperative PDT with real-time dosimetry in patients with NSCLC with pleural dissemination demonstrated prolonged local control and a higher than expected 21.7-month median survival from the time of surgery and PDT among 22 enrolled patients. This is the first ever report describing optimal methods, techniques, and dosimetry that could be used to safely and reproducibly deliver intraoperative PDT to the chest cavity as part of multimodality therapy for NSCLC with pleural metastasis.

  9. Distal symmetrical polyneuropathy: definition for clinical research.

    Science.gov (United States)

    England, J D; Gronseth, G S; Franklin, G; Miller, R G; Asbury, A K; Carter, G T; Cohen, J A; Fisher, M A; Howard, J F; Kinsella, L J; Latov, N; Lewis, R A; Low, P A; Sumner, A J

    2005-01-01

    The objective of this report was to develop a case definition of "distal symmetrical polyneuropathy" to standardize and facilitate clinical research and epidemiological studies. A formalized consensus process was employed to reach agreement after a systematic review and classification of evidence from the literature. The literature indicates that symptoms alone have relatively poor diagnostic accuracy in predicting the presence of polyneuropathy; signs are better predictors of polyneuropathy than symptoms; and single abnormalities on examination are less sensitive than multiple abnormalities in predicting the presence of polyneuropathy. The combination of neuropathic symptoms, signs, and electrodiagnostic findings provides the most accurate diagnosis of distal symmetrical polyneuropathy. A set of case definitions was rank ordered by likelihood of disease. The highest likelihood of polyneuropathy (useful for clinical trials) occurs with a combination of multiple symptoms, multiple signs, and abnormal electrodiagnostic studies. A modest likelihood of polyneuropathy (useful for field or epidemiological studies) occurs with a combination of multiple symptoms and multiple signs when the results of electrodiagnostic studies are not available. A lower likelihood of polyneuropathy occurs when electrodiagnostic studies and signs are discordant. For research purposes, the best approach for defining distal symmetrical polyneuropathy is a set of case definitions rank ordered by estimated likelihood of disease. The inclusion of this formalized case definition in clinical and epidemiological research studies will ensure greater consistency of case selection.

  10. 42 CFR 440.2 - Specific definitions; definitions of services for FFP purposes.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Specific definitions; definitions of services for... Definitions § 440.2 Specific definitions; definitions of services for FFP purposes. (a) Specific definitions...) Definitions of services for FFP purposes. Except as limited in part 441, FFP is available in...

  11. Musculoskeletal ultrasound including definitions for ultrasonographic pathology

    DEFF Research Database (Denmark)

    Wakefield, RJ; Balint, PV; Szkudlarek, Marcin

    2005-01-01

    in a short period of time. However, there are scarce data regarding its validity, reproducibility, and responsiveness to change, making interpretation and comparison of studies difficult. In particular, there are limited data describing standardized scanning methodology and standardized definitions of US...... pathologies. This article presents the first report from the OMERACT ultrasound special interest group, which has compared US against the criteria of the OMERACT filter. Also proposed for the first time are consensus US definitions for common pathological lesions seen in patients with inflammatory arthritis....

  12. Interreligious Communication (Definition, Concepts, Situation

    Directory of Open Access Journals (Sweden)

    Hasan Bashir

    2016-01-01

    Full Text Available Abstract Religion and monotheistic beliefs are the bases of the human societies and culture and communications are the most important manifestations of these bases. About the three elements of religion, culture and communications, which act as the distinctions of human beings from other beings, and the relationship among them, many discussions have been occurred. In this article, the definitions offered for religion, culture and communication and their relationship, using the literature governing the Intercultural Communication and Cross-cultural Communication as two subjects discussed in the field of Cultural Communication and International Communication, have been reviewed and tried through a novel method to promote the level of religion from a concept usually seen as something such as race, ethnic, identity and life style under the title of international communication and cultural communication to a much higher position and place it under the title of interreligious communication. Following creation of a new field of study, many of the scholars and thinkers who are concerned about that field get together and focus of its issues and try to offer definitions and divisions about the subject. Later, after accumulation of scientific materials about different issues in the field, the human knowledge in that subject starts to develop further and in a more organized way. In this regard, first, the preferred definitions of religion, culture, communication, and Interreligious Communication will be offered. Accordingly, every society includes a meaning structure which is called culture and communication would act as an interaction tool in this system whose task is coding and decoding. Religion is considered the origin of culture and the director of communication. Based on these primary definitions, the interreligious communication is defined as: the relationship between or among the monotheistic religions based on the common understanding of religious

  13. Calcium pyrophosphate deposition disease: clinical manifestations

    Directory of Open Access Journals (Sweden)

    M.A. Cimmino

    2012-01-01

    Full Text Available Calcium pyrophosphate deposition (CPPD disease is an arthropathy caused by calcium pyrophosphate dihydrate (CPP crystal deposits in articular tissues, most commonly fibrocartilage and hyaline cartilage. According to EULAR, four different clinical presentations can be observed: 1 asymptomatic CPPD; 2 osteoarthritis (OA with CPPD; 3 acute CPP crystal arthritis; 4 chronic CPP inflammatory crystal arthritis. Acute CPP crystal arthritis is characterized by sudden onset of pain, swelling and tenderness with overlying erythema, usually in a large joint, most often the knee, wrist, shoulder, and hip. Occasionally, ligaments, tendons, bursae, bone and the spine can be involved. CPPD of the atlanto-occipital joint (crowned dens syndrome can cause periodic acute cervico-occipital pain with fever, neck stiffness and laboratory inflammatory syndrome. Chronic inflammatory arthritis is characterized by joint swelling, morning stiffness, pain, and high ESR and CRP. The relationship between OA and CPPD is still unclear. The main problem is whether such crystals are directly involved in the pathogenesis of OA or if they are the result of joint degeneration. Diagnosis is based on evaluation of history and clinical features, conventional radiology, and synovial fluid examination. Non-polarized light microscopy should be used initially to screen for CPPD crystals based upon their characteristic morphology, and compensated polarized light microscopy, showing the crystals to be weakly positive birefringent, is recommended for definitive identification, although this last pattern only occurs in about 20% of samples. The main goals of CPPD therapy are control of the acute or chronic inflammatory reaction and prevention of further episodes.

  14. Size definitions for particle sampling

    Energy Technology Data Exchange (ETDEWEB)

    1981-05-01

    The recommendations of an ad hoc working group appointed by Committee TC 146 of the International Standards Organization on size definitions for particle sampling are reported. The task of the group was to collect the various definitions of 'respirable dust' and to propose a practical definition on recommendations for handling standardization on this matter. One of two proposed cut-sizes in regard to division at the larynx will be adopted after a ballot.

  15. The conceptual scope of the definition of securities in the provisions of the Personal Income Tax Act of 26 July 1991, as an example of incorrect legal definition

    Directory of Open Access Journals (Sweden)

    Artur Halasz

    2016-06-01

    Full Text Available The subject of this study is the analysis of the conceptual scope of the legal definition of securities in the provisions of the Personal Income Tax Act of 26 July 1991. The aim of the publication is to identify, following law analysis, that the definition of legal securities is an example of incorrect legal definition. The article goes on to point out the tax effects of this legal definition.

  16. Definitions of Multicultural Competence: Frontline Human Service Providers' Perspective

    Science.gov (United States)

    Caldwell, Leon D.; Tarver, Dolores D.; Iwamoto, Derek K.; Herzberg, Sarah E.; Cerda-Lizarraga, Patricia; Mack, Tabethah

    2008-01-01

    In this qualitative study, the authors explored definitions of multicultural competence given by 99 frontline human service providers. The providers had no formal training in counseling but served in a helping role. Seven thematic definitions emerged: color blindness, client focused, acknowledgment of cultural differences, textbook consistent,…

  17. Definitions of Multicultural Competence: Frontline Human Service Providers' Perspective

    Science.gov (United States)

    Caldwell, Leon D.; Tarver, Dolores D.; Iwamoto, Derek K.; Herzberg, Sarah E.; Cerda-Lizarraga, Patricia; Mack, Tabethah

    2008-01-01

    In this qualitative study, the authors explored definitions of multicultural competence given by 99 frontline human service providers. The providers had no formal training in counseling but served in a helping role. Seven thematic definitions emerged: color blindness, client focused, acknowledgment of cultural differences, textbook consistent,…

  18. Nouns and Verbs: A Comparison of Definitional Style

    Science.gov (United States)

    Marinellie, Sally A.; Johnson, Cynthia J.

    2004-01-01

    The present investigation is a study of the definitional style of nouns and verbs in typically developing school-age children. A total of 30 children in upper-elementary grades provided verbal definitions for 10 common high-frequency nouns (e.g., apple, boat, baby) and 10 common high- frequency verbs (e.g., climb, sing, throw). All definitions…

  19. Definition of Measure-theoretic Pressure Using Spanning Sets

    Institute of Scientific and Technical Information of China (English)

    Lian Fa HE; Jin Feng LV; Li Na ZHOU

    2004-01-01

    We introduce a new definition of measure-theoretic pressure for ergodic measures of continuous maps on a compact metric space. This definition is similar to those of topological pressure involving spanning sets. As an application, for C1+α(α> 0) diffeomorphisms of a compact manifold, we study the relationship between the measure-theoretic pressure and the periodic points.

  20. 34 CFR 656.7 - What definitions apply?

    Science.gov (United States)

    2010-07-01

    ..., economy, politics, international relations, and languages. (c) Center means an administrative unit of an... LANGUAGE AND INTERNATIONAL STUDIES General § 656.7 What definitions apply? The following definitions apply... international and foreign language content into baccalaureate degree program; (3) Makes training...

  1. Leader self-definition and leader self-serving behavior

    NARCIS (Netherlands)

    Rus, Diana; van Knippenberg, Daan; Wisse, Barbara

    2010-01-01

    The present research investigated the relationship between leader self-definition processes and leader self-serving behaviors. We hypothesized that self-definition as a leader interacts with social reference information (descriptive and injunctive) in predicting leader self-serving actions Six studi

  2. Definitions Are Important: The Case of Linear Algebra

    Science.gov (United States)

    Berman, Abraham; Shvartsman, Ludmila

    2016-01-01

    In this paper we describe an experiment in a linear algebra course. The aim of the experiment was to promote the students' understanding of the studied concepts focusing on their definitions. It seems to be a given that students should understand concepts' definitions before working substantially with them. Unfortunately, in many cases they do…

  3. 32 CFR 272.3 - Definition of basic research.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Definition of basic research. 272.3 Section 272...) MISCELLANEOUS ADMINISTRATION AND SUPPORT OF BASIC RESEARCH BY THE DEPARTMENT OF DEFENSE § 272.3 Definition of... processes or products in mind. It includes all scientific study and experimentation directed...

  4. Formal Definition of Artificial Intelligence

    OpenAIRE

    Dobrev, Dimiter

    2005-01-01

    * This publication is partially supported by the KT-DigiCult-Bg project. A definition of Artificial Intelligence (AI) was proposed in [1] but this definition was not absolutely formal at least because the word "Human" was used. In this paper we will formalize the definition from [1]. The biggest problem in this definition was that the level of intelligence of AI is compared to the intelligence of a human being. In order to change this we will introduce some parameters to which AI ...

  5. Researching Lean: Methodological implications of loose definitions

    DEFF Research Database (Denmark)

    Brännmark, Mikael; Langstrand, Jostein; Johansson, Stina

    2012-01-01

    it very difficult to study through a priori definitions. Practical implications/recommendations – The large variation in interpretations of Lean complicates metaanalyses regarding potential impact of Lean on the primary stakeholders of an organization, i.e. the customer, employees and employer. Based...

  6. 14 CFR 1259.101 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... students only individuals who have a certificate of graduation or equivalent from a secondary school; (2) Is legally authorized within such State to provide a program of education beyond secondary education... definitions shall apply: (a) Field related to space means any academic discipline or field of study...

  7. Paratonia: a Delphi procedure for consensus definition.

    NARCIS (Netherlands)

    Hobbelen, J.S.; Koopmans, R.T.C.M.; Verhey, F.R.J.; Peppen, R.P. van; Bie, R.A. de

    2006-01-01

    BACKGROUND AND PURPOSE: Paratonia is a motor problem that develops during the course of dementia. Definitions of paratonia used in the literature differ considerably, which has clinical implications and may lead to an undesirable heterogeneity in study populations. For this reason, we initiated a

  8. Definitions of night eating in adolescent girls

    NARCIS (Netherlands)

    Striegel-Moore, RH; Thompson, D; Franko, DL; Barton, B; Affenito, S; Schreiber, GB; Daniels, [No Value

    2004-01-01

    Objective: To describe the prevalence of night eating in a community cohort of black and white girls, using different definitions of night eating as described in the literature. Research Methods and Procedures: Three-day food diaries collected as part of the National Growth and Health Study were exa

  9. Analyzing Medical Students' Definitions of Sex

    Science.gov (United States)

    Talley, Heather; Cho, Janice; Strassberg, Donald S.; Rullo, Jordan E.

    2016-01-01

    An inaccurate definition of what constitutes sex can negatively impact the sexual health and wellbeing of patients. This study aimed to determine which behaviors medical students consider to be sex. Survey questions about various sexual behaviors were administered to medical students. All participants agreed that penile-vaginal penetration is sex.…

  10. 45 CFR 86.2 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Introduction § 86.2 Definitions. As...) Recipient means any State or political subdivision thereof, or any instrumentality of a State or political...) Offers academic study beyond the bachelor of arts or bachelor of science degree, whether or not leading...

  11. 34 CFR 106.2 - Definitions.

    Science.gov (United States)

    2010-07-01

    ... Introduction § 106.2 Definitions. As used in this part, the term: (a) Title IX means title IX of the Education... or political subdivision thereof, or any instrumentality of a State or political subdivision thereof... study beyond the bachelor of arts or bachelor of science degree, whether or not leading to a certificate...

  12. Definitions of night eating in adolescent girls

    NARCIS (Netherlands)

    Striegel-Moore, RH; Thompson, D; Franko, DL; Barton, B; Affenito, S; Schreiber, GB; Daniels, [No Value

    Objective: To describe the prevalence of night eating in a community cohort of black and white girls, using different definitions of night eating as described in the literature. Research Methods and Procedures: Three-day food diaries collected as part of the National Growth and Health Study were

  13. Value of adjuvant misonidazole in the definitive irradiation of advanced head and neck squamous cancer: an RTOG pilot study (number78-02)

    Energy Technology Data Exchange (ETDEWEB)

    Fazekas, J.T. (Thomas Jefferson Univ. Hospital, Philadelphia, PA); Goodman, R.L.; McLean, C.J.

    1981-12-01

    This RTOG Phase II trial was instituted to determine the toxicity and potential value of the electron-affinic agent, Misonidazole, adjunctive to definitive radiotherapy of T3 and T4 squamous cancers of the oral cavity, oropharynx, or hypopharynx. The fractionation schema was altered to deliver two separate treatments (250 rad and 210 rad) on each day when Misonidazole was administered, while maintaining relatively ''standard'' fractionation (5 fractions and 1000 rad per week). In order to achieve effective enhancement while minimizing toxicity, Misonidazole doses were limited to 2.5 gm/m/sup 2/ once per week, not to exceed 24 gm total cumulative in 6 weeks. Definitive radiation therapy in the range of 6500-7000 rad was delivered over 6 1/2-8 weeks. The dosage was reduced to 1.0 gm/m/sup 2//wk after the first 30 patients were entered. Among the 50 patients entered, toxicity was confined to the nervous system, with one-third of the patients experiencing mild or moderate peripheral neuropathies (paresthesias, numbness) and an equal number developing nausea and/or vomiting following p.o. drug administration. Encelphalopathy occurred in 10% of the 30 patients receiving 2.5 mg/m/sup 2/ dosage. Serum drug levels and cumulative Misonidazole doses did not correlate well with toxicity or response except in comparison of the ''no response'' to the ''complete response'' categories. Immediate mucosal and skin reactions were not enhanced and unusual late normal tissue effects were not encountered. Complete disappearance of all visible and palpable primary tumor was noted in 67% of the 36 patients who completed the adjuvant sensitizer program. Tumor response and survival did not generally correlate with measured (serum) Misonidazole concentration; recurrence was also independent of these measured levels.

  14. Achieving a Consensual Definition of Phishing Based on a Systematic Review of the Literature

    NARCIS (Netherlands)

    Lastdrager, E.E.H.

    2014-01-01

    Background: Phishing is a widely known phenomenon, but currently lacks a commonly accepted definition. As a result, many studies about phishing use their own definition. The lack of a common definition prevents knowledge accumulation and makes analysing studies or aggregating data about phishing a

  15. Achieving a consensual definition of phishing based on a systematic review of the literature

    NARCIS (Netherlands)

    Lastdrager, Elmer E.H.

    2014-01-01

    Background: Phishing is a widely known phenomenon, but currently lacks a commonly accepted definition. As a result, many studies about phishing use their own definition. The lack of a common definition prevents knowledge accumulation and makes analysing studies or aggregating data about phishing a d

  16. Workflow patterns the definitive guide

    CERN Document Server

    Russell, Nick; ter Hofstede, Arthur H M

    2016-01-01

    The study of business processes has emerged as a highly effective approach to coordinating an organization's complex service- and knowledge-based activities. The growing field of business process management (BPM) focuses on methods and tools for designing, enacting, and analyzing business processes. This volume offers a definitive guide to the use of patterns, which synthesize the wide range of approaches to modeling business processes. It provides a unique and comprehensive introduction to the well-known workflow patterns collection -- recurrent, generic constructs describing common business process modeling and execution scenarios, presented in the form of problem-solution dialectics. The underlying principles of the patterns approach ensure that they are independent of any specific enabling technology, representational formalism, or modeling approach, and thus broadly applicable across the business process modeling and business process technology domains. The authors, drawing on extensive research done by...

  17. [Definition of shock types].

    Science.gov (United States)

    Adams, H A; Baumann, G; Gänsslen, A; Janssens, U; Knoefel, W; Koch, T; Marx, G; Müller-Werdan, U; Pape, H C; Prange, W; Roesner, D; Standl, T; Teske, W; Werner, G; Zander, R

    2001-11-01

    Definitions of shock types. Hypovolaemic shock is a state of insufficient perfusion of vital organs with consecutive imbalance of oxygen supply and demand due to an intravascular volume deficiency with critically impaired cardiac preload. Subtypes are haemorrhagic shock, hypovolaemic shock in the narrow sense, traumatic-haemorrhagic shock and traumatic-hypovolaemic shock. Cardiac shock is caused by a primary critical cardiac pump failure with consecutive inadequate oxygen supply of the organism. Anaphylactic shock is an acute failure of blood volume distribution (distributive shock) and caused by IgE-dependent, type-I-allergic, classical hypersensibility, or a physically, chemically, or osmotically induced IgE-independent anaphylactoid hypersensibility. The septic shock is a sepsis-induced distribution failure of the circulating blood volume in the sense of a distributive shock. The neurogenic shock is a distributive shock induced by generalized and extensive vasodilatation with consecutive hypovolaemia due to an imbalance of sympathetic and parasympathetic regulation of vascular smooth muscles.

  18. Product definition data interface

    Science.gov (United States)

    Birchfield, B.; Downey, P.

    1984-01-01

    The development and application of advanced Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) technology in aerospace industry is discussed. New CAD/CAM capabilities provide the engineer and production worker with tools to produce better products and significantly improve productivity. This technology is expanding in all phases of engineering and manufacturing with large potential for improvements in productivity. The integration of CAD and CAM systematically to insure maximum utility throughout the U.S. Aerospace Industry, its large community of supporting suppliers, and the Department of Defense aircraft overhaul and repair facilities is outlined. The need for a framework for exchange of digital product definition data, which serves the function of the conventional engineering drawing is emphasized.

  19. Grouping Synonyms by Definitions

    CERN Document Server

    Falk, Ingrid; Jacquey, Evelyne; Venant, Fabienne

    2009-01-01

    We present a method for grouping the synonyms of a lemma according to its dictionary senses. The senses are defined by a large machine readable dictionary for French, the TLFi (Tr\\'esor de la langue fran\\c{c}aise informatis\\'e) and the synonyms are given by 5 synonym dictionaries (also for French). To evaluate the proposed method, we manually constructed a gold standard where for each (word, definition) pair and given the set of synonyms defined for that word by the 5 synonym dictionaries, 4 lexicographers specified the set of synonyms they judge adequate. While inter-annotator agreement ranges on that task from 67% to at best 88% depending on the annotator pair and on the synonym dictionary being considered, the automatic procedure we propose scores a precision of 67% and a recall of 71%. The proposed method is compared with related work namely, word sense disambiguation, synonym lexicon acquisition and WordNet construction.

  20. Viruses, definitions and reality

    Directory of Open Access Journals (Sweden)

    Libia Herrero-Uribe

    2011-09-01

    Full Text Available Viruses are known to be abundant, ubiquitous, and to play a very important role in the health and evolution of life organisms. However, most biologists have considered them as entities separate from the realm of life and acting merely as mechanical artifacts that can exchange genes between different organisms. This article reviews some definitions of life organisms to determine if viruses adjust to them, and additionally, considers new discoveries to challenge the present definition of viruses. Definitions of life organisms have been revised in order to validate how viruses fit into them. Viral factories are discussed since these mini-organelles are a good example of the complexity of viral infection, not as a mechanical usurpation of cell structures, but as a driving force leading to the reorganization and modification of cell structures by viral and cell enzymes. New discoveries such as the Mimivirus, its virophage and viruses that produce filamentous tails when outside of their host cell, have stimulated the scientific community to analyze the current definition of viruses. One way to be free for innovation is to learn from life, without rigid mental structures or tied to the past, in order to understand in an integrated view the new discoveries that will be unfolded in future research. Life processes must be looked from the complexity and trans-disciplinarity perspective that includes and accepts the temporality of the active processes of life organisms, their interdependency and interrelation among them and their environment. New insights must be found to redefine life organisms, especially viruses, which still are defined using the same concepts and knowledge of the fifties. Rev. Biol. Trop. 59 (3: 993-998. Epub 2011 September 01.Los virus son abundantes, ubicuos, y juegan un papel muy importante en la salud y en la evolución de los organismos vivos. Sin embargo, la mayoría de los biólogos los siguen considerado como entidades separadas

  1. Partial Remission Definition

    DEFF Research Database (Denmark)

    Andersen, Marie Louise Max; Hougaard, Philip; Pörksen, Sven

    2014-01-01

    of type 1 diabetes (T1D). Receiver operating characteristic curve (ROC) analysis was used to evaluate the predictive value of IDAA1c and age on partial C-peptide remission (stimulated C-peptide, SCP > 300 pmol/L). RESULTS: PR (IDAA1c ≤ 9) in the Danish and Hvidoere cohorts occurred in 62 vs. 61% (3 months......OBJECTIVE: To validate the partial remission (PR) definition based on insulin dose-adjusted HbA1c (IDAA1c). SUBJECTS AND METHODS: The IDAA1c was developed using data in 251 children from the European Hvidoere cohort. For validation, 129 children from a Danish cohort were followed from the onset...

  2. ENCYCLOPEDIC DEFINITIONS IN LANGUAGE DICTIONARIES – A TREASURY OF CULTURE

    Directory of Open Access Journals (Sweden)

    Valentyna Skybina

    2015-10-01

    Full Text Available This paper discusses encyclopedic module of definitions in language dictionaries as a source of historical and cultural information. The main aim of the study is to reveal and compare the encyclopedic modules of definitions in early dictionaries of Australian and Indian English. The method applied consists in the analysis of the definitions and in the review of citation. The data was selected from two dictionaries on historical principles – Austral English (Morris, 1898 and Hobson-Jobson (Yule and Burnell, 1886. The corpus consists of 320 and 292 articles respectively. The study showed that in both dictionaries encyclopedic module of the definitions overshadows the linguistic one. At the same time, specificity of the nascent varieties of English and particularities of the linguistic situation in Australia and India determined the framework of these dictionaries, mainly the criteria of the entries’ selection and, as a consequence, the lexical domains covered by encyclopedic modules of the definitions.

  3. 5 CFR 210.102 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 210.102 Section 210.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS BASIC CONCEPTS AND DEFINITIONS (GENERAL) Applicability of Regulations; Definitions § 210.102 Definitions. (a) The definitions in paragraph...

  4. MARKETING CONCEPT - DEFINITION AND DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Krasimir Davchev

    2014-12-01

    Full Text Available The article deals with the connection between the historical development of the marketing concept and the impact this development has on the precise definition of the marketing concept. The author proposes his own version of the definition based on the current state of socio-economic reality.

  5. An Operational Definition of Learning

    Science.gov (United States)

    Harel, Guershon; Koichu, Boris

    2010-01-01

    An operational definition offered in this paper posits learning as a multi-dimensional and multi-phase phenomenon occurring when individuals attempt to solve what they view as a problem. To model someone's learning accordingly to the definition, it suffices to characterize a particular sequence of that person's disequilibrium-equilibrium phases in…

  6. 46 CFR Section 1 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Definitions. Section 1 Section 1 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Section 1 Definitions. As used in this...

  7. MARKETING CONCEPT - DEFINITION AND DEVELOPMENT

    OpenAIRE

    Krasimir Davchev

    2014-01-01

    The article deals with the connection between the historical development of the marketing concept and the impact this development has on the precise definition of the marketing concept. The author proposes his own version of the definition based on the current state of socio-economic reality.

  8. Definition of the characteristic impedance

    Institute of Scientific and Technical Information of China (English)

    徐云生; Abbas Sayed OMAR

    1996-01-01

    Currently available definitions of the characteristic impedance are ambiguous andior inaccurate.A general definition,based on the description of discontinuities between adjacent waveguides,is given.This definition is accurate and independent of the structure concerned.So it can be applied to the design of passive components in any type of transmission lines.Using this definition,a given structure can be uniquely characterized,but the absolute value of the characteristic impedance has no sense any more.As an example,the design of a microstrip impedance transformer using this new definition is presented.Numerical results using the mode-matching method prove the accuracy of the theory.

  9. Assessing Smoking Behaviour and Tobacco Smoke Exposure: Definitions and Methods

    Directory of Open Access Journals (Sweden)

    Gregg E

    2014-12-01

    Full Text Available In recent years, the increased availability of tobacco products other than conventional cigarettes, the use of puffing topography devices for smoking behaviour studies and the use of biomarkers to study smoke constituents exposure have generated the need for a more comprehensive set of definitions concerning smoking behaviour and exposure to smoke. The definitions offered in this paper are based on many years of practical experience and on consensus within a broad group of scientists working in these areas. It is intended that, with wider and more consistent usage, these definitions should reduce any misunderstandings and facilitate interpretation of future studies.

  10. Towards a universal definition of competitive intelligence

    Directory of Open Access Journals (Sweden)

    Rene Pellissier

    2013-07-01

    Full Text Available Background: Enterprises face intense competition caused by globalisation. Consequently, enterprises look for tools that provide a competitive advantage. Competitive intelligence (CI provides a competitive advantage to enterprises of all sizes. There are many definitions of CI but no universally accepted one.Objectives: The purpose of this research is to review the current literature on CI with the aim of identifying and analysing CI definitions to establish the commonalities and differences, to propose a universal and comprehensive definition of CI and to set the borders of CI for common understanding amongst CI stakeholders.Method: The study was qualitative in nature and content analysis was conducted on all identified sources establishing and analysing CI definitions. To identify relevant literature, academic databases and search engines were used. A review of references in related studies led to more relevant sources, the references of which were further reviewed and analysed. Keywords ‘competitive intelligence’, ‘marketing intelligence’ and ‘business intelligence’ were used in search engines to find relevant sources. To ensure reliability, only peer-reviewed articles were used.Results: The majority of scholars define CI as a process and acknowledge that CI is collected from the internal and external or competitive environment. They also outline the goals of CI, which are to help in decision-making and provide a competitive advantage.Conclusion: The proposed definition outlines the process, purpose, source, deliverables, beneficiaries, benefit, ethicality and legality of CI, sets out the borders of CI and ensures a common understanding amongst CI stakeholders.

  11. Model Based Definition

    Science.gov (United States)

    Rowe, Sidney E.

    2010-01-01

    In September 2007, the Engineering Directorate at the Marshall Space Flight Center (MSFC) created the Design System Focus Team (DSFT). MSFC was responsible for the in-house design and development of the Ares 1 Upper Stage and the Engineering Directorate was preparing to deploy a new electronic Configuration Management and Data Management System with the Design Data Management System (DDMS) based upon a Commercial Off The Shelf (COTS) Product Data Management (PDM) System. The DSFT was to establish standardized CAD practices and a new data life cycle for design data. Of special interest here, the design teams were to implement Model Based Definition (MBD) in support of the Upper Stage manufacturing contract. It is noted that this MBD does use partially dimensioned drawings for auxiliary information to the model. The design data lifecycle implemented several new release states to be used prior to formal release that allowed the models to move through a flow of progressive maturity. The DSFT identified some 17 Lessons Learned as outcomes of the standards development, pathfinder deployments and initial application to the Upper Stage design completion. Some of the high value examples are reviewed.

  12. Historical centres: changing definitions

    Directory of Open Access Journals (Sweden)

    Roberta Lazzarotti

    2014-02-01

    Full Text Available Since the end of the Second World War, the architectural and planning culture has been showing a fluctuating attention to the theme of historical centres and their enhancement. First of all this uneven progress explains the difficulty to reach a homogeneous definition and this is still lacking. During a long phase of this period, the historical parts of the town were considered as objects to be preserved in an integral way, as urban monuments. This is mostly due to the high symbolic value of these settlements, that represent fundamental landmarks. Identity building and empowerment of local communities are indispensable conditions for any development programme, especially in the case of centres or other historic environments at risk of abandonment. The progressive evolution of this concept brings awareness of the impossibility of separating – either in analytical or in planning terms ­ historical centres from their urban and territorial contexts, which are linked by mutual, deep relationships. This article attempts to retrace the steps signaled by the publication of international documents and conventions, from the Charter of Gubbio (1960 to the Charter of Krakow and the European Landscape Convention (2000; they obviously represent particular points of view, not exhaustive of the richness of the positions in the debate, but extremely significant in terms of diffusion and consensus.

  13. Approximations First: A Closer Look at Applications of the Definite Integral

    Science.gov (United States)

    Brandt, Keith

    2017-01-01

    I propose that students pay more attention to the approximations that lead to integral formulas when they study applications of the definite integral. The goal is to focus students on the underlying concepts and the definition of the definite integral--and to steer them away from memorizing formulas. To address this goal, I have written some…

  14. Benefits and limitations of using the weather radar for the definition of rainfall thresholds for debris flows. Case study from Catalonia (Spain).

    Science.gov (United States)

    Abancó, C.; Hürlimann, M.; Sempere, D.; Berenguer, M.

    2012-04-01

    Torrential processes such as debris flows or hyperconcentrated flows are fast movements formed by a mix of water and different amounts of unsorted solid material. They occur in steep torrents and suppose a high risk for the human settlements. Rainfall is the most common triggering factor for debris flows. The rainfall threshold defines the rainfall conditions that, when reached or exceeded, are likely to provoke one or more events. Many different types of empirical rainfall thresholds for landslide triggering have been defined. Direct measurements of rainfall data are normally not available from a point next to or in the surroundings of the initiation area of the landslide. For this reason, most of the thresholds published for debris flows have been established by data measured at the nearest rain gauges (often located several km far from the landslide). Only in very few cases, the rainfall data to analyse the triggering conditions of the debris flows have been obtained by weather (Doppler) radar. Radar devices present certain limitations in mountainous regions due to undesired reboots, but their main advantage is that radar data can be obtained for any point of the territory. The objective of this work was to test the use of the weather radar data for the definition of rainfall thresholds for debris-flow triggering. Thus, rainfall data obtained from 3 to 5 rain gauges and from radar were compared for a dataset of events occurred in Catalonia (Spain). The goal was to determine in which cases the description of the rainfall episode (in particular the maximum intensity) had been more accurate. The analysed dataset consists of: 1) three events occurred in the Rebaixader debris-flow monitoring station (Axial Pyrenees) including two hyperconcentrated flows and one debris flow; 2) one debris-flow event occurred in the Port Ainé ski resort (Axial Pyrenees); 3) one debris-flow event in Montserrat (Mediterranean Coastal range). The comparison of the hyetographs from the

  15. Study on the Definition and Measurement of High Growth Firm%高成长企业测度与界定标准研究

    Institute of Scientific and Technical Information of China (English)

    田红云; Anton Kriz; David Cunneen; 张蓓佳

    2014-01-01

    高成长企业不仅是就业机会的主要创造者,还是产业技术创新的重要承担者和经济发展的动力。通过追溯高成长企业的理论渊源,界定高成长企业的4个维度,即增长率、测度指标、企业规模和考察期,在对已有文献关于绝对指标测度法、相对指标测度法及各类指标优缺点分析的基础上,归纳出符合高成长企业本质特征的测度标准和方法,可为后续理论研究提供参考。%High-grow th firms are not only the new job creators but also the principle innovators of industrial technology and driver of economy development .Although more and more interests have focused on high-growth firms research ,there have not formed general standards of measurement and definition of high-growth firm which reduced the comparability and accumulation of existing achievements .After reviewing the source of high-growth firm theory ,we find four dimensions of high-grow th firms ,i .e .grow th rate ,indicators ,scale and observing periods .Based on comparing absolute measurement and relative measurement and analyzing advantages and disadvantages of indicators ,we summarize the standard and ways of measurement which are in conformity with the nature of high-growth firms .

  16. 矿产资源短缺风险定义初探%Preliminary study on definition of shortage risk of mineral resources

    Institute of Scientific and Technical Information of China (English)

    杨军民

    2012-01-01

    The shortage of mineral resources is inevitable and it is an issue of risk. There is no definition of the shortage risk of mineral resources in academic by now. Defining the shortage risk of mineral resources is very important for realizing risk. Further more, it will play an important role in risk analysis and management. In this paper,the shortage risk of mineral resources is defined as adverse event scenarios caused by the difference between actual supply and expected demand for mineral resources in the future. The shortage risk of mineral resources has the following characteristics: ( 1) The social attribute of the shortage risk of mineral resources; ( 2 ) The bidirectional attribute of risks conducting; ( 3) Prices as the sources of risk; (4) Two - stage characteristics of risk effect.%矿产资源短缺现象不可避免,矿产资源短缺是一个风险问题.目前理论界尚无矿产资源短缺风险的定义.合理准确地描述矿产资源短缺风险的概念对于认识风险,尤其是开展风险分析和管理具有十分重要的意义.作者将矿产资源短缺风险定义为矿产资源供需与预期差异产生不利事件的未来情景.矿产资源短缺风险具有以下特征:(1)风险的社会属性;(2)风险传导的双向性;(3)最终风险源是价格;(4)风险影响的二阶段特性.

  17. Competing definitions of contextual environments

    Directory of Open Access Journals (Sweden)

    Jerrett Michael

    2006-12-01

    Full Text Available Abstract Background The growing interest in the effects of contextual environments on health outcomes has focused attention on the strengths and weaknesses of alternate contextual unit definitions for use in multilevel analysis. The present research examined three methods to define contextual units for a sample of children already enrolled in a respiratory health study. The Inclusive Equal Weights Method (M1 and Inclusive Sample Weighted Method (M2 defined communities using the boundaries of the census blocks that incorporated the residences of the CHS participants, except that the former estimated socio-demographic variables by averaging the census block data within each community, while the latter used weighted proportion of CHS participants per block. The Minimum Bounding Rectangle Method (M3 generated minimum bounding rectangles that included 95% of the CHS participants and produced estimates of census variables using the weighted proportion of each block within these rectangles. GIS was used to map the locations of study participants, define the boundaries of the communities where study participants reside, and compute estimates of socio-demographic variables. The sensitivity of census variable estimates to the choice of community boundaries and weights was assessed using standard tests of significance. Results The estimates of contextual variables vary significantly depending on the choice of neighborhood boundaries and weights. The choice of boundaries therefore shapes the community profile and the relationships between its components (variables. Conclusion Multilevel analysis concerned with the effects of contextual environments on health requires careful consideration of what constitutes a contextual unit for a given study sample, because the alternate definitions may have differential impact on the results. The three alternative methods used in this research all carry some subjectivity, which is embedded in the decision as to what

  18. Study on Library’s Social Responsibility under the View of Meta Definition%“元定义”视域下的图书馆社会责任研究

    Institute of Scientific and Technical Information of China (English)

    王妍

    2014-01-01

    随着社会的发展,人们希望图书馆承担更多的社会责任,并对图书馆行为造成的结果和影响负责。对“元定义”视域下的“图书馆社会责任”进行了定义、分析与研究,以期为图书馆社会责任的研究提供新的途径和思路。%With the development of the society, people hope the library to take more social responsibilities, and be responsible for the results and influences caused by library behaviors. This paper defines, analyzes and studies library’s social responsibility under the view of meta definition in order to provide new paths and ideas for the study on library’s social responsibility.

  19. Obturator Definitive Mandibula Post Hemimandibulectomy Sinistra

    Directory of Open Access Journals (Sweden)

    Paul Sugiyo

    2012-12-01

    the mandible, various surgical treatment modalities like marginal, segmental, hemimandibulectomy, or total mandibulectomy. Purpose. This study was to deteminated of rehabilitation treatment by mandible definitive obturator. The clinicians must wait for extensive period of the time for completion of healing before considering the definitive prosthesis. During this initial healing period prosthodontic intervention is required for preventing the mandibular deviation. This case report describes management of a patient who has undergone a reconstructed hemimandibulectomy with mandible definitive obturator. The prosthesis help patient moving the mandible normally without deviation during functions like speech, mastication, and aesthetic. Case Report. On March 2012, a 46 years old man was referred from Dr. Sardjito Hospital Oral Surgery Department to Department of Prosthodontics RSGM Faculty of Dentistry Gadjah Mada University Yogyakarta, for prosthetic rehabilitation following a hemimandibulectomy sinintra reconstructed with plate reconstruction three months ago. Patient felt speech function, masticatory function, and impaired performance, lower lip frequently bitten. Results. After treated while 8 months till now by mandible definitive obturator, patient felt more comfortable and confident with recovery function of speech, mastication, and aesthetic. Conclusion. The deviation of mandible after hemimandibulectomy was reconstructed by reconstruction plate surgery. During this initial healing period early prosthodontic intervention by mandible definitive obturator.

  20. Functional interpretation and inductive definitions

    CERN Document Server

    Avigad, Jeremy

    2008-01-01

    Extending G\\"odel's \\emph{Dialectica} interpretation, we provide a functional interpretation of classical theories of positive arithmetic inductive definitions, reducing them to theories of finite-type functionals defined using transfinite recursion on well-founded trees.

  1. Market Definition: Use and Abuse

    OpenAIRE

    Unknown; Dennis Carlton

    2007-01-01

    Market definition is a crude though sometimes useful tool for identifying market power. The ambiguity in what analysts mean by market power (price above marginal cost, or excess profits) cannot be resolved by market share.

  2. Market Definition: Use and Abuse

    OpenAIRE

    Unknown; Dennis Carlton

    2007-01-01

    Market definition is a crude though sometimes useful tool for identifying market power. The ambiguity in what analysts mean by market power (price above marginal cost, or excess profits) cannot be resolved by market share.

  3. Definition and Facts for Constipation

    Science.gov (United States)

    ... Clinical Trials View All Content Definition & Facts for Constipation What is Constipation? Constipation is a condition in which you typically ... to prevent or relieve constipation. How common is constipation? Constipation is one of the most common gastrointestinal ( ...

  4. Dosimetric study of volumetric arc modulation with RapidArc and intensity-modulated radiotherapy in patients with cervical cancer and comparison with 3-dimensional conformal technique for definitive radiotherapy in patients with cervical cancer

    Energy Technology Data Exchange (ETDEWEB)

    Guy, Jean-Baptiste [Department of Radiation Oncology, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint-Priest en Jarez (France); Falk, Alexander T. [Department of Radiation Oncology, Centre Antoine Lacassagne, Nice (France); Auberdiac, Pierre [Department of Radiation Oncology, Clinique Claude Bernard, Albi (France); Cartier, Lysian; Vallard, Alexis [Department of Radiation Oncology, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint-Priest en Jarez (France); Ollier, Edouard [Department of Pharmacology-Toxicology, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Priest en Jarez (France); Trone, Jane-Chloé; Khodri, Moustapha [Department of Radiation Oncology, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint-Priest en Jarez (France); Chargari, Cyrus [Department of Radiation Oncology, Hôpital d’instruction de Armées du Val-de-Grâce, Paris (France); Magné, Nicolas, E-mail: nicolas.magne@icloire.fr [Department of Radiation Oncology, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint-Priest en Jarez (France)

    2016-04-01

    Introduction: For patients with cervical cancer, intensity-modulated radiation therapy (IMRT) improves target coverage and allows dose escalation while reducing the radiation dose to organs at risk (OARs). In this study, we compared dosimetric parameters among 3-dimensional conformal radiotherapy (3D-CRT), “step-and-shoot” IMRT, and volumetric intensity-modulated arc radiotherapy (VMAT) in a series of patients with cervical cancer receiving definitive radiotherapy. Computed tomography (CT) scans of 10 patients with histologically proven cervical cancer treated with definitive radiation therapy (RT) from December 2008 to March 2010 at our department were selected for this study. The gross tumor volume (GTV) and clinical target volume (CTV) were delineated following the guidelines of the Gyn IMRT consortium that included cervix, uterus, parametrial tissues, and the pelvic nodes including presacral. The median age was 57 years (range: 30 to 85 years). All 10 patients had squamous cell carcinoma with Federation of Gynecology and Obstetrics (FIGO) stage IB-IIIB. All patients were treated by VMAT. OAR doses were significantly reduced for plans with intensity-modulated technique compared with 3D-CRT except for the dose to the vagina. Between the 2 intensity-modulated techniques, significant difference was observed for the mean dose to the small intestine, to the benefit of VMAT (p < 0.001). There was no improvement in terms of OARs sparing for VMAT although there was a tendency for a slightly decreased average dose to the rectum: − 0.65 Gy but not significant (p = 0.07). The intensity modulation techniques have many advantages in terms of quality indexes, and particularly OAR sparing, compared with 3D-CRT. Following the ongoing technologic developments in modern radiotherapy, it is essential to evaluate the intensity-modulated techniques on prospective studies of a larger scale.

  5. 3 Tesla multiparametric MRI for GTV-definition of Dominant Intraprostatic Lesions in patients with Prostate Cancer – an interobserver variability study

    Science.gov (United States)

    2013-01-01

    2w and DCE sequences at 3 Tesla for GTV-definition of DIPL in prostate cancer patients by radiation oncologists with knowledge of MRI features results in substantial agreement compared to an experienced MRI-radiologist, but for radiotherapy purposes higher KI are desirable, strengthen the need for expert surveillance. DWI sequence for GTV delineation was considered as difficult in application. PMID:23875672

  6. Analytic definition of spin structure

    CERN Document Server

    Avetisyan, Zhirayr; Saveliev, Nikolai; Vassiliev, Dmitri

    2016-01-01

    We work on a parallelizable time-orientable Lorentzian 4-manifold and prove that in this case the notion of spin structure can be equivalently defined in a purely analytic fashion. Our analytic definition relies on the use of the concept of a non-degenerate two-by-two formally self-adjoint first order linear differential operator and gauge transformations of such operators. We also give an analytic definition of spin structure for the 3-dimensional Riemannian case.

  7. Nutraceutical-definition and introduction

    OpenAIRE

    Kalra, Ekta K.

    2003-01-01

    Dr Stephen DeFelice coined the term “Nutraceutical” from “Nutrition” and “Pharmaceutical” in 1989. The term nutraceutical is being commonly used in marketing but has no regulatory definition. An attempt to redefine nutraceuticals and functional foods is made in this article. The proposed definitions can help distinguish between functional foods, nutraceuticals, and dietary supplements. The advantages and disadvantages of nutraceuticals are also briefly discussed.

  8. Nutraceutical--definition and introduction.

    Science.gov (United States)

    Kalra, Ekta K

    2003-01-01

    Dr Stephen DeFelice coined the term "Nutraceutical" from "Nutrition" and "Pharmaceutical" in 1989. The term nutraceutical is being commonly used in marketing but has no regulatory definition. An attempt to redefine nutraceuticals and functional foods is made in this article. The proposed definitions can help distinguish between functional foods, nutraceuticals, and dietary supplements. The advantages and disadvantages of nutraceuticals are also briefly discussed.

  9. Healthcare service quality: towards a broad definition.

    Science.gov (United States)

    Mosadeghrad, Ali Mohammad

    2013-01-01

    The main purpose of this study is to define healthcare quality to encompass healthcare stakeholder needs and expectations because healthcare quality has varying definitions for clients, professionals, managers, policy makers and payers. This study represents an exploratory effort to understand healthcare quality in an Iranian context. In-depth individual and focus group interviews were conducted with key healthcare stakeholders. Quality healthcare is defined as "consistently delighting the patient by providing efficacious, effective and efficient healthcare services according to the latest clinical guidelines and standards, which meet the patient's needs and satisfies providers". Healthcare quality definitions common to all stakeholders involve offering effective care that contributes to the patient well-being and satisfaction. This study helps us to understand quality healthcare, highlighting its complex nature, which has direct implications for healthcare providers who are encouraged to regularly monitor healthcare quality using the attributes identified in this study. Accordingly, they can initiate continuous quality improvement programmes to maintain high patient-satisfaction levels. This is the first time a comprehensive healthcare quality definition has been developed using various healthcare stakeholder perceptions and expectations.

  10. The Evolution of Definitions for Nursing Informatics: A Critical Analysis and Revised Definition

    OpenAIRE

    Staggers, Nancy; Thompson, Cheryl Bagley

    2002-01-01

    Despite the fact that nursing informatics is entering its third decade as a specialty within nursing, many definitions still exist to describe the field. This paper offers a rationale for a definition for nursing informatics and a critical analysis of past definitions. An organizing framework of technology-oriented, conceptual, and role-oriented definitions is used to critique these definitions. Subsequently, a revised definition is proposed. This evolutionary definition integrates critical c...

  11. On Conditionally Positive Definite Dot Product Kernels

    Institute of Scientific and Technical Information of China (English)

    V.A.MENEGATTO; C.P.OLIVEIRA; Ana P.PERON

    2008-01-01

    Let m and n be fixed,positive integers and a space composed of real polynomials in m variables.The authors study functions f:R→ R which map Gram matrices,based upon n points of Rm,into matrices,which are nonnegative definite with respect to .Among other things,the authors discuss continuity,differentiability,convexity,and convexity in the sense of Jensen,of such functions.

  12. 39 CFR 447.12 - Definitions.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Definitions. 447.12 Section 447.12 Postal Service UNITED STATES POSTAL SERVICE PERSONNEL RULES OF CONDUCT FOR POSTAL EMPLOYEES Applicability and Definitions § 447.12 Definitions. The following definitions apply for purposes of this part. (a) Postal...

  13. 42 CFR 400.200 - General definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false General definitions. 400.200 Section 400.200 Public... PROVISIONS INTRODUCTION; DEFINITIONS Definitions § 400.200 General definitions. In this chapter, unless the... determined in accordance with SSI methodologies, that does not exceed 200 percent of the Federal poverty...

  14. 37 CFR 41.201 - Definitions.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Definitions. 41.201 Section... Definitions. In addition to the definitions in §§ 41.2 and 41.100, the following definitions apply to... invention. Involved claim means, for the purposes of 35 U.S.C. 135(a), a claim that has been designated...

  15. Dual, use-based definition of "system"

    CSIR Research Space (South Africa)

    Gonçalves, DP

    2015-09-01

    Full Text Available The standard definition (ISO 15288, 2008) of the concept of a system is not complete and is the definition of a closed system. Such a definition is inadequate for systems engineering. A use-based definition is proposed which spans the open...

  16. 24 CFR 891.105 - Definitions.

    Science.gov (United States)

    2010-04-01

    ... definition. Rehabilitation may also include renovation, alteration, or remodeling for the conversion or... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Definitions. 891.105 Section 891... § 891.105 Definitions. The following definitions apply, as appropriate, throughout this part....

  17. 42 CFR 1000.10 - General definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false General definitions. 1000.10 Section 1000.10 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS INTRODUCTION; GENERAL DEFINITIONS Definitions § 1000.10 General definitions. In this...

  18. 48 CFR 302.101 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Definitions. 302.101 Section 302.101 Federal Acquisition Regulations System HEALTH AND HUMAN SERVICES GENERAL DEFINITIONS OF WORDS AND TERMS Definitions 302.101 Definitions. (a) Agency head or head of the Agency, unless...

  19. 49 CFR 1101.1 - Statutory definitions.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Statutory definitions. 1101.1 Section 1101.1 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE DEFINITIONS AND CONSTRUCTION § 1101.1 Statutory definitions. The definitions contained in section 10102...

  20. European Mixed Forests: definition and research perspectives

    Directory of Open Access Journals (Sweden)

    Andres Bravo-Oviedo

    2014-12-01

    Full Text Available Aim of study: We aim at (i developing a reference definition of mixed forests in order to harmonize comparative research in mixed forests and (ii review the research perspectives in mixed forests.Area of study: The definition is developed in Europe but can be tested worldwide.Material and Methods: Review of existent definitions of mixed forests based and literature review encompassing dynamics, management and economic valuation of mixed forests.Main results: A mixed forest is defined as a forest unit, excluding linear formations, where at least two tree species coexist at any developmental stage, sharing common resources (light, water, and/or soil nutrients. The presence of each of the component species is normally quantified as a proportion of the number of stems or of basal area, although volume, biomass or canopy cover as well as proportions by occupied stand area may be used for specific objectives. A variety of structures and patterns of mixtures can occur, and the interactions between the component species and their relative proportions may change over time.The research perspectives identified are (i species interactions and responses to hazards, (ii the concept of maximum density in mixed forests, (iii conversion of monocultures to mixed-species forest and (iv economic valuation of ecosystem services provided by mixed forests.Research highlights: The definition is considered a high-level one which encompasses previous attempts to define mixed forests. Current fields of research indicate that gradient studies, experimental design approaches, and model simulations are key topics providing new research opportunities.Keywords: COST Action; EuMIXFOR; mixed-species forests; admixtures of species.

  1. Comparing Sudden Stratospheric Warming Definitions in Reanalysis Data

    Science.gov (United States)

    Palmeiro, Froila M.; Barriopedro, David; García-Herrera, Ricardo; Calvo, Natalia

    2015-04-01

    Sudden Stratospheric Warmings (SSWs) are the main source of variability in the northern hemisphere polar stratosphere during winter. They are characterized by a dramatic warming of the polar stratosphere and weakening of the polar vortex circulation. SSWs can have an impact on surface weather, which makes them a potential tool for seasonal prediction. However, there is no consensus on the definition of SSWs, and multiple methods exist in the literature, yielding discrepancies on the detected events. In this presentation we compare the SSWs signatures of eight representative definitions for the 1958-2009 period and using three different reanalysis data (ERA, NCEP and JRA). The monthly distribution of SSWs is indistinguishable across definitions, with a common peak in January. However, the multi-decadal variability is method-dependent, with only three definitions displaying minimum frequencies in the 1990s. Comparison of several SSW benchmarks reveals negligible differences among methods due to the large case-to-case variability of events within a given definition. In the troposphere, the most robust signals across definitions before and after events are dominated by major SSWs, which are detected by most methods. Interestingly, minor SSWs represent the largest source of discrepancy in the surface signals of SSWs across definitions. Therefore, our results indicate that only major SSWs should be considered in future studies if robust tropospheric signals of SSWs want to be obtained regardless of the chosen method.

  2. Catalog of 199 register-based definitions of chronic conditions

    DEFF Research Database (Denmark)

    Hvidberg, Michael F; Johnsen, Søren P; Glümer, Charlotte

    2016-01-01

    definitions were proposed based on record linkage between multiple registers, including registers of prescribed drugs and use of general practitioners' services. CONCLUSIONS THIS STUDY PROVIDED A CATALOG OF REGISTER-BASED DEFINITIONS FOR CHRONIC CONDITIONS FOR USE IN HEALTHCARE PLANNING AND RESEARCH, WHICH IS......INTRODUCTION: The aim of the current study was to present and discuss a broad range of register-based definitions of chronic conditions for use in register research, as well as the challenges and pitfalls when defining chronic conditions by the use of registers. MATERIALS AND METHODS......: The definitions were defined based on information from nationwide Danish public healthcare registers. Medical and epidemiological specialists identified and grouped relevant diagnosis codes that covered chronic conditions, using the International Classification System version 10 (ICD-10). Where relevant...

  3. [Borderline resectable pancreatic cancer - a definition and effective treatment strategy].

    Science.gov (United States)

    Yokoyama, Yukihiro; Ebata, Tomoki; Igami, Tsuyoshi; Sugawara, Gen; Takahashi, Yuh; Kokuryo, Toshio; Tsunoda, Nobuyuki; Fukaya, Masahide; Uehara, Keisuke; Itatsu, Keita; Yoshioka, Yuichiro; Nagino, Masato

    2012-03-01

    The survival benefit of extended surgery for advanced pancreatic cancer has been denied by four randomized controlled trials. However, there still is confusion and conflict over the definition and effective treatment strategy for so-called locally advanced or borderline resectable pancreatic cancer. Although there are a number of reports that showed outcomes of preoperative chemotherapy or chemoradiotherapy for this disease, the definitions and treatment regimens described in these studies vary. Moreover, all of the studies were Phase I / II trials or retrospective analysis, and there is no Phase III trial currently focused on this issue. It is urgently necessary to establish an international consensus on the definition of borderline resectable pancreatic cancer. The usefulness of neoadjuvant treatment for this disease should also be elucidated in future clinical trials. In this review article, we discuss the current understanding and definition of borderline resectable pancreatic cancer, and the value of neoadjuvant treatment strategy for treating it.

  4. A comparative study of the target volume definition in radiotherapy with «Slow CT Scan» vs. 4D PET/CT Scan in early stages non-small cell lung cancer.

    Science.gov (United States)

    Molla, M; Anducas, N; Simó, M; Seoane, A; Ramos, M; Cuberas-Borros, G; Beltran, M; Castell, J; Giralt, J

    To evaluate the use of 4D PET/CT to quantify tumor respiratory motion compared to the «Slow»-CT (CTs) in the radiotherapy planning process. A total of 25 patients with inoperable early stage non small cell lung cancer (NSCLC) were included in the study. Each patient was imaged with a CTs (4s/slice) and 4D PET/CT. The adequacy of each technique for respiratory motion capture was evaluated using the volume definition for each of the following: Internal target volume (ITV) 4D and ITVslow in relation with the volume defined by the encompassing volume of 4D PET/CT and CTs (ITVtotal). The maximum distance between the edges of the volume defined by each technique to that of the total volume was measured in orthogonal beam's eye view. The ITV4D showed less differences in relation with the ITVtotal in both the cranio-caudal and the antero-posterior axis compared to the ITVslow. The maximum differences were 0.36mm in 4D PET/CTand 0.57mm in CTs in the antero-posterior axis. 4D PET/CT resulted in the definition of more accurate (ITV4D/ITVtotal 0.78 vs. ITVs/ITVtotal 0.63), and larger ITVs (19.9 cc vs. 16.3 cc) than those obtained with CTs. Planning with 4D PET/CT in comparison with CTs, allows incorporating tumor respiratory motion and improving planning radiotherapy of patients in early stages of lung cancer. Copyright © 2016 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

  5. Advancing Research and Practice: The Revised APA Division 30 Definition of Hypnosis.

    Science.gov (United States)

    Elkins, Gary R; Barabasz, Arreed F; Council, James R; Spiegel, David

    2015-04-01

    This article describes the history, rationale, and guidelines for developing a new definition of hypnosis by the Society of Psychological Hypnosis, Division 30 of the American Psychological Association. The definition was developed with the aim of being concise, being heuristic, and allowing for alternative theories of the mechanisms (to be determined in empirical scientific study). The definition of hypnosis is presented as well as definitions of the following related terms: hypnotic induction, hypnotizability, and hypnotherapy. The implications for advancing research and practice are discussed. The definitions are presented within the article.

  6. Analysis of risk factors for schizophrenia with two different case definitions

    DEFF Research Database (Denmark)

    Sørensen, Holger J; Tidselbak Larsen, Janne; Mors, Ole

    2015-01-01

    Different case definitions of schizophrenia have been used in register based research. However, no previous study has externally validated two different case definitions of schizophrenia against a wide range of risk factors for schizophrenia. We investigated hazard ratios (HRs) for a wide range...... of risk factors for ICD-10 DCR schizophrenia using a nationwide Danish sample of 2,772,144 residents born in 1955-1997. We compared one contact only (OCO) (the case definition of schizophrenia used in Danish register based studies) with two or more contacts (TMC) (a case definition of at least 2 inpatient...... contacts with schizophrenia). During the follow-up, the OCO definition included 15,074 and the TMC 7562 cases; i.e. half as many. The TMC case definition appeared to select for a worse illness course. A wide range of risk factors were uniformly associated with both case definitions and only slightly higher...

  7. Time for a neonatal–specific consensus definition for sepsis

    Science.gov (United States)

    Wynn, James L.; Wong, Hector R.; Shanley, Thomas P.; Bizzarro, Matthew J.; Saiman, Lisa; Polin, Richard A.

    2014-01-01

    Objective To review the accuracy of the pediatric consensus definition of sepsis in term neonates and to determine the definition of neonatal sepsis used. Study selection The review focused primarily on pediatric literature relevant to the topic of interest. Conclusions Neonatal sepsis is variably defined based on a number of clinical and laboratory criteria that make the study of this common and devastating condition very difficult. Diagnostic challenges and uncertain disease epidemiology necessarily result from a variable definition of disease. In 2005, intensivists caring for children recognized that as new drugs became available, children would be increasingly studied and thus, pediatric-specific consensus definitions were needed. Pediatric sepsis criteria are not accurate for term neonates and have not been examined in preterm neonates for whom the developmental stage influences aberrations associated with host immune response. Thus, specific consensus definitions for both term and preterm neonates are needed. Such definitions are critical for the interpretation of observational studies, future training of scientists and practitioners, and implementation of clinical trials in neonates. PMID:24751791

  8. A transdisciplinary definition of diagnosis.

    Science.gov (United States)

    Maitland, Murray E

    2010-01-01

    Diagnosis is a fundamental abstract reasoning concept in healthcare. It forms the foundation for clinical guidelines, evidence-based practice, and healthcare interventions. The definition of diagnosis is evolving in a manner that may change patient care and clinical research. Currently, dictionary definitions of diagnosis fall into two broad categories, those that stress the original etymology and those that are based on classifying the patient problem according to preexisting labels. Many medical diagnoses are not sufficient to justify allied health, profession-specific interventions. Some authors have suggested profession-specific definitions of diagnosis and profession-specific nomenclature. However, a unique set of labels that are insulated from other health professions has been difficult to achieve because of the interdependence of pathology, impairments, and the patient's role in society. Coordinated interdisciplinary or transdisciplinary patient care, including clinical guidelines, and efficient delivery of services necessitate a definition that facilitates communication across health care professions. A solution to this dilemma may be to create a bridge, recognizing the multifactorial etiology of health and professional autonomy while explicitly stating the context of profession-specific interventions as a team approach. I propose that the definition of diagnosis be modified to: "the process of determining mechanisms by which the patient's health condition arises and the conclusions reached by doing so."

  9. Cyberbullying Definition Among Adolescents: A Comparison Across Six European Countries

    OpenAIRE

    Menesini, Ersilia; Nocentini, Annalaura; Palladino, Benedetta Emanuela; Frisén, Ann; Berne, Sofia; Ortega-Ruiz, Rosario; Calmaestra, Juan; Scheithauer, Herbert; Schultze-Krumbholz, Anja; Luik, Piret; Naruskov, Karin; Blaya, Catherine; Berthaud, Julien; Smith, Peter K.

    2012-01-01

    Several criteria have been proposed for defining cyberbullying to young people, but no studies have proved their relevance. There are also variations across different countries in the meaning and the definition of this behavior. We systematically investigated the role of five definitional criteria for cyberbullying, in six European countries. These criteria (intentionality, imbalance of power, repetition, anonymity, and public vs. private) were combined through a set of 32 scenarios, covering...

  10. Complexities of Homomorphism and Isomorphism for Definite Logic Programs

    Institute of Scientific and Technical Information of China (English)

    Dao-Yun Xu; Zhi-Hong Tao

    2005-01-01

    A homomorphism ψ of logic programs from P to P' is a function mapping Atoms(P) to Atoms(P') and paper, the complexity of the decision problems on homomorphism and isomorphism for definite logic programs is studied.It is shown that the homomorphism problem (HOM-LP) for definite logic programs is NP-complete, and the isomorphism problem (ISO-LP) is equivalent to the graph isomorphism problem (GI).

  11. Media Entrepreneurship: A Consensual Definition

    DEFF Research Database (Denmark)

    Khajeheian, Datis

    2017-01-01

    Media Entrepreneurship has been an ambiguous, unclear and controversial concept and despite of growing academic efforts in the last decade, it is still a poorly defined subject. This paper is an effort to fill this gap by providing a comprehensive definition of media entrepreneurship. Firstly......, a literature review conducted and entrepreneurship, media, opportunity and innovation as building blocks of media entrepreneurship explained. Then by using of a mixed of bibliographic method and a Delphi method with multi-stage analysis process, a consensual definition of media entrepreneurship proposed....... This definition integrates some key features of the emerging media environment such as distinction of content and platform, value delivery, opportunity development, non-monetary benefit, etc. It is expected that the findings of this research clear the ground for further researches in the field of media...

  12. Community violence as it affects child development: issues of definition.

    Science.gov (United States)

    Trickett, Penelope K; Durán, Lorena; Horn, John L

    2003-12-01

    The state of the art of definition of community violence as it relates to child development was examined in terms of the definitions used in 23 empirical studies. In all cases community violence was defined in terms of what were assumed to be measurements obtained as linear combinations of a priori numerical weighting of responses to questions--asked either of a child or of the parent of a child--about experiencing and/or witnessing and/or hearing about instances of violence. Thus, the definitions can be seen to represent the perspectives of 2 kinds of observers--the child or the child's parent--and 3 levels of closeness to violence--experiencing, witnessing, or hearing about violence. Combining these perspectives and levels, the following 8 different definitions could be seen to be used in the practice of 1 or more of the 23 empirical studies: Child Self-Report (perception) of either (1) experiencing, or (2) witnessing, or (3) experiencing and witnessing, and hearing about violence; or Parent Report (perception) of the Child (4) experiencing, or (5) witnessing, or (6) experiencing and witnessing and hearing about violence, or (7) = (1) + (4), or (8) = (3) + (6). In almost all the examples of research definitions it was assumed implicitly and without test of the assumption that different violent events were interchangeable, and usually it was assumed (again without test) that the magnitudes of different violence events were equal. Usually, an unstated theory of stress appeared to guide the measurement definition, but in one study definitions were developed and tested in terms of a clearly-stated theory of learning. It was concluded that definition of community violence is a measurement problem; that very likely it is multidimensional; that it could be more nearly solved if better attention were given to specifying it in terms of theory that can be put to test and by attending to basic assumptions and principles of measurement.

  13. Virtual occlusal definition for orthognathic surgery.

    Science.gov (United States)

    Liu, X J; Li, Q Q; Zhang, Z; Li, T T; Xie, Z; Zhang, Y

    2016-03-01

    Computer-assisted surgical simulation is being used increasingly in orthognathic surgery. However, occlusal definition is still undertaken using model surgery with subsequent digitization via surface scanning or cone beam computed tomography. A software tool has been developed and a workflow set up in order to achieve a virtual occlusal definition. The results of a validation study carried out on 60 models of normal occlusion are presented. Inter- and intra-user correlation tests were used to investigate the reproducibility of the manual setting point procedure. The errors between the virtually set positions (test) and the digitized manually set positions (gold standard) were compared. The consistency in virtual set positions performed by three individual users was investigated by one way analysis of variance test. Inter- and intra-observer correlation coefficients for manual setting points were all greater than 0.95. Overall, the median error between the test and the gold standard positions was 1.06mm. Errors did not differ among teeth (F=0.371, P>0.05). The errors were not significantly different from 1mm (P>0.05). There were no significant differences in the errors made by the three independent users (P>0.05). In conclusion, this workflow for virtual occlusal definition was found to be reliable and accurate.

  14. 功能用語請求項明確性之臺灣判決案例研究 Definiteness of Means/Steps-Plus-Function Clams—A Cases Study of Taiwan’s Courts Decisions

    Directory of Open Access Journals (Sweden)

    郭榮光 Jung-Kuang Kuo

    2015-12-01

    、流程,二者不得互換,否則該請求項即不明確。 Article 19(4 of Taiwan’s Enforcement Rules of the Patent Act permits meansplus- function and steps-plus-function claims. However, without reciting the structure, material or acts performing the claimed function, claims may face challenges about the definiteness requirement. One of the related debates is whether the specification should recite the corresponding structure, material or acts of the claimed function. This issue has been brought up both in Taiwan and U.S. jurisdictions. This study compares Taiwan court decisions with the U.S. decisions which touch on the definiteness of means-plus-function and steps-plus-function claims. We find that while the U.S. courts require that the specification has to recite the corresponding structure, material or acts of means-plus-function and steps-plus-function claims to satisfy the definiteness requirement, Taiwan courts do not adopt the same standard. This study argues that by requiring specifications disclose the corre-sponding structure, material or acts implementing claimed function to satisfy the definiteness requirement, the standard made by U.S. court decisions limits the metes and bounds of means-plus-function and steps-plus-function claims to a more reasonable extent in order to prevent the abuse of functional claims. This study further suggests that Taiwan’s legislative and judicial branches of the government should adopt the same standard to prevent future definiteness disputes. Additionally, this study contends that means-plus-function can be used for device claims while steps-plus-function can be used for method claims. Due to this distinction, this study concludes that the corresponding disclosure of means-plus-function claims in the specification should be structures or materials which have concrete forms, while the corresponding disclosure of steps-plus-function claims in the specification should be acts which should have no concrete forms.

  15. On the definition of entanglement entropy in lattice gauge theories

    Science.gov (United States)

    Aoki, Sinya; Iritani, Takumi; Nozaki, Masahiro; Numasawa, Tokiro; Shiba, Noburo; Tasaki, Hal

    2015-06-01

    We focus on the issue of proper definition of entanglement entropy in lattice gauge theories, and examine a naive definition where gauge invariant states are viewed as elements of an extended Hilbert space which contains gauge non-invariant states as well. Working in the extended Hilbert space, we can define entanglement entropy associated with an arbitrary subset of links, not only for abelian but also for non-abelian theories. We then derive the associated replica formula. We also discuss the issue of gauge invariance of the entanglement entropy. In the Z N gauge theories in arbitrary space dimensions, we show that all the standard properties of the entanglement entropy, e.g. the strong subadditivity, hold in our definition. We study the entanglement entropy for special states, including the topological states for the Z N gauge theories in arbitrary dimensions. We discuss relations of our definition to other proposals.

  16. On the definition of entanglement entropy in lattice gauge theories

    CERN Document Server

    Aoki, Sinya; Nozaki, Masahiro; Numasawa, Tokiro; Shiba, Noburo; Tasaki, Hal

    2015-01-01

    We focus on the issue of proper definition of entanglement entropy in lattice gauge theories, and examine a naive definition where gauge invariant states are viewed as elements of an extended Hilbert space which contain gauge non-invariant states as well. Working in the extended Hilbert space, we can define entanglement entropy associated with an arbitrary subset of links, not only for abelian but also for non-abelian theories. We then derive the associated replica formula. We also discuss the issue of gauge invariance of the entanglement entropy. In the $Z_N$ gauge theories in arbitrary space dimensions, we show that all the standard properties of the entanglement entropy, e.g. the strong subadditivity, hold in our definition. We study the entanglement entropy for special states, including the topological states for the $Z_N$ gauge theories in arbitrary dimensions. We discuss relations of our definition to other proposals.

  17. How do different definitions of night shift affect the exposure assessment of night work?

    DEFF Research Database (Denmark)

    Garde, Anne Helene; Hansen, Johnni; Kolstad, Henrik A

    2016-01-01

    The aim is to show how different definitions affect the proportion of shifts classified as night shifts. The Danish Working Hour Database was used to calculate number of night shifts according to eight definitions. More than 98% of the total night shifts were night shifts by use of both...... the reference definition (at least 3 h of work between 24:00 and 05:00) and definitions using a period during the night. The overlap with definitions based on starting and ending time was less pronounced (64-71 %). The proportion of classified night shifts differs little when night shifts are based...... on definitions including a period during the night. Studies based on other definitions may be less comparable....

  18. Antiphospholipid-associated thrombocytopenia or autoimmune hemolytic anemia in patients with or without definite primary antiphospholipid syndrome according to the Sapporo revised classification criteria: a 6-year follow-up study.

    Science.gov (United States)

    Comellas-Kirkerup, Lucía; Hernández-Molina, Gabriela; Cabral, Antonio R

    2010-10-21

    The updated Sapporo classification criteria for antiphospholipid syndrome (APS) only include thrombosis or pregnancy morbidity as clinical criteria. To test this notion, we studied 55 patients (80% women) with hematologic manifestations. All fulfilled the laboratory criteria for primary APS. Thirty-five patients (64%) had thrombocytopenia, 14 (25%) had autoimmune hemolytic anemia, and 6 (11%) had both. Twenty-five patients (22 women, 88%) also fulfilled one clinical criterion for APS after a median follow-up of 13.2 years (range, 1.45-37 years), whereas the remaining 30 patients (22 women, 73%) have not had any thrombotic event nor pregnancy morbidity after a median follow-up of 5.4 years (range, 0.12-24 years). No patient developed systemic lupus erythematosus during follow-up. The hematologic manifestation was asynchronous with the APS onset in 84% of patients. The response to treatment was similar regardless of the APS status. Patients with definite APS were more frequently positive for the lupus anticoagulant (63%) than lupus anticoagulant-positive patients without APS (30%; odds ratio, 3.5; 95% confidence interval, 1.07-11.4; P < .02). Anticardiolipin or anti-β(2)-glycoprotein-I antibodies were highly prevalent among the study groups. Our study suggests that, depending upon their antiphospholipid profile, patients with hemocytopenias appear to comprise a peculiar subset of patients with APS; some develop thrombotic and/or obstetric APS whereas others continue with hematologic APS.

  19. Is the Secure Base Phenomenon Evident Here, There, and Anywhere? A Cross-Cultural Study of Child Behavior and Experts' Definitions

    Science.gov (United States)

    Posada, German; Lu, Ting; Trumbell, Jill; Kaloustian, Garene; Trudel, Marcel; Plata, Sandra J.; Peña, Paola P.; Perez, Jennifer; Tereno, Susana; Dugravier, Romain; Coppola, Gabrielle; Constantini, Alessandro; Cassibba, Rosalinda; Kondo-Ikemura, Kiyomi; Nóblega, Magaly; Haya, Ines M.; Pedraglio, Claudia; Verissimo, Manuela; Santos, Antonio J.; Monteiro, Ligia; Lay, Keng-Ling

    2013-01-01

    The evolutionary rationale offered by Bowlby implies that secure base relationships are common in child-caregiver dyads and thus, child secure behavior observable across diverse social contexts and cultures. This study offers a test of the universality hypothesis. Trained observers in nine countries used the Attachment Q-set to describe the…

  20. Clinical and laboratory studies on herds affected with postweaning multisystemic wasting syndrome in Denmark, France, Spain, and Sweden: Disease progression and a proposal for herd case definition

    DEFF Research Database (Denmark)

    Grau-Roma, L.; Baekbo, P.; Rose, N.

    2012-01-01

    Objectives: To propose and evaluate a protocol to establish a diagnosis of postweaning multisystemic wasting syndrome (PMWS) at herd level. Materials and methods: The data used included both laboratory data from previous epidemiological studies carried out in Italy, Denmark, and Spain and original...

  1. Space tug point design study. Volume 3: Design definition. Part 1: Propulsion and mechanical, avionics, thermal control and electrical power subsystems

    Science.gov (United States)

    1973-01-01

    A study was conducted to determine the configuration and performance of a space tug. Details of the space tug systems are presented to include: (1) propulsion systems, (2) avionics, (3) thermal control, and (4) electric power subsystems. The data generated include engineering drawings, schematics, subsystem operation, and component description. Various options investigated and the rational for the point design selection are analyzed.

  2. Clinical and laboratory studies on herds affected with postweaning multisystemic wasting syndrome in Denmark, France, Spain, and Sweden: Disease progression and a proposal for herd case definition

    DEFF Research Database (Denmark)

    Grau-Roma, L.; Baekbo, P.; Rose, N.

    2012-01-01

    Objectives: To propose and evaluate a protocol to establish a diagnosis of postweaning multisystemic wasting syndrome (PMWS) at herd level. Materials and methods: The data used included both laboratory data from previous epidemiological studies carried out in Italy, Denmark, and Spain and original...

  3. Impact of the Bologna Process and German Higher Education Reforms on Professorial Work and Role Definition at the University of Potsdam: A Case Study

    Science.gov (United States)

    Hairston, Christen Cullum

    2013-01-01

    The Bologna Process and German higher education reforms over the past decade have created significant waves of change at German universities. This case study focuses on the enduring impact of both the Bologna Process and German higher education reforms on how professors experience their work and define their roles during the winter term 2011-12 at…

  4. Definition of Sensitive Skin: An Expert Position Paper from the Special Interest Group on Sensitive Skin of the International Forum for the Study of Itch

    NARCIS (Netherlands)

    Misery, L.; Stander, S.; Szepietowski, J.C.; Reich, A.; Wallengren, J.; Evers, A.W.M.; Takamori, K.; Brenaut, E.; Gall-Ianotto, C. Le; Fluhr, J.; Berardesca, E.; Weisshaar, E.

    2017-01-01

    Sensitive skin is a frequent complaint in the general population, in patients, and among subjects suffering from itch. The International Forum for the Study of Itch (IFSI) decided to initiate a special interest group (SIG) on sensitive skin. Using the Delphi method, sensitive skin was defined as "A

  5. Variations in target volume definition for postoperative radiotherapy in stage III non-small-cell lung cancer: analysis of an international contouring study.

    Science.gov (United States)

    Spoelstra, Femke O B; Senan, Suresh; Le Péchoux, Cecile; Ishikura, Satoshi; Casas, Francesc; Ball, David; Price, Allan; De Ruysscher, Dirk; van Sörnsen de Koste, John R

    2010-03-15

    Postoperative radiotherapy (PORT) in patients with completely resected non-small-cell lung cancer with mediastinal involvement is controversial because of the failure of earlier trials to demonstrate a survival benefit. Improved techniques may reduce toxicity, but the treatment fields used in routine practice have not been well studied. We studied routine target volumes used by international experts and evaluated the impact of a contouring protocol developed for a new prospective study, the Lung Adjuvant Radiotherapy Trial (Lung ART). Seventeen thoracic radiation oncologists were invited to contour their routine clinical target volumes (CTV) for 2 representative patients using a validated CD-ROM-based contouring program. Subsequently, the Lung ART study protocol was provided, and both cases were contoured again. Variations in target volumes and their dosimetric impact were analyzed. Routine CTVs were received for each case from 10 clinicians, whereas six provided both routine and protocol CTVs for each case. Routine CTVs varied up to threefold between clinicians, but use of the Lung ART protocol significantly decreased variations. Routine CTVs in a postlobectomy patient resulted in V(20) values ranging from 12.7% to 54.0%, and Lung ART protocol CTVs resulted in values of 20.6% to 29.2%. Similar results were seen for other toxicity parameters and in the postpneumectomy patient. With the exception of upper paratracheal nodes, protocol contouring improved coverage of the required nodal stations. Even among experts, significant interclinician variations are observed in PORT fields. Inasmuch as contouring variations can confound the interpretation of PORT results, mandatory quality assurance procedures have been incorporated into the current Lung ART study. Copyright 2010 Elsevier Inc. All rights reserved.

  6. Study for the optimization of a transport aircraft wing for maximum fuel efficiency. Volume 1: Methodology, criteria, aeroelastic model definition and results

    Science.gov (United States)

    Radovcich, N. A.; Dreim, D.; Okeefe, D. A.; Linner, L.; Pathak, S. K.; Reaser, J. S.; Richardson, D.; Sweers, J.; Conner, F.

    1985-01-01

    Work performed in the design of a transport aircraft wing for maximum fuel efficiency is documented with emphasis on design criteria, design methodology, and three design configurations. The design database includes complete finite element model description, sizing data, geometry data, loads data, and inertial data. A design process which satisfies the economics and practical aspects of a real design is illustrated. The cooperative study relationship between the contractor and NASA during the course of the contract is also discussed.

  7. A Literature Review - Problem Definition Studies on Selected Toxic Chemicals. Volume 2. Occupational Health and Safety Aspects of Phosphorus Smoke Compounds

    Science.gov (United States)

    1978-04-01

    of pyrolysis products of SBR and pyrolysis and combustion products of Bisphenol A-epichlorohydrin epoxy resin. The toxicological studies of red and...white phosphorus, the inhalation toxicity of white phosphorus smoke and the inhalation toxicity of pyrolysis products of SBR and Bisphenol A...rats exposed to the 81 pyrolysis products of epoxy resin viii I. INTRODUCTION Phosphorus smoke compounds are used by the military to produce smoke

  8. On the definition of superclusters

    NARCIS (Netherlands)

    Chon, Gayoung; Böhringer, Hans; Zaroubi, Saleem

    2015-01-01

    To obtain a physically well-motivated definition of superclusters, we proposed in our previous work to select superclusters with an overdensity criterion that selects only those objects that will collapse in the future, including those that are at a turn-around in the present epoch. In this paper we

  9. Racial Definition: Background for Divergence

    Science.gov (United States)

    Nelson, William Javier

    1986-01-01

    The racial definitional system in the United States ensures the separation of people. It is a caste-like system of nomenclature which was invented by Whites for their benefit. It is institutionalized and gets renewed through the socialization process. The system is only peripherally concerned with how Blacks define themselves. (VM)

  10. Autism: definition, neurobiology, screening, diagnosis.

    Science.gov (United States)

    Rapin, Isabelle; Tuchman, Roberto F

    2008-10-01

    Autism (ie, the autism spectrum disorders) is now recognized in 1 in 150 children. This article highlights the definition, neurobiology, screening, and diagnosis of autism. The genetics, immunology, imaging, and neurophysiology of autism are reviewed, with particular emphasis on areas that impact pediatricians. Early recognition of the social deficits that characterize autism is key to maximizing the potential of these children.

  11. A New Definition of Graviton

    DEFF Research Database (Denmark)

    Javadi, Hossein; Forouzbakhsh, Farshid; PourImani, Hamed

    2008-01-01

    To date, there is no way to explain the process that describes how particles as photon absorb gravitons. According to the results of our years-long research we can definitely say that the best way for explain this process is using color charge concept from photon properties. This model might...

  12. On the definition of superclusters

    NARCIS (Netherlands)

    Chon, Gayoung; Böhringer, Hans; Zaroubi, Saleem

    To obtain a physically well-motivated definition of superclusters, we proposed in our previous work to select superclusters with an overdensity criterion that selects only those objects that will collapse in the future, including those that are at a turn-around in the present epoch. In this paper we

  13. Mental Models: A Robust Definition

    Science.gov (United States)

    Rook, Laura

    2013-01-01

    Purpose: The concept of a mental model has been described by theorists from diverse disciplines. The purpose of this paper is to offer a robust definition of an individual mental model for use in organisational management. Design/methodology/approach: The approach adopted involves an interdisciplinary literature review of disciplines, including…

  14. Mental Models: A Robust Definition

    Science.gov (United States)

    Rook, Laura

    2013-01-01

    Purpose: The concept of a mental model has been described by theorists from diverse disciplines. The purpose of this paper is to offer a robust definition of an individual mental model for use in organisational management. Design/methodology/approach: The approach adopted involves an interdisciplinary literature review of disciplines, including…

  15. Humanism: A Definition of Literacy.

    Science.gov (United States)

    Gregor, Alexander

    1981-01-01

    Argues that the issue of literacy goes beyond the acquisition of basic skills and examines the principles of classical humanism as a source for a definition of literacy. Proposes emphases on cultural literacy, social and moral questions, and genuine community as components of humanistic education. (DMM)

  16. A New Definition of Punishment

    Science.gov (United States)

    Hall, Philip S.

    2013-01-01

    Punishment is a procedure in which responses are followed by either the removal of positive reinforcement or the presentation of an aversive stimulus (Skinner, 1953) that results in a decrease in the frequency and/or intensity of the response (Azrin & Holtz, 1966). By definition, punishment seeks to stop unacceptable, unwanted, and bothersome…

  17. Hierarchies in Dictionary Definition Space

    CERN Document Server

    Picard, Olivier; Harnad, Stevan; Marcotte, Odile; Chicoisne, Guillaume; Gargouri, Yassine

    2009-01-01

    A dictionary defines words in terms of other words. Definitions can tell you the meanings of words you don't know, but only if you know the meanings of the defining words. How many words do you need to know (and which ones) in order to be able to learn all the rest from definitions? We reduced dictionaries to their "grounding kernels" (GKs), about 10% of the dictionary, from which all the other words could be defined. The GK words turned out to have psycholinguistic correlates: they were learned at an earlier age and more concrete than the rest of the dictionary. But one can compress still more: the GK turns out to have internal structure, with a strongly connected "kernel core" (KC) and a surrounding layer, from which a hierarchy of definitional distances can be derived, all the way out to the periphery of the full dictionary. These definitional distances, too, are correlated with psycholinguistic variables (age of acquisition, concreteness, imageability, oral and written frequency) and hence perhaps with th...

  18. A Comprehensive Definition of Plagiarism.

    Science.gov (United States)

    Liddell, Jean

    2003-01-01

    Explains how the internet has made it easy for students to plagiarize papers. Gives definitions for plagiarism. Explains reasons why students plagiarize including the following: they don't understand what it is, they think they won't get caught, etc. Describes ways to detect and prevent plagiarism. (ontains 58 references.)(MZ)

  19. 品牌定义与品牌资产理论研究文献综述%Brand Definition and Brand Equity Theory to Study the Literature Review

    Institute of Scientific and Technical Information of China (English)

    刘建堤

    2012-01-01

      通过对国内外专家、学者和研究机构对品牌与品牌资产理论研究成果的文献综述,分析了国内外品牌及品牌资产理论的研究框架。品牌定义的研究分别为标识理论、个性理论、关系理论和价值理论;品牌资产理论的研究框架分别为财务导向理论、竞争导向理论和顾客导向理论。国外有关品牌定义和品牌资产理论的研究框架比较完善,其理论研究的创新始终追随市场竞争态势的变化。对品牌定义和品牌资产理论框架和知识体系进行研究论证,从而明确学术研究的必有性和对实际工作的指导性。%  Literature review of the brand and brand equity theory research by domestic and foreign experts,scholars and research institutions.Analysis of domestic and foreign brands and brand equity theoretical research framework.The brand of theoretical research framework for the identity theory,personality theory,the relationship theory and the theory of value;Theory research framework of brand equity for financial-oriented theory,competition-oriented theory and customer-oriented theory.Foreign brand definition and brand equity theory framework is more perfect,The theoretical study of innovation has always been to follow the competition in the market situation changes.Brand definition and brand equity theoretical framework and knowledge systems,research and feasibility studies,Thus there must be clear of academic research and practical work guidance.

  20. Research Productivity: A Definition.

    Science.gov (United States)

    Zamarripa, Edward J.

    1993-01-01

    This study compared attitudes of scientists associated with (n=79) or not associated with (n=70) a mental retardation research center, concerning preferred measures of research productivity at such centers. Data showed consistency in responses of groups. A ranking of 25 measures was developed, with publication in refereed journals ranked highest.…

  1. Validity of physician-diagnosed COPD in relation to spirometric definitions of COPD in a general population aged 50–64 years – the SCAPIS pilot study

    Directory of Open Access Journals (Sweden)

    Torén K

    2017-08-01

    Full Text Available Kjell Torén,1,2 Nicola Murgia,1,2 Anna-Carin Olin,1 Jan Hedner,3 John Brandberg,4 Annika Rosengren,5 Göran Bergström51Section of Occupational and Environmental Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden; 2Section of Occupational Medicine, Respiratory Diseases and Toxicology, University of Perugia, Italy; 3Department of Medicine/Lung Medicine, Sahlgrenska Academy, University of Gothenburg, 4Department of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 5Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden Background: In epidemiological studies, items about physician-diagnosed COPD are often used. There is a lack of validation and standardization of these items.Materials and methods: In a general population-based study, 1,050 subjects completed a questionnaire and performed spirometry, including forced expiratory volume in 1 second (FEV1 and forced vital capacity (FVC after inhalation of 400 µg of salbutamol. COPD was defined as the ratio of FEV1/FVC <0.7 after bronchodilation. Physician-diagnosed COPD was defined as an affirmative answer to the single item: “Have you ever had COPD diagnosed by a physician?”, physician-diagnosed COPD/emphysema as an affirmative answer to any of the two single items; “Have you ever had COPD diagnosed by a physician?” or “Have you ever been told by a physician that you have emphysema?”, physician-diagnosed chronic bronchitis as an affirmative answer to; “Have you ever been told by a physician that you have chronic bronchitis?” and physician-diagnosed COPD, emphysema or chronic bronchitis was defined as an affirmative answer to either of the three items above.Results: For the single item about physician-diagnosed COPD, the sensitivity was around 0.11 and the specificity was almost 0.99 in relation to COPD. The sensitivity of the combined items about COPD

  2. 40 CFR 305.3 - Definitions.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND... (CERCLA) ADMINISTRATIVE HEARING PROCEDURES FOR CLAIMS AGAINST THE SUPERFUND General § 305.3 Definitions. (a) The following definitions apply to this part: Administrative Law Judge means an...

  3. A note on antennas: Definitions and methods

    DEFF Research Database (Denmark)

    Bach, Henning

    1987-01-01

    Definitions of scattered and diffracted fields, originally given by R. F. Millar, are reviewed and supplemented. The definitions are used to discuss relations between results obtained by commonly used pattern prediction methods for reflector antennas....

  4. 16 CFR 1610.31 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... FLAMMABILITY OF CLOTHING TEXTILES Rules and Regulations § 1610.31 Definitions. In addition to the definitions... method prescribed in the procedures provided under section 4(a) of the Act (16 CFR Part 1609). (f)...

  5. 50 CFR 300.201 - Definition.

    Science.gov (United States)

    2010-10-01

    ... Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS Definition of Illegal, Unreported, or Unregulated Fishing § 300.201 Definition. Illegal, unreported, or unregulated fishing means: (1) Fishing activities that violate conservation and management measures required...

  6. "On some definitions in matrix algebra"

    OpenAIRE

    Magnus, Jan R.; Karim M. Abadir

    2007-01-01

    Many definitions in matrix algebra are not standardized. This notediscusses some of thepitfalls associated with undesirable orwrong definitions, anddealswith central conceptslikesymmetry, orthogonality, square root, Hermitian and quadratic forms, and matrix derivatives.

  7. Quantitative definition and monitoring of the host cell protein proteome using iTRAQ - a study of an industrial mAb producing CHO-S cell line.

    Science.gov (United States)

    Chiverton, Lesley M; Evans, Caroline; Pandhal, Jagroop; Landels, Andrew R; Rees, Byron J; Levison, Peter R; Wright, Phillip C; Smales, C Mark

    2016-08-01

    There are few studies defining CHO host cell proteins (HCPs) and the flux of these throughout a downstream purification process. Here we have applied quantitative iTRAQ proteomics to follow the HCP profile of an antibody (mAb) producing CHO-S cell line throughout a standard downstream purification procedure consisting of a Protein A, cation and anion exchange process. We used both 6 sample iTRAQ experiment to analyze technical replicates of three samples, which were culture harvest (HCCF), Protein A flow through and Protein A eluate and an 8 sample format to analyze technical replicates of four sample types; HCCF compared to Protein A eluate and subsequent cation and anion exchange purification. In the 6 sample iTRAQ experiment, 8781 spectra were confidently matched to peptides from 819 proteins (including the mAb chains). Across both the 6 and 8 sample experiments 936 proteins were identified. In the 8 sample comparison, 4187 spectra were confidently matched to peptides from 219 proteins. We then used the iTRAQ data to enable estimation of the relative change of individual proteins across the purification steps. These data provide the basis for application of iTRAQ for process development based upon knowledge of critical HCPs. © 2016 The Authors. Biotechnology Journal published by WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  8. Applying the Verona coding definitions of emotional sequences (VR-CoDES) in the dental context involving patients with complex communication needs: An exploratory study.

    Science.gov (United States)

    Zhou, Yuefang; Black, Rolf; Freeman, Ruth; Herron, Daniel; Humphris, Gerry; Menzies, Rachel; Quinn, Sandra; Scott, Lesley; Waller, Annalu

    2014-11-01

    The VR-CoDES has been previously applied in the dental context. However, we know little about how dental patients with intellectual disabilities (ID) and complex communication needs express their emotional distress during dental visits. This is the first study explored the applicability of the VR-CoDES to a dental context involving patients with ID. Fourteen dental consultations were video recorded and coded using the VR-CoDES, assisted with the additional guidelines for the VR-CoDES in a dental context. Both inter- and intra-coder reliabilities were checked on the seven consultations where cues were observed. Sixteen cues (eight non-verbal) were identified within seven of the 14 consultations. Twenty responses were observed (12 reducing space) with four multiple responses. Cohen's Kappa were 0.76 (inter-coder) and 0.88 (intra-coder). With the additional guidelines, cues and responses were reliably identified. Cue expression was exhibited by non-verbal expression of emotion with people with ID in the literature. Further guidance is needed to improve the coding accuracy on multiple providers' responses and to investigate potential impacts of conflicting responses on patients. The findings provided a useful initial step towards an ongoing exploration of how healthcare providers identify and manage emotional distress of patients with ID. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  9. Monitoring and control requirement definition study for dispersed storage and generation (DSG). Volume II. Final report, Appendix A: selected DSG technologies and their general control requirements

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    A major aim of the US National Energy Policy, as well as that of the New York State Energy Research and Development Authority, is to conserve energy and to shift from oil to more abundant domestic fuels and renewable energy sources. Dispersed Storage and Generation (DSG) is the term that characterizes the present and future dispersed, relatively small (<30 MW) energy systems, such as solar thermal electric, photovoltaic, wind, fuel cell, storage battery, hydro, and cogeneration, which can help achieve these national energy goals and can be dispersed throughout the distribution portion of an electric utility system. The purpose of this survey and identification of DSG technologies is to present an understanding of the special characteristics of each of these technologies in sufficient detail so that the physical principles of their operation and the internal control of each technology are evident. In this way, a better appreciation can be obtained of the monitoring and control requirements for these DSGs from a remote distribution dispatch center. A consistent approach is being sought for both hardware and software which will handle the monitoring and control necessary to integrate a number of different DSG technologies into a common distribution dispatch network. From this study it appears that the control of each of the DSG technologies is compatible with a supervisory control method of operation that lends itself to remote control from a distribution dispatch center.

  10. Prospective Multi-Institutional Study of Definitive Radiotherapy With High-Dose-Rate Intracavitary Brachytherapy in Patients With Nonbulky (<4-cm) Stage I and II Uterine Cervical Cancer (JAROG0401/JROSG04-2)

    Energy Technology Data Exchange (ETDEWEB)

    Toita, Takafumi, E-mail: b983255@med.u-ryukyu.ac.jp [Department of Radiology, Graduate School of Medical Science, University of Ryukyus, Okinawa (Japan); Kato, Shingo [Research Center for Charged Particle Therapy, National Institute of Radiological Sciences, Chiba (Japan); Niibe, Yuzuru [Department of Radiology, School of Medicine, Kitasato University, Sagamihara (Japan); Ohno, Tatsuya [Gunma University Heavy Ion Medical Center, Maebashi (Japan); Kazumoto, Tomoko [Department of Radiology, Saitama Cancer Center, Saitama (Japan); Kodaira, Takeshi [Department of Radiation Oncology, Aichi Cancer Center, Nagoya (Japan); Kataoka, Masaaki [Department of Radiology, National Shikoku Cancer Center, Ehime (Japan); Shikama, Naoto [Department of Radiation Oncology, Saku Central Hospital, Saku (Japan); Kenjo, Masahiro [Department of Radiation Oncology, Graduate School of Medical Science, Hiroshima University, Hiroshima (Japan); Tokumaru, Sunao [Department of Radiology, Saga University, Saga (Japan); Yamauchi, Chikako [Department of Radiation Oncology, Shiga Medical Center for Adults, Moriyama (Japan); Suzuki, Osamu [Department of Radiation Oncology, Osaka Medical Center for Cancer, Osaka (Japan); Sakurai, Hideyuki [Proton Medical Research Center and Tsukuba University, Tsukuba (Japan); Numasaki, Hodaka; Teshima, Teruki [Department of Medical Physics and Engineering, Graduate School of Medicine, Osaka University, Suita, Osaka (Japan); Oguchi, Masahiko [Department of Radiation Oncology, Cancer Institute Hospital, Tokyo (Japan); Kagami, Yoshikazu [Radiation Oncology Division, National Cancer Center Hospital, Tokyo (Japan); Nakano, Takashi [Department of Radiation Oncology, Gunma University, Graduate School of Medicine, Maebashi (Japan); Hiraoka, Masahiro [Department of Radiation Oncology and Image-applied Therapy, Kyoto University, Graduate School of Medicine, Kyoto (Japan); Mitsuhashi, Norio [Department of Radiation Oncology, Tokyo Women' s Medical University, Tokyo (Japan)

    2012-01-01

    Purpose: To determine the efficacy of a definitive radiotherapy protocol using high-dose-rate intracavitary brachytherapy (HDR-ICBT) with a low cumulative dose schedule in nonbulky early-stage cervical cancer patients, we conducted a prospective multi-institutional study. Methods and Materials: Eligible patients had squamous cell carcinoma of the intact uterine cervix, Federation of Gynecologic Oncology and Obstetrics (FIGO) stages Ib1, IIa, and IIb, tumor size <40 mm in diameter (assessed by T2-weighted magnetic resonance imaging), and no pelvic/para-aortic lymphadenopathy. The treatment protocol consisted of whole-pelvis external beam radiotherapy (EBRT) of 20 Gy/10 fractions, pelvic EBRT with midline block of 30 Gy/15 fractions, and HDR-ICBT of 24 Gy/4 fractions (at point A). The cumulative biologically effective dose (BED) was 62 Gy{sub 10} ({alpha}/{beta} = 10) at point A. The primary endpoint was the 2-year pelvic disease progression-free (PDPF) rate. All patients received a radiotherapy quality assurance review. Results: Between September 2004 and July 2007, 60 eligible patients were enrolled. Thirty-six patients were assessed with FIGO stage Ib1; 12 patients with stage IIa; and 12 patients with stage IIb. Median tumor diameter was 28 mm (range, 6-39 mm). Median overall treatment time was 43 days. Median follow-up was 49 months (range, 7-72 months). Seven patients developed recurrences: 3 patients had pelvic recurrences (2 central, 1 nodal), and 4 patients had distant metastases. The 2-year PDPF was 96% (95% confidence interval [CI], 92%-100%). The 2-year disease-free and overall survival rates were 90% (95% CI, 82%-98%) and 95% (95% CI, 89%-100%), respectively. The 2-year late complication rates (according to Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer of Grade {>=}1) were 18% (95% CI, 8%-28%) for large intestine/rectum, 4% (95% CI, 0%-8%) for small intestine, and 0% for bladder. No Grade {>=}3 cases were

  11. Intensity-Modulated Proton Therapy Further Reduces Normal Tissue Exposure During Definitive Therapy for Locally Advanced Distal Esophageal Tumors: A Dosimetric Study

    Energy Technology Data Exchange (ETDEWEB)

    Welsh, James, E-mail: jwelsh@mdanderson.org [Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States); Gomez, Daniel; Palmer, Matthew B.; Riley, Beverly A.; Mayankkumar, Amin V.; Komaki, Ritsuko [Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States); Dong, Lei; Zhu, X. Ronald [Department of Radiation Physics, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States); Likhacheva, Anna; Liao, Zhongxing [Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States); Hofstetter, Wayne L. [Department of Thoracic and Cardiovascular Surgery, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States); Ajani, Jaffer A. [Department of Gastrointestinal Medical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States); Cox, James D. [Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX (United States)

    2011-12-01

    Purpose: We have previously found that {<=} 75% of treatment failures after chemoradiotherapy for unresectable esophageal cancer appear within the gross tumor volume and that intensity-modulated (photon) radiotherapy (IMRT) might allow dose escalation to the tumor without increasing normal tissue toxicity. Proton therapy might allow additional dose escalation, with even lower normal tissue toxicity. In the present study, we compared the dosimetric parameters for photon IMRT with that for intensity-modulated proton therapy (IMPT) for unresectable, locally advanced, distal esophageal cancer. Patients and Methods: Four plans were created for each of 10 patients. IMPT was delivered using anteroposterior (AP)/posteroanterior beams, left posterior oblique/right posterior oblique (LPO/RPO) beams, or AP/LPO/RPO beams. IMRT was delivered with a concomitant boost to the gross tumor volume. The dose was 65.8 Gy to the gross tumor volume and 50.4 Gy to the planning target volume in 28 fractions. Results: Relative to IMRT, the IMPT (AP/posteroanterior) plan led to considerable reductions in the mean lung dose (3.18 vs. 8.27 Gy, p < .0001) and the percentage of lung volume receiving 5, 10, and 20 Gy (p {<=} .0006) but did not reduce the cardiac dose. The IMPT LPO/RPO plan also reduced the mean lung dose (4.9 Gy vs. 8.2 Gy, p < .001), the heart dose (mean cardiac dose and percentage of the cardiac volume receiving 10, 20, and 30 Gy, p {<=} .02), and the liver dose (mean hepatic dose 5 Gy vs. 14.9 Gy, p < .0001). The IMPT AP/LPO/RPO plan led to considerable reductions in the dose to the lung (p {<=} .005), heart (p {<=} .003), and liver (p {<=} .04). Conclusions: Compared with IMRT, IMPT for distal esophageal cancer lowered the dose to the heart, lung, and liver. The AP/LPO/RPO beam arrangement was optimal for sparing all three organs. The dosimetric benefits of protons will need to be tailored to each patient according to their specific cardiac and pulmonary risks. IMPT for

  12. A Phase II Study of Bevacizumab in Combination With Definitive Radiotherapy and Cisplatin Chemotherapy in Untreated Patients With Locally Advanced Cervical Carcinoma: Preliminary Results of RTOG 0417

    Energy Technology Data Exchange (ETDEWEB)

    Schefter, Tracey E., E-mail: tracey.schefter@ucdenver.edu [University of Colorado-Denver, Aurora, CO (United States); Winter, Kathryn [RTOG Statistical Center, Philadelphia, PA (United States); Kwon, Janice S. [University of British Columbia and BC Cancer Agency, Vancouver, BC (Canada); Stuhr, Kelly [Anschutz Cancer Pavilion, Aurora, CO (United States); Balaraj, Khalid [King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia); Yaremko, Brian P. [University of Western Ontario, London Regional Cancer Program, London, ON (Canada); Small, William [The Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL (United States); Gaffney, David K. [University of Utah Health Science Center, Salt Lake City, UT (United States)

    2012-07-15

    Purpose: Concurrent cisplatin-based chemoradiotherapy (CRT) is the standard treatment for locally advanced cervical cancer. RTOG 0417 was a Phase II study exploring the safety and efficacy of the addition of bevacizumab to standard CRT. Methods and Materials: Eligible patients with bulky tumors (Stage IB-IIIB) were treated with once-weekly cisplatin (40 mg/m{sup 2}) chemotherapy and standard pelvic radiotherapy and brachytherapy. Bevacizumab was administered at 10 mg/kg intravenously every 2 weeks for three cycles. Treatment-related serious adverse event (SAE) and other adverse event (AE) rates within the first 90 days from treatment start were determined. Treatment-related SAEs were defined as any Grade {>=}4 vaginal bleeding or thrombotic event or Grade {>=}3 arterial event, gastrointestinal (GI) bleeding, or bowel/bladder perforation, or any Grade 5 treatment-related death. Treatment-related AEs included all SAEs and Grade 3 or 4 GI toxicity persisting for >2 weeks despite medical intervention, Grade 4 neutropenia or leukopenia persisting for >7 days, febrile neutropenia, Grade 3 or 4 other hematologic toxicity, and Grade 3 or 4 GI, renal, cardiac, pulmonary, hepatic, or neurologic AEs. All AEs were scored using the National Cancer Institute Common Terminology Criteria (CTCAE) v 3.0 (MedDRA version 6.0). Results: A total of 60 patients from 28 institutions were enrolled between 2006 and 2009, and of these, 49 patients were evaluable. The median follow-up was 12.4 months (range, 4.6-31.4 months).The median age was 45 years (range, 22-80 years). Most patients had FIGO Stage IIB (63%) and were of Zubrod performance status of 0 (67%). 80% of cases were squamous. There were no treatment-related SAEs. There were 15 (31%) protocol-specified treatment-related AEs within 90 days of treatment start; the most common were hematologic (12/15; 80%). 18 (37%) occurred during treatment or follow-up at any time. 37 of the 49 patients (76%) had cisplatin and bevacizumab

  13. The Definitive Handbook of Business Continuity Management

    CERN Document Server

    Hiles, Andrew

    2010-01-01

    With a pedigree going back over ten years, The Definitive Handbook of Business Continuity Management can rightly claim to be a classic guide to business risk management and contingency planning, with a style that makes it accessible to all business managers. Some of the original underlying principles remain the same – but much has changed. This is reflected in this radically updated third edition, with exciting and helpful new content from new and innovative contributors and new case studies bringing the book right up to the minute. This book combines over 500 years of experience from leading

  14. 23 CFR 660.103 - Definitions.

    Science.gov (United States)

    2010-04-01

    ... are included in the FS's planning and land management processes. Statewide transportation plan means... 23 Highways 1 2010-04-01 2010-04-01 false Definitions. 660.103 Section 660.103 Highways FEDERAL... (DIRECT FEDERAL) Forest Highways § 660.103 Definitions. In addition to the definitions in 23 U.S.C....

  15. 12 CFR 616.600 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Definitions. 616.600 Section 616.600 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM LEASING § 616.600 Definitions. For the purposes of this part, the following definitions apply: (a) Interests in leases means ownership interests in...

  16. 19 CFR 122.1 - General definitions.

    Science.gov (United States)

    2010-04-01

    ... Secretary of Health and Human Services as a place for quarantine inspection. (f) Landing rights airport. A... 19 Customs Duties 1 2010-04-01 2010-04-01 false General definitions. 122.1 Section 122.1 Customs... AIR COMMERCE REGULATIONS General Definitions and Provisions § 122.1 General definitions. The following...

  17. 7 CFR 1210.601 - Definitions.

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    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... PLAN Referendum Procedures § 1210.601 Definitions. Unless otherwise defined in this section, the definition of terms used in these procedures shall have the same meaning as the definitions in the Plan....

  18. 42 CFR 423.772 - Definitions.

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    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Definitions. 423.772 Section 423.772 Public Health... Individuals § 423.772 Definitions. For purposes of this subpart, the following definitions apply: Applicant... spouse for at least one-half of their financial support. Federal poverty line (FPL) has the meaning given...

  19. 20 CFR 418.3010 - Definitions.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Definitions. 418.3010 Section 418.3010..., General Provisions, and Definitions § 418.3010 Definitions. (a) Terms relating to the Act and regulations... size as defined in 42 CFR 423.772. (6) Federal poverty line, for purposes of this subpart, has the same...

  20. 7 CFR 1469.3 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Definitions. 1469.3 Section 1469.3 Agriculture... Definitions. The following definitions apply to this part and all documents issued in accordance with this... or below the national poverty level for a family of four, or less than 50 percent of county median...

  1. 7 CFR 1466.3 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Definitions. 1466.3 Section 1466.3 Agriculture... § 1466.3 Definitions. The following definitions will apply to this Part and all documents issued in... Service), and (2) Has a total household income at or below the national poverty level for a family of four...

  2. 7 CFR 1465.3 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Definitions. 1465.3 Section 1465.3 Agriculture... § 1465.3 Definitions. The following definitions apply to this part and all documents used in accordance... Statistics Service), and (2) Has a total household income at or below the national poverty level for a family...

  3. 12 CFR 228.12 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Definitions. 228.12 Section 228.12 Banks and... REINVESTMENT (REGULATION BB) General § 228.12 Definitions. For purposes of this part, the following definitions... Insurance Corporation, and Office of the Comptroller of the Currency, based on— (A) Rates of poverty...

  4. 7 CFR 3430.602 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Definitions. 3430.602 Section 3430.602 Agriculture... Definitions. The definitions applicable to the program under this subpart include: Beginning farmer or rancher... Poverty Level for a family of four or less than 50 percent of county median household income in each of...

  5. 5 CFR 362.101 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 362.101 Section 362.101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PRESIDENTIAL MANAGEMENT FELLOWS PROGRAM Definitions § 362.101 Definitions. For purposes of this part, An agency means a component within...

  6. 5 CFR 550.301 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 550.301 Section 550.301 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY ADMINISTRATION (GENERAL) Allotments From Federal Employees Definitions § 550.301 Definitions. In this subpart: Agency means an...

  7. 5 CFR 630.201 - Definitions.

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    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 630.201 Section 630.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Definitions and General Provisions for Annual and Sick Leave § 630.201 Definitions. (a) In section 6301(2)(iii) of...

  8. 7 CFR 3.52 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Definitions. 3.52 Section 3.52 Agriculture Office of the Secretary of Agriculture DEBT MANAGEMENT Administrative Wage Garnishment § 3.52 Definitions. As used in this subpart the following definitions shall apply: Disposable pay means that part of the...

  9. 5 CFR 581.102 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 581.102 Section 581.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PROCESSING GARNISHMENT ORDERS FOR CHILD SUPPORT AND/OR ALIMONY Purpose and Definitions § 581.102 Definitions. In this part: (a) The...

  10. 5 CFR 582.102 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 582.102 Section 582.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS COMMERCIAL GARNISHMENT OF FEDERAL EMPLOYEES' PAY Purpose, Definitions, and Exclusions § 582.102 Definitions. In this part—(1) Agency...

  11. 5 CFR 1.3 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Definitions. 1.3 Section 1.3 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES COVERAGE AND DEFINITIONS (RULE I) § 1.3 Definitions. As used in the rules in this subchapter: (a) Competitive service shall have the same...

  12. Definitions of Insanity in College Students

    Science.gov (United States)

    Geiger, John F.; Weinstein, Lawrence

    2008-01-01

    The legal concept of insanity has had many definitions throughout the years, and the precise definition used is critical in determining the status of a person in the legal system. Past research has demonstrated that different professions working in the legal system cannot agree on the definition of insanity (Weinstein & Geiger, 2003). However,…

  13. 12 CFR 211.21 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Definitions. 211.21 Section 211.21 Banks and... foreign bank does not include a central bank of a foreign country that does not engage or seek to engage... OPERATIONS (REGULATION K) Foreign Banking Organizations § 211.21 Definitions. The definitions contained in...

  14. 31 CFR 210.2 - Definitions.

    Science.gov (United States)

    2010-07-01

    ... and Federal Reserve Banks with respect to central accounting, financial reporting, and other Federal... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Definitions. 210.2 Section 210.2... CLEARING HOUSE § 210.2 Definitions. For purposes of this part, the following definitions apply. Any term...

  15. 76 FR 53376 - Definition of Solid Waste

    Science.gov (United States)

    2011-08-26

    ... AGENCY 40 CFR Parts 260, 261, and 270 RIN 2050-AG62 Definition of Solid Waste AGENCY: Environmental... definition of solid waste published in the Federal Register on July 22, 2011. EPA is proposing to revise certain exclusions from the definition of solid waste for hazardous secondary materials intended for...

  16. 7 CFR 1145.1 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... and Orders; Milk), DEPARTMENT OF AGRICULTURE DAIRY FORWARD PRICING PROGRAM Definitions § 1145.1 Definitions. (a) Program means the dairy forward pricing program as established by Section 1502 of Public Law... 7 Agriculture 9 2010-01-01 2009-01-01 true Definitions. 1145.1 Section 1145.1...

  17. 47 CFR 69.703 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... Pricing Flexibility § 69.703 Definitions. For purposes of this subpart: (a) Channel terminations. (1) A... 47 Telecommunication 3 2010-10-01 2010-10-01 false Definitions. 69.703 Section 69.703... Statistical Area (MSA). This term shall have the definition provided in § 22.909(a) of this chapter....

  18. 7 CFR 59.200 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Definitions. 59.200 Section 59.200 Agriculture... REPORTING Swine Reporting § 59.200 Definitions. The following definitions apply to this subpart. Affiliate... in which the pricing mechanism is a formula price based on any market other than the market for...

  19. 75 FR 47458 - TRICARE; Rare Diseases Definition

    Science.gov (United States)

    2010-08-06

    ... of Health and Food and Drug Administration definitions when making coverage decisions for treatments... Office of the Secretary 32 CFR Part 199 RIN 0720-AB26 TRICARE; Rare Diseases Definition AGENCY: Office of the Secretary, DoD. ACTION: Final rule. SUMMARY: This final rule revises the definition of...

  20. 18 CFR 270.101 - General definitions.

    Science.gov (United States)

    2010-04-01

    ... gas produced from coal seams means naturally occurring natural gas released from entrapment from the fractures, pores and bedding planes of coal seams. (7) Natural gas produced from Devonian shale means... General Definitions § 270.101 General definitions. (a) NGPA definitions. Terms defined in the Natural...

  1. 48 CFR 514.270-1 - Definition.

    Science.gov (United States)

    2010-10-01

    ... individual price for each item does not have to be the lowest bid received. (See also the definition of a... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Definition. 514.270-1... METHODS AND CONTRACT TYPES SEALED BIDDING Solicitation of Bids 514.270-1 Definition. Aggregate award...

  2. 45 CFR 305.1 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Definitions. 305.1 Section 305.1 Public Welfare..., STANDARDS, FINANCIAL INCENTIVES, AND PENALTIES § 305.1 Definitions. The definitions found in § 301.1 of this... Consumer Price Index or CPI means the last Consumer Price Index for all-urban consumers published by...

  3. 22 CFR 171.31 - Definitions.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Definitions. 171.31 Section 171.31 Foreign Relations DEPARTMENT OF STATE ACCESS TO INFORMATION AVAILABILITY OF INFORMATION AND RECORDS TO THE PUBLIC Privacy Act Provisions § 171.31 Definitions. As used in this subpart, the following definitions...

  4. 48 CFR 9904.415-30 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... stock or other property as indicated by market quotations. (2) ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Definitions. 9904.415-30... STANDARDS COST ACCOUNTING STANDARDS 9904.415-30 Definitions. (a) The following are definitions of...

  5. Definitions of Insanity in College Students

    Science.gov (United States)

    Geiger, John F.; Weinstein, Lawrence

    2008-01-01

    The legal concept of insanity has had many definitions throughout the years, and the precise definition used is critical in determining the status of a person in the legal system. Past research has demonstrated that different professions working in the legal system cannot agree on the definition of insanity (Weinstein & Geiger, 2003). However,…

  6. Definitions of Health Terms: General Health

    Science.gov (United States)

    ... this page: https://medlineplus.gov/definitions/generalhealthdefinitions.html Definitions of Health Terms: General Health To use the sharing features ... healthy. You can start by learning these general health terms. Find more definitions on Fitness | General Health | Minerals | Nutrition | Vitamins Basal ...

  7. 42 CFR 416.2 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Definitions. 416.2 Section 416.2 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM AMBULATORY SURGICAL SERVICES General Provisions and Definitions § 416.2 Definitions. As used...

  8. 42 CFR 418.3 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Definitions. 418.3 Section 418.3 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE General Provision and Definitions § 418.3 Definitions. For purposes of this...

  9. 42 CFR 136.1 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Definitions. 136.1 Section 136.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Purpose and Definitions § 136.1 Definitions. When used in...

  10. 42 CFR 421.3 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Definitions. 421.3 Section 421.3 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE CONTRACTING Scope, Definitions, and General Provisions § 421.3 Definitions. As used...

  11. 42 CFR 137.10 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Definitions. 137.10 Section 137.10 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Definitions § 137.10 Definitions. Unless...

  12. 15 CFR 922.71 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... MARINE SANCTUARY PROGRAM REGULATIONS Channel Islands National Marine Sanctuary § 922.71 Definitions. In addition to those definitions found at 15 CFR 922.3, the following definitions apply to this subpart... into which altered genetic matter, or genetic matter from another species, has been transferred...

  13. 16 CFR 1110.3 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Definitions. 1110.3 Section 1110.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS CERTIFICATES... stated, the definitions of section 3 of the CPSA and additional definitions in the Consumer...

  14. 16 CFR 1130.2 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... Definitions. In addition to the definitions given in section 3 of the Consumer Product Safety Act (15 U.S.C. 2052), the following definitions apply: (a) Durable infant or toddler product means the following... Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS...

  15. 43 CFR 7.32 - Supplemental definitions.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Supplemental definitions. 7.32 Section 7... RESOURCES Department of the Interior Supplemental Regulations § 7.32 Supplemental definitions. For purposes of this subpart, the following definitions will be used: (a) Site of religious or cultural...

  16. 7 CFR 29.6001 - Definitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Definitions. 29.6001 Section 29.6001 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Standards Definitions § 29.6001 Definitions. As used in these standards, the words and...

  17. Professionalism: definition and qualities

    Directory of Open Access Journals (Sweden)

    Raschke RA

    2014-05-01

    Full Text Available No abstract available. Article truncated at 150 words. Moses Maimonides (1135-1206 AD was a Jewish rabbi, philosopher and physician who studied and practiced in northern Africa. The Oath of Maimonides expresses his attitude towards our shared profession, that is still applicable to the bedside in a modern ICU: "The eternal providence has appointed me to watch over the life and health of Thy creatures.May the love for my art actuate me at all time; may neither avarice nor miserliness, nor thirst for glory or for a great reputation engage my mind; for the enemies of truth and philanthropy could easily deceive me and make me forgetful of my lofty aim of doing good to Thy children. May I never see in the patient anything but a fellow creature in pain. Grant me the strength, time and opportunity always to correct what I have acquired, always to extend its domain; for knowledge is immense and the spirit of ...

  18. The inconsistent definitions for tuberculosis currently used in the literature

    Directory of Open Access Journals (Sweden)

    W X Shandera

    2015-01-01

    Conclusion: There is much confusion in the categorization of clinical tuberculosis. The standardized WHO, CDC, and ATS definitions are not always adhered to in collating and analyzing tuberculosis data by authors studying extrapulmonary tuberculosis. The recommendation that pleural disease be considered extrapulmonary is not adhered to in a sizable percentage (32% of studies and the exclusion of disseminated or miliary disease in a subset of patients is also inconsistent. More restrictive guidelines are needed in the definitions used for tuberculosis so that studies and meta-analyses can be performed with greater validity.

  19. On the definition of superclusters

    CERN Document Server

    Chon, Gayoung; Zaroubi, Saleem

    2015-01-01

    To obtain a physically well-motivated definition of superclusters, we proposed in our previous work to select superclusters with an overdensity criterion that selects only those objects that will collapse in the future, including those that are at a turn-around in the present epoch. In this paper we present numerical values for these criteria for a range of standard cosmological models. We express these criteria in terms of a density ratio or, alternatively, as an infall velocity and show that these two criteria give almost identical results. To better illustrate the implications of this definition, we applied our criteria to some prominent structures in the local Universe, the Local supercluster, Shapley supercluster, and the recently reported Laniakea supercluster to understand their future evolution. We find that for the Local and Shapley superclusters, only the central regions will collapse in the future, while Laniakea does not constitute a significant overdensity and will disperse in the future. Finally...

  20. TOWARDS A DEFINITION OF CONTROLLING

    Directory of Open Access Journals (Sweden)

    Mihaela Mocanu

    2014-12-01

    Full Text Available Controlling is a concept that is still subject of many controversies. Nowadays, it is used both in theory and in practice to designate a variety of activities. The paper aims at shedding light on this enigmatic concept. First of all, the author offers an overview of the historical roots of “controlling”. Secondly, different definitions of the concept of “controlling” are contrasted. The author comments upon two types of definitions: concepts oriented towards the goal to obtain results (profit, turnover, low costs and concepts oriented towards the universal goals of the company (e.g. product-related, environmental, social goals. Last but not least, the paper identifies the different perspectives used when defining the concept, in order to provide the proper background for understanding “controlling”: the information-oriented perspective, the coordination-oriented perspective and the reflection-oriented perspective, and the rationality-oriented perspective.