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Sample records for dispensary liverpool 1924-1991

  1. Liverpool's healthcare future safeguarded.

    Science.gov (United States)

    Lewis, David

    2014-03-01

    David Lewis, Principal and design lead for the London studio of international design and architecture firm, NBBJ, and part of the Carillion consortium designing the new Royal Liverpool University Hospital with HKS for The Royal Liverpool and Broadgreen University Hospitals NHS Trust, describes how the masterplan will seek to more clearly define the urban space of the street, restore public access to the centre of the site, and 'knit' the hospital more fully into fabric of Liverpool than is the case with the current, 1970s-built, Royal Liverpool University Hospital.

  2. Liverpool Telescope and Liverpool Telescope 2

    Science.gov (United States)

    Copperwheat, C. M.; Steele, I. A.; Barnsley, R. M.; Bates, S. D.; Clay, N. R.; Jermak, H.; Marchant, J. M.; Mottram, C. J.; Piascik, A.; Smith, R. J.

    2016-12-01

    The Liverpool Telescope is a fully robotic optical/near-infrared telescope with a 2-metre clear aperture, located at the Observatorio del Roque de los Muchachos on the Canary Island of La Palma. The telescope is owned and operated by Liverpool John Moores University, with financial support from the UK's Science and Technology Facilities Council. The telescope began routine science operations in 2004 and is a common-user facility with time available through a variety of committees via an open, peer reviewed process. Seven simultaneously mounted instruments support a broad science programme, with a focus on transient follow-up and other time domain topics well suited to the characteristics of robotic observing. Development has also begun on a successor facility, with the working title `Liverpool Telescope 2', to capitalise on the new era of time domain astronomy which will be brought about by the next generation of survey facilities such as LSST. The fully robotic Liverpool Telescope 2 will have a 4-metre aperture and an improved response time. In this paper we provide an overview of the current status of both facilities.

  3. Training and Practices of Cannabis Dispensary Staff.

    Science.gov (United States)

    Haug, Nancy A; Kieschnick, Dustin; Sottile, James E; Babson, Kimberly A; Vandrey, Ryan; Bonn-Miller, Marcel O

    2016-01-01

    Introduction: The proliferation of cannabis dispensaries within the United States has emerged from patient demand for the legalization of cannabis as an alternative treatment for a number of conditions and symptoms. Unfortunately, nothing is known about the practices of dispensary staff with respect to recommendation of cannabis strains/concentrations for specific patient ailments. To address this limitation, the present study assessed the training and practices of cannabis dispensary staff. Materials and Methods: Medical and nonmedical dispensary staff (n=55) were recruited via e-mail and social media to complete an online survey assessing their demographic characteristics, dispensary features, patient characteristics, formal training, and cannabis recommendation practices. Results: Fifty-five percent of dispensary staff reported some formal training for their position, with 20% reporting medical/scientific training. A majority (94%) indicated that they provide specific cannabis advice to patients. In terms of strains, dispensary staff trended toward recommendations of Indica for anxiety, chronic pain, insomnia, nightmares, and Tourette's syndrome. They were more likely to recommend Indica and hybrid plants for post-traumatic stress disorder (PTSD)/trauma and muscle spasms. In contrast, staff were less likely to recommend Indica for depression; hybrid strains were most often recommended for amyotrophic lateral sclerosis (ALS). In terms of cannabinoid concentrations, dispensary staff were most likely to recommend a 1:1 ratio of delta-9-tetrahydrocannabinol (THC):cannabidiol (CBD) for patients suffering from anxiety, Crohn's disease, hepatitis C, and PTSD/trauma, while patients seeking appetite stimulation were most likely to be recommended THC. Staff recommended high CBD for arthritis and Alzheimer's disease and a high CBD or 1:1 ratio for ALS, epilepsy, and muscle spasms. Conclusions: Although many dispensary staff are making recommendations consistent with

  4. Liverpool Telecare Pilot: case studies

    Directory of Open Access Journals (Sweden)

    Nigel Barnes

    2006-09-01

    Full Text Available Telecare services use information and communications technology (ICT to support the provision of care to people in their own homes. This paper describes a pilot telecare service employed by Liverpool (UK City Council to support a sample of their frail and elderly social services users. The pilot has been running for over two years and has been deployed for 21 individuals in Liverpool. In this paper we present the pilot system and provide real example cases which help to illustrate the benefits of such a system.

  5. The Liverpool Bay Coastal Observatory

    Science.gov (United States)

    Howarth, John; Palmer, Matthew

    2011-11-01

    A pilot Coastal Observatory has been established in Liverpool Bay which integrates (near) real-time measurements with coupled models and whose results are displayed on the web. The aim is to understand the functioning of coastal seas, their response to natural forcing and the consequences of human activity. The eastern Irish Sea is an apt test site, since it encompasses a comprehensive range of processes found in tidally dominated coastal seas, including near-shore physical and biogeochemical processes influenced by estuarine inflows, where both vertical and horizontal gradients are important. Applications include hypernutrification, since the region receives significantly elevated levels of nutrient inputs, shoreline management (coastal flooding and beach erosion/accretion), and understanding present conditions to predict the impact of climate change (for instance if the number and severity of storms, or of high or low river flows, change). The integrated measurement suite which started in August 2002 covers a range of space and time scales. It includes in situ time series, four to six weekly regional water column surveys, an instrumented ferry, a shore-based HF radar system measuring surface currents and waves, coastal tide gauges and visible and infra-red satellite data. The time series enable definition of the seasonal cycle, its inter-annual variability and provide a baseline from which the relative importance of events can be quantified. A suite of nested 3D hydrodynamic, wave and ecosystem models is run daily, focusing on the observatory area by covering the ocean/shelf of northwest Europe (at 12-km resolution) and the Irish Sea (at 1.8 km), and Liverpool Bay at the highest resolution of 200 m. The measurements test the models against events as they happen in a truly 3D context. All measurements and model outputs are displayed freely on the Coastal Observatory website (http://cobs.pol.ac.uk) for an audience of researchers, education, coastal managers and the

  6. The Liverpool Microwave Palaeointensity System

    Science.gov (United States)

    Hill, Mimi; Biggin, Andrew; Hawkins, Louise; Hodgson, Emma; Hurst, Elliot

    2016-04-01

    The motivation for the group at Liverpool in the 1990s (led by John Shaw and Derek Walton) to start experimenting with using microwaves to demagnetise and remagnetise palaeomagnetic samples, rather than heating using conventional ovens, was to reduce laboratory induced alteration in absolute palaeointensity experiments. As with other methods, the non-ideal effects of grain size and naturally altered remanence must still be addressed. From humble beginnings using a domestic microwave oven the current 4th generation microwave system (MWS) has developed in to an integrated combined 14 GHz microwave resonant cavity and SQUID magnetometer system. The MWS is designed to investigate one 5 mm diameter sample at a time with microwave exposure (the equivalent of a heating step in conventional experiments) ranging from a few seconds up to around a minute. Each experiment (protocol, checks, direction and strength of applied field, number of steps etc) can be tailored to the behaviour of each individual sample. There have been many published studies demonstrating the equivalence of conventional thermal (Thellier) and microwave techniques using both artificial and natural remanence and also that the microwave method can indeed reduce laboratory induced alteration. Here an overview of the present MWS including a discussion of the physical processes occurring will be given. Examples of current projects (both archaeological and geological) utilising the method will also be described. Finally, future developments and applications of the method will be discussed.

  7. Community Businesses--Lessons from Liverpool, UK.

    Science.gov (United States)

    Leeming, Karen

    2002-01-01

    Comparison of community business development in two neighborhoods in Liverpool, England, resulted in the following implications for economic development strategy: (1) social entrepreneurs do not access the same infrastructure as business entrepreneurs; (2) community businesses differ from private enterprise; (3) displacement effects must be…

  8. ATLAS Virtual Visit from University of Liverpool

    CERN Multimedia

    2016-01-01

    The event is part of a competition for female high school, being run jointly between Universities of Liverpool & Warwick in the UK. The girls will be competing for a residential visit to the XMaS research facility in Grenoble, France. The idea of the Science Gala is to enhance the competition by bringing the girls, their families & teachers together to meet with different science professionals (academic and industrial), and to learn more about the opportunities afforded by studying physical sciences courses.

  9. "In My Liverpool Home": An Investigation into the Institutionalised Invisibility of Liverpool's Black Citizens

    Science.gov (United States)

    Boyle, Bill; Charles, Marie

    2012-01-01

    Reviewing the 22 years that have elapsed since Gifford's 1989 report labelled Liverpool as racist, the authors focus on the fact that in a city which has had a British African Caribbean (BAC) community for over 400 years, there is minimum representation of that community in the city's workforce. The authors investigate two major forms of…

  10. LIVERPOOL @ SHANGHAI, The waterfront as a brandscape in Liverpool Waters case study

    Directory of Open Access Journals (Sweden)

    Anna Attademo

    2014-01-01

    Full Text Available Liverpool was an important maritime since the 18th century. In the 20th century this economic model declined and the waterfront started shrinking, eroding the core centre of the city. Since then Liverpool administration started stimulating new investments: the symbolic marine backgrounds, central places for the city of production, were turned into city of consumption benchmarks. Transforming into a brandscape the old waterscape perspective, Liverpool creates a twin-city relationship with Shanghai (China, trying to attract new investors from China to accelerate the regeneration. With the "One city, Nine towns" plan (2001, Shanghai provided itself of a branding strategy and of an efficacious urban planning perspective all at one time, using well-known European styles to realize its expansion areas along the waterfront.Working on this model, Liverpool Waters proposal re-designs the waterfront skyline in a Shanghai style, with disproportionate towers, refusing the city waterscape heritage, listed as World Heritage Site by UNESCO. The main landmark of the area, a skyscraper called Shanghai Tower, is not an attempt to embody Shanghai culture or urban environment, but rather to line up to its lifestyle and social-economic conditions, to put the city onto the global market with a positive etiquette.The overall proposal establishes a generic relation with water, neglecting Liverpool marine heritage, moving the attention from the old waterscape (with its core in the historic Pier Head to a new town brandscape. The entire city dematerializes itself on the back of the proposed new picture.The paper tries to evaluate the parallelism in this approach to branding strategies and related regeneration actions, according also to an analytical verification through a project: the proposal for a new tower in Shanghai waterfront to create a balance between the proposition of a successful, vibrant brandscape and the respect of geographical and historical factors.

  11. VERTEBRAL DEFORMITY IN CHILDREN AND DISPENSARY CARE ORGANIZATION

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    I. T. Batrshin

    2011-01-01

    Full Text Available In order to analyze the prevalence of spine deformation pathology and the state of vertebral children care screening of 18 500 schoolchildren was conducted by computer optical topography. In 79.5% of them the posture disturbances and in 14.5% - spinal deformity were detected. The multivariate analysis of vertebral deformity was performed. It is established that vertebral deformity till 10° on Coob has usually monoplane form, and more than 10° - only multiplane form. Dispensary health groups were formed, screening program for children with subsequent monitoring was proposed.

  12. In pursuit of accurate timekeeping: Liverpool and Victorian electrical horology.

    Science.gov (United States)

    Ishibashi, Yuto

    2014-10-01

    This paper explores how nineteenth-century Liverpool became such an advanced city with regard to public timekeeping, and the wider impact of this on the standardisation of time. From the mid-1840s, local scientists and municipal bodies in the port city were engaged in improving the ways in which accurate time was communicated to ships and the general public. As a result, Liverpool was the first British city to witness the formation of a synchronised clock system, based on an invention by Robert Jones. His method gained a considerable reputation in the scientific and engineering communities, which led to its subsequent replication at a number of astronomical observatories such as Greenwich and Edinburgh. As a further key example of developments in time-signalling techniques, this paper also focuses on the time ball established in Liverpool by the Electric Telegraph Company in collaboration with George Biddell Airy, the Astronomer Royal. This is a particularly significant development because, as the present paper illustrates, one of the most important technologies in measuring the accuracy of the Greenwich time signal took shape in the experimental operation of the time ball. The inventions and knowledge which emerged from the context of Liverpool were vital to the transformation of public timekeeping in Victorian Britain.

  13. Evaluating the Change in Medical Marijuana Dispensary Locations in Los Angeles Following the Passage of Local Legislation.

    Science.gov (United States)

    Thomas, Crystal; Freisthler, Bridget

    2017-06-01

    In May 2013, Los Angeles voters approved Proposition D, a regulatory measure that set zoning restrictions and capped the number of dispensaries at those that opened before 2007. Specifically, Proposition D stated that only 135 dispensaries were allowed to be in operation and set zoning restrictions prohibiting dispensaries from operating in certain areas. We first assessed whether the legislation changed the physical availability of medical marijuana via dispensaries in Los Angeles. We then used two data points 1 year prior to and 1 year following the implementation of Proposition D to determine if the locations of where the dispensaries are located changed after the enactment of Proposition D. Using a cross-sectional, ecological design, we investigated the change in dispensaries from 2012 to 2014 for Census tracts within the city of Los Angeles (N = 1000). We analyzed data using spatial error regression models that included controls for spatial autocorrelation due to the spatial structure of the data. We found that while the total number of dispensaries in Los Angeles remained largely unchanged, the spatial distribution of dispensaries did change in meaningful ways. Census tracts with more dispensaries in 2014 were significantly and positively associated with the proportion of African American residents and negatively associated with the percent of area that was commercially zoned. In other words, dispensaries opened in areas with a higher proportion of Black residents and closed in Census tract areas that had a higher percentage of commercially zoned land. Findings from this study highlight the importance of continuously regulating dispensary locations. Results suggest that likely as a result of changing regulations, dispensaries may be attempting to conceal their presence and locate in areas that will not advocate against their presence.

  14. [Comparison of level of satisfaction of users of home care: integrated model vs. dispensaries model].

    Science.gov (United States)

    Gorina, Marta; Limonero, Joaquín T; Peñart, Xavier; Jiménez, Jordi; Gassó, Javier

    2014-01-01

    To determine the level of satisfaction of users that receive home health care through two different models of primary health care: integrated model and dispensaries model. cross-sectional, observational study. Two primary care centers in the province of Barcelona. The questionnaire was administered to 158 chronic patients over 65 years old, of whom 67 were receiving health care from the integrated model, and 91 from the dispensaries model. The Evaluation of Satisfaction with Home Health Care (SATISFAD12) questionnaire was, together with other complementary questions about service satisfaction of home health care, as well as social demographic questions (age, sex, disease, etc). The patients of the dispensaries model showed more satisfaction than the users receiving care from the integrated model. There was a greater healthcare continuity for those patients from the dispensaries model, and a lower percentage of hospitalizations during the last year. The satisfaction of the users from both models was not associated to gender, the health perception,or independence of the The user satisfaction rate of the home care by primary health care seems to depend of the typical characteristics of each organisational model. The dispensaries model shows a higher rate of satisfaction or perceived quality of care in all the aspects analysed. More studies are neede to extrapolate these results to other primary care centers belonging to other institutions. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  15. Principles of dispensary observation of patients with Parkinson's disease in a specialized clinical diagnostic room

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    Krivonos О.V.

    2013-12-01

    Full Text Available Aim: to develop and implement of the order of the dispensary observation of Parkinson's disease patients. Material and methods, the dispensary observation of Parkinson's disease patients had been performed by neurologist and diagnostic room (CDR based on the outpatient department of health care institutions obeyed by FMBA of Russia in six Closed Administrative-Territorial Units: Seversk, Zarechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk. Neurologist examined of patients and put data to the Register's database. Register's database had 588 Parkinson's disease examined patients, 112 of them (19,1% had stage II of the disease by Hoehn and Yahr, 231 (39,3% patients — stage III by Hoehn and Yahr, 187 (31,8% patients — stage IV byHoehn and Yahr, 58 (9,9% patients — stage V by Hoehn and Yahr. The duration of the dispensary observation of Parkinson's disease patients was 4 years (2009-2012. Results. There are and implement the order of the observed and accounting of adult's group of Parkinson's disease patients were developed, who are registered in the clinical and diagnostic rooms, including the frequency of physician's visits, the list of diagnostic and treatment activities and efficiency endpoint of the dispensary observation. Conclusion. Implementation of the order of the dispensary observation according to the Register allowed to identify the main disabling PD's symptoms (depression, dementia, motor fluctuations and dyskinesia and timely correction of therapy.

  16. The impacts of marijuana dispensary density and neighborhood ecology on marijuana abuse and dependence.

    Science.gov (United States)

    Mair, Christina; Freisthler, Bridget; Ponicki, William R; Gaidus, Andrew

    2015-09-01

    As an increasing number of states liberalize cannabis use and develop laws and local policies, it is essential to better understand the impacts of neighborhood ecology and marijuana dispensary density on marijuana use, abuse, and dependence. We investigated associations between marijuana abuse/dependence hospitalizations and community demographic and environmental conditions from 2001 to 2012 in California, as well as cross-sectional associations between local and adjacent marijuana dispensary densities and marijuana hospitalizations. We analyzed panel population data relating hospitalizations coded for marijuana abuse or dependence and assigned to residential ZIP codes in California from 2001 through 2012 (20,219 space-time units) to ZIP code demographic and ecological characteristics. Bayesian space-time misalignment models were used to account for spatial variations in geographic unit definitions over time, while also accounting for spatial autocorrelation using conditional autoregressive priors. We also analyzed cross-sectional associations between marijuana abuse/dependence and the density of dispensaries in local and spatially adjacent ZIP codes in 2012. An additional one dispensary per square mile in a ZIP code was cross-sectionally associated with a 6.8% increase in the number of marijuana hospitalizations (95% credible interval 1.033, 1.105) with a marijuana abuse/dependence code. Other local characteristics, such as the median household income and age and racial/ethnic distributions, were associated with marijuana hospitalizations in cross-sectional and panel analyses. Prevention and intervention programs for marijuana abuse and dependence may be particularly essential in areas of concentrated disadvantage. Policy makers may want to consider regulations that limit the density of dispensaries. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. Calibration of the Liverpool Telescope RINGO3 polarimeter

    CERN Document Server

    Słowikowska, Aga; Żejmo, Michał; Reig, Pablo; Steele, Iain

    2016-01-01

    We present an analysis of polarimetric observations of standard stars performed over the period of more than three years with the RINGO3 polarimeter mounted on the Liverpool Telescope. The main objective was to determine the instrumental polarisation of the RINGO3 polarimeter in three spectral energy ranges: blue (350--640~nm), green (650--760~nm) and red (770--1000~nm). The observations were conducted between 2012 and 2016. The total time span of 1126 days was split into five epochs due to the hardware changes to the observing system. Our results should be applied to calibrate all polarimetric observations performed with the RINGO3 polarimeter.

  18. Re-Shaping Teacher Identity? The Liverpool Teachers' Centre 1973-1976

    Science.gov (United States)

    Williams, Keith

    2014-01-01

    Between 1972 and 1975 Eric Midwinter, Principal of the Liverpool Teachers' Centre, established a unified organisational structure responsible for delivering continuing professional development (CPD) to Liverpool schools. His ambition was to embed community education practices across the city's entire teaching force. However, during a seven-week…

  19. Re-Shaping Teacher Identity? The Liverpool Teachers' Centre 1973-1976

    Science.gov (United States)

    Williams, Keith

    2014-01-01

    Between 1972 and 1975 Eric Midwinter, Principal of the Liverpool Teachers' Centre, established a unified organisational structure responsible for delivering continuing professional development (CPD) to Liverpool schools. His ambition was to embed community education practices across the city's entire teaching force. However, during a…

  20. Medical Decision-Making Processes and Online Behaviors Among Cannabis Dispensary Staff

    OpenAIRE

    Peiper, Nicholas C.; Camille Gourdet; Angélica Meinhofer; Amanda Reiman; Nicco Reggente

    2017-01-01

    Background: Most cannabis patients engage with dispensary staff, like budtenders, for medical advice on cannabis. Yet, little is known about these interactions and how the characteristics of budtenders affect these interactions. This study investigated demographics, workplace characteristics, medical decision-making, and online behaviors among a sample of budtenders. Methods: Between June and September 2016, a cross-sectional Internet survey was administered to budtenders in the San Francisco...

  1. Measuring time utilization of pharmacists in the Birmingham Free Clinic dispensary

    OpenAIRE

    Fisher, Arielle M.; Ding, Michael Q.; Hochheiser, Harry; Douglas, Gerald P

    2016-01-01

    Background Free and charitable clinics are a critical part of America’s healthcare safety net. Although informatics tools have the potential to mitigate many of the organizational and service-related challenges facing these clinics, little research attention has been paid to the workflows and potential impact of electronic systems in these settings. In previous work, we performed a qualitative investigation at a free clinic dispensary to identify workflow challenges that may be alleviated thr...

  2. Mapping medical marijuana: state laws regulating patients, product safety, supply chains and dispensaries, 2017.

    Science.gov (United States)

    Klieger, Sarah B; Gutman, Abraham; Allen, Leslie; Pacula, Rosalie Liccardo; Ibrahim, Jennifer K; Burris, Scott

    2017-07-11

    (1) To describe open source legal data sets, created for research use, that capture the key provisions of US state medical marijuana laws. The data document how state lawmakers have regulated a medicine that remains, under federal law, a Schedule I illegal drug with no legitimate medical use. (2) To demonstrate the variability that exists across states in rules governing patient access, product safety and dispensary practice. Two legal researchers collected and coded state laws governing marijuana patients, product safety and dispensaries in effect on 1 February 2017, creating three empirical legal data sets. We used summary tables to identify the variation in specific statutory provisions specified in each state's medical marijuana law as it existed on 1 February 2017. We compared aspects of these laws to the traditional Federal approach to regulating medicine. Full data sets, codebooks and protocols are available through the Prescription Drug Abuse Policy System (http://www.pdaps.org/; Archived at http://www.webcitation.org/6qv5CZNaZ on 2 June 2017). Twenty-eight states (including the District of Columbia) have authorized medical marijuana. Twenty-seven specify qualifying diseases, which differ across states. All states protect patient privacy; only 14 protect patients against discrimination. Eighteen states have mandatory product safety testing before any sale. While the majority have package/label regulations, states have a wide range of specific requirements. Most regulate dispensaries (25 states), with considerable variation in specific provisions such as permitted product supply sources number of dispensaries per state and restricting proximity to various types of location. The federal ban in the United States on marijuana has resulted in a patchwork of regulatory strategies that are not uniformly consistent with the approach usually taken by the Federal government and whose effectiveness remains unknown. © 2017 Society for the Study of Addiction.

  3. Optimization of the Information System of TCM Dispensary by Lean Management and Fast Dispensary Achievement%运用精益管理优化中药房信息系统并实现快速调剂

    Institute of Scientific and Technical Information of China (English)

    孙纳; 楼步青; 林华

    2012-01-01

    目的:将精益管理方法运用到中药房信息系统,实现中药快速调剂与零差错.方法:分析我院中药房实施小包装和代煎药信息化所带来的问题,并提出改进措施.结果与结论:精益管理和信息系统结合实施以后,实现了比传统中药房更加快捷和准确的调剂;并使传统中药学与现代信息技术和精益管理理念完美结合.%OBJECTIVE: To apply lean management in the information management of TCM dispensary in order to realize fast and error-free dispensary of TCM. METHODS: Problems accompanying small-package and decoction of TCM in our TCM dispensary were analyzed, and corrective improvement measures were proposed. RESULTS&CONCLUSION: The combination of lean management and information management of TCM dispensary leads to quicker and more accurate dispensing than traditional TCM dispensary. It is a perfect integration of TCM, modern information technology and lean management theory.

  4. The power of partnerships: the Liverpool school of butterfly and medical genetics.

    Science.gov (United States)

    Zallen, Doris T

    2014-12-01

    From the 1950s to the 1970s, a group of physician-researchers forming the 'Liverpool school' made groundbreaking contributions in such diverse areas as the genetics of Lepidoptera and human medical genetics. The success of this group can be attributed to the several different, but interconnected, research partnerships that Liverpool physician Cyril Clarke established with Philip Sheppard, Victor McKusick at Johns Hopkins University, the Nuffield Foundation, and his wife FCo. Despite its notable successes, among them the discovery of the method to prevent Rhesus haemolytic disease of the newborn, the Liverpool School began to lose prominence in the mid-1970s, just as the field of medical genetics that it had helped pioneer began to grow. This paper explores the role of partnerships in making possible the Liverpool school's scientific and medical achievements, and also in contributing to its decline.

  5. Correlates of Amount Spent on Marijuana Buds During a Discrete Purchase at Medical Marijuana Dispensaries: Results from a Pilot Study.

    Science.gov (United States)

    Kepple, Nancy Jo; Mulholland, Elycia; Freisthler, Bridget; Schaper, Elizabeth

    2016-01-01

    Marijuana purchasing behaviors vary by the purchaser's individual characteristics; however, little is known about patients' purchasing behaviors when buying from medical marijuana dispensaries (MMDs). Our objective was to explore whether patient characteristics were associated with amount spent during one financial transaction at medical marijuana dispensaries. We conducted a pilot study of four purposively sampled MMD locations in Long Beach, California, in 2012. A total of 132 medical marijuana patients (33 patients per dispensary) participated in an exit survey about their demographic characteristics, conditions for their medical marijuana recommendation, amount spent at the dispensary, and cross-streets of where they lived. The sample reported amounts spent on discrete purchases of marijuana buds averaging $40.82 (ranging from $10 to $255). Multivariate regression analyses indicated average amount spent differed significantly by patient age and condition. An increase in 10 years of age was associated with a 10% higher amount spent. Receiving a recommendation for anxiety and/or sleeping problems or other nonspecified conditions was related to higher discrete purchase amounts than chronic pain. This pilot suggests that variations in patient purchasing behaviors from MMDs exist. These purchase behaviors can provide insight into variations in how patients use dispensaries, consume products, and allocate personal resources.

  6. [Doctors and jurists who objected to the separation of drug dispensaries from the medical practice in the Taisho Era].

    Science.gov (United States)

    Amano, Hiroshi

    2002-01-01

    Doctors were very nervous about the movements of pharmacists toward achievement of the separation of drug dispensaries in the medical practices and drug dispensation in 1914 and 1915. They specifically blamed one person, Professor Tokichiro Niwa of Tokyo Imperial University who strongly advocated the separation of dispensaries in the medical practices. Furthermore, they were also very anxious that the Japan Pharmacists Association had supported legislators who had stood by the separation of dispensaries from medical practice at the twelfth general election held on March 25, 1915. They were concerned that the domain of doctors' activities would be narrowed by such a separation. Professor Kunika Katayama of the Tokyo Imperial University School of Medicine published a thesis at his own cost advocating a modification of the doctor's law to prohibit the separation of dispensaries be legislation and insisting that the right prescribe a drug to a patient must remain with the doctor. Moreover, Professor Mitsue Ichimura of Kyoto Imperial University also insisted that a doctor has the right to give drugs to patients, and that as a jurist he disagreed with the separation of dispensaries from medical practice.

  7. [Primary-multiple cancer of the breast (from the data of the Chelyabinsk Regional Oncology Dispensary)].

    Science.gov (United States)

    Bekhtereva, E I; Tseĭlikman, E G; Vazhenin, A V; Dinerman, M Z; Kuklenko, L P

    1986-01-01

    102 cases of primary multiple breast cancer (bilateral and multicentric tumors-61; synchronous tumors of the breast and genitals-12) were treated at the Regional Oncological Dispensary in Chelyabinsk in 1976-83. Tumors generally occurred in patients of the 40-50 years bracket at an interval of 5.2 +/- 0.3 years. A certain role in the pathogenesis of primary multiple breast cancer was played by reproductive function as well as previous treatment modality (gamma-therapy, cytostatic treatment and ovariectomy).

  8. Tuberculose em Goiás: Aspectos e problemas da atividade dispensarial

    Directory of Open Access Journals (Sweden)

    Javan Valle de Mello

    1971-08-01

    Full Text Available O autor apresenta dados relativas às atividades da Dispensário de Tuberculose de Goiânia, que dirige, e os compara com os de diferentes órgãos congêneres. Procura demonstrar as condições adversas contra as quais vem atuando seu serviço, impedindo a obtenção de um melhor rendimento da atividade dispensarial. Os dados apresentados indicam que a situação, já desfavorável, tende a se agravar, necessitando medidas urgentes de correção, que o autor sugere.

  9. Examining the relationship between marijuana use, medical marijuana dispensaries, and abusive and neglectful parenting.

    Science.gov (United States)

    Freisthler, Bridget; Gruenewald, Paul J; Wolf, Jennifer Price

    2015-10-01

    The current study extends previous research by examining whether and how current marijuana use and the physical availability of marijuana are related to child physical abuse, supervisory neglect, or physical neglect by parents while controlling for child, caregiver, and family characteristics in a general population survey in California. Individual level data on marijuana use and abusive and neglectful parenting were collected during a telephone survey of 3,023 respondents living in 50 mid-size cities in California. Medical marijuana dispensaries and delivery services data were obtained via six websites and official city lists. Data were analyzed using negative binomial and linear mixed effects multilevel models with individuals nested within cities. Current marijuana use was positively related to frequency of child physical abuse and negatively related to physical neglect. There was no relationship between supervisory neglect and marijuana use. Density of medical marijuana dispensaries and delivery services was positively related to frequency of physical abuse. As marijuana use becomes more prevalent, those who work with families, including child welfare workers must screen for how marijuana use may affect a parent's ability to provide for care for their children, particularly related to physical abuse.

  10. Pharmacoepidemiological analysis of the drugs used for secondary prevention of brain infarction on dispensary stage

    Directory of Open Access Journals (Sweden)

    Miheyeva N.V.

    2014-03-01

    Full Text Available Aim. The secondary prevention of cerebral infarction on dispensary stage to current clinical guidelines was analyzed. Adherence of patients to prescribe medications was evaluated. Material and methods. 106 patients of hospital neurologic department with brain infarction were included in prospective pharmacoepidemiological study of the drugs used for secondary prevention of brain infarction on dispensary stage since 1 January 2009 to 31 December 2009. Duration of outpatient observation was 3 years. Results. All of the patients were of 64,9 ± 10,3 years old. Hypertension was diagnosed in 102 of them (96.2%, atrial fibrillation — in 33 (31.1% patients. 39 (36.8% patients died during 3 years after discharge from the hospital. ACE inhibitors/angiotensin II receptor antagonist were prescribed for 83 (78.3% patients, antiplatelet- 76 (71,7%, statins — 16 (15,1% patients in discharge from hospital. Warfarin was prescribed only for 1 (3.05% patient with atrial fibrillation and ischemic stroke.consumption of drugs with evidence efficiency were diminished already after one year of observation in outpatient clinics. Conclusion.Therapy for secondary stroke prevention is not fully comply with current clinical guidelines

  11. GRB optical and IR rapid follow-up with the 2 m Liverpool Robotic Telescope

    CERN Document Server

    Gomboc, A; Carter, D; Mundell, C G; Newsam, A M; Smith, R J; Steele, I A

    2003-01-01

    The Liverpool Telescope, owned and operated by Liverpool John Moores University and situated at Roque de los Muchachos, La Palma, is the first 2-m, fully instrumented robotic telescope. We plan to use the LT in conjunction with Gamma Ray Observatories (HETE-2, INTEGRAL, Swift) to study GRB physics. A special over-ride mode will enable observations commencing less than a minute after the GRB alert, including optical and near infrared imaging and spectroscopy. These observations, together with systematic monitoring of the burst through the afterglow, will help to unravel the nature of prompt optical flashes, short bursts, optically dark bursts, redshift distribution, GRB - supernova connection and other questions related to the GRB phenomenon. In particular, the combination of aperture, instrumentation and rapid automated response makes the Liverpool Telescope excellently suited to the investigation of optically dark bursts and currently optically unstudied short bursts.

  12. University of Nottingham Ningbo China and Xi'an Jiaotong-Liverpool University: Globalization of Higher Education in China

    Science.gov (United States)

    Feng, Yi

    2013-01-01

    This essay studies the University of Nottingham Ningbo China and Xi'an Jiaotong-Liverpool University--the two Chinese campuses established respectively by the University of Nottingham and the University of Liverpool. They represent successful models of globalization of higher education in China; however their rationale, strategies, curricula,…

  13. How Can Only 18 Black Teachers Working in Liverpool Represent a Diverse Teaching Workforce? A Critical Narrative

    Science.gov (United States)

    Boyle, William; Charles, Marie

    2016-01-01

    This paper follows on from the authors' previous research into minimal Black teacher representation in Liverpool schools [Boyle, B., and M. Charles. 2010. "Tightening the Shackles: The Continued Invisibility of Liverpool's British African Caribbean Teachers." "Journal of Black Studies" 42 (3): 427-435]. It is based on a…

  14. University of Nottingham Ningbo China and Xi'an Jiaotong-Liverpool University: Globalization of Higher Education in China

    Science.gov (United States)

    Feng, Yi

    2013-01-01

    This essay studies the University of Nottingham Ningbo China and Xi'an Jiaotong-Liverpool University--the two Chinese campuses established respectively by the University of Nottingham and the University of Liverpool. They represent successful models of globalization of higher education in China; however their rationale, strategies, curricula,…

  15. Liverpool's Discovery: A University Library Applies a New Search Tool to Improve the User Experience

    Science.gov (United States)

    Kenney, Brian

    2011-01-01

    This article features the University of Liverpool's arts and humanities library, which applies a new search tool to improve the user experience. In nearly every way imaginable, the Sydney Jones Library and the Harold Cohen Library--the university's two libraries that serve science, engineering, and medical students--support the lives of their…

  16. Developing Social Media to Engage and Connect at the University of Liverpool Library

    Science.gov (United States)

    Chatten, Zelda; Roughley, Sarah

    2016-01-01

    This case study presents the Liverpool experience of using social media as an academic library to enhance audience engagement and create a community of users. It looks at the development of social media in the library, focusing on the concerted effort to grow followers and develop a meaningful use of these tools. It considers the value of taking a…

  17. Liverpool's Discovery: A University Library Applies a New Search Tool to Improve the User Experience

    Science.gov (United States)

    Kenney, Brian

    2011-01-01

    This article features the University of Liverpool's arts and humanities library, which applies a new search tool to improve the user experience. In nearly every way imaginable, the Sydney Jones Library and the Harold Cohen Library--the university's two libraries that serve science, engineering, and medical students--support the lives of their…

  18. Developing Social Media to Engage and Connect at the University of Liverpool Library

    Science.gov (United States)

    Chatten, Zelda; Roughley, Sarah

    2016-01-01

    This case study presents the Liverpool experience of using social media as an academic library to enhance audience engagement and create a community of users. It looks at the development of social media in the library, focusing on the concerted effort to grow followers and develop a meaningful use of these tools. It considers the value of taking a…

  19. The Evaluation of Patients with Tuberculosis Treated in Batman Tuberculosis Control Dispensary in 2003 Year

    Directory of Open Access Journals (Sweden)

    Tekin Yıldız

    2007-01-01

    Full Text Available Tuberculosis is a very important problem for public health all around the world. In this study, 168 patients with TB who were treated in Batman Tuberculosis Control Dispensary in 2003 were retrospectively assessed. Ninety six of our cases were male, 72 were female. Eighty one patients who underwent for the tuberculous treatment were with pulmonary tuberculosis and 87 cases were with extrapulmonary tuberculosis. Acid fast bacilli (AFB at sputum was positive in 66.17% of the cavitary pulmonary TB cases before treatment and only one patient’s sputum was positive in pulmonary tuberculosis without cavity. Results of the tuberculosis treatment of cases revealed that one case left the treatment, 3 patients were inharmonious, 3 patients were dead, 161 patients were cured. Success rate of treatment was 95,83% (5 of these cases were cured and 156 patients completed the treatment. These data suggest that in order to increase the rate of the cure, bacteriological examination of the sputum should be considered at the end of the treatment like as the beginning.

  20. The Liverpool Telescope: Rapid follow-up observation of Targets of opportunity with a 2 m robotic telescope

    CERN Document Server

    Gomboc, A; Carter, D; Mundell, C G; Newsam, A M; Smith, R J; Steele, I A

    2003-01-01

    The Liverpool Telescope, situated at Roque de los Muchachos Observatory, La Palma, Canaries, is the first 2-m, fully instrumented robotic telescope. It recently began observations. Among Liverpool Telescope's primary scientific goals is to monitor variable objects on all timescales from seconds to years. An additional benefit of its robotic operation is rapid reaction to unpredictable phenomena and their systematic follow up, simultaneous or coordinated with other facilities. The Target of Opportunity Programme of the Liverpool Telescope includes the prompt search for and observation of GRB and XRF counterparts. A special over-ride mode implemented for GRB/XRF follow-up enables observations commencing less than a minute after the alert, including optical and near infrared imaging and spectroscopy. In particular, the moderate aperture and rapid automated response make the Liverpool Telescope excellently suited to help solving the mystery of optically dark GRBs and for the investigation of currently unstudied s...

  1. Liverpool Telescope 2: a new robotic facility for time domain astronomy in 2020+

    CERN Document Server

    Copperwheat, C M; Bates, S D; Smith, R J; Bode, M F; Baker, I; Peacocke, T; Thomson, K

    2014-01-01

    The robotic 2m Liverpool Telescope, based on the Canary island of La Palma, has a diverse instrument suite and a strong track record in time domain science, with highlights including early time photometry and spectra of supernovae, measurements of the polarization of gamma-ray burst afterglows, and high cadence light curves of transiting extrasolar planets. In the next decade the time domain will become an increasingly prominent part of the astronomical agenda with new facilities such as LSST, SKA, CTA and Gaia, and promised detections of astrophysical gravitational wave and neutrino sources opening new windows on the transient universe. To capitalise on this exciting new era we intend to build Liverpool Telescope 2: a new robotic facility on La Palma dedicated to time domain science. The next generation of survey facilities will discover large numbers of new transient sources, but there will be a pressing need for follow-up observations for scientific exploitation, in particular spectroscopic follow-up. Live...

  2. Liverpool Telescope Spectrum of TCP J01375892+4951055 - A Dwarf Nova in the Andromeda Constellation

    Science.gov (United States)

    Darnley, M. J.; Williams, S. C.; Bode, M. F.

    2016-10-01

    We obtained an optical spectrum of TCP J01375892+4951055 (see CBAT TOCP) with the FRODOSpec spectrograph (Barnsley et al. 2012) on the 2.0m Liverpool Telescope (Steele et al. 2004) on 2016 October 20.06 UT. The spectrum was taken using the lower resolution mode of FRODOSpec, which gives a wavelength coverage of 3900 to 5700 Å and 5800 to 9400 Å, with a resolution of R ~ 2400.

  3. Medical Decision-Making Processes and Online Behaviors Among Cannabis Dispensary Staff

    Directory of Open Access Journals (Sweden)

    Nicholas C Peiper

    2017-08-01

    Full Text Available Background: Most cannabis patients engage with dispensary staff, like budtenders, for medical advice on cannabis. Yet, little is known about these interactions and how the characteristics of budtenders affect these interactions. This study investigated demographics, workplace characteristics, medical decision-making, and online behaviors among a sample of budtenders. Methods: Between June and September 2016, a cross-sectional Internet survey was administered to budtenders in the San Francisco Bay Area and Greater Los Angeles. A total of 158 budtenders fully responded to the survey. A series of comparisons were conducted to determine differences between trained and untrained budtenders. Results: Among the 158 budtenders, 56% had received formal training to become a budtender. Several demographic differences were found between trained and untrained budtenders. For workplace characteristics, trained budtenders were more likely to report budtender as their primary job (74% vs 53%, practice more than 5 years (34% vs 11%, and receive sales commission (57% vs 16%. Trained budtenders were significantly less likely to perceive medical decision-making as very important (47% vs 68% and have a patient-centered philosophy (77% vs 89%. Although trained budtenders had significantly lower Internet usage, they were significantly more likely to exchange information with patients through e-mail (58% vs 39%, text message (46% vs 30%, mobile app (33% vs 11%, video call (26% vs 3%, and social media (51% vs 23%. Conclusions: Budtenders who are formally trained exhibit significantly different patterns of interaction with medical cannabis patients. Future studies will use multivariate methods to better determine which factors independently influence interactions and how budtenders operate after the introduction of regulations under the newly passed Proposition 64 that permits recreational cannabis use in California.

  4. Medical Decision-Making Processes and Online Behaviors Among Cannabis Dispensary Staff.

    Science.gov (United States)

    Peiper, Nicholas C; Gourdet, Camille; Meinhofer, Angélica; Reiman, Amanda; Reggente, Nicco

    2017-01-01

    Most cannabis patients engage with dispensary staff, like budtenders, for medical advice on cannabis. Yet, little is known about these interactions and how the characteristics of budtenders affect these interactions. This study investigated demographics, workplace characteristics, medical decision-making, and online behaviors among a sample of budtenders. Between June and September 2016, a cross-sectional Internet survey was administered to budtenders in the San Francisco Bay Area and Greater Los Angeles. A total of 158 budtenders fully responded to the survey. A series of comparisons were conducted to determine differences between trained and untrained budtenders. Among the 158 budtenders, 56% had received formal training to become a budtender. Several demographic differences were found between trained and untrained budtenders. For workplace characteristics, trained budtenders were more likely to report budtender as their primary job (74% vs 53%), practice more than 5 years (34% vs 11%), and receive sales commission (57% vs 16%). Trained budtenders were significantly less likely to perceive medical decision-making as very important (47% vs 68%) and have a patient-centered philosophy (77% vs 89%). Although trained budtenders had significantly lower Internet usage, they were significantly more likely to exchange information with patients through e-mail (58% vs 39%), text message (46% vs 30%), mobile app (33% vs 11%), video call (26% vs 3%), and social media (51% vs 23%). Budtenders who are formally trained exhibit significantly different patterns of interaction with medical cannabis patients. Future studies will use multivariate methods to better determine which factors independently influence interactions and how budtenders operate after the introduction of regulations under the newly passed Proposition 64 that permits recreational cannabis use in California.

  5. Ethics and end of life care: the Liverpool Care Pathway and the Neuberger Review.

    Science.gov (United States)

    Wrigley, Anthony

    2015-08-01

    The Liverpool Care Pathway for the Dying has recently been the topic of substantial media interest and also been subject to the independent Neuberger Review. This review has identified clear failings in some areas of care and recommended the Liverpool Care Pathway be phased out. I argue that while the evidence gathered of poor incidences of practice by the Review is of genuine concern for end of life care, the inferences drawn from this evidence are inconsistent with the causes for the concern. Seeking to end an approach that is widely seen as best practice and which can genuinely deliver high quality care because of negative impressions that have been formed from failing to implement it properly is not a good basis for radically overhauling our approach to end of life care. I conclude that improvements in training, communication and ethical decision-making, without the added demand to end the Liverpool Care Pathway, would have resulted in a genuine advance in end of life care. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Liverpool Telescope 2: a new robotic facility for rapid transient follow-up

    CERN Document Server

    Copperwheat, C M; Barnsley, R M; Bates, S D; Bersier, D; Bode, M F; Carter, D; Clay, N R; Collins, C A; Darnley, M J; Davis, C J; Gutierrez, C M; Harman, D J; James, P A; Knapen, J; Kobayashi, S; Marchant, J M; Mazzali, P A; Mottram, C J; Mundell, C G; Newsam, A; Oscoz, A; Palle, E; Piascik, A; Rebolo, R; Smith, R J

    2014-01-01

    The Liverpool Telescope is one of the world's premier facilities for time domain astronomy. The time domain landscape is set to radically change in the coming decade, with synoptic all-sky surveys such as LSST providing huge numbers of transient detections on a nightly basis; transient detections across the electromagnetic spectrum from other major facilities such as SVOM, SKA and CTA; and the era of `multi-messenger astronomy', wherein astrophysical events are detected via non-electromagnetic means, such as neutrino or gravitational wave emission. We describe here our plans for the Liverpool Telescope 2: a new robotic telescope designed to capitalise on this new era of time domain astronomy. LT2 will be a 4-metre class facility co-located with the Liverpool Telescope at the Observatorio del Roque de Los Muchachos on the Canary island of La Palma. The telescope will be designed for extremely rapid response: the aim is that the telescope will take data within 30 seconds of the receipt of a trigger from another...

  7. The Liverpool Geomagnetic Polarity Reversal : New evidences for a complex magnetic field behavior during reversals.

    Science.gov (United States)

    Camps, P.; Perrin, M.; Hoffman, K. A.; Singer, B. S.

    2009-04-01

    We carried out a detailed and continuous paleomagnetic re-sampling of the reversed-to-normal Eocene -36 Ma- geomagnetic transition recorded in the Liverpool (NSW, Australia) volcanic range [Hoffman, 1986]. Our main objective was to obtain a precise description of the variation in the paleofield vector (direction and absolute intensity) as the geomagnetic field reverses. With more than 30 transitional directions documented, the Liverpool reversal is, along with the Miocene record -16.2 Ma- of the Steens Mountain (Oregon, USA) [Mankinen et al., 1985] and the Matuyama-Brunhes -780 Ka- record of Hawaii [Coe et al, 2004], among the best example of a transition record from a volcanic sequence. The Liverpool polarity reversal shows a complex path of the Virtual Geomagnetic poles between the initial (reverse) and final (normal) polarities. Two loops in the trajectory of VGPs before the actual polarity switch are documented [Hoffman, 1986]. Such swings preceding the reversal seems to be a common characteristic of reversal since similar features are described on the Steens Mountain [Jarboe et al., 2007] and a long period of instability, estimated to 18 ka, is now well established prior to the Matuyama-Brunhes reversal [Singer et al., 2005]. In the present study, we found an additional swing through the reversed polarity yielding a complex R-T-R-T-R-T-R-T-N path for VGPs to achieve the reversal process. During the sampling campaign, we did not find evidence for significant hiatus in the eruptive activity such as soil horizons or sediments. We do not believe either that some part of the volcanic sequence be duplicate by the presence of tectonic faults. Hence, we think that the three excursions and the actual reversal belong to a single phenomenon. In order to strengthen this conclusion, precise Ar/ Ar will be performed. Twelve flows (5 of transitional and 7 of reversed polarity, respectively) all located in the lower half part of the Liverpool record, yielded paleointensity

  8. Virtual Visit to the ATLAS Control Room by the Liverpool Hope University

    CERN Multimedia

    2013-01-01

    The Centre for Science and Mathematics Education (CSME), directed by Prof. Sarantos Psycharis, is a centre of excellence at the Education Faculty of Liverpool Hope University. With the aim to support informed-by-research activities that enhance teaching and learning of science and mathematics, CSME develops pedagogical resources for primary and secondary schools and in-service teacher programs inspired by research in Inquiry Based Science Education, whereby it acts as an interface between School Science, Mathematics and STEM, immersing students in a learning environment conducive to understanding how scientists solve problems and develop scientific paradigms and take a note of evidence.

  9. Liverpool Aortic Surgery Symposium V: New Frontiers in Aortic Disease and Surgery.

    Science.gov (United States)

    Bashir, Mohamad; Fok, Matthew; Shaw, Matthew; Field, Mark; Kuduvalli, Manoj; Desmond, Michael; Harrington, Deborah; Rashid, Abbas; Oo, Aung

    2014-06-01

    Aortic aneurysm disease is a complex condition that requires a multidisciplinary approach in management. The innovation and collaboration among vascular surgery, cardiothoracic surgery, interventional radiology, and other related specialties is essential for progress in the management of aortic aneurysms. The Fifth Liverpool Aortic Surgery Symposium that was held in May 2013 aimed at bringing national and international experts from across the United Kingdom and the globe to deliver their thoughts, applications, and advances in aortic and vascular surgery. In this report, we present a selected short synopsis of the key topics presented at this symposium.

  10. Calidad de la atención dispensarial a la cardiopatía isquémica

    Directory of Open Access Journals (Sweden)

    Ismael Ferrer Herrera

    2001-10-01

    Full Text Available Se realizó un estudio transversal sobre la calidad de la atención dispensarial en una muestra de 129 cardiópatas isquémicos, atendidos en los consultorios urbanos del Policlínico "Centro" del municipio de Camagüey durante 1998, a través de una encuesta confeccionada al efecto que contenía las variables a estudiar, aplicada por los autores y procesada por métodos automatizados. En la serie estudiada predominaron: el sexo femenino (55 %; el grupo de 45 años y más (92,24 %; el sedentarismo (83,72 %, el antecedente patológico familiar de cardiopatía isquémica (82,17 %, y la hipertensión arterial (72,87 % entre los factores de riesgo coronario, y la angina de pecho (52,71 % entre las formas clínicas. Desde el punto de vista de la atención dispensarial, todos (100 % estaban registrados, pero más de las 2/3 partes no recibieron los controles periódicos en consultas programadas y casi la mitad no mantuvo la adherencia al tratamiento. A pesar del alto porcentaje de controlados, no se consideró eficiente la atención dispensarialA crosswise study of the quality of classified care in a sample of 129 patients with ischemic heart disease, who were seen at the urban physician’s office of "Centro" polyclinics in Camagüey municipality during 1998, was performed by using an specially designed that included variables to be studied, was applied by the authors themselves and automatically processed. The following prevailed in the studied sample: females (55%, the 45 y and over age group (92.24%, the sedentary lifestyle (83.72%, the pathological family history of ischemic heart diseases (82.17%; and blood hypertension (72.87% among the coronary risk factors and the angina pectoris (52.71% among the clinical forms. From the classified medical care viewpoint, all the patients were registered, but two thirds were not systematically controlled in scheduled visits whereas almost half of them did not adhere to the medical treatment. In spite of the

  11. A Health Economics Response to the Review of the Liverpool Care Pathway

    Science.gov (United States)

    Coast, Joanna

    2013-01-01

    Abstract Background: In 2011 the Palliative Care Funding Review highlighted concerns about the funding, provision, and quality of care at the end of life. Two years on, an independent review of the Liverpool Care Pathway—prompted by a storm of negative media coverage— has raised concerns around a lack of funding, availability of support for the dying and their relatives, and patient centered care. There are recommendations to increase funding through a national tariff for palliative care services, address inconsistencies, and replace the Liverpool Care Pathway with individual end-of-life care plans. Objective: This paper explores the economic implications of the review's recommendations and links these to inadequacies with the current economic framework currently recommended for use in the United Kingdom by the National Institute for Health and Care Excellence, before highlighting aspects of ongoing research aimed at addressing these inadequacies. Methods: As well as the published report More Care, Less Pathway, we draw upon preliminary qualitative evidence from 19 semistructured interviews conducted with academics specializing in economics and/or end-of-life care. Conclusions: While there is a need for increased funding in the short term (highlighted in recent reviews), increasing funding to services that have little evidence base appears to be an irresponsible long-term strategy. Hence there should also be increased investment in research and increased emphasis in particular on developing economic tools to evaluate services. PMID:24199790

  12. Liverpool Telescope follow-up of candidate electromagnetic counterparts during the first run of Advanced LIGO

    Science.gov (United States)

    Copperwheat, C. M.; Steele, I. A.; Piascik, A. S.; Bersier, D.; Bode, M. F.; Collins, C. A.; Darnley, M. J.; Galloway, D. K.; Gomboc, A.; Kobayashi, S.; Lamb, G. P.; Levan, A. J.; Mazzali, P. A.; Mundell, C. G.; Pian, E.; Pollacco, D.; Steeghs, D.; Tanvir, N. R.; Ulaczyk, K.; Wiersema, K.

    2016-11-01

    The first direct detection of gravitational waves was made in 2015 September with the Advanced LIGO detectors. By prior arrangement, a worldwide collaboration of electromagnetic follow-up observers were notified of candidate gravitational wave events during the first science run, and many facilities were engaged in the search for counterparts. Three alerts were issued to the electromagnetic collaboration over the course of the first science run, which lasted from 2015 September to 2016 January. Two of these alerts were associated with the gravitational wave events since named GW150914 and GW151226. In this paper we provide an overview of the Liverpool Telescope contribution to the follow-up campaign over this period. Given the hundreds of square degree uncertainty in the sky position of any gravitational wave event, efficient searching for candidate counterparts required survey telescopes with large (˜degrees) fields of view. The role of the Liverpool Telescope was to provide follow-up classification spectroscopy of any candidates. We followed candidates associated with all three alerts, observing 1, 9 and 17 candidates respectively. We classify the majority of the transients we observed as supernovae. No counterparts were identified, which is in line with expectations given that the events were classified as black hole-black hole mergers. However these searches laid the foundation for similar follow-up campaigns in future gravitational wave detector science runs, in which the detection of neutron star merger events with observable electromagnetic counterparts is much more likely.

  13. Cannabis microbiome sequencing reveals several mycotoxic fungi native to dispensary grade Cannabis flowers [version 2; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Kevin McKernan

    2016-05-01

    Full Text Available The Center for Disease Control estimates 128,000 people in the U.S. are hospitalized annually due to food borne illnesses. This has created a demand for food safety testing targeting the detection of pathogenic mold and bacteria on agricultural products. This risk extends to medical Cannabis and is of particular concern with inhaled, vaporized and even concentrated Cannabis products . As a result, third party microbial testing has become a regulatory requirement in the medical and recreational Cannabis markets, yet knowledge of the Cannabis microbiome is limited. Here we describe the first next generation sequencing survey of the fungal communities found in dispensary based Cannabis flowers by ITS2 sequencing, and demonstrate the sensitive detection of several toxigenic Penicillium and Aspergillus species, including P. citrinum and P. paxilli, that were not detected by one or more culture-based methods currently in use for safety testing.

  14. Predicting Anxiety Among Patients In LPU Clinical Dispensary During Dental Treatment: Towards Student’s Clinical Performance Enhancement

    Directory of Open Access Journals (Sweden)

    Maribel D. Mayuga-Barrion

    2013-12-01

    Full Text Available The study aimed to determine the respondents’ profile in terms of age, gender, frequency of dental visit, and type of patient whether dental phobic or not; to determine the dental anxiety of patients in LPU dental dispensary; to identify the causes and severity of anxiety of the patients in LPU dental dispensary; to determine if there is a significant difference between the respondents’ demographic profile and their level of anxiety; and lastly, to propose a program that will help the patients cope with dental anxiety and a program that will enhance the students’ clinical performance. The study used the descriptive research design with the combination of content analysis of documents and related materials. Results showed that majority of the respondents belonged to age range of 14-18 years old range whereas for gender or sex, majority who avail of the clinic’s services are males. This is because women are more afraid than men in terms of dental problems. Further, younger people are more afraid than older ones. The weighted mean distribution of the level of anxiety showed that the level of anxiety of patients varies on moderately to not anxious. Feeling or experiencing pain during dental treatment ranked first followed by the fear or worry of not working the proposed treatment and thirdly, the dentist is in a hurry while treating also made the patients moderately anxious. Overall, the level of anxiety of patients is moderately anxious. Probing to asses gum disease, dislike the numb feeling and injection were the top three causes of dental anxiety. Only type of patient shows significant difference, thus the null hypothesis of no significant difference on the level of anxiety when grouped according to profile variables is rejected. This means that the level of anxiety of both phobic and not phobic differs.

  15. 30 Years Retrospective Review of Tuberculosis Cases in a Tuberculosis Dispensary in Bursa/Nilufer, Turkey (1985-2014

    Directory of Open Access Journals (Sweden)

    Kayıhan PALA

    2016-11-01

    Full Text Available Abstract Objective: The aim of this study was to evaluate tuberculosis control programmes of patients who applied to the Bursa Nilufer Tuberculosis Dispensary and by investigating the changes in the variables over 3 decades. Method: In this retrospective descriptive study, the records of all tuberculosis cases (1662 people treated in the last 30 years (1985-2014 at the Bursa Nilufer Tuberculosis Dispensary were examined. In the analysis, the chi-square test, the trend chi-square test and Fisher's exact test were used. Results: Males comprised 65.2% of the patients. The ages of the patients ranged from 1 to 87 years, and the mean age was 37.4 (95% CI:36.6-38.2. Among the cases, 86.7% were new and 74.1% were pulmonary tuberculosis. In the last decade, the proportion of women, the education level, the proportion of patients who had received a BCG vaccination and the proportion of active employees among women increased by a statistically significant amount, while the proportion of employees among men decreased. Clinical symptoms, such as weakness, anorexia, weight loss, and cough, decreased to a statistically significant degree. In the last decade, the mortality rate was 3.6%, a statistically significant increase compared with previous decades. Mortality was statistically significant higher among patients who were elderly, male, did not have a BCG scar or had a chronic disease. Conclusion: This study reveals the need for studies that determine the risk factors associated with tuberculosis mortality and examine the effectiveness of tuberculosis control programmes. Direct measures to address mortality risk factors can reduce the number of deaths from tuberculosis.

  16. The role of neoadjuvant chemotherapy of triple-negative breast cancer in St. Petersburg City Clinical Oncological Dispensary

    Directory of Open Access Journals (Sweden)

    A. G. Manikhas

    2016-01-01

    Full Text Available Introduction. Triple-negative breast cancer (BC is very aggressive form of breast malignancies with high levels of dissemination, frequent ecurrence and poor survival rate, as compared to other breast cancer subtypes.Aim of the study – development and introduction of optimized treatment strategy of patients with triple-negative breast cancer into the clinical practice of City Clinical Oncological Dispensary.Materials and methods. The study included 201 patients (21–90 years, mean age 52 years who were treated in the first departmentof St. Petersburg City Clinical Oncological Dispensary from 2005 to 2011. Stage IА–IIIC invasive breast cancer with triple-negative phenotype according to immunohistochemical study of the tumor material was verified in all the patients before beginning of the treatment. Standard chemotherapy by FAC, CMF and taxane-containing regimen was used as neoadjuvant chemotherapy. The degree of therapeutic pathomorphism was evaluated according to Miller-Payne (2003 classification, which was designed taking into account an overall survival rate of patients, depending on the degree of pathologic tumor regression. Results. We performed evaluation of 3-year relapse-free survival, depending on the degree of pathomorphological regression and histological degree of malignancy. There is a clear dependence of the 3-year relapse-free survival on the degree of histological differentiation of the tumor. We noted an inverse correlation between high degree of histological malignancy with a short relapse-free period. The disease progressed in patients who have a high degree of histological malignancy.Conclusion. The highest efficiency was achieved in patients receiving chemotherapy with the addition of taxanes. It is advantageous to include taxane-containing chemotherapy regimens in the treatment of patients with a high degree of histological malignancy.

  17. Care and Quality of Life in the Dying Phase: The contribution of the Liverpool Care Pathway for the Dying Patient

    NARCIS (Netherlands)

    L. Veerbeek (Laetitia)

    2008-01-01

    textabstractThis thesis concerns the professional care and the quality of life for dying patients and their relatives in the hospital, the nursing home and the primary care setting. The effect of introducing the Liverpool Care Pathway for the Dying Patient (LCP) on the content of care and the qualit

  18. Silêncios, os Sons dos Rios, os Sons das Cidades: Los Muertos e Liverpool

    Directory of Open Access Journals (Sweden)

    COSTA, Fernando Morais da

    2012-04-01

    Full Text Available This arcticle aims to analyze the relation between sounds and images in Lisandro Alonso’s Los Muertos and Liverpool. It is of our interest to think about the narrative roles given to sound effects and ambient sounds, to speak of the importance given to such sound elements, opposite to the minor role played by music and dialogue, all that working within the cinematic regime of the sequence shot. Therefore, this work tries, most of all, to investigate how ambient sounds and diegetic noises contribute for such a particular temporal construction. It is also a secundary goal to establish some relationship between those films and other examples of a cinema that has declined the usual dialogue’s central narrative part, as well as to recall the ideia and definition of a cinema of poetry.

  19. Overfeeding and overhydration in elderly medical patients: lessons from the Liverpool Care Pathway.

    Science.gov (United States)

    Tsiompanou, Eleni; Lucas, Caroline; Stroud, Mike

    2013-06-01

    This paper describes three elderly patients who were admitted to hospital with aspiration pneumonia. They were kept nil by mouth (NBM) for a number of days, while being given intravenous hydration initially and enteral feeding subsequently. During that time they deteriorated and appeared to be dying, so the Liverpool Care Pathway (LCP) for the dying was used to support their care. Artificial nutrition and hydration were stopped. They quickly improved and the LCP was discontinued. Two of the patients deteriorated again on reintroduction of enteral feeding and/or intravenous fluids, only to improve a second time following withdrawal of feeding and fluids. Vulnerable elderly patients should not be made NBM except as a last resort. Clinicians should be alert to the possibility of refeeding syndrome and overhydration as reversible causes of clinical deterioration, particularly in frail elderly patients. Use of the LCP in these patients provided a unique opportunity to witness the positive effects of withdrawal of excessive artificial nutrition and hydration.

  20. Social Media Strategy in Professional Football: The case of Liverpool FC

    Directory of Open Access Journals (Sweden)

    Petros Parganas

    2015-10-01

    Full Text Available The purpose of this study is to examine the role of social media as marketing tools in professional team sport organizations. Focusing on the English Premier League football club Liverpool FC, an exploratory case study design using one-to-one inter- views with the club’s senior social media managers was adopt- ed. The findings highlight the need for integration of all media channels of the club in order to allow for a more targeted and engaging approach towards its fans, and suggests that further development of social media strategies has potential to deliver increased commercial gains both in the short and in the long term. However, given the peculiar nature of sports fandom, a major issue for social media managers is to find the appropriate balance between content that increases fan interaction and engagement and content that deals with purely commercial purposes.

  1. IO:I: A Near-Infrared Camera for the Liverpool Telescope

    CERN Document Server

    Barnsley, Robert; Steele, Iain; Smith, Robert; Bates, Stuart; Mottram, Chris

    2015-01-01

    IO:I is a new instrument that has recently been commissioned for the Liverpool Telescope, extending current imaging capabilities beyond the optical and into the near infrared. Cost has been minimised by use of a previously decommissioned instrument's cryostat as the base for a prototype and retrofitting it with Teledyne's 1.7$\\mu m$ cutoff Hawaii-2RG HgCdTe detector, SIDECAR ASIC controller and JADE2 interface card. In this paper, the mechanical, electronic and cryogenic aspects of the cryostat retrofitting process will be reviewed together with a description of the software/hardware setup. This is followed by a discussion of the results derived from characterisation tests, including measurements of read noise, conversion gain, full well depth and linearity. The paper closes with a brief overview of the autonomous data reduction process and the presentation of results from photometric testing conducted on on-sky, pipeline processed data.

  2. Professional competence assessment of dispensary pharmacy technician. A methodological strategy. Evaluación de la competencia profesional del técnico en Farmacia Dispensarial. Una propuesta metodológica.

    Directory of Open Access Journals (Sweden)

    María Cristina Núñez Martínez

    2008-06-01

    Full Text Available Background: The assessment of professional competences in one of the four principles the support training and improvement of human resources in health system; there are problems in this process that obstruct its correct assessment. Objective: To ratify a methodological strategy to solve gaps in the assessment process of technicians’ professional competences. Methods: Qualitative and Quantitative study. The ratification of this strategy was carried out through an intentional stratified sampling of graduated, experts and evaluators. This was applied with participative and integrative approach in Cienfuegos province between 2001 and 2004. Findings: It was proved that the strategy contributes to increase the quality of professional competences assessment process, and determines technicians´ learning needs on scientific bases and supports methodological and didactic training of professors, pedagogical assistants and directors. The individual satisfaction level express by strategy users is high and consulted experts approve it by major consensus. Conclusions: Proposed methodology has characteristics that allow it being applied and generalized to every working field within Dispensary Pharmacy and other technical specialities.
    Fundamento: La evaluación de la competencia profesional es uno de los cuatro pilares en que se sustenta la formación y mejoramiento del capital humano en Salud, sin embargo, existen dificultades en este proceso que no permiten una correcta evaluación del mismo. Objetivo: Validar una Estrategia Metodológica con el propósito de resolver insuficiencias que se presentan en el proceso de evaluación de la competencia profesional del Técnico en Farmacia Dispensarial Métodos: Estudio cualitativo y cuantitativo. Mediante un muestreo intencional y estratificado de egresados, evaluadores y

  3. 23rd May 2011 - University of Liverpool Pro-Vice-Chancellor and Public Orator K. Everest (UK) Mrs Everest in the ATLAS visitor centre with Collaboration Deputy Spokesperson D. Charlton, in LHCb surface building with Collaboration Spokesperson A. Golutvin, accompanied throughout by P. Wells and Liverpool University T. Bowcock and M. Klein.

    CERN Document Server

    Maximilen Brice

    2011-01-01

    23rd May 2011 - University of Liverpool Pro-Vice-Chancellor and Public Orator K. Everest (UK) Mrs Everest in the ATLAS visitor centre with Collaboration Deputy Spokesperson D. Charlton, in LHCb surface building with Collaboration Spokesperson A. Golutvin, accompanied throughout by P. Wells and Liverpool University T. Bowcock and M. Klein.

  4. 1st September 2010 - British Vice-Chancellor, Liverpool University Sir Newby and Lady Newby signing the Guest Book with Head of International Relations F. Pauss; visiting the LHC superconducting magnet test hall with P. Cruikshank; accompanied by Beams Department Head P. Collier and Liverpool University T. Bowcock and P. Allport.

    CERN Multimedia

    Maximilien Brice

    2010-01-01

    1st September 2010 - British Vice-Chancellor, Liverpool University Sir Newby and Lady Newby signing the Guest Book with Head of International Relations F. Pauss; visiting the LHC superconducting magnet test hall with P. Cruikshank; accompanied by Beams Department Head P. Collier and Liverpool University T. Bowcock and P. Allport.

  5. Analysis of retreated medicine in dispensary for outpatients%门诊药房退药情况及原因分析

    Institute of Scientific and Technical Information of China (English)

    雷国强

    2011-01-01

    Objective: To analyze the retreated medicine situation in dispensary for outpatients in our hospital, so as to provide references for the reduction and standardization of retreated medicine. Methods: The retreated medicine datas in dispensary for outpatients from Jun to Dec in 2010 in our hospital were analyzed. Results: The retreated medicine in dispensary for outpatients was mainly resulted from the duty of doctors and the adverse drug reaction. The variety of retreated medicine was priority to antibiotic medicines; the retreated medicine occurred frequently in department of internal medicine.Conclusion: It should be strengthen the rational use of drugs, and pay attention to the guidance of adverse drug reaction,as to reduce the occurrence of retreated medicine.%目的:分析门诊退药情况,为减少和规范退药提供参考.方法:对我院门诊药房2010年6月~12月的患者退药情况进行统计分析.结果:门诊药房退药的主要原因为医师的责任和药物不良反应;退药品种以抗菌素为主;内科发生退药情况较频繁.结论:应加强合理用药指导,重视药品不良反应,进一步减少退药的发生.

  6. Providers′ knowledge, attitude and dispensing practices of E-Pills in government dispensaries of south district in Delhi, India

    Directory of Open Access Journals (Sweden)

    Kishore Vertika

    2010-01-01

    Full Text Available Background: South Delhi is one of the well developed districts in the capital with best public health care facilities. Knowledge, attitude and dispensing practices of emergency contraceptive pills (E-pills were assessed among health care providers of government dispensaries in South Delhi. Study Design: A descriptive epidemiological study. Materials and Methods: Both medical and paramedical (n = 428 providers in 63 government health care facilities were interviewed between August to December 2007 using a semi-structured interview schedule. Results: Among the different categories of the providers, medical officers were observed to be most knowledgeable about E-pills and the pharmacists were the least. The correct prescribed dose of E-pill was known only to 32% of the providers while 49% knew about its right time of intake. Misconceptions and apprehensions for promoting its use were very much prevalent even among medical officers as majority felt that open access to E-pills would increase promiscuity. The dispensing practice of providers was found positively ( P < 0.05 correlated with their knowledge. Training resulted a significant ( P < 0.05 improvement in knowledge, attitude and dispensing practice of the providers. Knowledge and training combined together contributed 35% to the dispensing practice (R 2 = 0.35. Conclusion: Besides knowledge, behavior change communication strategies should form a part of the training curricula of health care providers that would help to improve the dispensing practice of E-pills.

  7. Gravitationally Lensed QSOs: Optical Monitoring with the EOCA and the Liverpool Telescope (LT)

    CERN Document Server

    Goicoechea, L J; Ovaldsen, J E; Koptelova, E; Shalyapin, V N; Gil-Merino, R

    2006-01-01

    The aim of this contribution is to present the two first phases of the optical monitoring programme of the Gravitational Lenses group at the Universidad de Cantabria (GLUC, http://grupos.unican.es/glendama/). In an initial stage (2003 March-June), the Estacion de Observacion de Calar Alto (EOCA) was used to obtain VR frames of SBS 0909+532 and QSO 0957+561. These observations in 2003 led to accurate fluxes of the two components of both double QSOs, which are being compared and complemented with data from other 1-1.5 m telescopes located in the North Hemisphere: Fred Lawrence Whipple Observatory (USA), Maidanak Observatory (Uzbekistan) and Wise Observatory (Israel). On the other hand, the GLUC started the second phase of its monitoring programme in 2005 January. In this second phase, they are using the 2 m fully robotic Liverpool Telescope (LT). The key idea is the two-band photometric follow-up of four lensed QSOs with different main lensing galaxies: SBS 0909+532 (elliptical), QSO 0957+561 (giant cD), B1600+...

  8. Switching the Liverpool Telescope from a full-service operating model to self-service

    Science.gov (United States)

    Smith, R. J.; Clay, Neil R.; Fraser, Stephen N.; Marchant, J. M.; Moss, C. M.; Steele, I. A.

    2010-07-01

    The Liverpool Telescope has undergone a major revision of operations model, improving the facility's flexibility and rapid response to targets of opportunity. We switched from a "full service" model where observers submitted requests to the Support Astronomer for checking and uploading into the scheduler database to a direct access model where observers personally load sequences directly into the database at any time, including during the night. A new data model describing the observing specifications has been developed over two years for the back-end operations infrastructure and has been invisible to users until early 2010 when the new graphical user interface was deployed to all observers. The development project has been a success, defined as providing new flexible operating modes to users without incurring any downtime at the change over or interruption to the ongoing monitoring projects in which the observatory specializes. Devolving responsibility for data entry to users does not necessarily simplify the role of observatory staff. Ceding that absolute hands-on control by experienced staff complicates the support task because staff no longer have advance personal knowledge of everything the telescope is doing. In certain cases software utilities and controls can be developed to simplify tasks for both observers and operations staff.

  9. Clinically assisted hydration and the Liverpool Care Pathway: Catholic ethics and clinical evidence.

    Science.gov (United States)

    Nowarska, Anna

    2015-08-01

    The Liverpool Care Pathway for the Dying Patient (LCP), a framework introduced for providing comfortable care at the last stage of life, has recently become highly contentious. Among the most serious allegations levelled against it, has been that the LCP may be used as a covert form of euthanasia by withdrawal of clinically assisted hydration (CAH). This concern has been raised, in particular by a number of Catholic medical professionals, who have asserted that the LCP is incompatible with Catholic ethics. This paper examines the key Catholic ethical principles relevant to treatment and care towards the end of life (the sanctity/inviolability of life principle, the distinction between ordinary and extraordinary means). Relevant current clinical evidence regarding CAH in relation to terminal thirst, dehydration, prolongation of life and possible negative impacts on the dying is also scrutinised. It is argued that for some patients at the very end of life it may be permissible and even desirable to withhold or withdraw it. Thus, as administration of CAH may become extraordinary, forgoing it in some situations is fully compatible with Catholic ethics. The article therefore concludes that the stance of the LCP in respect of provision of CAH is fully in alignment with Catholic teaching.

  10. Digital re-analysis of lost architecture and the particular case of Lutyens׳ Liverpool Metropolitan Cathedral

    Directory of Open Access Journals (Sweden)

    Nicholas Webb

    2016-06-01

    Full Text Available Research and critique of unbuilt or destroyed works of architecture is traditionally carried out through the examination of surviving information such as drawings, models, photographs, biographies and monographs. The case study presented here demonstrates that this approach cannot always give a full-picture of the architect or designer׳s intentions, and may miss inconsistencies in the design and links to other precedents or antecedents in such schemes. Here, we employ strategic contemporary digital representation techniques to re-present and re-analyse the evidence available for a particular architectural project. We describe a systematic methodology, which shows that these techniques can challenge or enhance current understanding. The focus therefore is on the digital re-analysis process that has been devised. Sir Edwin Lutyens׳ unbuilt Liverpool Metropolitan Cathedral design, that would have delivered one of the largest cathedrals in the world, is used as a case study. The findings reveal new information about the cathedral by following structured lines of enquiry generated from the study of primary and secondary source data, as well as serendipitous results that occur as a potential by-product of the methodological process.

  11. Utilization analysis of antibiotics in dispensary outpatients%门诊药房抗生素的应用分析

    Institute of Scientific and Technical Information of China (English)

    史润琴; 高秀丽; 侯卫巍

    2014-01-01

    Objective To study the utilization of antibiotics in the dispensary outpatients of the third people’s hospital of Yangquan,and analyze the antibiotics abuse in clinics,in order to provide a powerful basic experience of the reasonable application. Methods Sixteen thousand randomly antibiotic-used prescriptions from our outpatient pharmacy were retrospectively analyzed,from January 2008 to January 2013. The DDDs,DUI,and also the clinic-medications were evaluated every 6 months,thereby the dynamic changes of antibiotics asage were observed. Results The situation of antibiotics-abuse was relieved partly after a long-term clinic education,and the DDDs of third-generation cephalospo-rin’s decreased significantly,but the situation of antibiotics-abuse wasn’t reversed fundamentally, and also the wrong-dosage of clinical medication. Conclusions The utilization of antibiotic in our dispensary outpatients was basically rational,but the phenomenon of antibiotics-abuse still exist,a deeper supervision was needed,thus confirm the control of antibiotic in a reasonable range and then avoid the occurcence of bacterial resistance in clinics.%目的:考察阳泉市第三人民医院门诊药房抗生素类药物的使用情况,对抗生素类药物的滥用情况加以分析,从而为临床的合理用药提供有力的依据。方法回顾性分析阳泉市第三人民医院2008年1月至2013年1月门诊药房收到的处方,随机抽取其中包含抗生素的处方共计16000张。对每半年抗生素的使用情况,如DDDS值、DUI值、临床用药情况进行分析,考察抗生素使用的动态变化。结果经过长期的临床教育,抗生素的使用情况有部分好转,第三代头孢的DDDs明显下降,但用药不合理的情况并未从根本上转变,临床用药剂量不合格的情况并未改善。结论本院门诊药房的抗生素类药物使用基本合理,但抗生素滥用的问题依然存在,需要进一步加强对该类

  12. Cannabis use patterns and motives: A comparison of younger, middle-aged, and older medical cannabis dispensary patients.

    Science.gov (United States)

    Haug, Nancy A; Padula, Claudia B; Sottile, James E; Vandrey, Ryan; Heinz, Adrienne J; Bonn-Miller, Marcel O

    2017-09-01

    Medical cannabis is increasingly being used for a variety of health conditions as more states implement legislation permitting medical use of cannabis. Little is known about medical cannabis use patterns and motives among adults across the lifespan. The present study examined data collected at a medical cannabis dispensary in San Francisco, California. Participants included 217 medical cannabis patients who were grouped into age-defined cohorts (younger: 18-30, middle-aged: 31-50, and older: 51-72). The age groups were compared on several measures of cannabis use, motives and medical conditions using one-way ANOVAs, chi-square tests and linear regression analyses. All three age groups had similar frequency of cannabis use over the past month; however, the quantity of cannabis used and rates of problematic cannabis use were higher among younger users relative to middle-aged and older adults. The association between age and problematic cannabis use was moderated by age of regular use initiation such that earlier age of regular cannabis use onset was associated with more problematic use in the younger users, but not among older users. Middle-aged adults were more likely to report using medical cannabis for insomnia, while older adults were more likely to use medical cannabis for chronic medical problems such as cancer, glaucoma and HIV/AIDS. Younger participants reported cannabis use when bored at a greater rate than middle-aged and older adults. Findings suggest that there is an age-related risk for problematic cannabis use among medical cannabis users, such that younger users should be monitored for cannabis use patterns that may lead to deleterious consequences. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Cannabis Use Patterns and Motives: A Comparison of Younger, Middle-Aged, and Older Medical Cannabis Dispensary Patients

    Science.gov (United States)

    Haug, Nancy A.; Padula, Claudia B.; Sottile, James E.; Vandrey, Ryan; Heinz, Adrienne J.; Bonn-Miller, Marcel O.

    2017-01-01

    Introduction Medical cannabis is increasingly being used for a variety of health conditions as more states implement legislation permitting medical use of cannabis. Little is known about medical cannabis use patterns and motives among adults across the lifespan. Methods The present study examined data collected at a medical cannabis dispensary in San Francisco, California. Participants included 217 medical cannabis patients who were grouped into age-defined cohorts (younger: 18–30, middle-aged: 31–50, and older: 51–72). The age groups were compared on several measures of cannabis use, motives and medical conditions using one-way ANOVAs, chi-square tests and linear regression analyses. Results All three age groups had similar frequency of cannabis use over the past month; however, the quantity of cannabis used and rates of problematic cannabis use were higher among younger users relative to middle-aged and older adults. The association between age and problematic cannabis use was moderated by age of regular use initiation such that earlier age of regular cannabis use onset was associated with more problematic use in the younger users, but not among older users. Middle-aged adults were more likely to report using medical cannabis for insomnia, while older adults were more likely to use medical cannabis for chronic medical problems such as cancer, glaucoma and HIV/AIDS. Younger participants reported cannabis use when bored at a greater rate than middle-aged and older adults. Conclusions Findings suggest that there is an age-related risk for problematic cannabis use among medical cannabis users, such that younger users should be monitored for cannabis use patterns that may lead to deleterious consequences. PMID:28340421

  14. Pet ownership, dog types and attachment to pets in 9–10 year old children in Liverpool, UK

    OpenAIRE

    Westgarth, Carri; Boddy, Lynne M.; Stratton, Gareth; German, Alexander J; Rosalind M Gaskell; Coyne, Karen P.; Bundred, Peter; McCune, Sandra; Dawson, Susan

    2013-01-01

    Background Little is known about ethnic, cultural and socioeconomic differences in childhood ownership and attitudes to pets. The objective of this study was to describe the factors associated with living with different pet types, as well as factors that may influence the intensity of relationship or ‘attachment’ that children have to their pet. Data were collected using a survey of 1021 9–10 year old primary school children in a deprived area of the city of Liverpool, UK. Results Dogs were t...

  15. Causes and Precautions of Pharmacists-Patients Disputes in Outpatient Dispensary%门诊药患纠纷的原因与防范

    Institute of Scientific and Technical Information of China (English)

    鄢浩; 李娟; 刘东

    2011-01-01

    Objective To reduce the pharmacist-patient disputes in the outpatient dispensary to increase the ability resolving the pharmacistpatient disputes. Methods By analyzing the working characters of the outpatient dispensary and the causes leading to the pharmacist- patient disputes, the pertinent resolving measures were proposed. Results and Conclusion The pharmacist- patient disputes would be caused by various reasons. Establishing the strict management system and operating procedures, strengthening the awareness of pharmacy services in pharmacists,enhancing the business knowledge learning in doctors and doing everything with patients as the center could reduce the occurrence of the pharmacist - patient disputes.%目的 减少门诊药房的药患纠纷,提高药师处理药患纠纷的能力.方法对门诊药房工作性质及引起药患纠纷的原因进行分析,提出针对性的解决方法.结果与结论药患纠纷可由多种原因引起,但通过建立严格管理制度和操作规程,医师加强业务知识学习,药师加强药学服务意识,做到以患者为中心,就能减少药患纠纷的发生.

  16. THE NATIONAL ONCOLOGICAL PROGRAM IMPLEMENTATION – EXPERIENCE IN THE VLADIMIR REGION (TO THE 70TH ANNIVERSARY OF THE REGIONAL CLINICAL ONCOLOGICAL DISPENSARY

    Directory of Open Access Journals (Sweden)

    A. G. Zirin

    2017-01-01

    Full Text Available By 2010, on the background of the steady increase in the incidence of malignant tumors in the Vladimir area, primary oncological care level worked inefficiently.Condition of material and technical base of the Vladimir Regional Clinical Oncological Dispensary was also unsatisfactory. All these problems required solution in the form of the National Oncology Program realization in the region. The National Oncological Program has begun to work in the Vladimir region since 2011. Target indicators of the oncological program implementation by 2015 were established. They are: Increase of 5-year survival value of patients with malignant tumors after diagnosis date to 51.4%; Increase the number of malignant tumors early detection cases at the I–II stages up to 51%; Decrease the mortality rate of working age population to 99 per 100 000; Decrease of mortality within one year from the first time of cancer diagnosis to 27%. The following main objectives such as radically improved the material and technical base of oncology dispensary; modern methods of prevention, diagnosis and patients treatment improvement and introduction; the system providing population cancer care focused on the cancer early detection and the specialized combined antitumor treatment provision are realized in order to achieve these goals. The implementation of the tasks allowed to achieve positive dynamics of Vladimir region population cancer care indicators. All the main targets of the National Oncology Program for the Vladimir region were achieved successfully. Implementation of the National Oncology Program has had an extremely positive effect on the cancer services development of, as well as for the health of the entire population of the Vladimir region.

  17. Trends in malaria morbidity following the introduction of artesunate plus amodiaquine combination in M'lomp village dispensary, south-western Senegal

    Directory of Open Access Journals (Sweden)

    Hesran Jean

    2008-10-01

    Full Text Available Abstract Background In Thailand, South Africa and Zanzibar, a decrease in malaria morbidity was observed following the introduction of artemisinin-based combination therapy (ACT. In Senegal, therapeutic trials supervised the in vivo efficacy of artesunate plus amodiaquine from 1999 to 2005 at the M'lomp village dispensary. The trends in malaria morbidity in this village were evaluated from 2000 to 2002. Methods Each year, between July and December inclusive, fevers treated with antimalarials and slide-proven, uncomplicated malaria cases were collected from dispensary health records. Data were also collected in 1998, just prior to ACT introduction. Pearson's chi square tests and Student tests were used to compare two percentages or two means respectively (α = 0.05. Results Between 1998 and 2002, the total number of fevers treated with antimalarials and their repetitiveness progressively decreased: From 2824 to 945 fevers and from 17.6% to 9.7% (RR1998–2002 = 0.55; [0.44–0.69]; p 2000–2002 = 0.51; [0.35–0.72]; p = 0.0001. Conclusion The percentage of uncomplicated malaria cases treated with ACT increased, from 18.9% in 2000 to 64.0% in 2002, making it tempting to conclude an impact on malaria morbidity. Nonetheless, the decline in incidence rate of uncomplicated malaria was slight and a lower recorded rainfall was reported in 2002 which could also explain this decline. The context in which ACT is introduced affects the impact on malaria morbidity. In M'lomp, in contrast to studies in Thailand, South Africa and Zanzibar, ACT coverage of malaria cases was low and no vector control measure was deployed. Moreover, the malaria transmission level is higher. In sub-Saharan countries, in order to optimize the impact on malaria morbidity, ACT deployment must be supported, on the one hand, by a strengthening of public health system to ensure a high ACT coverage and, on the other hand, by others measures, such vector control measures.

  18. Why is the Liverpool care pathway used for some dying cancer patients and not others? Healthcare professionals’ perspectives

    Directory of Open Access Journals (Sweden)

    Freemantle Alison

    2012-09-01

    Full Text Available Abstract Background Despite evidence suggesting that the Liverpool Care Pathway for the Dying Patient is a structured and proficient means of supporting care delivery in the last hours or days of life, discrepancies in uptake are widespread. This exploratory study sought to understand why patients dying of cancer in oncology wards of one hospital trust were, or were not, supported by the LCP. A purposive qualitative case study design was used; each case represented a patient who had died and their most involved nurse and doctor. In-depth interviews explored both recollections of the ‘case’ and wider experiences of using the Pathway in end-of-life care. Eleven healthcare professionals were interviewed about their involvement in the end-of-life care of six patients. For four of these patients care was supported by the LCP. Findings Although doctors and nurses reported they preferred to use the Pathway to ensure comfortable death, an important factor influencing their decisions was time of death. Access to timely senior review was regarded as an essential preliminary to placing patients on the Pathway but delayed access ‘out of hours’ was commonly experienced and tensions arose from balancing conflicting priorities. Consequently, the needs of dying patients sometimes failed to compete with those receiving curative treatment. Conclusions This study suggests that greater attention should be focused on ‘out of hours’ care in hospitals to ensure regular senior review of all patients at risk of dying and to support front line staff to communicate effectively and make contingency plans focused on patients’ best interests.

  19. [Historical evidence of the beginning of modern medicine in the holy land: "list of medicinal preparations found in stores and dispensary on july 21st 1857"].

    Science.gov (United States)

    Lev, E; Peri, Y

    2001-11-01

    The London Society for Promoting Christianity Amongst the Jews established the first Western hospital in Jerusalem in the middle of 19th century. It was built for the benefit of the Jewish population of the city, and it transposed the Holy Land, from a medical point of view, to the modern era. The huge archives of the London Society in England contain many documents dealing with its activity. One document, revealed here for the first time, describes the content of the medicinal preparations held in the stores of the British hospital and dispensary in Jerusalem on July 21 1857. The list, presented here in full, is impressive in its length, containing hundreds of medicinal substances originating from plants, minerals, and animals that were used in the Western world at the time. Most of the chemicals in the list had never previously appeared in any published historical source concerning Palestine. The list is thus one of the first pieces of evidence of modern medical and pharmacological activities in the Holy Land. A comparison of the list with several other 19th century lists of medicinal substances found in professional literature revealed that it contains most of the known medicinal substances of that time. Compared with medieval documents, or lists of traditional substances compiled a few years earlier, the 1857 list is richer and contains new substances and preparations originating in the New World (America) and chemicals unknown in the region before. It is evidence of the change that occurred in the field of pharmacology owing to the penetration of the modern medicine into the Holy Land. The 1857 list contains 268 substances: 147 medicinal preparations of plant origin, 117 preparations of chemical and mineral origin, and only four of animal origin.

  20. Community Adult Education; Evidence Submitted to the Russell Committee on Adult Education in England and Wales by the Workers' Educational Association (West Lancashire & Cheshire District) and the Liverpool Educational Priority Area Action/Research Project.

    Science.gov (United States)

    Lovett, T. O.

    This paper discusses six roles which an adult education agency can fill in an Educational Priority Area and illustrates each one with examples from the Liverpool E.P.A. Project. These roles are: (1) adult education cum community development; (2) adult education as a resource in community development work; (3) adult education as an aid to parents…

  1. Evaluation of construct and criterion validity for the 'Liverpool Osteoarthritis in Dogs' (LOAD clinical metrology instrument and comparison to two other instruments.

    Directory of Open Access Journals (Sweden)

    Myles Benjamin Walton

    Full Text Available OBJECTIVE: To test the 'Liverpool Osteoarthritis in Dogs' (LOAD questionnaire for construct and criterion validity, and to similarly test the Helsinki Chronic Pain Index (HCPI and the Canine Brief Pain Inventory (CBPI. DESIGN: Prospective Study. ANIMALS: 222 dogs with osteoarthritis. PROCEDURE: Osteoarthritis was diagnosed in a cohort of dogs on the basis of clinical history and orthopedic examination. Force-platform analysis was performed and a "symmetry index" for peak vertical force (PVF was calculated. Owners completed LOAD, CBPI and HCPI instruments. As a test of construct validity, inter-instrument correlations were calculated. As a test of criterion validity, the correlations between instrument scores and PVF symmetry scores were calculated. Additionally, internal consistency of all instruments was calculated and compared to those previously reported. Factor analysis is reported for the first time for LOAD, and is compared to that previously reported for CBPI and HCPI. RESULTS: Significant moderate correlations were found between all instruments, implying construct validity for all instruments. Significant weak correlations were found between LOAD scores and PVF symmetry index, and between CBPI scores and PVF symmetry index. CONCLUSION AND CLINICAL RELEVANCE: LOAD is an owner-completed clinical metrology instrument that can be recommended for the measurement of canine osteoarthritis. It is convenient to use, validated and, as demonstrated here for the first time, has a correlation with force-platform data.

  2. Are adverse effects of antiepileptic drugs different in symptomatic partial and idiopathic generalized epilepsies? The Portuguese-Brazilian validation of the Liverpool Adverse Events Profile.

    Science.gov (United States)

    Martins, H H; Alonso, N B; Vidal-Dourado, M; Carbonel, T D; de Araújo Filho, G M; Caboclo, L O; Yacubian, E M; Guilhoto, L M

    2011-11-01

    We report the results of administration of the Portuguese-Brazilian translation of the Liverpool Adverse Events Profile (LAEP) to 100 patients (mean age=34.5, SD=12.12; 56 females), 61 with symptomatic partial epilepsy (SPE) and 39 with idiopathic generalized epilepsy (IGE) (ILAE, 1989) who were on a stable antiepileptic drug (AED) regimen and being treated in a Brazilian tertiary epilepsy center. Carbamazepine was the most commonly used AED (43.0%), followed by valproic acid (32.0%). Two or more AEDs were used by 69.0% of patients. The mean LAEP score (19 questions) was 37.6 (SD=13.35). The most common adverse effects were sleepiness (35.0%), memory problems (35.0%), and difficulty in concentrating (25.0%). Higher LAEP scores were associated with polytherapy with three or more AEDs (P=0.005), female gender (P0.001) and Hospital Anxiety and Depression Scale (Depression: r=0.637, P<0.001; Anxiety: r=0.621, P<0.001) dimensions. LAEP overall scores were similar in people with SPE and IGE and were not helpful in differentiating adverse effects in these two groups. Clinical variables that influenced global LAEP were seizure frequency (P=0.050) and generalized tonic-clonic seizures in the last month (P=0.031) in the IGE group, and polytherapy with three or more AEDs (P=0.003 and P=0.003) in both IGE and SPE groups.

  3. Suppression of Brugia malayi (sub-periodic larval development in Aedes aegypti (Liverpool strain fed on blood of animals immunized with microfilariae

    Directory of Open Access Journals (Sweden)

    K Athisaya Mary

    2005-07-01

    Full Text Available Preliminary studies were carried out to investigate the role of filarial specific antibodies, raised in an animal model against the filarial parasite, Brugia malayi (sub-periodic, in blocking their early development in an experimental mosquito host, Aedes aegypti (Liverpool strain. In order to generate filarial specific antibodies, Mongolian gerbils, Meriones unguiculatus, were immunized either with live microfilariae (mf of B. malayi or their homogenate. Mf were harvested from the peritoneal cavity of Mongolian gerbils with patent infection of B. malayi and fed to A. aegypti along with the blood from immunized animals. Development of the parasite in infected mosquitoes was monitored until they reached infective stage larvae (L3. Fewer number of parasites developed to first stage (L1 and subsequently to L2 and L3 in mosquitoes fed with blood of immunized animals, when compared to those fed with blood of control animals. The results thus indicated that filarial parasite specific antibodies present in the blood of the immunized animals resulted in the reduction of number of larvae of B. malayi developing in the mosquito host.

  4. The effectiveness of the Liverpool care pathway in improving end of life care for dying cancer patients in hospital. A cluster randomised trial

    Directory of Open Access Journals (Sweden)

    Pellegrini Fabio

    2011-01-01

    Full Text Available Abstract Background Most cancer patients still die in hospital, mainly in medical wards. Many studies in different countries have shown the poor quality of end-of-life care delivery in hospitals. The Program "Liverpool Care Pathway for the dying patient" (LCP, developed in the UK to transfer the hospice model of care into hospitals and other care settings, is a complex intervention to improve the quality of end-of-life care. The results from qualitative and quantitative studies suggest that the LCP Program can improve significantly the quality of end-of-life care delivery in hospitals, but no randomised trial has been conducted till now. Methods and design This is a randomized cluster trial, stratified by regions and matched for assessment period. Pairs of eligible medical wards from different hospitals will be randomized to receive the LCP-I Program or no intervention until the end of the trial. The LCP-I Program will be implemented by a Palliative Care Unit. The assessment of the end-points will be performed for all cancer deaths occurred in the six months after the end of the LCP-I implementation in the experimental wards and, in the same period of time, in the matched control wards. The primary end-point is the overall quality of end-of-life care provided on the ward to dying cancer patients and their families, assessed using the Global Scale of the Italian version of the Toolkit "After-death Bereaved Family Member Interview". Discussion This study can be interpreted as a Phase III trial according to the Medical Research Council Framework. In this study, the effectiveness of a fully defined intervention is assessed by comparing the distribution of the endpoints in the experimental and in the control arm. Research ID RFPS-2006-6-341619 Trial registration ClinicalTrials.gov Identifier: NCT01081899

  5. Signature of the Agreement between the University of Liverpool, acting on behalf of the Cockcroft Institute, represented by Inaugural Director of Cockcroft Institute S. Chattopadhyay and the European Organization for Nuclear Research represented by Director-General R. Aymar,concerning collaboration between the Cockcroft Institute and CERN in Accelerator Physics and Technologies.

    CERN Multimedia

    Claudia Marcelloni

    2008-01-01

    Signature of the Agreement between the University of Liverpool, acting on behalf of the Cockcroft Institute, represented by Inaugural Director of Cockcroft Institute S. Chattopadhyay and the European Organization for Nuclear Research represented by Director-General R. Aymar,concerning collaboration between the Cockcroft Institute and CERN in Accelerator Physics and Technologies.

  6. 医防合作结核病防治模式下定点医院选择条件的定性研究%Qualitative research on selection criteria of designated hospitals under model of Hospital-TB dispensary collaboration

    Institute of Scientific and Technical Information of China (English)

    李新旭; 杜莹; 姜世闻; 赵晓; 刘飞鹰; 刘小秋; 张慧; 王黎霞

    2013-01-01

    OBJECTIVE To find out selection criteria of designated hospitals under model of Hospital-TB dispensary collaboration,and to provide the reference frame for developing national guidance for designated hospitals.METHODS In June 2010,managers and operational staff from the health administrative departments,TB dispensaries and medical institutions in six pilot areas of designated hospitals model were recruited to attend individual interview.RESULTS Participants thought that the second-grade or county-level hospitals with appropriate location,service coverage and quantity in an area were better to be designated hospitals than the third-grade or city-level hospitals that went against the hospital-TB dispensary collaboration and made their medical sources more insufficient; Designated hospitals locating in more remote areas or covering larger areas influenced patients' health-seeking behaviors and compliances of treatment; Too many designated hospitals in an area led to diffusion of patients and wasted medical resources.CONCLUSION Under the background that county-level TB dispensaries are the executive subjects of national TB control program,the second-grade or county-level hospitals are more appropriate to be designated hospitals of the hospital-TB dispensary collaboration than the third-grade or city-level hospitals and simultaneously the location,service coverage and quantity in an area should be considered comprehensively.%目的 探讨医防合作结核病防治模式下定点医院的选择条件,为制定我国定点医院工作指导意见提供参考依据.方法 2010年6月招募6个定点医院模式试点地区的卫生行政部门人员、结防机构和医疗机构的管理人员和业务人员进行个人深入访谈.结果 研究对象认为,位置、覆盖范围和区域内数量合适的二级或县区级医院作为定点医院较为合适,三级或市级医院作为定点医院不利于医防合作的协调管理且造成该类医院的医

  7. [The Urinary Tract Diseases Dispensary and Clinic of the Instituto Rubio (1885). 1st hospital service specializing in urologic pathology in the history of Spanish medicine. 1st period. The Instituto Rubio in Hospital de la Princesa (1880-1896).(I)].

    Science.gov (United States)

    Maganto Pavón, E

    1998-01-01

    In May 1880, a royal decree signed by the Minister of the Interior, F. Romero Robledo, created the Institute of Operative Therapy under the gratuitous direction of Dr. Federico Rubio y Gali. Although it was located at the Hospital de la Princesa of Madrid, it was not dependent on the Institutions of Charity. According to the royal decree, major surgical procedures and specialized operative techniques would be performed at this Institute. Thus, the first teaching hospital was created in Spain, with operating rooms, dispensaries and polyclinics dedicated primarily to surgical specialties which were established at the Institute after 1880. The Institute's section for Diseases of the Urinary Tract, created in October 1885, was entrusted to the Madrid citizen Enrique Suender Rodríguez (1829-1897), the leading specialist in urology in our country at that time (his 100th death anniversary was commemorated last year) and whose assistant was Luis González Bravo y Serrano.

  8. Analysis on Report of Childhood Tuberculosis in a Center Hospital of Chongqing and Registration in Local TB Dispensaries During 2009 -2014%2009-2014年重庆市某中心医院儿童结核病的疫情报告及登记情况分析

    Institute of Scientific and Technical Information of China (English)

    张婷; 胡代玉; 刘英; 雷蓉蓉; 王嘉涌; 熊宇

    2016-01-01

    目的:了解综合性医疗机构对儿童结核病的疫情报告和结核病患儿到结防机构的登记情况,为儿童结核病防治工作提供理论依据。方法以某区中心医院2009—2014年确诊的0~14岁结核病患儿病案信息、结核病信息网络直报系统和法定传染病报告监测系统中的信息建立数据库,按照不同性别、年龄和诊断进行分组,计算不同组结核病患儿的疫情报告率和在当地结防机构的登记比例。结果某区中心医院共确诊了78例结核病患儿,疫情报告66例,疫情报告率为84.42%,肺外结核病患儿的疫情报告率(61.11%)远低于肺结核患儿(91.84%)和结核性胸膜炎(90.91%);剔重4例,33例在结防机构登记,登记比例为53.23%,10~14岁组在结防机构的登记比例(72.22%)远高于0~4岁组(25.0%)和5~9岁结核病患儿组(28.57%), PTB(63.41%)和结核性胸膜炎(60.00%)的登记比例高于EPTB (9.09%),非结核性脑膜炎和血播型结核病的患儿登记比例(62.75%)高于结脑和血播型结核病的患儿(9.09%)。结论综合医院儿童结核病的疫情报告差,在结防机构登记的比例低。因此,加强医防合作,从而提高非结防机构对儿童结核病的疫情报告和在结防机构的登记比例。%Objective To know the report of childhood tuberculosis in comprehensive hospital and the registration in local TB dispensaries, to provide a theoretical basis for the prevention and treatment of childhood tuberculosis. Methods To establish the database by the medical records of children between 0~14 years old with tuberculosis in a center hospital of Chonqing during 2009—2014 , the information of the tuberculosis reporting system and the reporting and monitoring system for infectious disease. To march groups by gender, age and diagnosis, calculate the report rate of childhood tuberculosis in different groups and the registration proportion in local TB dispensaries. Results 78

  9. Design, Development and Evaluation of VirtualAlps 1.0 and 2.0: Virtual Field Guides for teaching Levels 5 and 6 Geoscience at Liverpool John Moores University, UK

    Science.gov (United States)

    Stott, Tim; Litherland, Kate; Morris, Simon; Nuttall, Anne-Marie

    2013-04-01

    Virtual Field Guides (VFGs) developed at Liverpool John Moores University (LJMU) have been used in teaching geosciences for around ten years. This paper briefly reviews: VirtualAlps 1.0 developed for level 5 undergraduates; and then focuses on VirtualALps 2.0, a new semantic web based VFG for level 6 teaching, developed in a partnership between an academic and a technical team as part of the Ensemble project. In VirtualAlps 2.0 students use faceted browsing tools to make selections of resources, as a result of which relationships between them are highlighted, but not explicitly labelled. The range of sources of information - some from the tutor's own research archive, some sourced from elsewhere on the internet - are used by students to prepare a report on the feasibility and environmental impact of a proposed hydroelectric power dam in a Swiss Alpine valley. This requires students to analyse visual and numeric data alongside secondary literature, but also to be aware of the underlying concepts which form the associations between the different resources. This tool is designed for students to have their first taste of preparing an 'authentic' report, and the ways in which the semantic technologies can support professional practice in geoscience subjects will be discussed.

  10. Interrater agreement of two adverse drug reaction causality assessment methods: A randomised comparison of the Liverpool Adverse Drug Reaction Causality Assessment Tool and the World Health Organization-Uppsala Monitoring Centre system

    Science.gov (United States)

    Mehta, Ushma; Rossiter, Dawn P.; Maartens, Gary; Cohen, Karen

    2017-01-01

    Introduction A new method to assess causality of suspected adverse drug reactions, the Liverpool Adverse Drug Reaction Causality Assessment Tool (LCAT), showed high interrater agreement when used by its developers. Our aim was to compare the interrater agreement achieved by LCAT to that achieved by another causality assessment method, the World Health Organization-Uppsala Monitoring Centre system for standardised case causality assessment (WHO-UMC system), in our setting. Methods Four raters independently assessed adverse drug reaction causality of 48 drug-event pairs, identified during a hospital-based survey. A randomised design ensured that no washout period was required between assessments with the two methods. We compared the methods’ interrater agreement by calculating agreement proportions, kappa statistics, and the intraclass correlation coefficient. We identified potentially problematic questions in the LCAT by comparing raters’ responses to individual questions. Results Overall unweighted kappa was 0.61 (95% CI 0.43 to 0.80) on the WHO-UMC system and 0.27 (95% CI 0.074 to 0.46) on the LCAT. Pairwise unweighted Cohen kappa ranged from 0.33 to 1.0 on the WHO-UMC system and from 0.094 to 0.71 on the LCAT. The intraclass correlation coefficient was 0.86 (95% CI 0.74 to 0.92) on the WHO-UMC system and 0.61 (95% CI 0.39 to 0.77) on the LCAT. Two LCAT questions were identified as significant points of disagreement. Discussion We were unable to replicate the high interrater agreement achieved by the LCAT developers and instead found its interrater agreement to be lower than that achieved when using the WHO-UMC system. We identified potential reasons for this and recommend priority areas for improving the LCAT. PMID:28235001

  11. Edificio en la Universidad de Liverpool

    Directory of Open Access Journals (Sweden)

    Bryan & Norman Westwood & Partners, Arquitectos

    1964-09-01

    Full Text Available The building has three wings, whose plan form resembles the letter H. It houses the sections of pure mathematics, applied mathematics, oceanography, and the departments of numerical and statistical calculus. There is an independent access to the calculus section. The wing occupied by the mathematics section includes a basement, a semibasement, five storeys and an attic. The first two are taken up with the heating installations and washrooms of the students. The ground floor houses the doorman's quarters, two large lecture halls, and an impressive entrance hall. The second and third floors are devoted to lecture rooms, and the two top storeys are divided into small rooms. The dean lives in the attic. The oceanography section, of a single floor level, including laboratories, connects the front and the rear parts of the building. The block facing Bedford Street has two storeys, and is devoted to numerical and statistical calculus work, except for an annex that belongs to the oceanography section. The communications of the various sections takes place along the ground floor. The various parts of this project constitute an organic whole, outstanding for its functional efficiency and good environmental adaptation, both towards exterior and interior.El conjunto de la edificación consta, esencialmente, de tres alas, cuya planta, en forma de H, aloja las secciones de Matemáticas puras. Matemáticas aplicadas. Oceanografía y los Departamentos para el análisis y cálculo numérico y estático; con acceso independiente a la zona de cálculo. El ala dedicada a Matemáticas consta de sótano, semisótano, planta baja, cinco plantas y ático. El sótano y semisótano contienen, respectivamente, instalación de calefacción y aseos para los estudiantes. En la planta baja se distribuyen la conserjería, dos amplias salas de conferencias, y un espacioso vestíbulo. Las plantas primera y segunda y parte de la tercera están ocupadas, asimismo, por salas para conferencias; las últimas plantas están divididas en habitaciones pequeñas. El ático lo ocupa el decano. El ala destinada a Oceanografía, de una sola planta, con laboratorios, conecta la. parte frontal y posterior del conjunto. El bloque con fachada a Bedford Street, que tiene dos plantas, está dedicada al cálculo numérico y estático, excepto una serie de dependencias anexas y en conexión con el ala de Oceanografía. La comunicación entre las diversas alas se realiza al nivel de la planta baja. Los edificios que integran este complejo universitario constituyen un conjunto orgánico, que destaca por su buen funcionamiento y adecuada ambientación, tanto interior como exterior.

  12. A review of the status of alternative approaches to animal testing and the development of integrated testing strategies for assessing the toxicity of chemicals under REACH--a summary of a DEFRA-funded project conducted by Liverpool John Moores University and FRAME.

    Science.gov (United States)

    Grindon, Christina; Combes, Robert; Cronin, Mark T D; Roberts, David W; Garrod, John

    2006-03-01

    Liverpool John Moores University and FRAME were recently awarded a DEFRA tender to conduct a review of the status of alternative approaches to animal testing, and to recommend further research with regard to the forthcoming European Union REACH (Registration, Evaluation and Authorisation of Chemicals) system for the safety testing and risk assessment of chemicals. The outcome of the project is summarised, including the prospects for in vitro and in silico testing, areas where reduction and refinement could be applied, and how decision-tree integrated testing strategies could be used to reduce the number of animals needed to fulfil the testing requirements of the REACH system. This paper is a prelude to a series of individual papers on detailed suggestions for applying non-animal methods to each of the major toxicity endpoints in REACH.

  13. [Pharmaceutical technology and pharmaceutical care in the dispensary].

    Science.gov (United States)

    Remon, J P

    2007-01-01

    In this lecture the science 'Pharmaceutical Technology' was briefly elucidated, but the main part was about the concept of 'Pharmaceutical Care' in the community pharmacy. Pharmaceutical Care aims at ensuring a safe, efficacious, and cost-effective pharmacotherapy. Thus the pharmacist tries--in collaboration with other healthcare professionals --to improve the clinical and humanistic outcomes of the therapy. Moreover, an efficacious and rational drug therapy is cost-saving, for the patient as well as for the health insurer. A pharmacist delivering Pharmaceutical Care not only dispenses medication, but also takes responsibility about the outcome of the drug therapy. Pharmaceutical Care in community pharmacies encompasses the following activities: Advice about prescribed drugs, to ensure that patients take their medication as correct, as safe and as compliant as possible. Advice about self-care: counselling about OTC-medication. Prevention of medication errors, for example drug interactions. Pay attention to prevention of diseases: for example stimulation of vaccination. Collaboration with physicians, especially general practitioners, both aiming at an optimal drug therapy for the patient Pharmaceutical Care in the hospital setting ('Clinical Pharmacy'): clinical pharmacists participate in drawing up, evaluating and following up the pharmacotherapy of every individual patient, in close collaboration with physicians, nurses and other healthcare professionals on the ward. In Belgium Pharmaceutical Care is in the making. Scientific research on this topic is carried out by the Pharmaceutical Care Unit of Ghent University. An overview of their ongoing research projects was given. Finally, the problems encountered with the implementation of Pharmaceutical Care were highlighted.

  14. Passive cigarette smoke exposure in primary school children in Liverpool

    NARCIS (Netherlands)

    A. Delpisheh; Y. Kelly; B.J. Brabin

    2006-01-01

    Objective: To assess environmental tobacco smoke (ETS) exposure amongst primary school children. Methods: A descriptive, community-based, cross-sectional study of self-reported parental smoking patterns and children's salivary cotinine concentrations in 245 children aged 5-11 years attending 10 prim

  15. Arabic translation and cultural adaptation of Liverpool Adverse ...

    African Journals Online (AJOL)

    Tropical Journal of Pharmaceutical Research August 2017; 16 (8): 1989-1995 ... Revised accepted: 26 July 2017. Abstract. Purpose: To .... sleepiness); and (6) dementia-like symptoms .... adults. Geriatr Gerontol Int. 2016; 16(10): 1093-1101.

  16. Spectra of faint sources in crowded fields with FRODOSpec on the Liverpool Robotic Telescope

    CERN Document Server

    Shalyapin, Vyacheslav N

    2014-01-01

    We check the performance of the FRODOSpec integral-field spectrograph for observations of faint sources in crowded fields. Although the standard processing pipeline L2 yields too noisy fibre spectra, we present a new processing software (L2LENS) that gives rise to accurate spectra for the two images of the gravitationally lensed quasar Q0957+561. Among other things, this L2LENS reduction tool accounts for the presence of cosmic-ray events, scattered-light backgrounds, blended sources, and chromatic source displacements due to differential atmospheric refraction. Our non-standard reduction of Q0957+561 data shows the ability of FRODOSpec to provide useful information on a wide variety of targets, and thus, the big potential of integral-field spectrographs on current and future robotic telescopes.

  17. Liverpool Telescope follow-up of candidate electromagnetic counterparts during the first run of Advanced LIGO

    CERN Document Server

    Copperwheat, C M; Piascik, A S; Bersier, D; Bode, M F; Collins, C A; Darnley, M J; Galloway, D K; Gomboc, A; Kobayashi, S; Lamb, G P; Levan, A J; Mazzali, P A; Mundell, C G; Pian, E; Pollacco, D; Steeghs, D; Tanvir, N R; Ulaczyk, K; Wiersema, K

    2016-01-01

    The first direct detection of gravitational waves was made in late 2015 with the Advanced LIGO detectors. By prior arrangement, a worldwide collaboration of electromagnetic follow-up observers were notified of candidate gravitational wave events during the first science run, and many facilities were engaged in the search for counterparts. No counterparts were identified, which is in line with expectations given that the events were classified as black hole - black hole mergers. However these searches laid the foundation for similar follow-up campaigns in future gravitational wave detector science runs, in which the detection of neutron star merger events with observable electromagnetic counterparts is much more likely. Three alerts were issued to the electromagnetic collaboration over the course of the first science run, which lasted from September 2015 to January 2016. Two of these alerts were associated with the gravitational wave events since named GW150914 and GW151226. In this paper we provide an overvie...

  18. Variety of urban tourism development trajectories: Antalya, Amsterdam and Liverpool compared

    NARCIS (Netherlands)

    Erkuş-Öztürk, H.; Terhorst, P.

    2012-01-01

    Savitch and Kantor explain divergent trajectories of urban development with the help of four variables, namely, market conditions, inter-governmental support, local culture and popular control in their theory. In this article, we apply Savitch and Kantor's theory to the urban tourism development of

  19. Factors associated with dropout in a lung cancer high-risk cohort - the Liverpool lung project

    National Research Council Canada - National Science Library

    MARCUS, MICHAEL W; RAJI, OLAIDE Y; CHEN, YING; DUFFY, STEPHEN W; FIELD, JOHN K

    2014-01-01

    ... of participants who drop out and those still active in the study differ significantly. The study aimed to investigate factors associated with dropout in a 5-year follow-up of individuals at 'high-risk' of lung cancer...

  20. La catedral metropolitana de Cristo Rey, en Liverpool, Gran Bretaña

    Directory of Open Access Journals (Sweden)

    Gibberd, F.

    1971-04-01

    Full Text Available The main nave of the cathedral is round and can normally accommodate 800 people, though this capacity can be increased to 2,000. Besides, there are 140 seats on the balconies over the East and West entrances, and 58 seats at the choir - Chapels of the Holy Sacrement, the Holy Virgin and eight others, each devoted to one saint, as well as the baptistry and the porch entrances, are located round the central nave - At the centre of the cathedral, as main focal feature, is the presbitry, and the main altar. The adoption of a circular planform in the design at a church is meant to emphasize the natural tendency of the congregation to surround and be as close as possible in a physical sense to the main altar, so that all can participate more intimately and collectively in the act of worship and prayer.La nave principal tiene planta circular. Su capacidad es de 800 personas sentadas, ampliables hasta 2.000; además existen 140 asientos en las entreplantas que hay sobre los pórticos oriental y occidental y 58 en el recinto del coro. Concéntricamente a dicha nave han sido desarrolladas las diversas capillas: del Santísimo Sacramento, la destinada a la Virgen y ocho más dedicadas cada una a un santo; el baptisterio y los pórticos. En el centro de la nave y como foco dominante se halla la plataforma del presbiterio y sobre ella el altar mayor. La ventaja que ofrece la planta circular, es que sugiere la idea de una agrupación natural en la que hay un sentido de proximidad física con respecto al centro de actividades y un enlace entre personas que vigorizan el aspecto comunitario del culto.

  1. Pabellón polideportivo de la Universidad de Liverpool, Inglaterra

    Directory of Open Access Journals (Sweden)

    Denys Lasdun & Partners, Arquitectos

    1969-03-01

    Full Text Available In this general project two main zones can be clearly differentiated. One is the swimming pool, and the the other the sport field. There are also four pelota courts, rooms for general activities, where weightlifting, gymnastics, rythmic dancing, judo, wrestling and other exercises can be practised, as well as offices, dressing rooms for both sexes, a bar and store rooms. The pool is 33.53 m x 14.63 m in area, and its depth varies betwen 0.91 and 3.80 m. It has low and high diving boards, and a stand for 150 spectators, providing a good view of the swimming competitions. The multisports field, is 36.58 m x 19.50 m in area, can be used for basket ball, tennis, and other such sports. It can be divided by netting, so that several sports may be practised simultaneously.Se pueden apreciar claramente dos zonas principales: «piscina » y «pista para deportes». El conjunto cuenta además con cuatro campos de pelota; las salas de actividades generales, que permiten practicar el manejo de pesas, esgrima, gimnasia rítmica, judo, lucha, y otras formas de ejercicio físico; oficinas, vestuarios para ambos sexos, bar, almacenes, etc. La piscina mide 33,53 m x 14,63 m; su profundidad oscila entre 0,91 m y 3,80 m, y dispone de palancas y trampolines y una galería con asientos para 150 espectadores, desde la que se domina el desarrollo de las competiciones deportivas. En la pista polideportiva, da 36,58 m x 19,50 m, se practican el baloncesto, tenis, etc.; mediante un sistema de redes puede dividirse, con objeto de que se puedan desarrollar en ella, simultáneamente, varias actividades deportivas.

  2. Health workers' use of malaria rapid diagnostic tests (RDTs) to guide clinical decision making in rural dispensaries, Tanzania.

    Science.gov (United States)

    Masanja, M Irene; McMorrow, Meredith; Kahigwa, Elizeus; Kachur, S Patrick; McElroy, Peter D

    2010-12-01

    Rapid diagnostic tests (RDTs) were developed as an alternative to microscopy for malaria diagnosis. The RDTs detect malaria parasite antigen(s) in whole blood with high sensitivity and specificity. We assessed health worker malaria treatment practices after the introduction of RDTs in peripheral health facilities without microscopy. From December 2007 to October 2008, we introduced histidine-rich protein II (HRP-2)-based ParaHIT RDTs for routine use in 12 health facilities in Rufiji District, Tanzania. Health workers received training on how to perform RDTs for patients 5 years of age or older with fever or suspected malaria. Children rural health facilities resulted in high adherence to national treatment guidelines. Patients testing negative by RDT were rarely treated with antimalarials. Unapproved antimalarials were seldom used. Health workers continued to follow guidelines for the empiric treatment of febrile children.

  3. Risk factors for non-cure among new sputum smear positive tuberculosis patients treated in tuberculosis dispensaries in Yunnan, China

    Directory of Open Access Journals (Sweden)

    Yubang Qiu

    2011-05-01

    Full Text Available Abstract Background Yunnan province in China has a high tuberculosis (TB burden. Cure rates in general are high, but they were below the target of 85% in 26 out of 129 counties in 2005. In these 26 counties we assessed which patient-related and treatment-related factors were associated with non-cure. Methods We conducted a prospective cohort study. Smear positive pulmonary TB patients treated at the local Center for Disease Control and Prevention (CDC were interviewed before start of treatment and during the fifth month of treatment using structured questionnaires. Information on treatment outcome was extracted from patient records. Patients cured at the end of treatment were compared to patients with unsuccessful treatment outcomes (failure, default, and death. Results A total of 841 patients were registered between January-June 2007 of which 792 (94% were cured. Independent risk factors for non-cure were having a low income (30 days, a positive smear test result two months after start of treatment, not being aware of the need to go to the CDC for medical follow up during treatment, and not seeing the need for treatment observation. Conclusion Reducing the financial burden of TB disease and providing health education to improve compliance with treatment could increase the proportion of patients with successful treatment outcomes.

  4. Schizotypal personality can be perceived as a personality trait and considered as a dimension. In recent decades, this way of thinking has been promoted by a British psychologist Gordon Clar - idge, the main author of the Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE schizotypy scale, which is the subject of this arti - cle. In such dimensional model, schizotypy rep - resents a continuum, including the characteris - tics predisposing to psychosis. Thus, schizotypal features are observed in the general population, Daria Dembińska-Krajewska, Janusz Rybakowski : De - patrtment of Adult Psychiatry, Poznan University of Medical Scienc - es. Correspondence address : dembinska.daria@gmail.com Acknowledgements : The authors thank Prof. Geoffrey Shaw for his linguistic review of the text . and they may sometimes be linked with health and sometimes with disease [1, 2]. Schizophren - ic subjects, even when in remission, achieve high scores on schizotypy tests. However, “non-clini - cal” subjects can obtain high scores on these tests but do not necessarily present symptoms of the schizophrenia spectrum [3]. Schizotypal dimensions correspond to the fac - torial models of schizophrenia. The two-factor model reflects both positive and negative schizo - typy. The three-factor model adds cognitive dis - organization. Negative schizotypal symptoms include withdrawal from social activities, distur - bances in close relationships and anhedonia, all similar to the symptoms of schizophrenic defi - cit. Positive schizotypy includes features such as ideas of reference, perceptual and cognitive dis - tortion and magical thinking, all related to psy - chotic symptoms [4]. The positive schizotypal The Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE schizotypy scale in psychiatry

    Directory of Open Access Journals (Sweden)

    Dembińska-Krajewska, Daria

    2014-06-01

    Full Text Available The aim of this paper is to describe a schizotypy scale, the Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE, and its use in psychiatry. Schizotypy is a strongly biologically determined personality phenomenon. Schizotypal disorder, as a diagnostic category in contemporary psychiatric classifications, has been included in schizophrenia spectrum disorders. This may reflect similarities in neurobiological and neuropsychological features between persons with schizotypy and patients with schizophrenia. However, schizotypal traits are also more marked in bipolar disorder (BD compared with those in healthy subjects. The O-LIFE was created by Claridge and his co-workers and consists of four dimensions: unusual expe - riences, cognitive disorganisation, introvertive anhedonia and impulsive nonconformity. Studies using O- LIFE in psychiatry, demonstrated a number of associations between the dimensions of the O-LIFE and the clinical features of schizophrenia, in mood disorders and in healthy persons. In patients with BD treat - ed with lithium carbonate, worse effects of lithium were observed in subjects with high scores on the O- LIFE dimensions (particularly cognitive disorganisation. Recently, some molecular-genetic associations have also been shown between O-LIFE dimensions and polymorphisms of the dopaminergic system and circadian rhythm genes.

  5. Crime in Liverpool and First World War Soldiers from Hull: Using Databases to Explore the Real Depth in the Data

    Science.gov (United States)

    Phillips, Ian

    2015-01-01

    Is it a good thing to have a lot of evidence? Surely the historian would answer that yes, it is: the more evidence that can be used, the better. The problem with this approach, though, is that too much data can be overwhelming for the history student--and, in Ian Phillips's experience, for the history student teacher. In this article Phillips…

  6. Crime in Liverpool and First World War Soldiers from Hull: Using Databases to Explore the Real Depth in the Data

    Science.gov (United States)

    Phillips, Ian

    2015-01-01

    Is it a good thing to have a lot of evidence? Surely the historian would answer that yes, it is: the more evidence that can be used, the better. The problem with this approach, though, is that too much data can be overwhelming for the history student--and, in Ian Phillips's experience, for the history student teacher. In this article Phillips…

  7. Definite Project Report for Section 205 Flood Control, Illinois River, Liverpool, Illinois, with Final Environmental Impact Statement

    Science.gov (United States)

    1989-10-01

    maintains a flat pool elevation of 429.0 feet for the 9-foot navigation channel. The levee is above the normal pool elevation, although sections are...STUDIES: .... J/ck Carr SOCIAL ANALYSIS: 4 ,.-I . - Patricia Risser / / ,, ENVIRONMENTAL STUDIES: (Nf &t’ LL r2 Ron Klump CULTURAL RESOURCES: 9~.t Ken...gravity outlet and a pump station for interior drainage, three road ramps, raising a parking area, and approximately 4,395 feet of levee ranging in height

  8. RESULTS OF CONCOMITANT PHOTON-NEUTRON THERAPY IN THE PALLIATIVE TREATMENT OF METASTATIC BRAIN TUMORS ACCORDING TO THE DATA OF THE CHELYABINSK REGIONAL CLINICAL ONCOLOGY DISPENSARY

    Directory of Open Access Journals (Sweden)

    G. G. Bobkova

    2014-01-01

    Full Text Available The authors analyzed the long-term results of standard radiotherapy (RT in 153 patients and those of concomitant photon-neuron therapy (CPNT in 24 patients in the combined treatment programs. The use of densely ionizing radiation in combined palliative programs for radio-resistant tumors, that include brain metastases, increased survival and improved quality of life. The survival after CPNT was 10–24 months in all the treatment programs: in the control group, that after RT and combined treatment was 4–6 and 7–11 months, respectively.

  9. 英国利物浦海湾的Burbo Bank海上风电场%Burbo bank offshore wind farm in the Liverpool bay

    Institute of Scientific and Technical Information of China (English)

    Dr.Robert Peltier,PE; 沙浩洁

    2009-01-01

    英国大力发展风力发电,尤其是海上风力发电项目的开发,文章介绍了Burbo Bank海上风电场采用的西门子发电集团生产的3.6 MW SWT-3.6-107型的涡轮机,可以看出,海上风力发电将是英国未来几年可再生能源发电的重要项目之一.

  10. Proceedings of the Conference on Knowledge-Based Software Assistant (5th) Held in Liverpool, New York on 24-28 September 1990

    Science.gov (United States)

    1991-03-01

    87 KAPTUR: Knowledge Acquisition For Preservation of Tradeoffs and Underlying Rationales Sidney C. Bailin, J. Mike Moore, Richard Bentz, Manju Bewtra...Moore Richard Bentz Manju Bewtra CTA INCORPORATED Rockville, MD Abstract: We describe an environment that supports the evaluation of potentially

  11. Search for narrow diquonium states in pi /sup -/p interactions at 10 GeV/c Bari-Bonn-CERN-Daresbury-Glasgow-Liverpool-Milano-Vienna Collaboration

    CERN Document Server

    Evangelista, C; Best, C; Costa, G; Donald, R; Edwards, D N; French, Bernard R; Ghidini, B; Houlden, M A; Hughes, I; Lewis, G M; Mandelli, L; Mättig, P; Mitaroff, W A; Müller, K; Palano, A; Palazzi-Cerrina, C; Paul, E; Pensotti, S; Perini, L; Smith, I L; Strub, R; Tamborini, M; Thompson, A S; Turnbull, R; Zito, G

    1981-01-01

    Narrow diquonium production in the reactions pi /sup -/p to p pi p pi /sup -/pp, p pi /sup -/p pi /sup +/ and p pi /sup 0/ is investigated in a 5.3 ev/nb experiment performed at the Omega Spectrometer. The computed upper limits are compared with the predictions of the Chan- Hogaasen model, (1977). (22 refs).

  12. A SHOCKING REQUIREMENT IN THE LAW ON NEGLIGENCE LIABILITY FOR PSYCHIATRIC ILLNESS: LIVERPOOL WOMEN'S HOSPITAL NHS FOUNDATION TRUST V RONAYNE [2015] EWCA CIV 588.

    Science.gov (United States)

    Burrows, Andrew S; Burrows, John H

    2016-01-01

    The Ronayne case concerned a husband who suffered a psychiatric illness, described as an adjustment disorder, in seeing the condition of his wife who was the primary victim of admitted medical negligence. His claim for compensation, as a 'secondary victim', failed because he could not satisfy the legal requirement that there must be a sudden shocking event. This commentary criticises that requirement which appears to make no medical sense. © The Author 2016. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Treatment referral before and after the introduction of the Liverpool Patients Concerns Inventory (PCI) into routine head and neck oncology outpatient clinics.

    Science.gov (United States)

    Ghazali, Naseem; Kanatas, Anastasios; Langley, Daniel J R; Scott, Barry; Lowe, Derek; Rogers, Simon N

    2011-11-01

    Holistic needs assessment is a key recommendation in improving supportive and palliative care in adults with cancer. The Patients Concerns Inventory (PCI) is a holistic needs assessment tool designed for head and neck cancer survivors in outpatient setting. Routine screening of potential unmet needs in a clinic may result in increased onward referrals, thus placing a burden on existing healthcare services. The aim of this study was to compare the referral trends following consultation in the time periods before and after introduction of PCI in an oncology outpatient clinic. A cross-sectional cohort of disease-free survivors of oral/oropharyngeal cancers of a single consultant was prospectively exposed to PCI from July 2007 to April 2009. The PCI is a self-completed questionnaire consisting of 55 items of patient needs/concern and a list of multidisciplinary professionals, whom patients may wish to talk to or be referred to. Retrospective analysis of referral patterns from clinic letters in two periods in the pre-PCI and post-PCI exposure was performed. Prospective analysis of consultations was performed to determine the outcome of PCI-highlighted items. There was no change in the prevalence of onward referral with the introduction of PCI, i.e. 21 referrals per 100 patients seen in outpatients. However, the proportion of referrals to oral rehabilitation and psychological support increased. Referrals to certain services, e.g. speech and language and dentistry, remained consistently in demand. Many PCI-highlighted needs were dealt in a clinic with by the consultant and/or other professionals during a multidisciplinary consultation. Routine use of PCI promotes target efficiency by directing and apportioning appropriate services to meet the needs for supportive care of head and neck cancer survivors.

  14. 住院药房全自动口服摆药机应用分析%Application analysis on automatic oral medicine dispensed machine used in inpatient dispensary

    Institute of Scientific and Technical Information of China (English)

    姜蔚; 杨跃辉; 菅凌燕

    2013-01-01

    目的 分析全自动口服摆药机应用情况,为医院病房口服药品的分包使用及管理提供参考.方法 统计口服摆药药房的药品种类、剂型、分劈药片及临床口服摆药医嘱情况,对常见问题进行分析,并提出解决办法.结果 我院目前常摆药品289种,占口服药品的77.69%,其中分劈药品156种,占口服摆药品种的53.98%,分劈药品摆药品种仍以普通片剂和胶囊为主,缓控释制剂品种相对少.结论 我院住院药房全自动口服摆药机应用普及较广,品种配置合理,分劈药品的共性问题仍存在.%Objective To analyze the use of automatic oral medicine dispensed machine,and provide reference for hospital use and management of the oral drugs.Methods The common problems of drug kinds,dosage forms,splitting tablets and clinical oral medicine with doctor's advice were analyzed,and the corresponding solutions were put forward.Results Current dispensed drug kind of our hospital was 289,accounted for 77.69% of oral drugs,included splitting drug 156 species,which accounted for 53.98% of oral dispensed drugs,common tablet and capsule were still the main splitting drug,slow controlled release preparation breed was relatively few.Conclusion Automatic oral medicine dispensed machine has a wide application in our hospital pharmacy,breed configuration is reasonable,common problems of splitting drug are still exist.

  15. Practice and experience in the use of smart narcotic drug cabinet in the ward dispensary%在病房药房中使用智能麻醉药品管理柜的实践和体会

    Institute of Scientific and Technical Information of China (English)

    佟菲; 王玲; 颜青兰; 宁华; 张艳华

    2015-01-01

    目的:运用信息化管理手段规范病房药房麻醉药品、第一类精神药品管理,提高管理水平及工作效率.方法:介绍智能麻醉药品管理柜的主要结构及功能,讨论其用于病房药房麻醉药品管理的优势及存在问题.结果:智能麻醉药品管理柜用于病房药房麻醉药品管理可实现管理规范化、精准化,提高工作效率,提高药品安全性.但因药柜空问局限性及北京大学肿瘤医院尚未实现药品条码管理,导致药品自动识别不足.结论:智能麻醉药品管理柜让麻醉药品管理更加规范、精准、高效和安全,值得在医院药事管理工作中推广.

  16. Use of Narcotic Drugs in the Dispensary for Inpatients in Our Hospital from 2010 to 2012%2010~2012年我院住院患者麻醉药品应用分析

    Institute of Scientific and Technical Information of China (English)

    吴惠珍; 刘静; 靳会欣

    2014-01-01

    To understand the application of narcotic drugs in our hospital patients,the reasonable application of narcotic drugs and provide reference for standardization management. Methods: To extract data of narcotics used in hospitalized patients with 2010~2012 from our hospital HIS system, calculation of drug use frequency (DDDs),defined daily cost (DDC),analysis and comparison of the drug use.Results:Narcotic drugs in our hospital in 2011 and 2012 compared to 2010 the amount of medication decreased the past three years the number of narcotic drugs varieties and specifications increased from 10 to 13,sufentanil, remifentanil has been living in narcotics sales amount and frequency of administration the first two; morphine injection DDDs ranked 3; pethidine injection use in oncology accounted for 0.3% to 0.7% of the total amount used pethidine; Oxycodone sustained-release tablets for the new varieties, consumption increased significantly, the dosageof 90.2% to 100% for application of oncology department. Oncology department narcotics oral dosage forms consumption quantity and amount are increasing year.Conclusion:Variety of narcotic drugs, dosage formis complete,the applicationof narcotic drugsis reasonable, rationaluseof narcotic drugsoncologystructure, in line with the basic principles of"Three step treatment for cancer".%目的:了解我院住院患者麻醉药品的应用情况,为麻醉药品合理应用及规范化管理提供参考。方法:从我院HIS系统提取2010~2012年住院患者麻醉药品的应用数据,计算药品用药频度(DDDs)、限定日费用(DDC),分析比较各药物的使用情况。结果:我院麻醉药品用药金额2011、2012年较2010年呈下降趋势,3年来麻醉药品品规数由10个增加至13个,舒芬太尼、瑞芬太尼一直居于麻醉药品销售金额、频率的前2位;吗啡注射液DDDs一直稳居第3位;哌替啶注射液在肿瘤科使用量仅占全院哌替啶使用量的0.3%~0.7%;羟考酮缓释片为新增品种,消耗量增加明显,用量的90.2%~100%为肿瘤科应用。肿瘤科麻醉药品口服剂型消耗数量、金额均逐年递增。结论:我院麻醉药品品种、剂型齐全,麻醉药品应用基本合理,肿瘤科应用麻醉药品结构合理,符合“癌症三阶梯治疗”的基本原则。

  17. Treatment outcome of children with severe acute malnutrition ...

    African Journals Online (AJOL)

    Bernt Lindtjorn

    3Liverpool School of Tropical Medicine, Pembroke place, L3 5QA, Liverpool, UK ... of malnourished children compared to the minimum international standard set for management of severe ..... Emergency report action plan in drought affected.

  18. The Art Museum as the Domain of the Self

    DEFF Research Database (Denmark)

    Larsen, Lars Jakob Bang

    2009-01-01

    Kunstmuseet i oplevelsesøkonomien diskuteret ud fra Huyssen, Adorno og med eksempler fra AROS og Tate Liverpool......Kunstmuseet i oplevelsesøkonomien diskuteret ud fra Huyssen, Adorno og med eksempler fra AROS og Tate Liverpool...

  19. Implementation of artemether-lumefantrine treatment policy for malaria at health facilities in Tanzania

    Directory of Open Access Journals (Sweden)

    Mugoyela V

    2011-09-01

    Full Text Available V Mugoyela1, O Minzi21Department of Medicinal Chemistry, 2Unit of Pharmacology and Therapeutics, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, TanzaniaBackground: The purpose of this study was to compare knowledge on the part of health workers in public and private health facilities about prescribing and dispensing of an artemether-lumefantrine combination, 3 years after moving from sulfadoxine-pyrimethamine to artemether-lumefantrine as a first-line treatment for nonsevere malaria in Tanzania.Methods: A cross-sectional survey of a convenience sample of 306 dispensaries and pharmacies was conducted in Dar Es Salaam and the Coast region of Tanzania. Of these, 122 were community pharmacies, 143 were private dispensaries, and 41 were public dispensaries. Specific outcome measures were health workers’ knowledge of the new malaria treatment guidelines, recommended doses of artemether-lumefantrine, and food requirements.Results: A total of 489 health workers were included in the study. The respondents were prescribers in private dispensaries, public dispensaries, and community pharmacies. Participants included medical officers (3.7%, clinical officers (38%, pharmacists (5.7%, and pharmaceutical technicians (3.9%. Nearly all workers in the public dispensaries and about 50% of workers in private dispensaries and community pharmacies were aware of recommended first-line malaria treatment. The difference in the proportion of health workers with adequate knowledge about the new recommended antimalarial medicine in public and private dispensaries was statistically significant (P < 0.0001. There was a higher proportion of workers in public dispensaries who had adequate knowledge about doses of artemether-lumefantrine for adults compared with workers in private dispensaries (P = 0.001. Only 58.0% of respondents were able to state correctly the recommended doses in private dispensaries as compared with 77.0% in public

  20. Views on group simulation in an integrated medical curriculum

    OpenAIRE

    Salaria M; Oyewole T; Shah S

    2017-01-01

    Mariam Salaria, Tobi Oyewole, Sundes ShahUniversity of Liverpool, School of Medicine, Liverpool, UKWe read with great interest the article by Ginzburg et al,1 regarding small group simulation with debrief, for first and second year medical students. Having completed four years at Liverpool Medical School, we agree that small group simulation assists in consolidating the knowledge of basic sciences. The article states that the majority of students agree that simulation followed by a debrief, i...

  1. Pharmacological treatment of neuropathic pain in older persons

    OpenAIRE

    2008-01-01

    Clair Haslam1, Turo Nurmikko21The Walton Centre for Neurology and Neurosurgery, Liverpool, England, UK; 2The Pain Research Institute, Division of Neurological Science, University of Liverpool, Liverpool, England, UKAbstract: Interest and research into the mechanisms and treatment of neuropathic pain have increased during recent years, but current treatment is still far from satisfactory (Dworkin et al 2003; Attal et al 2006). The European Federation of Neurological Societies (EFNS) Task Force...

  2. Effects of diet-induced obesity on protein expression in insulin signaling pathways of skeletal muscle in male Wistar rats

    OpenAIRE

    Fatani S; Abubakari A-R; Itua I; Wong C; Thomas C; Naderali EK

    2012-01-01

    Sameer Fatani,1 Abdul-Razak Abubakari,2 Imose Itua,2 Christopher Wong,3 Cecil Thomas,3 Ebrahim K Naderali21Obesity Biology Unit, School of Clinical Sciences, University of Liverpool, 2Department of Health Sciences, Liverpool Hope University, Hope Park, 3Aintree University Hospital NHS Foundation Trust, Liverpool, UKBackground: The prevalence of diet-induced obesity is increasing globally, and posing significant health problems for millions of people worldwide. Diet-induced obesity is a major ...

  3. Festival "Ruhrpott" toob Viljandisse dzässi ja tantsu

    Index Scriptorium Estoniae

    2007-01-01

    Saksamaa Nordrhein-Westfafleni liidumaa kultuurifestivali "Ruhrpott" raames Viljandis 10. aprillil pubis Liverpool toimuvast kontserdist ja 11. aprillil Viljandi kultuuriakadeemias toimuvast tantsuetendusest "Blue Elephant"

  4. Prognosis of Brain Tumours with Epilepsy

    OpenAIRE

    1991-01-01

    The prognosis of 560 patients with a clinical and CT diagnosis of intrinsic supratentorial brain tumour was examined retrospectively at the Department of Neurosciences, Walton Hospital, Liverpool, England.

  5. Festival "Ruhrpott" toob Viljandisse dzässi ja tantsu

    Index Scriptorium Estoniae

    2007-01-01

    Saksamaa Nordrhein-Westfafleni liidumaa kultuurifestivali "Ruhrpott" raames Viljandis 10. aprillil pubis Liverpool toimuvast kontserdist ja 11. aprillil Viljandi kultuuriakadeemias toimuvast tantsuetendusest "Blue Elephant"

  6. The relentless spread of tuberculosis in Zambia - trends over the ...

    African Journals Online (AJOL)

    Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK. B Squire, PhD ... appropriately in long-term plans for TB control. S Afr Med J 2003; 93: .... In 1993 TB was declared a global emergency by the WHO, and it remains so today. ... influencing TB trends (poverty, malnutrition, and management failures in the ...

  7. A Partnership Approach to Action Learning within a Masters Educational Programme

    Science.gov (United States)

    Harrison, Patricia; Edwards, Carys

    2012-01-01

    This account of practice provides a practical example of the use of action learning within a masters educational programme, an MA in Change Management designed and delivered by a collaborative partnership between the Isle of Anglesey County Council (ACC) and Liverpool Business School (LBS), Liverpool John Moores University. The account has been…

  8. Birmingham's new dental school and hospital - A real Peter Pan of dentistry.

    Science.gov (United States)

    Chapple, I L C

    2016-09-23

    A look at the history of Birmingham Dental Hospital which, since it was first founded in 1858 as Birmingham Dental Dispensary, has moved six times, the sixth move being to its new Pebble Mill site on 1 April 2016.

  9. Health economics: potential applications in HIV/AIDS control in Africa

    African Journals Online (AJOL)

    HIV/AIDS patients with treatment regimen; establishing of health institutions efficiency in .... new partner or an old one to use condoms during a sexual ... health centre, a dispensary, or a nursing home? ... technology and prices of other goods.

  10. B is for Beauty

    CERN Multimedia

    Labreporter; Alom Shaha

    2008-01-01

    With Dr. Tara Shiers, Royal Society University Research Fellow, University of Liverpool, Prof. Themis Bowcock, Head of the LHCb Group, University of Liverpool, and Mike Wormald, Research Technician, University of Liverpool. Tara and the LHCb-Liverpool Group are responsible for providing the modules for the “vertex locator” or VELO. This is a silicon based detector that will let the scientists precisely track the movement of the b-quarks for the duration of their brief lives; within trillionths of a second the b-quarks will decay into other particles. The detectors being built at Liverpool will allow scientists to reconstruct the position of the b-quarks in 3D and pinpoint crucial differences between matter and antimatter. This, they hope, will reveal unknown truths about the nature of the universe.

  11. Medical Marijuana Laws and Teen Marijuana Use

    OpenAIRE

    Anderson, D. Mark; Hansen, Benjamin; Rees, Daniel I.

    2012-01-01

    While at least a dozen state legislatures in the United States have recently considered bills to allow the consumption of marijuana for medicinal purposes, the federal government is intensifying its efforts to close medical marijuana dispensaries. Federal officials contend that the legalization of medical marijuana encourages teenagers to use marijuana and have targeted dispensaries operating within 1,000 feet of schools, parks and playgrounds. Using data from the national and state Youth Ris...

  12. PRIORITAS PASIEN AKAN KEBUTUHAN PELAYANAN INFORMASI OBAT DI APOTEK JAKARTA

    Directory of Open Access Journals (Sweden)

    Andi Leny Susyanty

    2012-11-01

    Full Text Available Pharmacists assure that patients have all supplies, necessary information and knowledge of medicine to carry out the medicine therapy plan. Pharmaceutical cares consist of medicine managing and medicine information. The pharmaceutical cares will work well if patients realized that the pharmaceutical cares, especially the medicine information is important and take it as the pharmaceutical main care need. For the reasons, patient needs and wants for the pharmaceutical cares at dispensaries had been studied. This was a descriptive study with a cross sectional design. The study was conducted during 19th to 24th May 2003, at 3 (three dispensary in North and East Jakarta. There were 270 patients selected. Data were analyzed quantitatively. Results of the medicine information needs compared with other pharmaceutical care factors at dispensaries. From the 270 respondens at the 3 (three dispensaries showed 6.1% patients realized needs for medicine information that was lower than the needs for quick services, 28.4%, for medicines availability 21.80%, and for availability of facilities at dispensaries, 31%. It concluds that patient priority for medicine information services was lower than other pharmacy services. It needs a special attention and socialization from the pharmacists to patients on pharmacy services, especially about the benefit of medicine information services. Key words: pharmaceutical cares, consumer; dispensaries, medicine information

  13. The institution as e-textbook publisher

    Directory of Open Access Journals (Sweden)

    Andrew Barker

    2015-11-01

    Full Text Available Providing students with sufficient copies of core textbooks is an increasing challenge in an age of ever higher fees, economic realities and heightened student expectations regarding provision of library resources. This article outlines the partnership between the University of Liverpool Library and Liverpool University Press (LUP, which has progressed from the creation of a library advisory board to the co-creation of two bespoke and open access (OA e-textbooks as part of a Jisc-funded project. It tells the story of why we have gone down this route at Liverpool and what we hope to gain from the creation of these e-textbooks.

  14. Prevalence of malaria infection in pregnant women compared with children for tracking malaria transmission in sub-Saharan Africa: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Anna M van Eijk, PhD

    2015-10-01

    Funding: The Malaria in Pregnancy Consortium, which is funded through a grant from the Bill & Melinda Gates Foundation to the Liverpool School of Tropical Medicine, UK; US Centers for Disease Control and Prevention; and Wellcome Trust, UK.

  15. Management of type 1 diabetes in children is boosted by robots.

    Science.gov (United States)

    2016-09-12

    A survey from the University of Liverpool concludes that young patients are receptive to the use of humanoid robots, and that the younger the children are, the more they are prepared to accept the advice of an assistant on castors.

  16. Past Years

    Science.gov (United States)

    Lodge, Oliver

    2012-07-01

    Preface; 1. Ancestry and early days; 2. Schooldays; 3. Relation with other boys at school; 4. Education; 5. Influence of the Royal Institution; 6. Later education in London; 7. Reminiscences of Bedford College; 8. Scientific work and friends in London; 9. Personal retrospect; 10. Romance; 11. Influence of the British Association; 12. Reminiscences of Coopers Hill and assistants and popular lectures; 13. Liverpool; 14. Scientific work at Liverpool; 15. Scientific work at Liverpool (cont.); 16. Scientific work at Liverpool (cont.); 17. Electric waves and the beginnings of wireless; 18. Other friends; 19. Family life; 20. Holidays; 21. Side issues; 22. Early experiences in psychical research; 23. Psychical research; 24. Further psychic adventures, and psycho-physical phenomena; 25. Reminiscences of my years at the university of Birmingham; 26. Birmingham friendships and recollections; 27. Scientific retrospect; 28. Apologia pro vita mea; Index.

  17. Elizabeth II tervitas Briti ja Eesti sõjaväelasi / Allar Viivik, Katrin Rohtla

    Index Scriptorium Estoniae

    Viivik, Allar

    2006-01-01

    Kuninganna Elizabeth II avas Eesti uue miinijahtija Admiral Cowani vapi ning kohtus Briti sõjalaeva Liverpool pardal Afganistanis võidelnud kaitseväelastega. Kuningannat saatis Eesti presidendipaar

  18. Management of Reflex Anoxic Seizures

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2013-10-01

    Full Text Available Investigators at the Roald Dahl EEG Unit, Alder Hey Children’s NHS Foundation, Liverpool, UK, review the definition, pathophysiology, clinical presentation, and management of reflex anoxic seizures (RAS in children.

  19. Elizabeth II tervitas Briti ja Eesti sõjaväelasi / Allar Viivik, Katrin Rohtla

    Index Scriptorium Estoniae

    Viivik, Allar

    2006-01-01

    Kuninganna Elizabeth II avas Eesti uue miinijahtija Admiral Cowani vapi ning kohtus Briti sõjalaeva Liverpool pardal Afganistanis võidelnud kaitseväelastega. Kuningannat saatis Eesti presidendipaar

  20. Air Manganese Study

    Science.gov (United States)

    In November 2011 US EPA researchers conducted a health study of airborne manganese exposure in East Liverpool, Ohio. This Web site discusses preliminary results of the study and provides background and other related information.

  1. DNA methylation: its role in transcriptional regulation and association with lung cancer

    OpenAIRE

    Pantazi P; Acha-Sagredo A; Papaioannou A; Nikolaidis G; Liloglou T

    2015-01-01

    Paschalia Pantazi,1,2 Amelia Acha-Sagredo,1,3,4 Alexandra Papaioannou,2 Georgios Nikolaidis,1,2 Triantafillos Liloglou1 1Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK; 2Division of Basic Science, University of Crete Medical School, Heraklion, Greece; 3Department of Stomatology II, Oral Medicine and Pathology UFI 11/25, University of the Basque Country, Leioa, Spain; 4IKERBASQUE, Basque Foundation for Science, Bilbao, Spain Abstract: DNA methylat...

  2. EXPERIENCE OF USING RECOMBINANT ALLERGEN OF MYCOBACTERIUM TUBERCULOSIS FOR DIAGNOSTICS OF TUBERCULOUS INFECTION

    Directory of Open Access Journals (Sweden)

    T. A. Parfenova

    2016-01-01

    Full Text Available 117,662 children and adolescents were examined with the skin test of Diaskintest when registered for dispensary follow-up for the first time in tuberculosis control units in Orenburg Region from 2010 to 2015. Positive and questionable results of Diaskintest were in 96.4% (86.8 and 10.6% of children with active tuberculosis. 435 patients with latent tuberculous infection, 6 patients with questionable active disease and 3 with active tuberculosis were missed basing on the results of tuberculin diagnostics only and detected with Diaskintest. No case of active tuberculosis has been registered forthe last 5 years among patients with negative reaction to Diaskintest in Group VI ofthe dispensary follow-up. When using traditional methods including tuberculin diagnostics 90% of children registered for dispensary follow-up were groundlessly treated with preventive chemotherapy.

  3. [Prevalence and characteristics of the "burnout syndrome" of the medical staff of cancer and TB institutions of Primorskiĭ Kraĭ].

    Science.gov (United States)

    Bektasova, M V; Kaptsov, V A; Sheparev, A A

    2012-01-01

    As 50 doctors and 70 nurses in oncologic dispensaries as well 90 doctors and 110 nurses in tuberculosis dispensaries in Primorye have been studied on the basis of voluntary testing methods supposed by C. Maslach and V.V. Boiko. The aim of this study was to estimate the relative prevalence and psychological features of the "burnout syndrome" among doctors and nurses of oncologic and tuberculosis dispensaries in Primorye Territory. "Emotional burnout" in various stages of its development is much more common among nurses (75% of respondents), compared with physicians (less than 50% tested). In nursing professional burnout syndrome developed significantly more frequently in the more severe form, and with less seniority of professional activity. The dependence of burning on the age and professional experience is more common for physicians. There is an urgent need to study the epidemiology of the "burnout syndrome" and identify ways to prevent the formation of social syndrome in medical personnel.

  4. A Case Series of Marijuana Exposures in Pediatric Patients Less than 5 Years of Age

    Science.gov (United States)

    Wang, George Sam; Narang, Sandeep K.; Wells, Kathryn; Chuang, Ryan

    2011-01-01

    Objective: In Colorado, there has been a large increase in medical marijuana dispensaries and licenses for the use of medical marijuana over the past year. This is a retrospective case series of marijuana exposures that have presented to the emergency department (ED) in children less than 5 years of age. Methods: We performed a retrospective chart…

  5. A Case Series of Marijuana Exposures in Pediatric Patients Less than 5 Years of Age

    Science.gov (United States)

    Wang, George Sam; Narang, Sandeep K.; Wells, Kathryn; Chuang, Ryan

    2011-01-01

    Objective: In Colorado, there has been a large increase in medical marijuana dispensaries and licenses for the use of medical marijuana over the past year. This is a retrospective case series of marijuana exposures that have presented to the emergency department (ED) in children less than 5 years of age. Methods: We performed a retrospective chart…

  6. EDITORIAL ROLE OF LABORATORY SERVICES IN HEALTH CARE ...

    African Journals Online (AJOL)

    1999-05-01

    May 1, 1999 ... level of health care delivery to health centre and even dispensary level. ... At the International Conference in Alma-Ata in. 1978, primary ... In a feasibility study for primary ... with drugs and medical supplies; in the Kenya study,.

  7. Cosmetology. FasTrak Specialization Integrated Technical and Academic Competency (ITAC). 2002 Revision.

    Science.gov (United States)

    Ohio State Dept. of Education, Columbus. Div. of Career-Technical and Adult Education.

    This publication provides the competencies and key indicators for a cosmetology program that prepares students to become licensed in the State of Ohio to work in the area of hair, skin, and/or nail care. Competencies and the related key indicators are presented for these 14 units: orientation to the cosmetology profession; dispensary operations…

  8. Ebola vu de loin : les agents de la santé face au risque et à l'incertitude dans les campagnes du Burkina Faso

    DEFF Research Database (Denmark)

    Østergaard, Lise Rosendal

    2015-01-01

    Although no cases of the Ebola virus disease occurred in Burkina Faso during the West African epidemic, it sparked front line health workers' reflections on issues of security, global equity and fairness. Based on an ethnographic study of rural dispensaries in Burkina Faso on the practical and te...

  9. Texas Chiropractic College Practice Management Education: The Patient's Point of View.

    Science.gov (United States)

    Waigandt, Alex; And Others

    A survey was conducted to determine the patient's perception of treatment received from clinicians at the Texas Chiropractic College Clinic in Pasadena, Texas. A questionnaire designed to assess various aspects of the school's clinical and dispensary services was administered to 79 patients who had completed their treatment prescriptions. The…

  10. 41 CFR 301-12.1 - What miscellaneous expenses are reimbursable?

    Science.gov (United States)

    2010-07-01

    ... used on official business. Charges for inoculations that cannot be obtained through a Federal dispensary. Hire of conference center room or hotel room for official business. Official telephone calls... and/or visa and such examination could not be obtained at a Government facility. Reimbursement for...

  11. KETERSEDIAAN DAN PERESEPAN OBAT GENERIK DAN OBAT ESENSIAL DI FASILITAS PELAYANAN KEFARMASIAN DI 10 KABUPATEN/KOTA DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Rini Sasanti Handayani

    2012-12-01

    Full Text Available Background: The Ministry of Health has a special guidance for increasing the utilization of generic drugs in governmental health facilities. Beside, The Ministry of Health also has regulation for writing a generic drugs prescription at governmental hospital (permenkes RI No. 085/Menkes/Per/I/1989. This regulation push the doctors in governmental hospital to write prescription on generic and essential drugs, for the patient treatment. The objective of this research was getting information about the availability of generic and essential drugs in governmental health facilities as well as private health facilities upon same district and cities in Indonesia. Methods: This research has been conducted in July to December 2006, using the cross sectional research design. Location selected consist of three areas, there were archipelagoes, wide continent and development area. A purposive sample has been selected, there were 10 distributor unit, 10 govermental hospitals, 20 primary health centers (puskesmas, and 20 dispensaries, as well as 10 drugstores. The method of data collection were interviewed using structure question instrument, prescription observation in hospital, primary health centers, and dispensaries, private dispensaries in hospital, drugstore as well. Results: A descriptive analyzed has been done to get some tables presenting as result. The results show that the range of availability of generic drugs in primary health centers 84.89–100% (x¯ = 95.4%, in governmental hospital 11.29–95.65% (x¯ = 51.44% and in dispensaries 1.97–66.6% (x¯ = 18.73%. Generic medicine prescription in primary health centers 91.60–100% (x¯ = 98.82% while the essential medicine prescription in primary health centers 92.83–100% (x¯ = 97.22%. The range of generic medicine prescription in governmental hospital is 14.58–100% (x¯ = 55.38%, and essential medicine prescription in governmental hospital 52.30–91.75% (x¯ = 69.93%. In dispensaries generic

  12. Views on group simulation in an integrated medical curriculum

    Directory of Open Access Journals (Sweden)

    Salaria M

    2017-03-01

    Full Text Available Mariam Salaria, Tobi Oyewole, Sundes ShahUniversity of Liverpool, School of Medicine, Liverpool, UKWe read with great interest the article by Ginzburg et al,1 regarding small group simulation with debrief, for first and second year medical students. Having completed four years at Liverpool Medical School, we agree that small group simulation assists in consolidating the knowledge of basic sciences. The article states that the majority of students agree that simulation followed by a debrief, illustrated the clinical relevance of basic sciences. What is more, students felt that these practices provided chances for direct application of scientific knowledge, as well as simulating real world experience. The development of clinical reasoning was also noted, and as medical students ourselves, we agree that this aspect is cemented by simulation scenarios.View the original paper by Ginzburg and colleagues.

  13. Pharmacological treatment of neuropathic pain in older persons

    Directory of Open Access Journals (Sweden)

    Clair Haslam

    2008-03-01

    Full Text Available Clair Haslam1, Turo Nurmikko21The Walton Centre for Neurology and Neurosurgery, Liverpool, England, UK; 2The Pain Research Institute, Division of Neurological Science, University of Liverpool, Liverpool, England, UKAbstract: Interest and research into the mechanisms and treatment of neuropathic pain have increased during recent years, but current treatment is still far from satisfactory (Dworkin et al 2003; Attal et al 2006. The European Federation of Neurological Societies (EFNS Task Force recently published guidelines for the pharmacological treatment of neuropathic pain (Attal et al 2006. However, no particular consideration is given as to how the recommendations are applicable to the elderly population. This paper will review the guidelines in relation to this population and evaluate the existing evidence relating to the use of these drugs in older persons.Keywords: neuropathic pain, elderly, anticonvulsants, antidepressants, opioids, tramadol, lidocaine patch/plaster, capsaicin

  14. Aboriginal Oral Traditions of Australian Impact Craters

    CERN Document Server

    Hamacher, Duane W

    2013-01-01

    We explore Aboriginal oral traditions that relate to Australian meteorite craters. Using the literature, first-hand ethnographic records, and fieldtrip data, we identify oral traditions and artworks associated with four impact sites: Gosses Bluff, Henbury, Liverpool, and Wolfe Creek. Oral traditions describe impact origins for Gosses Bluff and Wolfe Creek craters and non-impact origins of Liverpool and Henbury craters, with Wolfe Creek stories having both impact and non-impact origins. Three impact sites that are believed to have formed during human habitation of Australia - Dalgaranga, Veevers, and Boxhole - do not have associated oral traditions that are reported in the literature.

  15. Modelling total energy costs of sports centres

    Energy Technology Data Exchange (ETDEWEB)

    Boussabaine, A.H.; Kirkham, R.J.; Grew, R.J. [Liverpool Univ., School of Architecture and Building Engineering, Liverpool (United Kingdom)

    1999-12-07

    Providing and maintaining safe and comfortable conditions in sport centres raises many issues, particularly cost. The paper gives an overview of the factors associated with sport centre servicing and attempts to highlight the governing factors associated with this, particularly energy costs. A total of 19 sport centres in the City of Liverpool in the UK are investigated, using data elicited from the Liverpool Leisure Services Directorate. The energy operating costs were analysed using statistical methods. Six models were developed to predict total energy costs. Testing and validation results showed a high level of model accuracy. The models would be of use to professionals involved in feasibility studies at the design stage. (Author)

  16. Significance of the Trendelenburg test in total hip arthroplasty. Influence of lateral approaches.

    Science.gov (United States)

    Pai, V S

    1996-02-01

    The effects of lateral approaches to total hip arthroplasty on abductor weakness and limp were studied in 264 patients with primary osteoarthritis. The Hardinge approach was used in 82 patients, the transtrochanteric approach in 94, and the Liverpool approach in 88. There was no difference in functional level, range of movement, and limp among three lateral approaches. There was no increase in Trendelenburg gait after the Hardinge or Liverpool approach compared with the transtrochanteric approach. It is evident that the Trendelenburg test is a useful part of clinical examination if performed and interpreted correctly.

  17. Statistical analysis of large passwords lists, used to optimize brute force attacks

    CSIR Research Space (South Africa)

    Van Heerden, RP

    2009-03-01

    Full Text Available computer illiterate users now use computers • Computer processing power has increased by at least 500 fold (Geer 2005) 2.2.2 UK Web passwords Stuart Brown compiled a list of the most popular passwords used for various web sites. The top 10 passwords... comprise 6.5% of all the passwords used (Brown 2006). The top ten passwords were: • 123 • password • liverpool • letmein (“let me in”) • 123456 • qwerty • charlie • monkey • arsenal • thomas Some area-specific passwords (liverpool and arsenal...

  18. Reconnecting Thomas Gann with British Interest in the Archaeology of Mesoamerica: An Aspect of the Development of Archaeology as a University Subject

    Directory of Open Access Journals (Sweden)

    Colin Wallace

    2011-05-01

    Full Text Available ‘He [Thomas Gann] was lecturer in Central American archaeology at the University of Liverpool (1919–1938, and adviser to the British Museum expeditions to British Honduras’ (Dictionary of National Biography 1931–1940 [1949]: 306.Thus wrote the great archaeologist of the Maya, Sir John Eric Thompson (1898–1975, who knew Thomas Gann, the subject of this paper, from around 1926 until his death, and memorialised him elsewhere in the 'Boletín Bibliográfico de Antropología Americana'(Thompson 1940 and the 'British Medical Journal'(Thompson 1975. Curiously, all published sources, including Thompson, are seriously mistaken about Gann’s Liverpool connection, wrongly dating it to the period when it was inactive or had lapsed. Thus, ‘from 1919 to 1938 Gann was Lecturer in Central American Archaeology at Liverpool University, the first Americanist ever to hold a university position in Britain. I have never come across anyone who went to his lectures (I am not even sure if he gave any and he seems to have trained no students’ (Bray 1994: 6; cf. also Bray and Glover 1987: 119. I shall offer some new archival evidence to correct this. We shall also see that Bray’s conception of Gann as a British, university, ancestor, if an odd one, is unhelpful (but understandable; Gann’s position says as much about the atmosphere of the early years at Liverpool University (Freeman 'In preparation'; James 'In preparation' as it does about the study of Ancient America in Britain during the first few decades of the twentieth century. Recent historical research in the School of Archaeology, Classics and Egyptology at Liverpool (the direct descendant of the Institute of Archaeology with which Gann was connected, by Mac James, our supervisor Dr Philip Freeman and myself, has included exploring the papers of Francis Chatillon Danson, an important early supporter of the Institute. The following paper is based on the Danson papers, now in National Museums

  19. Book Reviews

    Directory of Open Access Journals (Sweden)

    Daniel Eltringham

    2016-05-01

    Full Text Available Book reviews of the following academic titles: 'Late Modernism' and The English Intelligencer: 'On the Poetics of Community' by Alex Latter, London: Bloomsbury Academic, 276 pp., 2015 'The Writing Occurs as Song: A Kelvin Corcoran Reader' by Andy Brown (ed., Bristol: Shearsman, 260 pp., 2014 'Out of Everywhere 2: Linguistically Innovative Poetry by Women in North America & the UK' by Emily Critchley (ed., Hastings: Reality Street, 362 pp., 2015  'Women’s Experimental poetry in Britain 1970–2010: Body, Time, Locale' by David Kennedy and Christine Kennedy, Liverpool: Liverpool University Press, 192 pp., 2013

  20. "For a Lot of People, Radio Is a Lifeline"

    Science.gov (United States)

    Stanistreet, Paul

    2011-01-01

    In this article, the author talks about Up for Arts, a Liverpool-based radio project aimed at promoting engagement in the arts. Up for Arts is a unique social action project which uses radio as a means of increasing public engagement in the voluntary arts and crafts. Its success has depended not only on the commitment of its partner organisations…

  1. Physicists purchase materials testing machine in support of pioneering particle physics experiments

    CERN Multimedia

    Sharpe, Suzanne

    2007-01-01

    "The particle physics group at Liverpool University has purchased an LRXPlus singlecolumn materials testing machine from Lloyd Instruments, which will be used to help characterise the carbon-fibre support frames for detectors used for state-of-the-art particle physics experiments." (1 page)

  2. 50 CFR 32.32 - Illinois.

    Science.gov (United States)

    2010-10-01

    ... outside the main dike in the Liverpool Lake section and north of the entrance to the north ditch known as... Hunting. D. Sport Fishing. We allow fishing on designated areas of the refuge in accordance with State...) from the refuge at the end of each day's hunt. 6. Goose hunters outside the controlled goose...

  3. An Integrative Risk Management/Governance Framework for Homeland Security Decision Making

    Science.gov (United States)

    2008-03-01

    Circle Line train, No. 204, traveling from Liverpool Street to Aldgate Station. Within one minute, a second explosion took place on Circle Line train...Police M.A., Seton Hall University, 1998 Submitted in partial fulfillment of the requirements for the degree of MASTER OF ARTS IN

  4. Journal of Sustainable Development Law and Policy (The): Editorial ...

    African Journals Online (AJOL)

    Journal of Sustainable Development Law and Policy (The): Editorial Policies ... The JSDLP utilizes a double-blind peer review process, to ensure originality, ... Professor of Energy Law and former Dean Faculty of Law, University of Calgary, Canada ... M (Liverpool) Assistant Editor, Health, Agriculture and Renewable Energ.

  5. Environmental Exposure to Manganese in Air: Associations withCognitive Functions

    Science.gov (United States)

    Manganese (Mn), an essential element, can be neurotoxic in high doses. This cross-sectional study explored the oognitive function of adults residing in two towns (Marietta and East Liverpool, Ohio, USA) identified as having high levels of environmental airborne Mn from indu...

  6. Generalized Anxiety and Major Depressive syndrome measured by the SCL-90-R in Two Manganese (Mn) Exposed Ohio Towns

    Science.gov (United States)

    Objective: Environmental exposure to manganese (Mn) may cause generalized anxiety (GA) and major depression (MD) in residents living in Mn-exposed areas. Marietta and East Liverpool are two Ohio towns identified as having elevated levels of Mn. The objective was to determine if l...

  7. Characterization of Air Manganese Exposure Estimates for Residents in Two Ohio Towns

    Science.gov (United States)

    This study was conducted to derive receptor-specific outdoor exposure concentrations of total suspended particulate (TSP) and respirable (dae ≤1O µm) air manganese (air-Mn) for East Liverpool and Marietta (Ohio) in the absence of facility emissions data, but where long-t...

  8. Manganese in Air: Associations in Residents with Tremor and Motor Function

    Science.gov (United States)

    Objective: An environmental study examined air manganese (Mn) exposed residents of two towns in Ohio: Marietta (near a ferro-manganese smelter) and East Liverpool (EL)(adjacent to an open-storage ore packaging facility). Air Mn inhalation is associated with neuropsychological/neu...

  9. Mahler, G. Symphony N 5 / Johnson, Stephen

    Index Scriptorium Estoniae

    Johnson, Stephen

    1991-01-01

    Uuest heliplaadist "Mahler, G. Symphony N 5. Royal Liverpool Philharmonic Orchestra /Sir Charles Mackerras. EMI Eminence MC TC-EMx2164; CD-EMx2164 (70 minutes). Mahler. Symphony N 5. Royal Scottish National Orchestra /Neeme Järvi. Chandos MC ABTO 1454. CD CHAN 8829 (70 minutes). Sellected comparisons: VPO, Bernstein (8/88) New Phil., Barbiralli (11/88)

  10. Conference on Surfaces of Biomaterials Biotechnology - Biointeractions 󈨛 Held in Cambridge, United Kingdom on 6-8 July 1987

    Science.gov (United States)

    1987-12-15

    which they assessed in& on the ways in which biotechnological the blocompatability of in vivo implants products and man-mud, materiale interact by...silicon have pro- WilliAms (Institute of Medical and Dental duced similar differences, according to Ioeaninaer*.n., University of Liverpool. Williams

  11. Unsteady Flow and Saline Intrusion in Long Sea Outfalls

    DEFF Research Database (Denmark)

    Larsen, Torben; Borrows, Richard

    1992-01-01

    The internal hydraulics of the multiport diffuser section in long sea outfalls has been studied by laboratory experiments and numerical modelling. The study has run for five years as a coordinated effort at both the University of Liverpool and the University of Aalborg. The investigations have co...

  12. Subject Knowledge Enhancement (SKE) Courses for Creating New Chemistry and Physics Teachers: Do They Work?

    Science.gov (United States)

    Tynan, Richard; Mallaburn, Andrea; Jones, Robert Bryn; Clays, Ken

    2014-01-01

    During extended subject knowledge enhancement (SKE) courses, graduates without chemistry or physics bachelor degrees prepared to enter a Postgraduate Certificate in Education (PGCE) programme to become chemistry or physics teachers. Data were gathered from the exit survey returned by Liverpool John Moores University SKE students about to start…

  13. "I Am Different from Other Women in the World": The Experiences of Saudi Arabian Women Studying Online in International Master Programmes

    Science.gov (United States)

    Szilagyi, Annamaria

    2015-01-01

    This paper presents findings from a qualitative study that investigated seven female Saudi Arabian students of the University of Liverpool's online Masters programmes. Qualitative, first-person research methods and hermeneutic phenomenology were chosen for the analysis and interpretation of transcripts (Langeveld, 1983; van Manen, 1997; Creswell,…

  14. A Qualitative Examination of Challenges Influencing Doctoral Students in an Online Doctoral Program

    Science.gov (United States)

    Deshpande, Anant

    2016-01-01

    The main purpose of the study was to investigate the challenges faced by students in completion of an online doctoral program at the University of Liverpool, Online Doctoral Business Administration program. We analyse the responses of 91 doctoral students in an online DBA program. Based on the exploratory qualitative study themes were developed…

  15. Illusionary Inclusion--What Went Wrong with New Labour's Landmark Educational Policy?

    Science.gov (United States)

    Hodkinson, Alan

    2012-01-01

    This article examines the emergence and evolution of New Labour's landmark educational policy; namely that of inclusion. The author, Alan Hodkinson, associate professor at the Centre for Cultural and Disability Studies at Liverpool Hope University, illuminates his conceptual difficulties in attempting to define what inclusion was and what…

  16. Education for Citizenship: Community Engagement between the Global South and the Global North

    Science.gov (United States)

    Miller, Gill

    2013-01-01

    This paper discusses a fieldwork exercise in development geography undertaken by students in the UK. Based on community engagement in partnership with refugee and black minority communities in Liverpool, it explores how such fieldwork can deepen understanding of development geography, contribute to global citizenship and nurture personal skills.…

  17. Reconfiguring the Shipping News: Maritime's Hidden Histories and the Politics of Gender Display

    Science.gov (United States)

    Meecham, Pam

    2008-01-01

    This paper discusses the book "Hello Sailor! The Hidden History of Gay Life at Sea" published in 2003 by Paul Baker and Jo Stanley, re-interpreted as a landmark temporary exhibition "Hello Sailor! Gay Life on the Ocean Wave" at the Merseyside Maritime Museum, Liverpool from where it travelled in 2007 to other maritime museums. Based largely on…

  18. Mahler, G. Symphony N 5 / Johnson, Stephen

    Index Scriptorium Estoniae

    Johnson, Stephen

    1991-01-01

    Uuest heliplaadist "Mahler, G. Symphony N 5. Royal Liverpool Philharmonic Orchestra /Sir Charles Mackerras. EMI Eminence MC TC-EMx2164; CD-EMx2164 (70 minutes). Mahler. Symphony N 5. Royal Scottish National Orchestra /Neeme Järvi. Chandos MC ABTO 1454. CD CHAN 8829 (70 minutes). Sellected comparisons: VPO, Bernstein (8/88) New Phil., Barbiralli (11/88)

  19. At NA5

    CERN Multimedia

    1979-01-01

    This experiment was set up by the Bari-Cracow-Liverpool-Munich(MPI)-Nijmegen Collaboration to study hadron-hadron collisions with a streamer chamber vertex spectrometer and a calorimeter trigger. It was located in beam H2 in the Hall EHN1 (Jura side).

  20. Job Shadowing Introduces the Realities of Manufacturing

    Science.gov (United States)

    Frawley, Thomas A.

    2009-01-01

    Engineers and skilled tradesmen stood side by side with executives and politicians as Liverpool High School technology teacher Dan Drogo welcomed parents to a one-of-a-kind graduation ceremony at New Process Gear in Syracuse, New York. The manufacturing shadow program had immersed 25 high school students in an intensive five-week experience inside…

  1. Evaluating Risk Awareness in Undergraduate Students Studying Mechanical Engineering

    Science.gov (United States)

    Langdon, G. S.; Balchin, K.; Mufamadi, P.

    2010-01-01

    This paper examines the development of risk awareness among undergraduate students studying mechanical engineering at a South African university. A questionnaire developed at the University of Liverpool was modified and used on students from the first, second and third year cohorts to assess their awareness in the areas of professional…

  2. 76 FR 61742 - Notice of Determinations Regarding Eligibility To Apply for Worker Adjustment Assistance and...

    Science.gov (United States)

    2011-10-05

    ...; Intercontinental Hotels Group, Alpharetta, GA TA-W-80,156; Bank of America, N.A., Dallas, TX TA-W-80,297; Steiff... Academy of Information Technology, dba NewLife Technical Institute, East Liverpool, OH TA-W-80,430...

  3. Employability Skills, the Student Path, and the Role of the Academic Library and Partners

    Science.gov (United States)

    Tyrer, Gwyneth; Ives, Joanne; Corke, Charlotte

    2013-01-01

    This case study explores the introduction of a university wide employability program by the World of Work Careers Centre (WOWCC) at Liverpool John Moores University (LJMU). The article reports the background against which an employability program was implemented; the justification and growing demand for more emphasis on employability skills in…

  4. Evaluating Risk Awareness in Undergraduate Students Studying Mechanical Engineering

    Science.gov (United States)

    Langdon, G. S.; Balchin, K.; Mufamadi, P.

    2010-01-01

    This paper examines the development of risk awareness among undergraduate students studying mechanical engineering at a South African university. A questionnaire developed at the University of Liverpool was modified and used on students from the first, second and third year cohorts to assess their awareness in the areas of professional…

  5. Scientists keep a hi-tech eye on the sky

    CERN Multimedia

    2003-01-01

    "Liverpool scientists are developing a technology that will make it easier to spot near-Earth asteroids. Astronomers at John Moores University are working on computer programmes that will speed up the detection of space objects that pose a threat to our planet" (1/2 page).

  6. Our Great Journey

    Science.gov (United States)

    Fearon, Bec

    2008-01-01

    For nearly two years a group of 12 people, who are service-users from L8 and Fazakerley Resource Centres for adults with learning disabilities, had been working with artist Leo Fitzmaurice on WILD!, a project investigating what contemporary art meant to them. Part of the Bluecoat Connect programme, run with support from Liverpool Biennial and…

  7. Rethinking Science Education: Meeting the Challenge of "Science for All"

    Science.gov (United States)

    Millar, Robin

    2012-01-01

    This article presents the author's Presidential Address delivered to the Association for Science Education Annual Conference, University of Liverpool, January 2012. "Science for all" has been an aspiration of the Association for Science Education and the organisations from which it evolved for almost a century. It has, however, proved an elusive…

  8. Medical Entomology Studies - XI. The Subgenus Stegomyia of Aedes in the Oriental Region with Keys to the Species (Diptera: Culicidae)

    Science.gov (United States)

    1979-01-01

    aegypti Linnaeus, 1762 ( Insecta , Diptera); proposed validation and interpretation under the plenary powers of the species so named. Z. N. (S.) 1216...Liverpool School of Tropical Medicine and Medical Parasitology. Part II. Filariasis. Mem. Lpool. Sch. Trop. Med. 4 (Ap. ) ii: l-14. Huang: Aedes

  9. Real time diagnostic for operation at a CW low voltage FEL

    Energy Technology Data Exchange (ETDEWEB)

    Balfour, C.; Shaw, A.; Mayhew, S.E. [and others

    1995-12-31

    At Liverpool University, a system for single user control of an FEL has been designed to satisfy the low voltage FEL (ie 200kV) operational requirements. This system incorporates many aspects of computer automation for beam diagnostics, radiation detection and vacuum system management. In this paper the results of the development of safety critical control systems critical control systems are reported.

  10. Employability Skills, the Student Path, and the Role of the Academic Library and Partners

    Science.gov (United States)

    Tyrer, Gwyneth; Ives, Joanne; Corke, Charlotte

    2013-01-01

    This case study explores the introduction of a university wide employability program by the World of Work Careers Centre (WOWCC) at Liverpool John Moores University (LJMU). The article reports the background against which an employability program was implemented; the justification and growing demand for more emphasis on employability skills in…

  11. Characterization of Air Manganese Exposure Estimates for Residents in Two Ohio Towns

    Science.gov (United States)

    This study was conducted to derive receptor-specific outdoor exposure concentrations of total suspended particulate (TSP) and respirable (dae ≤1O µm) air manganese (air-Mn) for East Liverpool and Marietta (Ohio) in the absence of facility emissions data, but where long-t...

  12. Generalized Anxiety and Major Depressive syndrome measured by the SCL-90-R in Two Manganese (Mn) Exposed Ohio Towns

    Science.gov (United States)

    Objective: Environmental exposure to manganese (Mn) may cause generalized anxiety (GA) and major depression (MD) in residents living in Mn-exposed areas. Marietta and East Liverpool are two Ohio towns identified as having elevated levels of Mn. The objective was to determine if l...

  13. Environmental Exposure to Manganese in Air: Associations withCognitive Functions

    Science.gov (United States)

    Manganese (Mn), an essential element, can be neurotoxic in high doses. This cross-sectional study explored the oognitive function of adults residing in two towns (Marietta and East Liverpool, Ohio, USA) identified as having high levels of environmental airborne Mn from indu...

  14. Manganese in Air: Associations in Residents with Tremor and Motor Function

    Science.gov (United States)

    Objective: An environmental study examined air manganese (Mn) exposed residents of two towns in Ohio: Marietta (near a ferro-manganese smelter) and East Liverpool (EL)(adjacent to an open-storage ore packaging facility). Air Mn inhalation is associated with neuropsychological/neu...

  15. A Simulated Learning Environment for Teaching Medicine Dispensing Skills

    Science.gov (United States)

    Styles, Kim; Sewell, Keith; Trinder, Peta; Marriott, Jennifer; Maher, Sheryl; Naidu, Som

    2016-01-01

    Objective. To develop an authentic simulation of the professional practice dispensary context for students to develop their dispensing skills in a risk-free environment. Design. A development team used an Agile software development method to create MyDispense, a web-based simulation. Modeled on virtual learning environments elements, the software employed widely available standards-based technologies to create a virtual community pharmacy environment. Assessment. First-year pharmacy students who used the software in their tutorials, were, at the end of the second semester, surveyed on their prior dispensing experience and their perceptions of MyDispense as a tool to learn dispensing skills. Conclusion. The dispensary simulation is an effective tool for helping students develop dispensing competency and knowledge in a safe environment. PMID:26941437

  16. [Pharmacopea of the Farmacia Esteva of Llivia in the 18th century and his use].

    Science.gov (United States)

    Tamarelle, Charles

    2011-02-01

    A dispensary register from 1725 and contemporaneous container subscriptions allows an approach of 18th century pharmacopea different from the treatises' in a Catalonian farmacy. The drugs panel shows comparisons with regional scheme and the role of local flora. The prescription register--exceptional document--exhibits differences between pharmacopea and daily use through medical prescription, and influences of local conditions and Lights Century's scientific contribution.

  17. Preventive Medicine in World War II. Volume 9, Special Fields

    Science.gov (United States)

    1969-01-01

    overnment hospital was within easy distance by ambu lance. It was often used instead as a physiotherapy room. In smaller dispensaries, the X-ray apparatus...recognized: heat exhaustion, heat stroke , and heat cramps. Heat exhaustion.-Characterized by symptoms of lassitude, headache, nausea, mild cramps...admission rate for heat exhaustion in the total Army was 0.71 per 1,000, and the case fatality rate was 0.20 percent. Heat stroke .-High body temperature

  18. Epidemiology of Podiatric Injuries in U.S. Marine Recruits Undergoing Basic Training

    Science.gov (United States)

    1992-01-01

    presenting to the dispensary were screened by a Ingrown toenail 703.00 68 0.29Lower leg strain 844.90 61 0.26 corpsman for referral to the Podiatry Clinic...Fractures 4.7%• [ Cellulitis U Tinea Pedis 5.51/o6 Contusions El Plantar Fasciitis 8.7% 17.7% Tenosynovitis *1 Strains E Ingrown Toenails 0 Blisters

  19. Aviation and Health: A Key Nexus for the US Air Force’s Regional Security-Building Efforts

    Science.gov (United States)

    2015-06-01

    would advance through a network of air- strips near medical facilities including both simple dispensaries and hospitals to connect patients...preventive, community- based health care with a focus on public health research.18 AMREF continues to fly surgeons to rural hospitals where they not only...flyers support humanitarian assistance and domestic flying operations, including tourism , to bolster the economy via scheduled and chartered flights

  20. [The ambulatory polyclinic institutions in closed administrative territorial municipality].

    Science.gov (United States)

    Fomin, E P

    2014-01-01

    The article presents the results characterizing functioning of ambulatory polyclinic institutions included into medical sanitary unit of closed administrative territorial municipality of lesser towns. The study established the resource support of staff and full-time positions of physician and paramedical personnel, dynamics of indicators from 2005 to 2013, coverage of population of able-bodied age with preventive and target medical examinations for syphilis and tuberculosis. The progression of contingents under dispensary registration was determined.

  1. Physician’s Assistants Attitudes and Performance

    Science.gov (United States)

    1978-06-01

    Sick Call 2 Physicals Exams 43 ’Heekend Sick Call 2 Field Duty/Down Range 29 Preventive Med Officer 2 Stockade 27 OIC 2 Sports coverage 21 Lecturer...Psychiatry Primary/Health Care Clinic 23 Podiatry Aid Station/Squadron Air Station 19 Surgery In Bn 15 Where Needed Dispensary 13 Delivering Babies...in ER 1 Dealing with TM Problem 1 As Physician under supervision 1 Replacement for GMO 1 Podiatry /Orthopedics 1 Help physician TMC level deal with

  2. [Outpatient care in uric acid disorders].

    Science.gov (United States)

    Schwenke, R; Altus, R E; Kirschner, I

    1979-08-15

    In 35 patients with uricopathy (arthritis urica, essential hyperuricaemia) the serum uric acid values, consumption of alcohol, overweight, hypertension and liver enzyma under dietary and medicamentous therapy (allopurinol) were investigated. Here during an observation lasting 12--48 months allopurinol proved as a well tolerable uricostatic drug which was sufficiently effective also with a considerable exogenic purine application. We only insufficiently succeeded in influencing overweight and alcohol consumption as well as hypertension by rheumatic dispensary care and family doctor.

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

    OpenAIRE

    2016-01-01

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

  4. Current Therapeutic Cannabis Controversies and Clinical Trial Design Issues

    OpenAIRE

    2016-01-01

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

  5. Reported vague symptoms and at-risk status: the case of polyvinyl chloride workers in Louisville.

    Science.gov (United States)

    Sands, R G; Greenberg, R A

    1987-01-01

    This study concerns the frequency of visits to the dispensary by workers with vague symptoms of physical illness at a polyvinyl chloride plant in Louisville, KY, where an outbreak of hepatic angiosarcoma occurred. The illness behavior of three cohorts of workers at three levels of risk--workers removed from the chemical plant to a pallet plant (PP) because their screening results indicated liver abnormalities; workers who had some positive test results (TP); and workers whose test results were negative (TN)--was studied before (time 1) and after (time 2) the angiosarcoma crisis. It was predicted that, during time 2, the groups' visits to the dispensary would increase in relation to their levels of risk (PP greater than TP greater than TN). Although there was an overall increase in the percentage of visits because of vague symptoms during time 2, the only cohort with different behavior was the group of TP workers: they reduced their use of the dispensary. These results are similar to those in a previous study in which all symptoms of illness were included. It is speculated that social and individual factors, as well as the labeling phenomenon, explain the results. Health care providers are encouraged to follow up with workers at risk who seem to avoid monitoring their health.

  6. Are all pharmacy staff interested in potential future roles?

    Science.gov (United States)

    Braund, Rhiannon; Chesney, Kate Marie; Keast, Emilia Paulina; Ng, Lye Jinn; Qi, Sarah; Samaranayaka, Sashika; Wang, Eddie

    2012-12-01

    To determine the current perceived roles and responsibilities of pharmacy staff in community pharmacies in New Zealand, and attitudes to proposed new advanced roles for pharmacy staff. Structured interviews were conducted within five community pharmacies, including at least two pharmacists, two dispensary staff and two pharmacy assistants. The interviews were structured to determine previous experience, current roles and responsibilities and the perceived future roles of pharmacy staff within a community pharmacy setting. Thematic analysis from 27 interviews identified key findings. Current roles appeared to be fairly well defined. Pharmacy assistants listed key roles as customer interactions and sales focus, noting that the dispensary was outside their area of responsibility. Technicians identified their role as being dispensary focused while pharmacists saw their role as the 'final check' to ensure accuracy as well as providing dispensing, counselling and managerial roles. With potential future roles, the assistants were less interested than the other groups, citing contentment with current situation and training as a barrier. Some technicians indicated an interest in furthering their roles, but many were reluctant and saw that additional training was too time consuming. Whilst pharmacists appeared to be interested in further scopes of practice, they appeared more reluctant to do this at the expense of handing dispensing responsibility to a non-pharmacist. Whilst there is a push for pharmacists to provide advanced clinical services, it is important to acknowledge that many staff working within community pharmacies are satisfied with their current role. © 2012 The Authors. IJPP © 2012 Royal Pharmaceutical Society.

  7. [Child health care and its development in Vrsac].

    Science.gov (United States)

    Sljapić, Ziva; Sljapić-Roganović, Miljana

    2002-01-01

    Documents concerning history of medicine during the Turkish reign (1552-1716) are very rare. However, there is evidence of plague epidemic in 18th century and colera epidemic in the 19th century. The first medical institutions: The German Communal Hospital, The Serbian Hospital and the Pharmacy were founded in the second half of the 18th century. In the year 1803, children were vaccinated against variola. The first Serbian book about child care--"Cadoljub" was written by Dr. Gavrilo Pekarović (1812-1851) during his studies of medicine in Budapest. In 1927 the city founded a dispensary for the newborn. The Polyclinic for schoolchildren was established as a part of the Health Center in 1934. After World War II, Children's Department was opened in the Health Center, later on it was turned into Mother and Child Center. At the beginning of 1955, a provisional children's ward with 18 beds was established in the former sanatorium, whereas till the end of the year it had 49 beds. In May 1965, it was moved into a new hospital building. After integration of Hospital and the Health Center into a Medical Center in 1967, a department for children was founded and it consisted of the emergency center and a hospital. Parents counseling, dispensary for children and dispensary for schoolchildren were founded in August 1971.

  8. Suitable and remunerative employment: the feminization of hospital dispensing in late nineteenth-century England.

    Science.gov (United States)

    Jordan, Ellen

    2002-12-01

    This article looks at the contingent developments that led to the feminization of hospital dispensing at the end of the nineteenth century in England. In the 1870s, as a result of the campaign of the Women's Movement to open medicine to women, the Society for Promoting the Employment of Women found it possible to place some of its protégées in the dispensaries of hospitals founded by members of the Movement. Coincidentally, a radical member of the Council of the Pharmaceutical Society smoothed the way for them to take the Society's examinations, thus setting up an expectation that these women should be qualified. By the 1880s, the practice of employing female dispensers had spread to Birmingham, and the women here adopted a less difficult and expensive qualification, the Apothcaries' Assistant's Certificate, as the qualification of choice. The 1890s also saw increasing pressure on mainstream hospital dispensaries to replace the untrained assistants in their dispensaries, customarily employed on the Babbage Principle to save money, with qualified ones. In consequence, hospital managements sought a new means of containing costs and, turning to the kind of women already shown to be competent in Women's Movement hospitals, found the solution in a vertical gender-segregation, where the lesser qualification of women dispensers made them 'unpromotable' to head dispenser, thus preserving the career ladder for more highly-qualified male dispensers.

  9. Clinical service desires of medical cannabis patients

    Directory of Open Access Journals (Sweden)

    Janichek Jennifer L

    2012-03-01

    Full Text Available Abstract Background Medical cannabis dispensaries following the social or hybrid model offer supplementary holistic services in addition to dispensing medical cannabis. Historically, alternative physical health services have been the norm for these dispensaries, including services such as yoga, acupuncture, or chiropractor visits. A clinical service dearth remains for medical cannabis patients seeking substance use, misuse, dependence, and mental health services. This study examined patient desires for various clinical services and level of willingness to participate in specific clinical services. Methods Anonymous survey data (N = 303 were collected at Harborside Health Center (HHC, a medical cannabis dispensary in Oakland, CA. The sample was 70% male, 48% Caucasian and 21% African American. The mean male age was 38 years old and female mean age was 30. Sixty two percent of the male participants and 44% of the female participants are single. Sixteen percent of the population reported having a domestic partner. Forty six percent of the participants are employed full time, 41% have completed at least some college, and 49% make less than $40,000 a year. Results A significant portion of the sample, 62%, indicated a desire to participate in free clinical services at HHC, 34% would like more information about substances and use, and 41% want to learn more about reducing harms from substance use. About one quarter of the participants marked "would" or "likely would" participate in individual services such as consultation. Approximately 20% indicated "would" or "likely would" participate in psycho-educational forums, harm reduction information sharing sessions, online support groups, and coping, life, and social skills group. There was little interest in traditional NA/AA 12-step groups or adapted 12-step groups. Conclusions Desired clinical services can be qualified as a combination of harm reduction, educational, skills-based, peer support and

  10. Franco Bonaudi 1928-2008

    CERN Multimedia

    2009-01-01

    The famous photograph taken during the first interactions in the ISR in 1971. Kjell Johnsen speaks into the microphone. Franco Bonaudi can be seen on the far left. Franco Bonaudi, one of the true pioneers of CERN’s accelerators, passed away on 21 December 2008. In 1951, Franco Bonaudi was a young research engineer specialising in electronics and radiofrequency at the Politecnico di Torino, when he was invited by Edoardo Amaldi, one of the founders of CERN, to consider working for the provisional organisation that became known as CERN (European Organization for Nuclear Research). Accepting the challenge, he was sent to Liverpool in July 1952 to work with the study group led by Cornelius Bakker for the first CERN accelerator, the 600 MeV Synchrocyclotron (SC). After two years in Liverpool, he joined the rest of the newly appointed staff in the Geneva Airport hangar, where the future SC Divis...

  11. John Cleese kom til Nyborg

    DEFF Research Database (Denmark)

    Buhl, Rikke

    2007-01-01

    Sektion vedr. heste havde stilet højt på Dyrlægefaglig Uge og havde fået en af verdens førende dernatologer til Nyborg. Dr. Derek Knottenbelt fra University of Liverpool er en fremragende dermatolog med sin helt personlige stil, som uvilkårligt får tilhørerne til at tænke på John Cleese......Sektion vedr. heste havde stilet højt på Dyrlægefaglig Uge og havde fået en af verdens førende dernatologer til Nyborg. Dr. Derek Knottenbelt fra University of Liverpool er en fremragende dermatolog med sin helt personlige stil, som uvilkårligt får tilhørerne til at tænke på John Cleese...

  12. Internet quality of service between the UK and La Palma in 1998 and 1999

    Science.gov (United States)

    McNerney, Paul; Steele, Iain A.

    2000-06-01

    The Liverpool telescope on La Palma will provide live images for planetarium shows in the Liverpool Museum in the UK. Data transfer will be achieved using the Internet. We implemented an automatic program of hourly ftp file transfers from La Palma to the UK throughout 1998 and 1999 to monitor the transfer rates achievable. We find that both the mean and minimum (on 9 out of 10 nights) transfer rates are a function of time of day on weekdays. In addition we find that the minimum transfer rate in early evening has increased from approximately 5 Kbytes/sec in 1998 to approximately 25 Kbytes/sec in 1999. This implies that a compression ratio of around 30:1 must be achieved to allow live display of 2048 X 2048 pixel CCD images in the UK within 10 seconds of the data being taken.

  13. Frank Blythe (1924-2010)

    CERN Multimedia

    2010-01-01

    Frank Blythe, one of the very first engineers engaged in the CERN adventure, passed away on October 22. Born and educated in Salford (England), after a time spent at Metropolitan-Vickers in Manchester, in January 1954 he joined the group at the Nuclear Physics Research Laboratory in Liverpool that was working on the first CERN accelerator, the Synchrocyclotron (SC). At that time CERN had not yet officially been constituted, yet had a well defined work programme, the design and construction work being carried out in various European laboratories. In Liverpool the work included the SC vacuum and cooling system, radiation shielding, experimental areas and beams. By the end of 1954, Frank reached the CERN premises in Geneva, and contributed significantly to the successful construction work of the Synchrocyclotron. He later became responsible for the drawing office and the mechanical workshop (Engineering Group) attached to the MSC Division, and also serving the NP/EP Division. He kept this position until ...

  14. Intermittent exotropia: Surgical treatment strategies

    Directory of Open Access Journals (Sweden)

    Jai Aditya Kelkar

    2015-01-01

    Full Text Available Surgical management of intermittent exotropias (IXTs is ambiguous, with techniques of management varying widely between institutions. This review aims to examine available literature on the surgical management of IXT. A literature search was performed using PubMed, Web of Knowledge, LILACS, and the University of Liverpool Orthoptic Journals and Conference Transactions Database. All English-language papers published between 1958 and the present day were considered.

  15. Development of lymphatic filarial parasite Wuchereria bancrofti (Spirurida: Onchocercidae) in mosquito species (Diptera: Culicidae) fed artificially on microfilaremic blood.

    Science.gov (United States)

    Paily, K P; Hoti, S L; Balaraman, K

    2006-11-01

    The efficiency of laboratory colonies of mosquitoes such as Anopheles stephensi Liston, Aedes aegypti (L.) Liverpool strain, Ae. aegypti wild type, Aedes albopictus (Skuse), Culex tritaeniorhynchus Giles, Culex sitiens Wiedemann, and Armigeres subalbatus Coquillett in supporting the development of Wuchereria bancrofti (Cobbold) (Spirurida: Onchocercidae) microfilariae to infective larvae was investigated. The mosquitoes were fed on heparinized microfilaremic human blood by using a membrane-feeding unit with Parafilm as membrane. The rate of infection, parasite development, and parasite burden were compared with that in the known vector mosquito Culex quinquefasciatus Say. Cx. quinquefasciatus showed the highest percentage of infection, followed by Ae. aegypti Liverpool strain and An. stephensi. The rate of development of the parasite was more or less similar in all the three species, and infective larvae were found on day 13. When the larvae were harvested on day 17, Cx. quinquefasciatus yielded the highest numbers, followed by Ae. aegypti Liverpool strain and An. stephensi. The percentage of infection was low, and the development was slow in Cx. tritaeniorhynchus compared with the other susceptible species. The parasite developed to second-stage larvae only by day 22 and to infective larvae by day 28. When 2-wk-old Cx. tritaeniorhynchus were fed on microfilaremic blood, they could develop the parasite to infective larvae by day 13 postfeeding. All other species of mosquitoes tested were found to be refractory to parasite development. It is shown that Cx. quinquefasciatus is the most suitable mosquito host for the production of infective larvae. However, Ae. aegypti Liverpool strain, which is commonly used for Brugia malayi filarial parasite, also can be used for generation of W. bancrofti infective larvae to circumvent the problem of maintaining two mosquito species.

  16. Laboratory Evaluation of Australian Ration Packs

    Science.gov (United States)

    1993-08-01

    gained experience in industrial and environmental chemistry with Pasminco . He undertakes chemical, microbiological and food technology research in...NAPOC QWG Engineer NBCD c/- DENGRS-A, HQ Engineer Centre, Liverpool Military Area, NSW 2174 Librarian, Australian Defence Force Academy Counsellor... NSW 2070 Directorate of Fleet Supply Services, Dept. of Defence (Navy), Campbell Park 3-1-5, Canberra ACT 2600 Assistant Chief Material - A (ACMAT-A

  17. The Missions of the United States Air Force in the 22nd Century

    Science.gov (United States)

    2009-04-01

    facility, rapidity and certainty as we now make the ocean voyage from Liverpool to New York. — Jules Verne , From the Earth to the Moon, 1865...space travel even though Jules Verne quite remarkably predicted the event 35 years earlier in From the Earth to the Moon. 3 The ―deadly...in the Next Hundred Years,‖ Ladies Home Journal, December 1900, 8. 3 Jules Verne describes manned spaceflight using a bullet-shaped capsule fired

  18. Shifting the Paradigm of Trauma Medicine to Positively Influence Critical Mortality Rates Following a Mass Casualty Event

    Science.gov (United States)

    2009-06-01

    OF ARTS IN SECURITY STUDIES (HOMELAND SECURITY AND DEFENSE) from the NAVAL POSTGRADUATE SCHOOL June 2009 Author: Dana L. Hall, RPh...system. Occurring at 8:50 am, the first attack occurred between the Aldgate and Liverpool Stations killing seven, followed subsequently within a minute...attack at 9:47 am. Police just happened to be on site. It occurred just across the street from the British Medical Association building which

  19. The British Southern Campaign in the Revolutionary War: Implications for Contemporary Counter Insurgency

    Science.gov (United States)

    2006-03-10

    Colleges and Schools, 3624 Market Street , Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an institutional accrediting agency...were undone by the shortcomings of the underlying strategy. The Germans in particular elevated the practice of the operational art to a very high...probably the most infamous character of the southern campaign. Born in Liverpool to wealthy parents he served in the King’s Dragoon Guards and reached

  20. Manufacturing of frodospec red arm optics and mounts

    Directory of Open Access Journals (Sweden)

    E. Carrasco

    2007-01-01

    Full Text Available The fibrefed robotic dual-beam optical spec- trograph FRODOSpec is one of the main in- struments built for use at the Liverpool 2- m robotic telescope located in La Palma. INAOE was the successful tender of the con- tract for the manufacturing of the red arm op- tics and lens mounts. The project was devel- oped jointly by INAOE, CIO and IAUNAM. We describe the project main characteristics and the obtained results.

  1. Spectroscopic classification of TCP J00390015+4028580 as a red long-period variable

    Science.gov (United States)

    Williams, S. C.; Darnley, M. J.

    2016-11-01

    We obtained a spectrum of M31 nova candidate TCP J00390015+4028580 (see CBAT TOCP) with the low-resolution (R 350) SPRAT spectrograph (Piascik et al. 2014) on the 2-m Liverpool Telescope (Steele et al. 2004) on 2016 November 1.93 UT. The spectrum is red and shows deep TiO absorption bands, along with narrow H & alpha; and H & beta; emission lines.

  2. Military Standard Transportation and Movement Procedures. Volume 1. Change 5

    Science.gov (United States)

    1994-08-12

    DLH FORT LEONARD WOOD, MO, FORNEY AAF TBN DURANGO, CO, ANIMNS AIRPARK ANK FORT MYERS, FL, PAGE FIELD FMY DURANGO, CO, DURANGO-LA PLATA AP DRO FORT ORD...USA ITK ITOKAMA, PAPUA NEW GUINEA INC YINCHUAN, P. R. CHINA ITO HILO , HARAII, HAWAII, USA IND INDIANAPOLIS, INDIANA, USA IME NIUE ISLAND, NIUE IA7 IN...LPG LA PLATA , BA, ARGENTINA LII MULIA, INDOSIA LPI LINKOPING, SWEDEN LIJ LONG ISLAND, ALASKA, USA LPL LIVERPOOL, ENGLAND UK LIK LIKIEP, MARSHALL ISLAND

  3. Gaia16alo is a Type II SN

    Science.gov (United States)

    Fraser, M.; Hodgkin, S. T.; Mattila, S.; Harrison, D.; Wyrzykowski, L.; Kostrzewa-Rutkowska, Z.; Blagorodnova, N.

    2016-05-01

    Gaia16alo (aka PS16cct) was observed using the robotic Liverpool Telescope + SPRAT (R~350; 400-800 nm) on the night of 2016 May 6. The spectrum was compared to a set of templates using SNID (Blondin & Tonry, 2007, ApJ, 666, 1024), and we find a best match to a range of Type II SNe at z=0.03.

  4. Dredging Operations Technical Support Program. General Decisionmaking Framework for Management of Dredged Material: Example Application to Commencement Bay, Washington.

    Science.gov (United States)

    1991-06-01

    Nieuwenhuize, Delta Institute of Hydrobiological Research, The Netherlands; Dr. M. Johnson, University of Liverpool, United Kingdom; Dr. J. Marquenie...effects. 65. Hill, Myers, and Brannon (1988) reviewed state-of-the-art leaching procedures for potential application to dredged material. Various topics ...Two-level Approach," USAE Commit- tee on Water Quality, Sixth Seminar - Proceedings, 25-27 February, 1986, New Orleans, LA (in preparation), Hydrologic

  5. The contributions of value-based decision-making and attentional bias to alcohol-seeking following devaluation

    OpenAIRE

    Rose, Abigail K.; Brown, Kyle; Field, Matt; Hogarth, Lee

    2013-01-01

    Aims To investigate the mediating role of attentional bias for alcohol cues on alcohol-seeking following devaluation of alcohol. Design Between subject. Setting Eye-tracking laboratory at the University of Liverpool. Participants Student social drinkers (n = 64). Measurements An operant choice task in which participants chose between simultaneously presented alcohol and non-alcohol drink rewards, while attentional bias for alcohol and non-alcohol drink cues was inferred from eye movements. Pa...

  6. 77 FR 49484 - Notice of Delays in Processing of Special Permits Applications

    Science.gov (United States)

    2012-08-16

    ... Systems, Inc., Liverpool, TX. 15558-N 3M Company, St. 4 10-31-2012 Paul, MN. 15568-N ATK Launch 3 10-31... 10-31-2012 Seattle, WA. 15334-N Floating 3 09-30-2012 Pipeline Company Incorporated, Halifax, Nova... Company, Cleveland, OH. 14372-P L'Hotellier, 3 10-31-2012 France. 13548-P Interstate 4 10-31-2012 Battery...

  7. Cunard in Boston

    Directory of Open Access Journals (Sweden)

    Bradford T. Hudson

    2015-02-01

    Full Text Available The steamship Britannia arrived in Boston Harbor on a July evening in 1840. This concluded the inaugural voyage for the flagship of the newly established Cunard Line, which has since become one of the oldest and most distinguished travel companies in the world. To commemorate the occasion, Cunard will send its current flagship Queen Mary 2 along the same route – from Liverpool to Halifax to Boston – during July of 2015.

  8. VizieR Online Data Catalog: WASP-104b and WASP-106b photometry (Smith+, 2014)

    Science.gov (United States)

    Smith, A. M. S.; Anderson, D. R.; Armstrong, D. J.; Barros, S. C. C.; Bonomo, A. S.; Bouchy, F.; Brown, D. J. A.; Collier, Cameron A.; Delrez, L.; Faedi, F.; Gillon, M.; Gomez Maqueo Chew, Y.; Hebrard, G.; Jehin, E.; Lendl, M.; Louden, T. M.; Maxted, P. F. L.; Montagnier, G.; Neveu-Vanmalle, M.; Osborn, H. P.; Pepe, F.; Pollacco, D.; Queloz, D.; Rostron, J. W.; Segransan, D.; Smalley, B.; Triaud, A. H. M. J.; Turner, O. D.; Udry, S.; Walker, S. R.; West, R. G.; Wheatley, P. J.

    2014-09-01

    The stars WASP-104 and WASP-106 were observed by SuperWASP-N from 2008 to 2011, and by WASP-South from 2009 to 2010. This differential survey photometry has been de-reddened and normalised. Further photometry was obtained using the TRAPPIST, Euler, Liverpool and Isaac Newton telescopes in 2013 and 2014. All these data are plotted in Figures 1 and 2. (1 data file).

  9. European Scientific Notes. Volume 37, Number 7.

    Science.gov (United States)

    1983-07-31

    Reptiles ............. F.E. Russell 249 The symposium concentrated on the morphology, development, physiology, ecology , and evolution of various reptiles...morphology, development and adult life. Interes- development, physiology, ecology , and tingly, in neither group is the first- evolution. The symposium was...hovercraft, hydrofoils , and planinq hulls. Recent work has NAVY-RELEVANT RESEAPCH AT THE UNIV. OF concentrated on the lateral stalility of LIVERPOOL high

  10. At R207

    CERN Multimedia

    1975-01-01

    With R207 the CERN-Holland-Manchester Collaboration studied proton-proton diffraction dissociation at small momentum transfer. This followed, at Intersection 2, the study of correlations associated with high transverse momentum particles by Daresbury-Liverpool-RHEL Collaboration (R205) and of multiplicity and rapidity distributions in diffractive collisions by CERN-Holland-Lancaster-Manchester (R206), and used part of the previous set-up.

  11. Intraventricular Delivery of Engineered Oncolytic Herpes Simplex Virotherapy to Treat Localized and Metastatic Pediatric Brain Tumors

    Science.gov (United States)

    2016-08-01

    SECURITY CLASSIFICATION OF: a. REPORT b. ABSTRACT c. THIS PAGE 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON 19b...Board. This meeting consisted of pediatric neuro -oncologists, neurologists, neurosurgeons, neuropathologists, radiologists, fellows, residents, nurse...goal was to attend the 17th International Symposium on Pediatric Neuro -Oncology Liverpool, UK. Unfortunately, the meeting corresponded with a prior

  12. RRS Discovery Cruise 343, 27 Sep-15 Oct 2009. Deepwater trials of the Autosub6000 AUV, HyBIS, and telemetry systems

    OpenAIRE

    McPhail, S.D.

    2010-01-01

    There were 3 main objectives for the trials cruise: Testing of the Autosub6000 AUV, the HyBIS system (both supported by personnel from the National Oceanography Centre, Southampton), and acoustic and satellite telemetry systems (Proudman Oceanographic Laboratory, Liverpool). Specifically, the Autosub6000 trials were to test: the AUV, its systems and control to as deep as possible up to 6000 m, a new collision avoidance system based on scanned sonar collision avoidance sensor, a...

  13. Community Exposure to Air Manganese and Motor and ...

    Science.gov (United States)

    Although manganese (Mn) is an essential nutrient, occupational studies have shown inhaling high levels of Mn can lead to adverse nervous system health effects. Few studies have examined the health effects of air-Mn exposure on adults in a community. We conducted a cross-sectional study in a control town (Mt. Vernon, Ohio) and 2 towns (Marietta and East Liverpool, Ohio) with elevated air-Mn due to industrial processes. Recruited participants were aged 30-75 years and resided 10 or more years within respective town. Data included neurological and neuropsychological test results. Air modeling was conducted for Marietta (range 0.03-1.61 µg/m3) and East Liverpool (0.01-6.32 µg/m3). Town differences for outcomes used ANOVA (results reported as [F-statistic; partial eta squared (p-value)]). For Marietta and East Liverpool, Spearman’s rho was used to calculate correlations between air-Mn and motor and cognitive outcomes (results reported as [rho(p-value)]). East Liverpool had poorer scores than Marietta and Mount Vernon for word reading [3.7;.03(0.27)]; motor speed dominant hand (DH)[11.5;.08 (<.001)], non-dominant hand (NDH)[7.1;.05(.001)], motor strength DH[10.5;.07(<.001)], NDH[6.3;.04(.002)]; and tactile function DH [7.1;.05(.001)]. Higher air-Mn was correlated to slower motor speed DH[ -.26(<.001)], NDH[ -.16 (.027)]; and worse tactile function scores NDH[ -.15(.04)]. For cognitive outcomes, higher air-Mn was correlated to lower scores on daily memory immediate

  14. Coastal glaciers advanced onto Jameson Land, East Greenland during the late glacial–early Holocene Milne Land Stade

    Directory of Open Access Journals (Sweden)

    Helena Alexanderson

    2014-01-01

    Full Text Available We report on 10Be and optically stimulated luminescence ages from moraines and glaciolacustrine sediments on eastern Jameson Land, East Greenland. Sampled landforms and sediment are associated with advances of outlet glaciers from the local Liverpool Land ice cap situated in the coastal Scoresby Sund region. Previous studies have tentatively correlated these advances with the Milne Land Stade moraines, which are prominent moraine sets deposited by mountain glaciers in the inner Scoresby Sund region. Recent constraints on the formation of the outer and inner of these moraines have suggested two advances of local glaciers, one prior to or during the Younger Dryas and another during the Preboreal. In this paper, we test the correlation of the Liverpool Land glacial advance with the Milne Land Stade. Our results show that outlet glaciers from the Liverpool Land ice cap reached ice-marginal positions marked by moraines in east-facing valleys on Jameson Land sometime during late glacial–early Holocene time (ca. 13–11 Kya. This confirms the correlation of these moraines with the Milne Land Stade moraines described elsewhere in the Scoresby Sund region.

  15. Always looking on the bright side of life? Exploring optimism and health in three UK post-industrial urban settings.

    Science.gov (United States)

    Walsh, David; McCartney, Gerry; McCullough, Sarah; van der Pol, Marjon; Buchanan, Duncan; Jones, Russell

    2015-09-01

    Many theories have been proposed to explain the high levels of 'excess' mortality (i.e. higher mortality over and above that explained by differences in socio-economic circumstances) shown in Scotland-and, especially, in its largest city, Glasgow-compared with elsewhere in the UK. One such proposal relates to differences in optimism, given previously reported evidence of the health benefits of an optimistic outlook. A representative survey of Glasgow, Liverpool and Manchester was undertaken in 2011. Optimism was measured by the Life Orientation Test (Revised) (LOT-R), and compared between the cities by means of multiple linear regression models, adjusting for any differences in sample characteristics. Unadjusted analyses showed LOT-R scores to be similar in Glasgow and Liverpool (mean score (SD): 14.7 (4.0) for both), but lower in Manchester (13.9 (3.8)). This was consistent in analyses by age, gender and social class. Multiple regression confirmed the city results: compared with Glasgow, optimism was either similar (Liverpool: adjusted difference in mean score: -0.16 (95% CI -0.45 to 0.13)) or lower (Manchester: -0.85 (-1.14 to -0.56)). The reasons for high levels of Scottish 'excess' mortality remain unclear. However, differences in psychological outlook such as optimism appear to be an unlikely explanation. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Omega-3 fatty acid supplementation and cognitive function: are smaller dosages more beneficial?

    Directory of Open Access Journals (Sweden)

    Abubakari AR

    2014-09-01

    Full Text Available Abdul-Razak Abubakari,1 Mohammad-Mahdi Naderali,2 Ebrahim K Naderali3 1School of Health and Life Sciences, Glasgow Caledonian University, London, UK; 2Blue Coat School, Liverpool, UK; 3School of Health Sciences, Liverpool Hope University, Hope Park Campus, Liverpool, UK Abstract: As longevity increases, so does the global prevalence of cognitive dysfunction. Numerous lifestyle and/or dietary interventions such as omega-3 fatty acids have been suggested to improve memory. Therefore, this study examined the consistency and strength of the impact of supplementation of omega-3 fatty acids on overall cognitive function using systematic reviews and meta-analytic methods. Of 905 studies retrieved from all searches, 12 randomized controlled trials were included in the meta-analysis. There were differences between studies reporting outcomes for single memory function parameters. Subgroup analysis of doses used (low versus high indicated that subjects receiving low (<1.73 g/day doses of omega-3 fatty acids had a significant reduction in cognitive decline rate (-0.07, 95% confidence interval -0.01, -0.02 but there was no evidence for beneficial effects at higher doses (+0.04, 95% confidence interval -0.06, +0.14 compared with the placebo group. This study suggests that omega-3 fatty acids may be beneficial in preventing memory decline at lower doses. Keywords: cognitive impairment, Alzheimer's disease, dietary fatty acids, omega-3, docosahexaenoic acid

  17. Regulating compassion: an overview of Canada's federal medical cannabis policy and practice

    Directory of Open Access Journals (Sweden)

    Lucas Philippe G

    2008-01-01

    Full Text Available Abstract Background In response to a number of court challenges brought forth by Canadian patients who demonstrated that they benefited from the use of medicinal cannabis but remained vulnerable to arrest and persecution as a result of its status as a controlled substance, in 1999 Canada became the second nation in the world to initiate a centralized medicinal cannabis program. Over its six years of existence, this controversial program has been found unconstitutional by a number of courts, and has faced criticism from the medical establishment, law enforcement, as well as the patient/participants themselves. Methods This critical policy analysis is an evidence-based review of court decisions, government records, relevant studies and Access to Information Act data related to the three main facets of Health Canada's medicinal cannabis policy – the Marihuana Medical Access Division (MMAD; the Canadians Institute of Health Research Medical Marijuana Research Program; and the federal cannabis production and distribution program. This analysis also examines Canada's network of unregulated community-based dispensaries. Results There is a growing body of evidence that Health Canada's program is not meeting the needs of the nation's medical cannabis patient community and that the policies of the Marihuana Medical Access Division may be significantly limiting the potential individual and public health benefits achievable though the therapeutic use of cannabis. Canada's community-based dispensaries supply medical cannabis to a far greater number of patients than the MMAD, but their work is currently unregulated by any level of government, leaving these organizations and their clients vulnerable to arrest and prosecution. Conclusion Any future success will depend on the government's ability to better assess and address the needs and legitimate concerns of end-users of this program, to promote and fund an expanded clinical research agenda, and to work in

  18. Smoking, vaping, eating: Is legalization impacting the way people use cannabis?

    Science.gov (United States)

    Borodovsky, Jacob T; Crosier, Benjamin S; Lee, Dustin C; Sargent, James D; Budney, Alan J

    2016-10-01

    In the context of the shifting legal landscape of medical cannabis, different methods of cannabis administration have important public health implications. How medical marijuana laws (MML) may influence patterns of use of alternative methods of cannabis administration (vaping and edibles) compared to traditional methods (smoking) is unclear. The purpose of this study was to determine if the prevalence of use of alternative methods of cannabis administration varied in relation to the presence of and variation in MMLs among states in the United States. Using Qualtrics and Facebook, we collected survey data from a convenience sample of n=2838 individuals who had used cannabis at least once in their lifetime. Using multiple sources, U.S. states were coded by MML status, duration of MML status, and cannabis dispensary density. Adjusted logistic and linear regression analyses were used to analyze outcomes of ever use, preference for, and age of initiation of smoking, vaping, and edibles in relation to MML status, duration of MML status, and cannabis dispensary density. Individuals in MML states had a significantly higher likelihood of ever use of vaping (OR: 2.04, 99% CI: 1.62-2.58) and edibles (OR: 1.78, 99% CI: 1.39-2.26) than those in states without MMLs. Longer duration of MML status and higher dispensary density were also significantly associated with ever use of vaping and edibles. MMLs are related to state-level patterns of utilization of alternative methods of cannabis administration. Whether discrepancies in MML legislation are causally related to these findings will require further study. If MMLs do impact methods of use, regulatory bodies considering medical or recreational legalization should be aware of the potential impact this may have on cannabis users. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Clinical and radiographic predictors in diagnosing sputum smear-negative pulmonary tuberculosis in HIV-negative patients: a cross-sectional study in China

    Institute of Scientific and Technical Information of China (English)

    LI Xin-xu; JIANG Shi-wen; ZHANG Hui; JING Kuan-he; WANG Li; LI Wei-bin; LIU Xiao-qiu

    2013-01-01

    Background In county-level tuberculosis (TB) dispensaries in China,the accurate diagnosis of sputum smear-negative pulmonary tuberculosis (SNPT) needs to be improved by developing and validating clinical and radiographic predictors.Methods The study was conducted simultaneously in three counties per province in Chongqing Municipality and Liaoning Province in China between May 2005 and May 2006.A total of 432 new SNPT patients who are HIV-negative and more than 15 years old diagnosed by expert panels in county-level TB dispensaries were recruited.Their sputum samples were collected for culture before anti-TB treatment,and the treatment outcomes (changes of X-rays) were followed up at the end of the 6th month.Results Of the 432 SNPT patients,sputum culture positive (9.7%) or culture negative with good changes of X-rays at the end of the 6th month (73.6%) was validated as SNPT.Four predictive variables were associated with validated SNPT in the multivariate logistic regression model:age ≤55 years old (odds ratio (OR) 5.66; 95% CI 2.69-11.91),>60 days of cough (OR 3.73; 95% CI 1.10-12.65),≥10% of pulmonary consolidation in the lungs (OR 5.40; 95% CI 2.90-10.06),and pulmonary consolidation in the upper lobe anterior segment (OR 3.00; 95% CI 1.57-5.72).The area under the receiver operating characteristic curve of the model was 0.77 (95% CI 0.71-0.83).Conclusion Four predictors of clinical and radiological characteristics that had a good diagnostic performance of SNPT deserve to be recommended as index indicators of SNPT diagnosis in county-level TB dispensaries in China.

  20. Use of an electronic finger dosimeters in optimisation of finger doses

    Energy Technology Data Exchange (ETDEWEB)

    Martin, C. J.; Whitby, M.; Hilditch, T.; Anstee, D.

    2002-07-01

    Optimisation of radiation doses to the hands is problematic. Doses recorded by passive dosimeters include contributions from many different manipulations, so it is difficult to ascertain which actions make significant contributions to the doses received. A device for electronic monitoring of finger doses called and Advanced Extremity Gamma Instrumentation system (AEGIS), which records instantaneous dose rates at the finger, can assist in providing this information. AEGIS ha been employed in a number of hospital departments where radionuclides are used, including a large hospital radionuclide dispensary and nuclear medicine departments. Data were recorded throughout complete sessions and analysed to identify the actions which made the most significant contributions to doses. Study of the patterns of radiation dose rate has enabled finger doses in the radionuclide dispensary to be optimised through raising staff awareness of doses from each manipulation. Optimisation has been achieved through changes following evaluation of alternative manipulation techniques and use of shielding devices. AEGIS has also been used to determine dose distributions across the hand and establish a relationship between the dose to the most exposed part and that at the monitoring position. For radionuclide dispensary staff, the tip of the index finger on the dominant hand receives the highest dose. Studies carried out in nuclear medicine departments have shown that withdrawals of radiopharmaceutical into a syringe, where a shield is not used routinely, tend to make the largest contribution to the dose. This can vary from 5 to 500 {mu}Gy per manipulation. Doses for injections varied from 1.5 to 300{mu}Gy. (Author)

  1. Options for shielding the hand during dispensing and administration of radiopharmaceuticals

    Energy Technology Data Exchange (ETDEWEB)

    Whitby, M.; Martin, C. J.

    2002-07-01

    Hospital staff manipulating radiopharmaceuticals may receive significant radiation doses to their hands. A study of hand doses has been carried out in a large radionuclide dispensary and in nuclear medicine departments in the West of Scotland and the implications of different shielding options considered. Doses received for individual manipulation during many routine sessions have been measured with an electronic extremity dose monitor. Doses received from dispensing of radiopharmaceuticals in nuclear medicine were 4 mGy per 10 GBq handled, compared to 0.2 mGy per 10 GBq for radionuclide dispensary staff. There were a number of reasons for the large difference, with one of the most important being the speed with which the manipulations were performed. The actions performed in nuclear medicine consist of dispensing into a syringe and injection. Withdrawal of radiopharmaceuticals made up the higher dose component 5 to 500 {mu}Sv per procedure as a siring shield was not used for this part of the procedure. Doses received from individual injections for which syringe shields were used varied from 1.5 to 300 {mu}Sv depending on the degree of difficulty experienced during the injection. The study has shown the effectiveness of using local shielding in dose reduction. Tungsten vial shields limit the radiation dose and are useful for handling large activities during radiopharmaceutical preparation. Syringe shields substantially reduce doses for individual manipulations and should be used for procedures in which accurate reading of the syringe scale is not required. This includes higher dose manipulations in the radionuclide dispensary and injections in nuclear medicine. (Author)

  2. [The physicians' awareness of urogenital system tuberculosis].

    Science.gov (United States)

    Fedorova, G V; Leont'ev, V V

    2007-01-01

    The chair of public health of the Omsk State medical academy conjointly with the municipal TB dispensary No 4 carried out the medical social study of the urogenital system tuberculosis since no profound and research of this problem was organized on the territory of Omsk oblast. The article presents the fragment of the data related to the survey of he physicians of medical institutions form city of Omsk and the Omsk oblast about the effectiveness of the medical social care to the patients suffering from the urogenital system tuberculosis.

  3. Ebola vu de loin : les agents de la santé face au risque et à l'incertitude dans les campagnes du Burkina Faso

    DEFF Research Database (Denmark)

    Østergaard, Lise Rosendal

    2015-01-01

    Although no cases of the Ebola virus disease occurred in Burkina Faso during the West African epidemic, it sparked front line health workers' reflections on issues of security, global equity and fairness. Based on an ethnographic study of rural dispensaries in Burkina Faso on the practical...... of the threat of Ebola has intensified existing tensions between health workers and the Government. Seeing Ebola from a distance entailed that the health workers perceived Ebola as a negative potentiality having immediate effects on their individual and collective reflections on risk acceptability. That made...

  4. The efficiency of dyslipidemia control in real clinical practice and the possibilities of its correction in patients with coronary heart disease and diabetes mellitus in the long -term use of simvastatin

    Directory of Open Access Journals (Sweden)

    F. Yu. Valikulova

    2014-07-01

    Full Text Available Objective: To show the efficiency of dyslipidemia control in patients with coronary heart disease (CHD and diabetes mellitus (DM in real outpatient clinical practice and the possibilities of its correction in the long-term use of simvastatin (simvastatin forte 40 mg in one of theNizhny Novgorod polyclinics.Subjects and methods. The efficiency of lipid profile control was analyzed in a sample from the entire dispensary group of patients with DM (n = 713. Patients at highest cardiovascular risk were selected from the dispensary group and included into a group of CHD and DM. There were a total of 461 (64.7 % such patients. Forty-three patients were identified in this group, who were matched for baseline systolic and diastolic blood pressures, age, gender, and DM duration and were found to have significant hypercholesterolemia. Simvastatin forte 40 mg wasprescribed to these patients at their outpatient visit. During a year, the patient made 6 visits to his/her physician (5 visits at 6-werk intervals and the sixth visit by the end of the follow-up year. The dose of simvastatin was unchanged throughout the study.Results.In the entire dispensary group, 64.7 % of the patients had a concurrence of CHD and DM. This group of patients was at high risk for dyslipidemia. In this group, 2.8 % had a total cholesterol (TC level of ≤ 3.5 mmol/l; 4.7 % had a low-density lipoprotein cholesterol (LDL-C level of < 1.8 mmol/l. The total lipid profile was analyzed in only 6.3% of the patients from the entire dispensary group. 28.6 % of the patients with type 1 DM and 21.3% of those with CHD and type 2 DM took statins. Fifty-two week therapy with simvastatin forte 40 mg showed its high efficiency in real practice in decreasing the levels of atherogenic lipids and lipoproteins: TC by 27.6 % (p < 0.001, LDL-C by 36.9 % (p < 0.001, and triglycerides by 34.3 % (p < 0.001 with antiatherogenic high-density lipoprotein cholesterol elevation by 15.2 % (p < 0

  5. Medicinal Bioprospecting of the Amazon Rainforest: A Modern Eldorado?

    Science.gov (United States)

    Skirycz, Aleksandra; Kierszniowska, Sylwia; Méret, Michaël; Willmitzer, Lothar; Tzotzos, George

    2016-10-01

    Ignorant of the New World, Europeans believed in El Dorado, a hidden city of immense wealth in gold. Many consider the Amazonian forest to be a medicinal treasure chest and potentially the largest drug dispensary in the world. Yet, the quest to obtain drugs from indigenous tropical plants remains elusive. Here, we assess the potential of new technologies to tap into the metabolic diversity of tropical plants. We also consider how regulations affect access to plant resources. We conclude that, although the road to this medicinal El Dorado may be long and arduous, many other smaller but still valuable finds are hidden along the way.

  6. The usage of Strelnikova's breathing exercises a chronic disease of the sinus paranasalis

    Directory of Open Access Journals (Sweden)

    Dikiy B.V.

    2012-03-01

    Full Text Available It is analysed that using in treatment of the chronic diseases sinus paranasalis of the procedure of the washing to nose cavity on system Yoga brings about defogging from viscous, thick, rack slime, liquidations of the stagnant phenomena's in nose cavity. Using the respiratory athletics Strelinikovoy does simple not traumatic drainage of the sinus paranasalis that brings about natural defogging nose cavity to account of the evacuations secret of the sinus paranasalis. Thereby, using in physical rehabilitation and recovery of the procedure of the washing to nose cavity for system Yoga with respiratory athletics Strelinikovoy enables significantly improves the condition of children in a dispensary condition.

  7. Translating Western modernity: the first chinese hospital in america.

    Science.gov (United States)

    Risse, Guenter B

    2011-01-01

    Since hospitals are often at the center of health care services, their foundation and evolution provides valuable insights into local political, economic, and cultural contexts. Based on Western and Chinese sources, this essay employs a transnational approach to explain the establishment of the Tung Wah or Oriental Dispensary in San Francisco. This article describes the institution's aims, financing, and combined operation of Western and Chinese medical staffs in an environment of racial discrimination and political power struggles, as well as deep social and cultural divisions during the early twentieth-century plague epidemic.

  8. Defects of organization in rendering medical aid

    Directory of Open Access Journals (Sweden)

    Shavkat Islamov

    2010-09-01

    Full Text Available The defects of organization at the medical institution mean disturbance of rules, norms and order of rendering of medical aid. The number of organization defects in Uzbekistan increased from 20.42%, in 1999 to 25.46% in 2001 with gradual decrease to 19.9% in 2003 and 16.66%, in 2006 and gradual increase to 21.95% and 28.28% (P<0.05 in 2005 and 2008. Among the groups of essential defects of organization there were following: disturbance of transportation rules, lack of dispensary care, shortcomings in keeping medical documentation.

  9. The effects of diet-induced obesity on hepatocyte insulin signaling pathways and induction of non-alcoholic liver damage

    Directory of Open Access Journals (Sweden)

    Sameer Fatani

    2011-03-01

    Full Text Available Sameer Fatani1, Imose Itua2, Paul Clark3, Christopher Wong3, Ebrahim K Naderali21Obesity Biology Unit, School of Clinical Sciences, University of Liverpool, Liverpool, UK; 2Department of Health and Applied Social Sciences, Liverpool Hope University, Hope Park, Liverpool UK; 3Aintree University Hospital NHS Foundation Trust, Longmoor Lane, Liverpool, UKAbstract: The prevalence of diet-induced obesity is increasing amongst adults and children worldwide, predisposing millions of people to an array of health problems that include metabolic syndrome, non-alcoholic fatty liver disease and non-alcoholic steatohepatitis. In this study we used experimental animals to investigate the effects of dietary obesity on markers of hepatic insulin signaling as well as structural changes in hepatocytes. Adult male Wistar rats were randomized and assigned to either a control group or a test group. Controls were fed standard laboratory pelleted diet (chow-fed, while the test group had free access to a highly-palatable diet (HPD. After eight weeks, the HPD-fed animals were subdivided into three subgroups and their diets altered as follows: HPD-to-chow, HPD with the addition of fenofibrate given by oral gavage for a further seven weeks, or HPD with vehicle (1% carboxymethylcellulose at 1 mL/kg body weight given by oral gavage for a further seven weeks, respectively. Untreated diet-fed animals had significantly higher body weight, liver weight, and all measured metabolic profiles compared with chow-fed and treated diet-fed groups. Expression of kinases IRβ, IRS-1, AKt, eNOS, Shc and ERK1/2 were unaffected by obesity, while IRS-2 and P I3 kinase levels were significantly reduced in untreated HPD animals. Compared with chow-fed animals, steatosis and steatohepatitis were almost doubled in animals from untreated HPD, while removal of HPD and fenofibrate-treatment reduced steatosis by 40% and 80% respectively. These data suggest that diet-induced obesity affects

  10. Gold nanoparticles delivery in mammalian live cells: a critical review

    Directory of Open Access Journals (Sweden)

    Raphaël Lévy

    2010-02-01

    Full Text Available Functional nanomaterials have recently attracted strong interest from the biology community, not only as potential drug delivery vehicles or diagnostic tools, but also as optical nanomaterials. This is illustrated by the explosion of publications in the field with more than 2,000 publications in the last 2 years (4,000 papers since 2000; from ISI Web of Knowledge, ‘nanoparticle and cell’ hit. Such a publication boom in this novel interdisciplinary field has resulted in papers of unequal standard, partly because it is challenging to assemble the required expertise in chemistry, physics, and biology in a single team. As an extreme example, several papers published in physical chemistry journals claim intracellular delivery of nanoparticles, but show pictures of cells that are, to the expert biologist, evidently dead (and therefore permeable. To attain proper cellular applications using nanomaterials, it is critical not only to achieve efficient delivery in healthy cells, but also to control the intracellular availability and the fate of the nanomaterial. This is still an open challenge that will only be met by innovative delivery methods combined with rigorous and quantitative characterization of the uptake and the fate of the nanoparticles. This review mainly focuses on gold nanoparticles and discusses the various approaches to nanoparticle delivery, including surface chemical modifications and several methods used to facilitate cellular uptake and endosomal escape. We will also review the main detection methods and how their optimum use can inform about intracellular localization, efficiency of delivery, and integrity of the surface capping. Raphaël Lévy is a BBSRC David Phillips Research Fellow at the University of Liverpool. He graduated in Physics at the University Louis Pasteur in Strasbourg (France. In 2002, after a Master in Soft Condensed Matter Physics, he obtained a PhD in Physics at the University Louis Pasteur. He then moved to

  11. Profiles of medicinal cannabis patients attending compassion centers in rhode island.

    Science.gov (United States)

    Zaller, Nickolas; Topletz, Ariel; Frater, Susan; Yates, Gail; Lally, Michelle

    2015-01-01

    Little is understood regarding medicinal marijuana dispensary users. We sought to characterize socio-demographics and reasons for medicinal marijuana use among medical cannabis dispensary patients in Rhode Island. Participants (n=200) were recruited from one of two Compassion Centers in Rhode Island and asked to participate in a short survey, which included assessment of pain interference using the Brief Pain Inventory (BPI). The majority of participants were male (73%), Caucasian (80%), college educated (68%), and had health insurance (89%). The most common reason for medicinal marijuana use was determined to be chronic pain management. Participants were more likely to have BPI pain interference scores of > 5 if they were older (OR: 1.36, 95% CI: 1.04-1.78) or reported using cannabis as a substitute for prescription medications (OR: 2.47, 95% CI: 1.23-4.95), and were less likely to have interference scores of >5 if they had higher income levels (OR: 0.53, 95% CI: 0.40-0.70) or reported having ever received treatment for an alcohol use disorder. One-fifth of participants had a history of a drug or alcohol use disorder. Most participants report that medicinal cannabis improves their pain symptomology, and are interested in alternative treatment options to opioid-based treatment regimens.

  12. EFFICIENCY OF ROKSATSIN IN AEROSOL DISINFECTION OF THE LIVESTOCK BUILDINGS

    Directory of Open Access Journals (Sweden)

    Lifentsova M. N.

    2016-09-01

    Full Text Available The authors briefly describe the properties of polyhexamethyleneguanidine hydrochloride (PHMG, which refers to a broad-spectrum biocide and has antimicrobial activity against Gram-negative and Gram-positive bacteria, viruses and fungi. PHMG has a deodorizing effect, gives the treated surfaces long bactericidal effect, which can be stored depending on the surface and other external factors from 3 days to 8 months. The authors have presented data about the level of bacterial and fungal contamination of air in the dispensary before and after aerosol treatment of Roksatsin. Bacterial contamination of air dispensary determined via the sedimentation method (Koch Method, which is settling microflora (in air, under gravity, on the surface of a growth medium. For the determination of total bacteria and fungi in 1m3 of air the authors make calculations of total aerobic microbial count (TAMC according to the formula that was proposed by V.L. Omelyanskii. Bacterial contamination of air was evaluated before disinfection. Accounting quality of aerosol disinfection performed by sedimentation microflora on Petri Dishes through 30, 60 and 120 minutes of exposition. In the analysis of the data the authors defined that Roksatsin as a disinfectant has a negative effect on pathogens, namely significantly reduced the content of pathogenic and conditionally pathogenic bacteria and fungi in the air, so it can be used for preventive and compelled aerosol disinfection of air in the livestock buildings

  13. Linking a Pharmaceutical Chemistry Workshop to Pharmacy Practice.

    Science.gov (United States)

    Morral, Jordi; Culshaw, Margaret; Morral, Kim; Conway, Barbara; Adams, Sylvia; Adams, Andrew

    2015-01-01

    This paper describes the design and implementation of a workshop to enhance pharmacy students' appreciation of the importance of chemistry for pharmacy practice. The workshop was designed to form part of the practical work of two modules taught in the second year of the MPharm degree. In this mandatory workshop, second year pharmacy students were required to spot in the dispensary drugs based on their chemical properties like chirality, their origin and chemical structure. The lecturers involved in the workshop showed examples of the application of chemistry in the day to day work of the dispensary (e.g. calculating the dose for a patient in millimoles or how small modifications from a natural product can change its ability to cross the blood-brain-barrier). Feedback from participating students was collected via two survey instruments to examine the impact of the intervention. The survey results showed a clear shift towards a more positive perception by students of the chemistry taught in the MPharm curriculum.

  14. Drug-eluting balloon catheters for lower limb peripheral arterial disease: the evidence to date

    Directory of Open Access Journals (Sweden)

    Barkat M

    2016-05-01

    Full Text Available Mohamed Barkat,1 Francesco Torella,1 George A Antoniou2 1Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, 2Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK Abstract: A significant proportion of patients with severe lower limb peripheral arterial disease require revascularization. Over the past decade, an endovascular-first approach even for complex disease has gained widespread use among vascular specialists. An important limitation of percutaneous transluminal balloon angioplasty or stenting remains the occurrence of restenosis. Drug-coated balloons have emerged as an exciting technology developed to overcome the limitations of standard balloon angioplasty and stenting. Drug-eluting devices inhibit neointimal growth of vascular smooth muscle cells with the potential of preventing restenosis. This review provides a synopsis of the up-to-date evidence on the role of drug-coated balloons in the treatment of lower limb peripheral arterial disease. Bibliographic searches were conducted using MEDLINE, EMBASE, and the Cochrane Library electronic database. Eleven randomized clinical trials, two systematic reviews, and a published registry providing the best available evidence were identified. Current evidence suggests that angioplasty with drug-coated balloon is reliable, safe, and efficient in increasing patency rates and reducing target lesion revascularization and restenosis. However, it remains unknown whether these improved results can translate into beneficial clinical outcomes, as current randomized clinical trials have failed to demonstrate a significant benefit in limb salvage and mortality. Further randomized trials focusing on clinical and functional outcomes of drug-eluting balloons and on cost versus clinical benefit are required. Keywords: drug-eluting balloon, drug-coated balloon, angioplasty, peripheral arterial

  15. Economic evaluations of personalized medicine: existing challenges and current developments

    Directory of Open Access Journals (Sweden)

    Shabaruddin FH

    2015-06-01

    Full Text Available Fatiha H Shabaruddin,1 Nigel D Fleeman,2 Katherine Payne3 1Department of Pharmacy, University of Malaya, Kuala Lumpur, Malaysia; 2Liverpool Reviews and Implementation Group (LRiG, University of Liverpool, Liverpool, UK; 3Institute of Population Health, The University of Manchester, Manchester, UK Abstract: Personalized medicine, with the aim of safely, effectively, and cost-effectively targeting treatment to a prespecified patient population, has always been a long-time goal within health care. It is often argued that personalizing treatment will inevitably improve clinical outcomes for patients and help achieve more effective use of health care resources. Demand is increasing for demonstrable evidence of clinical and cost-effectiveness to support the use of personalized medicine in health care. This paper begins with an overview of the existing challenges in conducting economic evaluations of genetics- and genomics-targeted technologies, as an example of personalized medicine. Our paper illustrates the complexity of the challenges faced by these technologies by highlighting the variations in the issues faced by diagnostic tests for somatic variations, generally referring to genetic variation in a tumor, and germline variations, generally referring to inherited genetic variation in enzymes involved in drug metabolic pathways. These tests are typically aimed at stratifying patient populations into subgroups on the basis of clinical effectiveness (response or safety (avoidance of adverse events. The paper summarizes the data requirements for economic evaluations of genetics and genomics-based technologies while outlining that the main challenges relating to data requirements revolve around the availability and quality of existing data. We conclude by discussing current developments aimed to address the challenges of assessing the cost-effectiveness of genetics and genomics-based technologies, which revolve around two central issues that are

  16. A pilot randomised controlled trial to assess the utility of an e‐learning package that trains users in adverse drug reaction causality

    Science.gov (United States)

    Kirkham, Jamie J.; Bellis, Jennifer R.; Peak, Matthew; Smyth, Rosalind L.; Williamson, Paula R.; Pirmohamed, Munir

    2015-01-01

    Abstract Objectives Causality assessment of adverse drug reactions (ADRs) by healthcare professionals is often informal which can lead to inconsistencies in practice. The Liverpool Causality Assessment Tool (LCAT) offers a systematic approach. An interactive, web‐based, e‐learning package, the Liverpool ADR Causality Assessment e‐learning Package (LACAeP), was designed to improve causality assessment using the LCAT. This study aimed to (1) get feedback on usability and usefulness on the LACAeP, identify areas for improvement and development, and generate data on effect size to inform a larger scale study; and (2) test the usability and usefulness of the LCAT. Methods A pilot, single‐blind, parallel‐group, randomised controlled trial hosted by the University of Liverpool was undertaken. Participants were paediatric medical trainees at specialty training level 1+ within the Mersey and North‐West England Deaneries. Participants were randomised (1 : 1) access to the LACAeP or no training. The primary efficacy outcome was score by correct classification, predefined by a multidisciplinary panel of experts. Following participation, feedback on both the LCAT and the LACAeP was obtained, via a built in survey, from participants. Key findings Of 57 randomised, 35 completed the study. Feedback was mainly positive although areas for improvement were identified. Seventy‐four per cent of participants found the LCAT easy to use and 78% found the LACAeP training useful. Sixty‐one per cent would be unlikely to recommend the training. Scores ranged from 4 to 13 out of 20. The LACAeP increased scores by 1.3, but this was not significant. Conclusions Improving the LACAeP before testing it in an appropriately powered trial, informed by the differences observed, is required. Rigorous evaluation will enable a quality resource that will be of value in healthcare professional training. PMID:26032626

  17. The role of art in urban gentrification and regeneration: aesthetic, social and economic developments

    Directory of Open Access Journals (Sweden)

    Luca Palermo

    2014-06-01

    Molte città in tutto il mondo si sono rivolte all’arte pubblica come strumento per trasformare un anonimo spazio in un luogo caratterizzato in maniera unica. Ho scelto di analizzare, come casi di studio, le politiche culturali legate all’arte pubblica messe in atto da alcune città del Regno Unito: l’iniziativa Coventry Phoenix della città di Coventry, Blue Carpert e altri progetti promossi dalla città di Newcastle upon Tyne, Up in the Air e Further Up in the Air fortemente volute dalla città di Liverpool. Tutte queste inizia

  18. Detection of a Yersinia pestis gene homologue in rodent samples

    Directory of Open Access Journals (Sweden)

    Timothy A. Giles

    2016-08-01

    Full Text Available A homologue to a widely used genetic marker, pla, for Yersinia pestis has been identified in tissue samples of two species of rat (Rattus rattus and Rattus norvegicus and of mice (Mus musculus and Apodemus sylvaticus using a microarray based platform to screen for zoonotic pathogens of interest. Samples were from urban locations in the UK (Liverpool and Canada (Vancouver. The results indicate the presence of an unknown bacterium that shares a homologue for the pla gene of Yersinia pestis, so caution should be taken when using this gene as a diagnostic marker.

  19. Dicty_cDB: Contig-U11442-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available Dame Liverpool Aedes aegypti g... 32 9.7 2 ( FE857033 ) CAFU949.rev CAFU Pichia stipitis oxygen limited d......W Pichia stipitis oxygen limited ... 32 9.8 2 ( EJ890298 ) 1093018438559 Global-Ocean-Sampling_GS-30-02-01-1....rev CAFU Pichia stipitis oxygen limited d... 32 9.8 2 ( FE856099 ) CAFU451.fwd C...AFU Pichia stipitis oxygen limited d... 32 9.8 2 >( BJ444555 ) Dictyostelium discoideum cDNA clone:ddv56b22,

  20. C C TUNG, WE TAKE IT PERSONALLY

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Personal history Mr. CC Tung was born into theworld of shipping but had to earn hisposition as the leader of OrientOverseas (International) Limited(OOIL) through hard work and vision.Mr. Tung was educated and trained asan engineer and received his Bachelorof Science Degree from the Universityof Liverpool, England. He acquired aMaster's Degree in MechanicalEngineering at the MassachusettsInstitute of Technology in the UnitedStates. In 1968, he joined the familybusiness in New York, where, for overthe next two decades, he managed thecompany's US operations andexplored business opportunities inSouth America.

  1. The physiologist and the neurosurgeon: the enduring influence of Charles Sherrington on the career of Wilder Penfield.

    Science.gov (United States)

    Feindel, William

    2007-11-01

    Wilder Penfield, a Rhodes scholar from Princeton University, New Jersey, was a student in the first course on mammalian physiology given in 1915 at Oxford University by Charles Sherrington, newly arrived from Liverpool where, as Holt Professor of Physiology for 20 years, he had become a leading authority on the physiology of the nervous system. The practical 'exercises' as well as graduate research on the Golgi apparatus and the decerebrate preparation, carried out by Penfield in Sherrington's laboratory, gave him the groundwork to develop his career as a physiological surgeon, who made fundamental observations on functional localization in the human brain during the surgical treatment of patients afflicted with epilepsy.

  2. The 6th International Congress of Maritime History IMEHA, Ghent, 2–6 July, 2012

    Directory of Open Access Journals (Sweden)

    Dubravka Mlinarić

    2012-12-01

    Full Text Available The town with a rich maritime tradition, Ghent, hosted the congress organised by the International Maritime Economic History Association (IMEHA. The first meeting of experts in the maritime history was held 20 years ago in Liverpool, and was followed by meetings in Amsterdam and Rotterdam, than in Esbjerg, on the island of Corfu and in Greenwich. This year IMEHA congress was organised by Ghent University any city authorities of Ghent and Antwerp, including harbour authorities of both cities and the KBC Bank.

  3. Spectral classification of AT2016cyt as a pre-maximum type Ia supernova

    Science.gov (United States)

    Piascik, A. S.; Steele, I. A.

    2016-07-01

    We conducted a spectroscopic observation of transient AT2016cyt at 2016-07-05T04:04:02 UT. This transient was detected by the Puckett Observatory Sky Survey (POSS, T. Puckett, R. Gagliano, E. Weinberg, R. Post, J. Newton) on 2016-07-02T09:21:40 UT at position RA = 21:09:35.83, DEC = 15:07:31.80 and reported via TNS, https://wis-tns.weizmann.ac.il/object/2016cyt A spectrum was obtained in the visible, 400-800nm, with resolution R~350, using the SPRAT spectrograph on the Liverpool Telescope located at Roque de los Muchachos.

  4. News

    Science.gov (United States)

    2004-09-01

    Meeting: Brecon hosts 'alternative-style' Education Group Conference Meeting: Schools' Physics Group meeting delivers valuable teaching update Saturn Mission: PPARC’s Saturn school resource goes online Funding: Grant scheme supports Einstein Year activities Meeting: Liverpool Teachers’ Conference revives enthusiasm for physics Loan Scheme: Moon samples loaned to schools Awards: Schoolnet rewards good use of ICT in learning Funding: PPARC provides cash for science projects Workshop: Experts in physics education research share knowledge at international event Bulgaria: Transit of Venus comes to town Conference: CERN weekend provides lessons in particle physics Summer School: Teachers receive the summer-school treatment

  5. End of life care in the acute hospital setting%医院中的临终关怀

    Institute of Scientific and Technical Information of China (English)

    Polly Edmonds; Rachel Burman; Wendy Prentice; 蔡依妏; 于世英

    2010-01-01

    @@ 死亡大多发生在医院.因此,照顾临终病人对医院的医疗是一大挑战.利物浦医疗照顾路径(Liverpool care pathway,LCP)作为一个范本,指导医务人员如何正确医疗照顾临终病人,并将安宁病房临终关怀理念引入医院.医院在临终关怀方面的医疗质量做得并不太好1,2.

  6. Archives and the computer

    CERN Document Server

    Cook, Michael Garnet

    1986-01-01

    Archives and the Computer deals with the use of the computer and its systems and programs in archiving data and other related materials. The book covers topics such as the scope of automated systems in archives; systems for records management, archival description, and retrieval; and machine-readable archives. The selection also features examples of archives from different institutions such as the University of Liverpool, Berkshire County Record Office, and the National Maritime Museum.The text is recommended for archivists who would like to know more about the use of computers in archiving of

  7. PREFACE: Sensors and their Applications XIV

    Science.gov (United States)

    Prosser, S. J.; Al-Shamma'a, A. I.

    2007-09-01

    The fourteenth conference in the Sensors and their Applications series took place at the Liverpool John Moores University in Liverpool, UK from 11-13 September 2007. The event was organised by the Instrument Science and Technology Group of the Institute of Physics. Previous conferences in this series were held in Manchester (1983 and 1993), Southampton (1985 and 1998), Cambridge (1987), Canterbury (1989), Edinburgh (1991), Dublin (1995), Glasgow (1997), Cardiff (1999), London (2001), Limerick (2003) and Chatham (2005). The event provided a forum for academic researchers and industrial engineers working in all areas of sensors, instrumentation and measurement to update themselves on the latest technical developments and applications, share knowledge and stimulate new ideas. The third decade of this conference series continues to highlight new technologies and applications as the sensor market benefits from enhanced signal processing power and wireless networking. Through presentation of oral papers, discussions at exhibited posters and informal exchanges of ideas, the conference continues to provide excellent knowledge transfer and networking opportunities. The high quality programme, headlined by notable contributions from invited speakers, included microsensors, automotive sensors, gas sensing, non-destructive inspection, food and healthcare, sensor signal processing, wireless sensing, modelling and imaging techniques. As in previous years, this conference was particularly highlighted by a large number of sensor applications papers. We take this opportunity to thank all of those who have contributed to the event. Our thanks also go to our colleagues in the Instrument Science and Technology Group for their support and encouragement, particularly in the refereeing of papers, and to the Sensors and Instrumentation Knowledge Transfer Network. Special thanks go to Claire Garland from the Conferences Department of the Institute of Physics and the local team at Liverpool

  8. Suggestibility, Dissociation and Positive Schizotypy

    OpenAIRE

    Emma Barkus; John Stirling; John Cavill

    2010-01-01

    Partimos de una muestra de 94 participantes, seleccionados de la muestra de referencia de 1206 personas que ya habían participado en un estudio que valoraba la estructura factorial del Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE). Estas 94 personas fueron asignadas en grupos diferenciados en términos de bajo, moderado o altos niveles de esquizotipia positiva. Todos completaron también la Escala de Experiencias Disociativas (DES) y el Inventario de Sugestionabilidad (IOS). N...

  9. SOMA: A Proposed Framework for Trend Mining in Large UK Diabetic Retinopathy Temporal Databases

    Science.gov (United States)

    Somaraki, Vassiliki; Harding, Simon; Broadbent, Deborah; Coenen, Frans

    In this paper, we present SOMA, a new trend mining framework; and Aretaeus, the associated trend mining algorithm. The proposed framework is able to detect different kinds of trends within longitudinal datasets. The prototype trends are defined mathematically so that they can be mapped onto the temporal patterns. Trends are defined and generated in terms of the frequency of occurrence of pattern changes over time. To evaluate the proposed framework the process was applied to a large collection of medical records, forming part of the diabetic retinopathy screening programme at the Royal Liverpool University Hospital.

  10. Ethics and Vulnerability in Street Prostitution; An Argument in Favour of Managed Zones

    Directory of Open Access Journals (Sweden)

    Anna Carline

    2009-03-01

    Full Text Available This article draws upon the work of Judith Butler, in particular her approach to ethics and the concepts of vulnerability and „liveable lives,‟ in order to provide a critical analysis of reform proposals contained in the Criminal Justice and Immigration Bill (now Act 2008 in relation to street prostitution. The article will argue that the proposals presented in the Bill problematically use the vulnerability of street sex workers in order to promote a moralistic agenda. In contrast it will be argued that managed zones, as proposed by Liverpool City Council, provide a potentially more ethical approach to the issue of street prostitution.

  11. A combined continuous and interval aerobic training improves metabolic syndrome risk factors in men

    Directory of Open Access Journals (Sweden)

    Sari-Sarraf V

    2015-05-01

    Full Text Available Vahid Sari-Sarraf,1 Akbar Aliasgarzadeh,2 Mohammad-Mahdi Naderali,3 Hamid Esmaeili,1 Ebrahim K Naderali4 1Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, University of Tabriz, 2Bone Research Centre, Endocrine Unit, Department of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran; 3The School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool, 4Faculty of Science, Liverpool Hope University, Liverpool, UK Abstract: Individuals with metabolic syndrome have significantly higher risk of cardiovascular disease and type 2 diabetes leading to premature death mortality. Metabolic syndrome has a complex etiology; thus, it may require a combined and multi-targeted aerobic exercise regimen to improve risk factors associated with it. Therefore, the aim of this study was to evaluate the effect of combined continuous and interval aerobic training on patients with metabolic syndrome. Thirty adult male with metabolic syndrome (54±8 years were randomly divided into two groups: test training group (TTG; n=15 and control group (CG; n=15. Subjects in TTG performed combined continuous and interval aerobic training using a motorized treadmill three times per week for 16 weeks. Subjects in CG were advised to continue with their normal activities of life. Twenty-two men completed the study (eleven men in each group. At the end of the study, in TTG, there were significant (for all, P<0.05 reductions in total body weight (-3.2%, waist circumference (-3.43 cm, blood pressure (up to -12.7 mmHg, and plasma insulin, glucose, and triacylglyceride levels. Moreover, there were significant (for all, P<0.05 increases VO2max (-15.3% and isometric strength of thigh muscle (28.1% and high-density lipoprotein in TTG. None of the above indices were changed in CG at the end of 16-week study period. Our study suggests that adoption of a 16-week combined continuous and interval aerobic training regimen in men

  12. 休闲阅读(英文)

    Institute of Scientific and Technical Information of China (English)

    亚玲

    2006-01-01

    Beatles Changed the Music World No other band has already had the same influence in the world as the Beatles. Over eight years and more than a dozen albums, four young men from Liverpool, England, John Lennon, Paul McCartney, George Harrison, and Ringo Star had changed the popular music and culture forever.People in the U K becam e crazy aboutthe Beatles in late 1963. The phenom enon(现象)w as called “Beatlem ania”by the British press.The term referred to the young w om en seen scream ing at the band s concer...

  13. Andrew Lees, a visionary mentored by a madman

    Directory of Open Access Journals (Sweden)

    Francisco Cardoso

    Full Text Available ABSTRACT Andrew Lees, Professor of Neurology at the National Hospital Queen Square (London, UK, has been recognized as the world’s most highly-cited researcher over the 200-year history of Parkinson’s Disease. Although he remains actively involved in the investigation of movement disorders, Prof. Lees embarked on a literary career that started in 2011 with the publication of a social history of his native Liverpool. His last work is Mentored by a Madman: The William Burroughs Experiment, which is reviewed here.

  14. Comparing levels of social capital in three northern post-industrial UK cities.

    Science.gov (United States)

    Walsh, D; McCartney, G; McCullough, S; van der Pol, M; Buchanan, D; Jones, R

    2015-06-01

    A high level of 'excess' mortality (i.e. that seemingly not explained by deprivation) has been shown for Scotland compared to England & Wales and, in particular, for its largest city, Glasgow, compared to the similarly deprived postindustrial English cities of Liverpool and Manchester. The excess has been observed across all social classes, but, for premature mortality, has been shown to be highest in comparison of those of lowest socio-economic status (SES). Many theories have been proposed to explain this phenomenon. One such suggestion relates to potential differences in social capital between the cities, given the previously evidenced links between social capital and mortality. The aim of this study was to ascertain whether any aspects of social capital differed between the cities and whether, therefore, this might be a plausible explanation for some of the excess mortality observed in Glasgow. Cross-sectional study. A representative survey of Glasgow, Liverpool and Manchester was undertaken in 2011. Social capital was measured using an expanded version of the Office for National Statistics (ONS) core 'Social Capital Harmonised Question Set'. Differences between the cities in five sets of social capital topics (views about the local area, civic participation, social networks and support, social participation, and reciprocity and trust) were explored by means of a series of multivariate regression models, while controlling for differences in the characteristics (age, gender, SES, ethnicity etc.) of the samples. Some, but not all, aspects of social capital were lower among the Glasgow sample compared to those in Liverpool and Manchester. A number of these differences were greatest among those of higher, rather than lower, SES. Levels of social participation, trust and (some measures of) reciprocity were lower in Glasgow, particularly in comparison with Liverpool. However, assessment of any potential impact of these differences is limited by the cross

  15. Graduates from a traditional medical curriculum evaluate the effectiveness of their medical curriculum through interviews

    Directory of Open Access Journals (Sweden)

    Taylor David

    2009-10-01

    Full Text Available Abstract Background In 1996 The University of Liverpool reformed its medical course from a traditional lecture-based course to an integrated PBL curriculum. A project has been underway since 2000 to evaluate this change. Part of this project has involved gathering retrospective views on the relevance of both types of undergraduate education according to graduates. This paper focuses on the views of traditional Liverpool graduates approximately 6 years after graduation. Methods From February 2006 to June 2006 interviews took place with 46 graduates from the last 2 cohorts to graduate from the traditional Liverpool curriculum. Results The graduates were generally happy with their undergraduate education although they did feel there were some flaws in their curriculum. They felt they had picked up good history and examination skills and were content with their exposure to different specialties on clinical attachments. They were also pleased with their basic science teaching as preparation for postgraduate exams, however many complained about the overload and irrelevance of many lectures in the early years of their course, particular in biochemistry. There were many different views about how they integrated this science teaching into understanding disease processes and many didn't feel it was made relevant to them at the time they learned it. Retrospectively, they felt that they hadn't been clinically well prepared for the role of working as junior doctor, particularly the practical aspects of the job nor had enough exposure to research skills. Although there was little communication skills training in their course they didn't feel they would have benefited from this training as they managed to pick up had the required skills on clinical attachments. Conclusion These interviews offer a historical snapshot of the views of graduates from a traditional course before many courses were reformed. There was some conflict in the interviews about the doctors

  16. Museale Formidlinger af Fortiden som Kolonimagt

    DEFF Research Database (Denmark)

    Nielsen, Vibe

    2015-01-01

    . The thesis highlights how the National Maritime Museum in Greenwich and the International Slavery Museum in Liverpool have proportionally larger focus on non-European cultures than the National Museum in Copenhagen and the Maritime Museum in Elsinore. The two British museums further have another way...... the African and American cultures disseminated in the British museum displays. The thesis argues that the differences observed in the four museums can be seen in relation to the two countries' different level of multiculturalism in their populations, but also as a result of the fact that the international...

  17. Preservação patrimonial, turismo cultural e transformação da base econômica local: pioneirismos, paradoxos e retrocessos em Wigan, Inglaterra

    OpenAIRE

    2013-01-01

    O objeto de estudo é a transformação do Wigan Pier, conjunto arquitetônico e paisagístico localizado às margens do Canal Leeds-Liverpool, em um centro de lazer, turismo e entretenimento, nos anos 1980, dentro de políticas públicas voltadas à transformação da base econômica local. O artigo apresenta dois objetivos principais, a saber: a) compreender e avaliar essa transformação do Wigan Pier nos quesitos de preservação patrimonial, educação patrimonial e ressemantização de bens cul...

  18. Report of the 12th Bathurst Meeting:International Conference of Carbonate Sedimentologists

    Institute of Scientific and Technical Information of China (English)

    MauriceTucker

    2004-01-01

    This meeting was held in the historic city of Durham, northeastern England, 8-10th July,with 145 limestone lovers attending from all round the world, some came from as far afield as Australia, India and Japan, and there were 30 from North America. This series of meetings was started by Robin Bathurst in 1959 and the first 8 were held in Liverpool,where Robin was lecturer and then professor of geology. The aim has always been to have a small focused conference with plenty of time for discussion.

  19. 核磁共振

    Institute of Scientific and Technical Information of China (English)

    何枫

    2011-01-01

    这个栏目将以报道国内外的声音、音乐资讯为主.半个世纪以来,The Beatles(披头士)的歌曲一直被传唱不休,最近,他们的歌曲还进入到专业学术研究的领域,成为位于英国默西塞德郡的利物浦希望大学(Liverpool HopeUniversity)的研究生学位课程.

  20. Archives and the computer

    CERN Document Server

    Cook, Michael Garnet

    1980-01-01

    Archives and the Computer deals with the use of the computer and its systems and programs in archiving data and other related materials. The book covers topics such as the scope of automated systems in archives; systems for records management, archival description, and retrieval; and machine-readable archives. The book also features examples of systems for records management from different institutions such as theTyne and Wear Archive Department, Dyfed Record Office, and the University of Liverpool. Included in the last part are appendices. Appendix A is a directory of archival systems, Appen

  1. Tunnel of light

    Science.gov (United States)

    Ohlmann, Dietmar

    1998-02-01

    When I made the decision to give up science for becoming a painter I could not imagine that I would paint light. In the 2nd year of my fine art studies I had my first contact with holography, thanks to my former tutor, Roddney Murray at the Liverpool School of Art. During the MA course of the RCA in London I knew that the potential of holography was far beyond our present perception. Since I had the opportunity to work in large scale, doing architectural installation, I have got certain that holography and diffraction media would set new trends into the arts and society.

  2. El comportamiento colectivo en el deporte

    OpenAIRE

    Javaloy, Federico

    1989-01-01

    El 29 de mayo de 1985 se registraron en el estadio Heysel de Bruselas 10s mas graves incidentes acaecidos en un campo de futbol europeo: antes de iniciar- se el encuentro final de la Copa de Europa entre el Liverpool y el Juventus, una multitud de supporters ataco una grada de hinchas italianos provocando una ava- lancha que origino 39 muertos y centenares de heridos. Los hechos fueron pre- senciados, a través de la television, por millones de espectadores y causaron en Europa un notable impa...

  3. Characterisation of two AGATA asymmetric high purity germanium capsules

    Energy Technology Data Exchange (ETDEWEB)

    Colosimo, S.J., E-mail: sjc@ns.ph.liv.ac.uk [Department of Physics, Oliver Lodge Laboratory, University of Liverpool, Liverpool L69 7ZE (United Kingdom); Moon, S.; Boston, A.J.; Boston, H.C.; Cresswell, J.R.; Harkness-Brennan, L.; Judson, D.S. [Department of Physics, Oliver Lodge Laboratory, University of Liverpool, Liverpool L69 7ZE (United Kingdom); Lazarus, I.H. [STFC Daresbury, Daresbury, Warrington WA4 4AD (United Kingdom); Nolan, P.J. [Department of Physics, Oliver Lodge Laboratory, University of Liverpool, Liverpool L69 7ZE (United Kingdom); Simpson, J. [STFC Daresbury, Daresbury, Warrington WA4 4AD (United Kingdom); Unsworth, C. [Department of Physics, Oliver Lodge Laboratory, University of Liverpool, Liverpool L69 7ZE (United Kingdom)

    2015-02-11

    The AGATA spectrometer is an array of highly segmented high purity germanium detectors. The spectrometer uses pulse shape analysis in order to track Compton scattered γ-rays to increase the efficiency of nuclear spectroscopy studies. The characterisation of two high purity germanium detector capsules for AGATA of the same A-type has been performed at the University of Liverpool. This work will examine the uniformity of performance of the two capsules, including a comparison of the resolution and efficiency as well as a study of charge collection. The performance of the capsules shows good agreement, which is essential for the efficient operation of the γ-ray tracking array.

  4. Direct determination of the hit locations from experimental HPGe pulses

    Energy Technology Data Exchange (ETDEWEB)

    Désesquelles, P., E-mail: Pierre.Desesquelles@in2p3.fr [Univ. Paris-Sud, CSNSM CNRS/IN2P3, 15 rue G. Clémenceau, 91405 Orsay (France); Boston, A.J.; Boston, H.C.; Cresswell, J.R.; Dimmock, M.R. [Oliver Lodge Laboratory, The University of Liverpool, Oxford Street, Liverpool L69 7ZE (United Kingdom); Lazarus, I.H. [STFC Daresbury Laboratory, Daresbury, Warrington WA4 4AD (United Kingdom); Ljungvall, J. [Univ. Paris-Sud, CSNSM CNRS/IN2P3, 15 rue G. Clémenceau, 91405 Orsay (France); Nelson, L. [Oliver Lodge Laboratory, The University of Liverpool, Oxford Street, Liverpool L69 7ZE (United Kingdom); Nga, D.-T. [Univ. Paris-Sud, CSNSM CNRS/IN2P3, 15 rue G. Clémenceau, 91405 Orsay (France); Nolan, P.J.; Rigby, S.V. [Oliver Lodge Laboratory, The University of Liverpool, Oxford Street, Liverpool L69 7ZE (United Kingdom); Simpson, J. [STFC Daresbury Laboratory, Daresbury, Warrington WA4 4AD (United Kingdom); Van-Oanh, N.-T. [Univ. Paris-Sud, LCP UMR8000 CNRS, 15 rue G. Clémenceau, 91405 Orsay (France)

    2013-11-21

    The gamma-tracking technique optimises the determination of the energy and emission angle of gamma-rays detected by modern segmented HPGe detectors. This entails the determination, using the delivered pulse shapes, of the interaction points of the gamma-ray within the crystal. The direct method presented here allows the localisation of the hits using only a large sample of pulses detected in the actual operating conditions. No external crystal scanning system or pulse shape simulation code is needed. In order to validate this method, it is applied to sets of pulses obtained using the University of Liverpool scanning system. The hit locations are determined by the method with good precision.

  5. Deployment and use of mobile phone technology for real-time reporting of fever cases and malaria treatment failure in areas of declining malaria transmission in Muheza district north-eastern Tanzania.

    Science.gov (United States)

    Francis, Filbert; Ishengoma, Deus S; Mmbando, Bruno P; Rutta, Acleus S M; Malecela, Mwelecele N; Mayala, Benjamin; Lemnge, Martha M; Michael, Edwin

    2017-08-01

    Early detection of febrile illnesses at community level is essential for improved malaria case management and control. Currently, mobile phone-based technology has been commonly used to collect and transfer health information and services in different settings. This study assessed the applicability of mobile phone-based technology in real-time reporting of fever cases and management of malaria by village health workers (VHWs) in north-eastern Tanzania. The community mobile phone-based disease surveillance and treatment for malaria (ComDSTM) platform, combined with mobile phones and web applications, was developed and implemented in three villages and one dispensary in Muheza district from November 2013 to October 2014. A baseline census was conducted in May 2013. The data were uploaded on a web-based database and updated during follow-up home visits by VHWs. Active and passive case detection (ACD, PCD) of febrile cases were done by VHWs and cases found positive by malaria rapid diagnostic test (RDT) were given the first dose of artemether-lumefantrine (AL) at the dispensary. Each patient was visited at home by VHWs daily for the first 3 days to supervise intake of anti-malarial and on day 7 to monitor the recovery process. The data were captured and transmitted to the database using mobile phones. The baseline population in the three villages was 2934 in 678 households. A total of 1907 febrile cases were recorded by VHWs and 1828 (95.9%) were captured using mobile phones. At the dispensary, 1778 (93.2%) febrile cases were registered and of these, 84.2% were captured through PCD. Positivity rates were 48.2 and 45.8% by RDT and microscopy, respectively. Nine cases had treatment failure reported on day 7 post-treatment and adherence to treatment was 98%. One patient with severe febrile illness was referred to Muheza district hospital. The study showed that mobile phone-based technology can be successfully used by VHWs in surveillance and timely reporting of fever

  6. Primary eye care skills scores for health workers in routine and enhanced supervision settings.

    Science.gov (United States)

    Okwen, M; Lewallen, S; Courtright, P

    2014-01-01

    Primary health care in Tanzania is provided at two types of health units, the dispensary and the health centre. Theoretically, primary health workers (with knowledge of primary eye care [PEC]) are ideally placed to identify people in need of eye care services. In Tanzania, they are expected to be able to identify, treat, or correctly refer a number of eye conditions including cataract, trauma, presbyopia, and the 'red eye'. They are also expected to be able to measure visual acuity correctly and to educate the community about prevention. The objective was to determine the effect of enhanced supervision of health workers on PEC knowledge and skills in Kilimanjaro Region, Tanzania. This was a quasi-experimental, cluster randomized intervention study of an enhanced supervisory method compared to a routine supervisory method; 36 dispensaries were randomly allocated into the two groups. Health workers based at government dispensaries in Mwanga District. Participants were interviewed pre and post intervention and the information was recorded using a standardized pretested questionnaire. Mean scores of knowledge in healthcare workers was higher in the intervention group (score = 6.43, 80.4% improvement) compared to the non-intervention group (score = 4.71, 58.9% improvement). The ability to describe and demonstrate vision testing was better (score = 1.8) in the enhanced supervision group compared to the routine supervision group (score = 0.88, P = 0.03). There was a high level of attrition (24%) within one year from the time of baseline survey, especially amongst clinical officers (44%). During the pilot study, enhanced supervision improved PEC knowledge and skills of health workers compared to health workers with routine supervision. Training in PEC needs revision to become more practicum-based. There is need to revise supervision guidelines (to be skills-based) and the supervision skills of district eye coordinators (DECs) need to be enhanced. There is a huge need to

  7. DOES WORKING IN A COAL MINE INFLUENCE EYE AND VISION FUNCTIONS

    Directory of Open Access Journals (Sweden)

    Uroš Prelesnik

    2002-12-01

    Full Text Available Background. In the article we described the condition of miners vision before they started working in the mine and after twenty years of continuous work in the pit. We presumed that working in the dark and uncomfortable conditions distort the vision. We found no similar analysis in the literature that was available to us. So we started with the analysis in our institution. As ophthalmologist and specialist of occupational medicine we daily came across miners questions and findings about the distortion of their vision after working in the pit for many years. Criteria of visual functions for the miners are: visual acuity of the better eye should be at least 0.7 and at least 0.5 of the worse one, without correction. He has to have normal binocular vision and normal night vision. Normal colour vision is not obligatory for the miners which allows the dicromats (colour blind people to work, too.Methods. We treated 50 miners who started to work in the mine in the years 1977–1979 and have spent their whole working period in the mine. We had a lot of problems choosing the miners because of fluctuation (superannuations, leaving Slovenia, so they did not come to ophthalmologist at the end of their working period. In our dispensary of occupational medicine they were last treated the last year before retiring, while the ophthalmologist examined them in the years 1997–1999. In our dispensary of occupational medicine they were examined by the orthoreter or R 22 where monocular vision, binocular vision, depth vision and colour vision were checked.The ophthalmologist examined the vision without and with correction, measured the eye pressure, performed the examination on the slitlamp and checked the eye background.Results. The check-ups in dispensary of occupational with examinations of vision, phoria, depth vision and colour vision showed no statistically important differences. But when we checked the patients in the ophthalmologic ambulance we found out

  8. Moral regulation and the presumption of guilt in Health Canada's medical cannabis policy and practice.

    Science.gov (United States)

    Lucas, Philippe

    2009-07-01

    This paper is a sociological examination of policies and practices in Health Canada's Marihuana Medical Access Division (MMAD) that presume the illicit intentions and inherent "guilt" of medical cannabis users, hampering safe access to a medicine to which many are legally entitled, and raising doubts about this federal programme's overall effectiveness and constitutional legitimacy. Beginning with a brief historical overview of Canada's federal medical cannabis programme, this paper examines the failure of the MMAD to meet the needs of many sick and suffering Canadians through Hunt's [Hunt, A. (1999). Governing morals: A social history of moral regulation. Cambridge, UK: Cambridge University Press] work on moral regulation and Wodak's [Wodak, A. (2007). Ethics and drug policy. Psychiatry, 6(2), 59-62] critique of "deontological" drug policy strategies. I then cite Tupper's [Tupper, K. W. (2007). The globalization of ayahuasca: Harm reduction or benefit maximization? International Journal of Drug Policy, doi:10.1016/j.drugpo.2006.11.001] argument that shifting to a generative metaphor that constructs certain entheogenic substances as potentially useful "tools" rather than regulating them through inherently moralistic prohibitionist policies would better serve public health, and incorporate Young's [Young, I. M. (1990). Justice and the politics of difference. Princeton, New Jersey: Princeton University Press] theories of domination and oppression to examine the rise of community-base medical cannabis dispensaries as "new social movements". First-hand accounts by medical cannabis patients, federally funded studies, and internal Health Canada communication and documents suggest that current federal policies and practices are blocking safe access to this herbal medicine. The community-based dispensary model of medical cannabis access is a patient-centered "new social movement" that mitigates the stigmatization and moral regulation of their member-clients by creating

  9. Preparedness of Tanzanian health facilities for outpatient primary care of hypertension and diabetes: a cross-sectional survey.

    Science.gov (United States)

    Peck, Robert; Mghamba, Janneth; Vanobberghen, Fiona; Kavishe, Bazil; Rugarabamu, Vivian; Smeeth, Liam; Hayes, Richard; Grosskurth, Heiner; Kapiga, Saidi

    2014-05-01

    Historically, health facilities in sub-Saharan Africa have mainly managed acute, infectious diseases. Few data exist for the preparedness of African health facilities to handle the growing epidemic of chronic, noncommunicable diseases (NCDs). We assessed the burden of NCDs in health facilities in northwestern Tanzania and investigated the strengths of the health system and areas for improvement with regard to primary care management of selected NCDs. Between November, 2012, and May, 2013, we undertook a cross-sectional survey of a representative sample of 24 public and not-for profit health facilities in urban and rural Tanzania (four hospitals, eight health centres, and 12 dispensaries). We did structured interviews of facility managers, inspected resources, and administered self-completed questionnaires to 335 health-care workers. We focused on hypertension, diabetes, and HIV (for comparison). Our key study outcomes related to service provision, availability of guidelines and supplies, management and training systems, and preparedness of human resources. Of adult outpatient visits to hospitals, 58% were for chronic diseases compared with 20% at health centres, and 13% at dispensaries. In many facilities, guidelines, diagnostic equipment, and fi rst-line drug therapy for the primary care of NCDs were inadequate, and management, training, and reporting systems were weak. Services for HIV accounted for most chronic disease visits and seemed stronger than did services for NCDs. Ten (42%) facilities had guidelines for HIV whereas three (13%) facilities did for NCDs. 261 (78%) health workers showed fair knowledge of HIV, whereas 198 (59%) did for hypertension and 187 (56%) did for diabetes. Generally, health systems were weaker in lower-level facilities. Front-line health-care workers (such as non-medical-doctor clinicians and nurses) did not have knowledge and experience of NCDs. For example, only 74 (49%) of 150 nurses had at least fair knowledge of diabetes care

  10. Magnetic Field Structure in Relativistic Jets

    Directory of Open Access Journals (Sweden)

    Jermak Helen

    2013-12-01

    Full Text Available Relativistic jets are ubiquitous when considering an accreting black hole. Two of the most extreme examples of these systems are blazars and gamma-ray bursts (GRBs, the jets of which are thought to be threaded with a magnetic field of unknown structure. The systems are made up of a black hole accreting matter and producing, as a result, relativistic jets of plasma from the poles of the black hole. Both systems are viewed as point sources from Earth, making it impossible to spatially resolve the jet. In order to explore the structure of the magnetic field within the jet we take polarisation measurements with the RINGO polarimeters on the world’s largest fully autonomous, robotic optical telescope: The Liverpool Telescope. Using the polarisation degree and angle measured by the RINGO polarimeters it is possible to distinguish between global magnetic fields created in the central engine and random tangled magnetic fields produced locally in shocks. We also monitor blazar sources regularly during quiescence with periods of flaring monitored more intensively. Reported here are the early polarisation results for GRBs 060418 and 090102, along with future prospects for the Liverpool Telescope and the RINGO polarimeters.

  11. Conjunctival-corneal melt in association with carotid artery stenosis

    Directory of Open Access Journals (Sweden)

    Rosalind MK Stewart

    2008-10-01

    Full Text Available Rosalind MK Stewart1, Say Aun Quah1, Dan Q Nguyen2, Stephen B Kaye11Royal Liverpool University Hospital, Liverpool, UK; 2Bristol Eye Hospital, Bristol, UKPurpose: To report a case of severe conjunctival-corneal melt in association with carotid artery stenosis.Methods: Observational case report.Results: A 76-year-old man with a history of bilateral severe carotid artery occlusion and nonarteritic ischemic optic neuropathy developed a spontaneous bulbar conjunctival defect. Despite intensive lubrication, and attempts at surgical closure including an amniotic membrane patch graft, it progressed with subsequent adjacent corneal perforation. Thorough investigations revealed no underlying disease, except markedly delayed episcleral vessel filling on anterior segment fluorescein angiography.Conclusions: Neovascularisation is a known factor in the inhibition of ulceration. In light of the findings in this report, ocular ischemia should be considered as a cause or contributing factor in the differential diagnosis of conjunctival-corneal melt.Keywords: conjunctival melt, corneal melt, ocular ischemia, carotid artery stenosis

  12. A nurse clinician's approach to knife crime prevention.

    Science.gov (United States)

    England, Rachel; Jackson, Rob

    This article outlines a new and creative contribution to knife crime prevention by an emergency nurse clinician and an initial evaluation of its effectiveness. The 'knife crime prevention programme' is delivered to young people aged 11-16 years by one of the authors, Rob Jackson, an emergency nurse clinician at Liverpool University Hospital; the aim is to educate young people about the medical consequences of knife injury. A group of 140 students and 17 teachers responded to a questionnaire evaluating the effectiveness of the session delivered to four schools in Liverpool. Students and teachers positively rated the session, with the combination of the nurse clinician's knowledge and expertise and photographs and depictions of knife crime as a unique and impacting approach to knife crime prevention. It is suggested that the nurse clinician and other experienced health professionals have an important contribution to make in preventive approaches to knife crime. Further evaluation of the knife crime prevention programme will be conducted by the authors.

  13. A process study of the interaction of tidal currents, tidal mixing and density gradients in a region of freshwater influence

    Science.gov (United States)

    Xing, Jiuxing; Chen, Shengli

    2017-08-01

    A three dimensional unstructured grid model of the west coast of Britain is used to study the process of the interaction of tidal currents, tidal mixing and density gradient in the Liverpool Bay region. Calculations with M2 tidal forcing and omitting freshwater discharge show that tidal currents in the region are strong (of order 1 ms- 1), with tidal current ellipses essentially rectilinear in the surface and bottom. In the absence of tidal forcing, the freshwater is confined to a thin surface layer. With the inclusion of tidal mixing the surface layer thickens, and in the shallow water area mixed layer occupies the whole water depth. This has a significant effect of reducing its lateral spread. A detailed study of time series of velocity, salinity and turbulence reveals that at flood tide, more saline water is advected into the coastal region and rapid vertical mixing occurs, whereas at ebb tide, fresher water is advected over more saline water. The induced strong pycnocline uncouples surface and bottom layers leading to more circular tidal ellipses which rotate in opposite directions in the vertical, as found in observations. The three dimensional nature of the model reveals that this process involves both horizontal and vertical density gradients, and shows significant horizontal variability in the Liverpool Bay region.

  14. Semiconductor Strip Tracker Endcaps come to CERN

    CERN Multimedia

    P. Bell

    The first few months of 2006 saw the delivery to CERN of the final components of the ATLAS Semi-Conductor Tracker (SCT), namely the completed SCT end-caps. Regular ATLAS eNews readers will recall that the SCT barrel arrived in sections in 2005 and was assembled later that year (see the April 2005 and December 2005 issues, respectively.) And as reported in this issue of the eNews, the barrel SCT has recently been integrated with the barrel Transition Radiation Tracker. The end-caps were constructed in Liverpool (side C) and NIKHEF (side A), using components manufactured at many different sites across the world. End-cap C left Liverpool on Monday 20 February and arrived at CERN after a two-day journey by road and through the Channel Tunnel. Accelerations in all three dimensions were monitored during the trip, as was temperature and humidity inside the container; all values remained within pre-specified safe ranges. The end-cap was visually inspected upon arrival, with no obvious damage being seen. Subsequent ...

  15. Jet set pets: examining the zoonosis risk in animal import and travel across the European Union

    Directory of Open Access Journals (Sweden)

    Fooks AR

    2014-12-01

    Full Text Available Anthony R Fooks,1,2 Nicholas Johnson1 1Wildlife Zoonoses and Vector-Borne Diseases Research Group, Animal and Plant Health Agency, Addlestone, Surrey, 2Department of Clinical Infection, University of Liverpool, Liverpool, UK Abstract: Ownership of companion animals or pets is popular throughout the world. Unfortunately, such animals are susceptible to and potential reservoirs of zoonotic pathogens. Close proximity to and contact with pets can lead to human infections. The distribution of zoonotic diseases associated with companion animals such as dogs and cats is not uniform around the world, and moving animals between regions, countries, and continents carries with it the risk of relocating the pathogens they might harbor. Critical among these zoonotic diseases are rabies, echinococcosis, and leishmania. In addition, the protozoan parasites, Toxoplasma gondii and Giardia duodenalis, are also significant agents for human disease of pet origin. Considerable effort is applied to controlling movements of companion animals, particularly dogs, into the European Union. However, free movement of people and their pets within the European Union is a risk factor for the translocation of diseases and their vectors. This review considers the current distribution of some of these diseases, the risks associated with pet travel, and the controls implemented within Europe to prevent the free movement of zoonotic pathogens. Keywords: zoonosis, companion animal, rabies, alveolar echinococcosis, leishmania

  16. ARIADNE: Beam Time and Resources Request

    CERN Document Server

    Majumdar, K; McCormick, K J; Philippou, B; Roberts, A; Stavrakis, G; Touramanis, C; Vann, J

    2017-01-01

    The ARIADNE research programme is based around developing an optical readout system for use in LAr TPC detectors, which could potentially have a number of bene ts over the currently used segmented anode planes - particularly in matters of scalability for future kilo-tonne scale detectors, ease of installation, use and maintenance, and reconstruction resolution. As detailed in our previously submitted Letter of Intent (CERN-SPSC-2016-008 [SPSC-I-244]), ARIADNE itself is a 1-tonne, two-phase LAr TPC detector, designed and built at the University of Liverpool, which uses an array of EMCCD cameras as its optical readout system, alongside PMTs for scintillation light observation and a THGEM for charge readout. Once construction and initial calibration is completed at Liverpool, the detector's capabilities should be fully studied and characterised, and we would like to request 2 weeks of on-beam time at the CERN T9 beam line in the Spring of 2018 for this purpose. Due to the purity requirements and cryogenic nature...

  17. Progress on the Assembly of the Silicon Tracker

    CERN Multimedia

    Tyndel, M.

    Two important milestones have been achieved in the last month with the assembly of the first (and innermost) of the four SCT barrels ("Barrel 3") at Oxford and the first of the nine Endcap-C discs ("Disc 9C") at Liverpool. In both cases the assembly went smoothly and with impressive efficiency. The measured performance of the assembled modules is excellent with no signs of any damage during assembly and no signs of coherent noise. Left: the last module being added by the robot to Barrel 3 at Oxford. Right: Disc 9C fully assembled with 52 modules at Liverpool. As the modules are mounted a full characterisation of their performance is carried out and compared with reference measurements taken in the laboratory. The table below shows the average noise of the modules mounted on Barrel 3. A detailed analysis shows that >99% of the 590,000 channels on Barrel 3 are fully within specification. Online display showing the average noise for each of the 384 barrel modules. The SCT needs to be operated at ...

  18. Undergraduate experience and self-assessed confidence in paediatric dentistry: comparison of three UK dental schools.

    Science.gov (United States)

    Rodd, H D; Farman, M; Albadri, S; Mackie, I C

    2010-03-13

    Previous studies have suggested that dental students may not receive sufficient clinical experience in core paediatric dentistry skills. This study aimed to compare dental undergraduates' self-reported experience and confidence in paediatric dentistry within three UK dental schools (Liverpool, Manchester and Sheffield). In April/May 2009, 147 final year dental students completed an anonymous questionnaire which captured their experience of seven core clinical skills in both hospital and outreach settings. A visual analogue scale was also employed to record perceived levels of confidence for six generic activities including: examination, diagnosis and treatment planning; patient selection for treatment under general anaesthesia; operative dentistry; preventive dentistry; management of dento-alveolar trauma, and provision of routine care for children on qualification. The key finding was that Liverpool, Manchester and Sheffield dental students received comparable clinical experiences in paediatric dentistry, which appeared to satisfy the requirements of the General Dental Council's The first five years. One hundred percent had carried out fissure sealants and restorations, and 87-98% had experience of extractions. Outreach placements were crucial in ensuring students had sufficient opportunity to undertake core skills, notably extractions and pulp therapies. All students reported a lack of confidence in dental trauma management which warrants greater emphasis in the undergraduate curriculum.

  19. Preliminary Results From the UNICIT High Frequency Microwave Palaeointensity System

    Science.gov (United States)

    Biggin, A.; Boehnel, H.; Walton, D.

    2002-05-01

    Two of the biggest problems encountered when using the Thellier method to obtain estimates of the geomagnetic field intensity in the past are thermochemical alteration occurring during the experiments and the time intensive nature of the experiments themselves. Together these factors frequently yield a frustratingly low ratio of success achieved to time spent in the laboratory. However this ratio can be much increased, if microwave radiation instead of conventional thermal energy is used to excite the ferromagnetic grains within samples. Following the recent success of the geomagnetism group at the University of Liverpool in using microwave radiation to perform palaeointensity experiments, a new system has been developed at the Earth science research unit (UNICIT) of UNAM in Querétaro, Mexico. Conceptually, it differs from the Liverpool system (described in the literature) only in that it is designed to use higher frequency microwave radiation (12 to 18 GHz as opposed to 8.5 GHz) as a more efficient means to excite the ferromagnetic systems of materials. The system has been used to perform modified Thellier palaeointensity experiments on volcanic samples which had previously had a full TRM imparted to them using a known field in the laboratory. The results of these experiments were very encouraging and will be presented. Currently, samples derived from recent volcanic material which has previously undergone conventional Thellier analysis are being studied using the microwave system. Results from these experiments will also be discussed.

  20. Geometry and kinematics of the Triassic rift basin in Jameson Land (East Greenland)

    Science.gov (United States)

    Guarnieri, Pierpaolo; Brethes, Anaïs.; Rasmussen, Thorkild M.

    2017-04-01

    The Triassic rift basin along the east Greenland margin described in this paper is represented by NE-SW trending basins and highs segmented by NW-SE trending transfer zones. Coarse-grained sediments along the eastern side of Jameson Land are shown to be hosted in half-graben structures belonging to the Carlsberg Fjord Basin that is bounded by NW dipping normal faults mapped and described after fieldwork in the Klitdal area in Liverpool Land. New aeromagnetic and electromagnetic data together with new drill cores allow the reinterpretation of available seismic lines showing the continuation of the Triassic rift basin toward the SW where it is buried under the Upper Triassic postrift sediments and the Jurassic successions of the Jameson Land Basin. The N-S trending Liverpool Land, interpreted as the boundary block of the Triassic basin, is shown to represent a structural high inherited from the Late Carboniferous tectonics and faulted during the Triassic rifting. The Carlsberg Fjord Basin and the Klitdal Fault System described in this paper should be seen as analogues to the Helgeland Basin in the Norwegian offshore that is bounded by the Ylvingen Fault Zone and to the Papa and West of Shetlands Basins that are bounded by the Spine Fault. The Triassic rift zone and transfer faults on both conjugate margins show a straightforward correlation with the trends of the initial spreading line and fracture zones of the northeast Atlantic indicating a possible inheritance of the Triassic rifting.

  1. Assessment of beach and dune erosion and accretion using LiDAR: Impact of the stormy 2013-14 winter and longer term trends on the Sefton Coast, UK

    Science.gov (United States)

    Pye, Kenneth; Blott, Simon J.

    2016-08-01

    An important question for coastal management concerns the importance of individual storms and clusters of storms on longer term beach sediment budgets, beach and dune erosion, and coastal flood risk. Between October 2013 and March 2014 a series of deep Atlantic low pressure systems crossed the Northeast Atlantic, and strong winds, high waves and high water levels affected many coastal areas in the UK and other parts of western Europe. Net dune recession of up to 12.1 m occurred around Formby Point. On 5 December 2013 the highest water level ever recorded at Liverpool (6.22 m ODN) coincided with waves of Hs of 4.55 m and Tp of 9.3 s in Liverpool Bay. Wave trimming of the dune toe occurred along the entire length of the Sefton coast, but significant dune erosion occurred only where the upper beach (between the mean high water spring tide level and the dune toe) was mean low water spring tide level and a line 200 m landward of the dune toe, of as a part of the regional coastal monitoring programme.

  2. The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach.

    Science.gov (United States)

    Twiddy, Hannah; Lane, Natalie; Chawla, Rajiv; Johnson, Selina; Bradshaw, Alison; Aleem, Shaireen; Mawdsley, Lucinda

    2015-11-01

    Chronic pelvic pain (CPP) is a physically and psychologically debilitating condition. European Association of Urology (EAU) Guidelines (2013) and Royal College of Obstetricians and Gynaecologists (RCOG) guidelines (2012) place strong emphasis upon multi-speciality assessment and liaison, as well as interdisciplinary assessment and intervention in reference to the management of CPP. The aim was to introduce and describe the development and delivery of an interdisciplinary pain management programme (PMP), at a Specialised Pain Management Centre in Liverpool, United Kingdom, for women diagnosed with CPP. The format and content of the CPP PMP at The Walton Centre, Liverpool, is described and the preliminary results from the CPP PMP are presented. Preliminary data suggest that outcomes on the specialised CPP PMP indicate that patients are able to make clinically important change across a range of outcome measures. Moreover, these results compare favourably to the established PMP for generalised chronic pain when comparing clinically significant outcomes with the Walton Centre's (a tertiary-level pain management centre) 2013 PMP Audit document. Patients attending the CPP PMP positively appraised the PMP and felt it was useful and supportive to be in a group dedicated to CPP. This article presents some preliminary results that suggest there is value in delivering a specialised multidisciplinary PMP for this group. There is a clear need for further clinical research into the effectiveness of similar interventions for CPP, including the early identification of those CPP patients who may benefit from both multi-specialty and interdisciplinary management.

  3. GRB 090727 and gamma-ray bursts with early time optical emission

    CERN Document Server

    Kopac, D; Gomboc, A; Japelj, J; Mundell, C G; Guidorzi, C; Melandri, A; Bersier, D; Cano, Z; Smith, R J; Steele, I A; Virgili, F J

    2013-01-01

    We present a multi-wavelength analysis of gamma-ray burst GRB 090727, for which optical emission was detected during the prompt gamma-ray emission by the 2-m autonomous robotic Liverpool Telescope and subsequently monitored for a further two days with the Liverpool and Faulkes telescopes. Within the context of the standard fireball model, we rule out a reverse shock origin for the early time optical emission in GRB 090727 and instead conclude that the early time optical flash likely corresponds to emission from an internal dissipation processes. Putting GRB 090727 into a broader observational and theoretical context, we build a sample of 36 gamma-ray bursts (GRBs) with contemporaneous early time optical and gamma-ray detections. From these GRBs, we extract a sub-sample of 18 GRBs, which show optical peaks during prompt gamma-ray emission, and perform detailed temporal and spectral analysis in gamma-ray, X-ray, and optical bands. We find that in most cases early time optical emission shows sharp and steep beha...

  4. Testnodes: a Lightweight Node-Testing Infrastructure

    Science.gov (United States)

    Fay, R.; Bland, J.

    2014-06-01

    A key aspect of ensuring optimum cluster reliability and productivity lies in keeping worker nodes in a healthy state. Testnodes is a lightweight node testing solution developed at Liverpool. While Nagios has been used locally for general monitoring of hosts and services, Testnodes is optimised to answer one question: is there any reason this node should not be accepting jobs? This tight focus enables Testnodes to inspect nodes frequently with minimal impact and provide a comprehensive and easily extended check with each inspection. On the server side, Testnodes, implemented in python, interoperates with the Torque batch server to control the nodes production status. Testnodes remotely and in parallel executes client-side test scripts and processes the return codes and output, adjusting the node's online/offline status accordingly to preserve the integrity of the overall batch system. Testnodes reports via log, email and Nagios, allowing a quick overview of node status to be reviewed and specific node issues to be identified and resolved quickly. This presentation will cover testnodes design and implementation, together with the results of its use in production at Liverpool, and future development plans.

  5. Environmental Exposure to Manganese in Air: Associations ...

    Science.gov (United States)

    BACKGROUND: Manganese (Mn) inhalation has been associated with neuropsychological and neurological sequelae in exposed workers. Few environmental epidemiologic studies have examined the potentialy neurotoxic effects of Mn exposure in ambient air on motor function and hand tremor in adult community residents. Mn exposed residents were recruited in two Ohio towns: Marietta, a town near a ferro-manganese smelter, and East Liverpool, a town adjacent to a facility processing, crushing, screening, and packaging Mn products.METHODS: Chronic (≥10years) exposure to ambient air Mn in adult residents and effects on neuropsychological and neurological outcomes were investigated. Participants from Marietta (n=100) and East Liverpool (n=86) were combined for analyses. AERMOD dispersion modeling of fixed-site outdoor air monitoring data estimated Mn inhalation over a ten year period. Adult Mn­ exposed residents' psychomotor ability was assessed using Finger Tapping, Hand Dynamometer, Grooved Pegbcard, and the Computerized Adaptive Testing System (CATSYS) Tremor system.Bayesian structural equation modeling was used to assess associations between air-Mn and motor function and tremor .RESULTS: Air-Mn exposure was significantly correlated in bivariate analyses with the tremor test (CATSYS) for intensity, center frequency and harmonic index. The Bayesian path analysis model showed associations of air-Mn with the CATSYS non-dominant center frequency and harmonic ind

  6. The role of anticipation in drug addiction and reward

    Directory of Open Access Journals (Sweden)

    Jędras P

    2013-12-01

    Full Text Available Paweł Jędras, Andrew Jones, Matt FieldDepartment of Psychological Sciences, University of Liverpool, Liverpool, UKAbstract: Addiction is a chronically relapsing disorder, and substance users frequently relapse when they encounter opportunities to use drugs. In this paper, we review evidence regarding the psychological response to anticipation of imminent drug availability, its neural substrates, and its relationship to other phenomena implicated in addiction. Naturalistic and laboratory studies indicate that drug anticipation increases cue-provoked craving and attentional biases for drug-related cues. As predicted by existing theoretical models, these effects reflect hyper-valuation of drugs that are perceived as available for consumption, which is linked to activation of the dorsolateral prefrontal cortex that, in turn, innervates subcortical regions associated with reward processing. Drug expectancy is necessary for the formation of conditioned responses to drug-related cues and it modulates the strength of conditioned responses. Furthermore, the role of impulsivity in addiction can be understood in terms of its interaction with the response to imminent drug availability. These results have a number of implications for the treatment of addiction, ranging from government policies that restrict the perceived availability of drugs to novel biological and psychological interventions that could blunt the response to signals of drug availability.Keywords: attentional bias, availability, conditioning, cue-reactivity, expectancy, substance use disorders

  7. Evaluation of three serological tests manufactured in Belarus for the diagnosis of syphilis.

    Science.gov (United States)

    Shimanskaya, Iryna; Zhurauskaya, Larisa; Pankratov, Oleg; Unemo, Magnus; Ballard, Ronald C; Domeika, Marius

    2011-05-01

    The performance of three serological tests manufactured in Belarus for the diagnosis of syphilis, i.e. a microprecipitation reaction (MPR) and two enzyme-linked immunosorbent assays (ELISAs) were compared with internationally recognized assays, namely the rapid plasma reagin test and the Treponema pallidum passive particle agglutination assay (TPPA). Sera from 392 consecutive patients attending Brest (Belarus) regional dermatovenereological dispensaries were tested. The sensitivity of the MPR test was low (77.3%) compared with the rapid plasma reagin test, while the specificity was high (100%). In contrast, both Belarusian ELISAs performed well when compared with the TPPA (sensitivities of 99.2% and 100%, specificities of 98.7% and 99.0%, respectively). There is a clear need to improve the sensitivity of the existing Belarusian MPR test or to use a more sensitive screening test in order to improve diagnosis of the disease in Belarus.

  8. Low-intensity laser irradiation use for oral and lip precancer treatment

    Science.gov (United States)

    Kunin, Anatoly A.; Podolskaya, Elana E.; Stepanov, Nicolay N.; Petrov, Anatoly; Erina, Stanislava V.; Pankova, Svetlana N.

    1996-09-01

    Precancer and background diseases of the oral mucosa and lips, such as lichen planus, chronic ulcers and fissures, meteorological heilit, lupus erythematosus, after radiation heilit were treated by low-intensity laser irradiation. Laser therapy of the over-mentioned diseases was combined with medicinal treatment. All the patients were selected and treated in the limits of dispensary system. THe choice of diagnostic methods were made according to each concrete nosological form. A great attention was paid to the goal- directly sanitation of the oral cavity and treatment of attended internal diseases. The etiological factors were revealed and statistically analyzed. The results received during our researches demonstrated high effectiveness of laser irradiation combined with medicinal therapy in the treatment of oral mucosa and lips precancer diseases.

  9. Social and Health Care Access for the Physically Disabled in 19th Century French-Speaking Switzerland : A Double Process of Exclusion and Integration

    Directory of Open Access Journals (Sweden)

    Kaba, Mariama

    2007-07-01

    Full Text Available During the 19th century, an unprecedented process of medicalisation and institutionalisation took place in Europe. The parallel development of urbanised and industrialised areas furthered the densification of a network of care institutions such as infirmaries and dispensaries, whilst medical tourism was developed among the upper classes stimulating the founding of new private clinics. A more institutional kind of care structure for people suffering from a disability also emerged. This medical and/or social care structure was part of a process of integration or exclusion, according to whether the disabled person’s state of health was likely to improve or not. This paper will focus on physically disabled persons, who were vaguely referred to as invalids or as “incurable” in 19th century institutional documents. Being mainly interested in French-speaking Switzerland, I will present the access to social and health care in the cantons of Geneva, Vaud and Neuchâtel.

  10. [Doctor Levi B. Salmans, founder of The Good Samaritan sanitarium in Guanajuato].

    Science.gov (United States)

    Olivier-Toledo, Carlos; Viesca-Treviño, Carlos

    2016-01-01

    In this research we focus on the medical evangelist Levi B. Salmans, and The Good Samaritan sanitarium. Doctor Salmans lived in Mexico for about 50 years (1885-1935). During the first part of his stay, he was devoted to found churches and Methodist schools. However, from 1891 he took a turn in his career by founding dispensaries in different towns of Guanajuato to create, in 1899, the private charity association for the sick and infirm The Good Samaritan. His intense, intellectual, and practical work led him to create health journals, to train nurses, and to promote physiotherapies in accordance with the science advances of that time. By itself, this research shows that the history of medicine in Mexico still has long way to go and that Protestant communities, in favor of modernity and scientific knowledge, took a big part in shaping the history of this discipline in Mexico.

  11. The results of the analysis of lichen planus episodes in the Krasnodar region for 2012-2015years and its clinical features

    Directory of Open Access Journals (Sweden)

    Tlish M.M.

    2016-09-01

    Full Text Available Aim: to study the features of lichen planus in the Krasnodar region. Materials and methods. Total 68 clinical cases have been analyzed. The patients were subdivided into age groups in accordance with physiological age gradation. The Classification of lichen planus proposed by the Federal clinical guidelines for the management of patients with lichen planus (Moscow, 2015 was used. The diagnosis in each case was confirmed by histological examination of biopsy specimens of the skin. The data on the prevalence of lichen planus was obtained from the annual reports of the Clinical dermatovenerology dispensary of Krasnodar city from year 2012 to 2015. Results. Women were found to suffer

  12. Hansen's disease in the state of Amazonas: policy and institutional treatment of a disease.

    Science.gov (United States)

    Schweickardt, Julio Cesar; Xerez, Luena Matheus de

    2015-12-01

    This article discusses the historical aspects of the policies for controlling Hansen's disease in the state of Amazonas from the second half of the nineteenth century until the dismantling of this model in 1978. We present the historical changes in the local institutions and policies, and their relationship with national policies. The history and policies related to Hansen's disease in the state of Amazonas are analyzed through the following institutions: Umirisal, the Oswaldo Cruz Dispensary, the Paricatuba Leprosarium, the Antônio Aleixo Colony, and the Gustavo Capanema Preventorium. We seek to show that these institutions cared for the people who suffered from Hansen's disease and those related to them, and were also responsible for carrying out the policies for fighting and controlling the disease.

  13. Florence Nightingale in absentia: nursing and the 1893 Columbian Exposition.

    Science.gov (United States)

    Selanders, Louise C; Crane, Patrick

    2010-12-01

    In 1893, Chicago hosted the Columbian Exposition. This event showcased America's social, cultural, and scientific advances and its growing cultural parity with Western Europe. This was the first major exposition in which women played a prominent role. Integral to the fair was a series of Congresses that provided an international platform for discussion of social issues. The Congress on Hospitals, Dispensaries, and Nursing, a section of the International Congress of Charities, Correction, and Philanthropy, particularly focused on health care issues. Nursing leaders from Europe and North America participated. Although Florence Nightingale provided a major paper that was read at the Congress, she was unable to attend the event. The intent of this article is to examine the issues and themes debated at the 1893 Congress and identify how the influence of Nightingale effected these discussions and the development of Western nursing for the next half-century.

  14. Risky health seeking practice among pregnant women in rural Congo

    DEFF Research Database (Denmark)

    Hørby, Laila

    2007-01-01

    delays, Culture, Field and Capital, Democratic Republic Congo (DRC). Title: Risky health seeking practice, among pregnant women in rural Congo (DRC). Background Statement: Worldwide more than half a million women still die each year of pregnancy and childbirth related reasons. Most of these women live...... about 60 % of the women have a professional help at birth, and even fewer delivers in a health centre, which is far from the Unicef and WHO goal trying to combat high Maternal Mortality Rate (MMR). In the southern and rural part of DRC, is a small well equipped and well staffed dispensary and maternity...... professional assistance for normal pregnancy and delivery; delay in reaching an adequate medical facility, which includes accessibility, availability and cost of transportation and conditions of roads; and delays in obtaining the care needed to manage the situation. Following that I have analysed...

  15. ["Big data"--the progress of hygiene science and practice: evaluation of child and adolescent health in Russian regions].

    Science.gov (United States)

    Gudinova, Zh V; Zhernakova, G N; Gegechkori, I V; Tol'kova, E N; Vas'kovskaia, Iu S

    2014-01-01

    Theee has been analyzed information of Federal statistics agency for the period from 2007 to 2011 about the distribution of children in health groups, child morbidity and disability in view of all Russian regions. Indices are juxtaposed together in the course of the use of an author's technique "percentile-profile" that gives an evident imagination of the place of the each region according to the each index in the general assembly of Russian regions, about the quality of information on both children's health, and dispensary work and availability of the medico-social care for children (in determination of disability). In the course of the cluster analysis there were selected leading tendencies in the sphere of children's health on Russian territory.

  16. Prevalence of dengue and chikungunya virus infections in north-eastern Tanzania

    DEFF Research Database (Denmark)

    Kajeguka, Debora C; Kaaya, Robert D; Mwakalinga, Steven

    2016-01-01

    BACKGROUND: In spite of increasing reports of dengue and chikungunya activity in Tanzania, limited research has been done to document the general epidemiology of dengue and chikungunya in the country. This study aimed at determining the sero-prevalence and prevalence of acute infections of dengue......-like symptoms at health facilities at Bondo dispensary (Bondo, Tanga), Hai hospital (Hai, Kilimanjaro) and TPC hospital (Lower Moshi). Participants who were malaria negative using rapid diagnostic tests (mRDT) were screened for sero-positivity towards dengue and chikungunya Immunoglobulin G and M (IgG and Ig......M) using ELISA-based kits. Participants with specific symptoms defined as probable dengue and/or chikungunya by WHO (fever and various combinations of symptoms such as headache, rash, nausea/vomit, and joint pain) were further screened for acute dengue and chikungunya infections by PCR. RESULTS: Out...

  17. Sustainable Foods and Medicines Support Vitality, Sex and Longevity for a 100-Year Starship Expedition

    Science.gov (United States)

    Edwards, M. R.

    Extended space flight requires foods and medicines that sustain crew health and vitality. The health and therapeutic needs for the entire crew and their children for a 100-year space flight must be sustainable. The starship cannot depend on resupply or carry a large cargo of pharmaceuticals. Everything in the starship must be completely recyclable and reconstructable, including food, feed, textiles, building materials, pharmaceuticals, vaccines, and medicines. Smart microfarms will produce functional foods with superior nutrition and sensory attributes. These foods provide high-quality protein and nutralence (nutrient density), that avoids obesity, diabetes, and other Western diseases. The combination of functional foods, lifestyle actions, and medicines will support crew immunity, energy, vitality, sustained strong health, and longevity. Smart microfarms enable the production of fresh medicines in hours or days, eliminating the need for a large dispensary, which eliminates concern over drug shelf life. Smart microfarms are adaptable to the extreme growing area, resource, and environmental constraints associated with an extended starship expedition.

  18. The existence of Dracunculus medinensis (Linnaeus, 1758) in Turkana, Kenya.

    Science.gov (United States)

    Macpherson, C N

    1981-01-01

    Dracontiasis has been previously reported in southern Sudan, northern Uganda and north-west Eritrea but this is the first report of autochthonous cases in Turkana, Kenya. Five Turkana tribesmen, three females from the same family, one young boy and an adult male were being treated for guinea-worm at the dispensary in Lokichogio, northern Turkana District. The three women had recently returned from southern Sudan, where the disease is endemic, but the two male tribesmen had only lived in and around the Lokichogio region. The methods used in obtaining water from water-holes dug in dry river beds provide an ideal situation for Dracunculus transmission amongst the tribesmen; this parasite may therefore become a problem in this remote impoverished area.

  19. Jefatura provincial de Sanidad La Coruña – España

    Directory of Open Access Journals (Sweden)

    Botella, A.

    1976-07-01

    Full Text Available This complex with offices, dispensaries and housings, among other services, is a successfully planned and carried out project in that it links the various premises according to their respective use by means of the differentiated and independent connecting corridors they require. The article gives a schematic description of the function, distribution, materials and construction of the building.Este complejo edificado, que alberga oficinas, dispensarios y viviendas, entre otros servicios, se ha resuelto acertadamente conjugando los diversos locales y sus usos respectivos, con las circulaciones diferenciadas e independientes que requieren. En el artículo se describen esquemáticamente la distribución, funcionamiento, materiales y construcción del edificio.

  20. An Efficacious Sage of Traditional Medicine in Modern Times——interview with Dr.Chi Wai Wong

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Dr.Chi Wai Wong is a licensed Traditional Chinese Medicine (TCM) practitioner in New York who focuses on the healing modalities of acupuncture,herbology,Qi Gong and medical massage (Tui Na).He is a native from Shen Zhen of Guang Dong province in China.He received his Medical Degree in China and became a surgeon where he learned acupuncture anesthesia.When he immigrated to United States,he established his family-run herbal dispensary called Zhong Guo Yao Chai Inc.Since the development of his practices in New York City and Long Island,he has specialized in the research and advancement of utilizing Chinese medicinal modalities for modern clinical application.

  1. Prevalence of dengue and chikungunya virus infections in north-eastern Tanzania

    DEFF Research Database (Denmark)

    Kajeguka, Debora C; Kaaya, Robert D; Mwakalinga, Steven;

    2016-01-01

    BACKGROUND: In spite of increasing reports of dengue and chikungunya activity in Tanzania, limited research has been done to document the general epidemiology of dengue and chikungunya in the country. This study aimed at determining the sero-prevalence and prevalence of acute infections of dengue......-like symptoms at health facilities at Bondo dispensary (Bondo, Tanga), Hai hospital (Hai, Kilimanjaro) and TPC hospital (Lower Moshi). Participants who were malaria negative using rapid diagnostic tests (mRDT) were screened for sero-positivity towards dengue and chikungunya Immunoglobulin G and M (IgG and Ig......M) using ELISA-based kits. Participants with specific symptoms defined as probable dengue and/or chikungunya by WHO (fever and various combinations of symptoms such as headache, rash, nausea/vomit, and joint pain) were further screened for acute dengue and chikungunya infections by PCR. RESULTS: Out...

  2. Empowering the community to manage diabetes better: An integrated partnership-based model

    Directory of Open Access Journals (Sweden)

    Arun Bamne

    2016-01-01

    Full Text Available Context : Rising number of diabetes cases in India calls for collaboration between the public and private sectors. Aims: Municipal Corporation of Greater Mumbai (MCGM partnered with Eli Lilly and Company (India [Eli Lilly] to strengthen the capacity of their diabetes clinics. Materials and Methods : Medical Officers, dispensaries and Assistant Medical Officers (AMOs located at attached health posts were trained on an educational tool, Diabetes Conversation Map™ (DCM by a Master Trainer. This tool was then used to educate patients and caregivers visiting the MCGM diabetes clinics. Results : Twenty-eight centers conducted 168 sessions, and 1616 beneficiaries availed the education over six months. General feedback from health providers was that DCM helps clear misconceptions among patients and caregivers in an interactive way and also improves compliance of patients. Conclusions : This communication highlights a unique public-private partnership where the sincere efforts of public sector organization (MCGM were complemented by the educational expertise lent by a private firm.

  3. BACTERIAL LYSATES FOR TOPICAL APPLICATION IN PREVENTION AND TREATMENT OF CHRONIC TONSILLITIS AMONG CHILDREN

    Directory of Open Access Journals (Sweden)

    T.I. Garashchenko

    2006-01-01

    Full Text Available The authors have carried on the research of the influence Imudon exerts (during topical application on the run of chronic tonsillitis among 48 children aged between 5 and 10 years old, being dispensary registrants. The sublingual application of a medicine 6 pills daily within 20 days demonstrated the frequency reduction of chronic tonsillitis acerbations by 2.9 times, as well as the reduction of total need in systemic antibacterial treatment by 10 times. Apart from that, the frequency of S. pyogenes group a exposure reduced by 3 times. The researchers noticed the tendency to normalization of pharynx biocenosis. Thus, Imudon may be recommended for the daily courses of treatment to the people, suffering from chronic tonsillitis, palatine tonsil auxesis and recurrent tonsillo-pharyngites.Key words: chronic tonsillitis, children, prevention, bacterial lysates.

  4. The epidimiological aspects of the control for cronic drug-resistant tuberculosis patients

    Directory of Open Access Journals (Sweden)

    A. L. Khanin

    2012-01-01

    Full Text Available The results of the dispensary control for 188 patients with drug-resistant tuberculosis having been analysed during 3—5 years; those patients hadn’t received the adequate chemical therapy: 50% — died because of growing more serious tuberculosis in the first 2 years of the control, 33% — the process became cronic, 7,4% — self-recovered, 9,6% — left for other places or for the prison hospitals. Some patients are known to infect with drug-resistant strains MBT nearly 1 500 people every year, thus keeping the circulation among town population DR/MBT as well as the high level of drug-resistant tuberculosis cases.

  5. Pharma Pricing & Market Access Europe 2016--Health Network Communications' Tenth Annual Conference (February 23-25, 2016--London, UK).

    Science.gov (United States)

    D'Souza, P

    2016-03-01

    Tighter national budgets and escalating drug prices continue to present challenges for pharmaceutical market access strategies and societal cost of care. As pharmaceutical companies and medical governmental advisory organizations enter tougher negotiations, hospital trusts and other dispensary firms face barriers to receiving the best medical treatment, and as a result patient access is limited. The 2016 HealthNetwork Communications' Pharma Pricing & Market Access Europe meeting brought together pharmaceutical, medical governmental advisory and stakeholders and market access/pricing consultants, to encourage discussions and negotiations into how to improve the drug pricing system and consequential market access strategies while achieving the respective reimbursement and affordability objectives. Copyright 2016 Prous Science, S.A.U. or its licensors. All rights reserved.

  6. The influence of power on HIV risk among pregnant women in rural Haiti.

    Science.gov (United States)

    Kershaw, Trace S; Small, Maria; Joseph, Gabriel; Theodore, Melanie; Bateau, Reginald; Frederic, Rikerdy

    2006-05-01

    Given that condom use is not directly under a woman's control, the sexual division of power may play an important role in sexual behavior among pregnant women. We assessed the influence of factors related to the theory of gender and power (e.g., relationship power, abuse history, and sexual communication) on sexual behavior (e.g., two or more partners in the year prior to pregnancy, condom use, condom-use intentions, and STI diagnosis) among 196 pregnant women recruited from five community dispensaries in rural Haiti. Results showed that gender and power factors significantly related to sexual behavior. Gender and power factors were most significant for condom use and intention to use condoms, accounting for 18 and 25% of the variance above and beyond HIV knowledge and demographic covariates, respectively. These results suggest the need to create prevention interventions that restore power imbalances, provide support for women suffering abuse, and strengthen communication skills.

  7. [Status of bacteriological services in tuberculosis institutions of the RSFSR and prospects of their improvement].

    Science.gov (United States)

    Dolzhanskiĭ, V M

    1989-01-01

    Organization of the work of bacteriological laboratories in tuberculosis institutions of the RSFSR is discussed in regard to the aspects of their lawful status, functions and activity results. It was shown with extensive materials (from more than 30 administrative territories) that systemic bacteriological examination of the groups of high tuberculosis risk markedly lowered the number of the sources of tubercle bacilli isolation not registered in tuberculosis dispensaries. Patients with urogenital pathology were found to be frequent sources of tubercle bacilli isolation. It was recommended to decrease the number of assays for drug resistance of the isolates, to perform them only by clinical indications and to change the investigation procedure by testing mainly the resistance of tubercle bacilli.

  8. Differential diagnosis of breast tumors on the basis of radiothermometric findings

    Directory of Open Access Journals (Sweden)

    V. I. Vidyukov

    2016-01-01

    Full Text Available The paper presents a method for the differential diagnosis of breast tumors in accordance with radiothermometric findings, which is based on the authors’ developed diagnostic technique (Patent No. 2532372 dated 5 September 2014. The radiometric method was used to examine 119 patients with malignant breast tumors, 53 patients with benign breast tumors, and 60 women without breast involvement. The data were obtained in 3 institutions: the Russian Medical Academy of Postgraduate Education, the N.N. Blokhin Russian Cancer Research Center, and Moscow Oncology Dispensary Five. A microwave radiothermometer was used to measure core and skin temperatures in 9 symmetrical points of each breast. Using the findings as a basis, the authors proposed quantitative criteria that ensured that breast tumors should be differentially diagnosed with high specificity.

  9. [The Charity (La Caridad) Hospital in Coruna. Foundlings and secret deliveries].

    Science.gov (United States)

    González Guitián, C; Méndez Pazos, M C; Pichel Guerrero, M J; Prieto Díaz, A; García Sánchez, M

    2000-06-01

    The ideas of the Age of Enlightenment brought about an important advance in the attitudes regarding education and the importance that children have in society. This made it possible to start opening dispensaries, to paying more attention to child care, to contemplating special measures in the care for foundlings and for those mothers who were not able to give birth to their children inside a family structure. This article analyzes the cases of foundlings in La Coruña during the 18th and 19th centuries bearing in mind the care provided by the Charity Hospital in La Coruña and in the Maternity Center in Lugo. A summary of this article was presented as a open communication at the 16th National Congress of Nursing for Neonatal and Pediatrics Intensive Care.

  10. Virtual screening - what does it give us?

    Science.gov (United States)

    Köppen, Herbert

    2009-05-01

    In current pharmaceutical research, lead compounds of high quality and structural diversity are key to the successful optimization of development candidates. In-house compound libraries at pharmaceutical companies, tested using HTS assays, are the major source of leads for new projects. However, these physically existing compounds, stored in microtiter plates in dispensaries, represent only a tiny fraction of the drug-like chemical space. Virtual screening offers many possibilities for new structures beyond those found in in-house libraries. During the last decade, a huge number of different virtual screening methods have been reported and used to search for novel bioactive compounds for many targets. This review addresses the current status of virtual screening, highlighting achievements as well as challenges, along with the value of virtual screening, and recent examples of successful applications.

  11. IMMEDIATE RESULTS OF CONFORMIC HDR BRACHYTHERAPY USING THE MULTISOURCE APPARATUS FOR ORAL MUCOSAL TUMORS

    Directory of Open Access Journals (Sweden)

    A. A. Lozhkov

    2012-01-01

    Full Text Available In February to August 2011, the Chelyabinsk District Clinical Oncology Dispensary performed combined radiotherapy using conformic HDR brachytherapy (BT with daily dose fractionaton on a Multisource apparatus in 10 patients with squamous cell carcinoma of the oral mucosa. An algorithm for planning conformic BT was developed, by combining the data of multislice spiral computed tomography and magnetic resonance imaging, by using the inverse procedures for dose calculation, and by choosing the parameters of plan assessment. No complications or severe toxic reactions were noted. The immediate results of the treatment were studied. A complete effect was obtained in 4 patients with Stages I−II. There was process stabilization in 2 patients and continued tumor growth in 1 case. Recurrent tumor was diagnosed in 2 cases following 3 and 9 months. The enhanced efficiency of BT was associated with the increased accuracy of tumor imaging.

  12. THE STRUCTURE OF THE VIRAL TRIGGERS OF FEBRILE SEIZURES IN CHILDREN OF EARLY AGE

    Directory of Open Access Journals (Sweden)

    M. A. Stroganova

    2016-01-01

    Full Text Available The study presents the results of clinical and laboratory observations 121 children aged 3 to 36 months with the diagnosis «ARVI with convulsive syndrome».  The prevalence of patients with burdened hereditary anamnesis for the development of febrile seizures (FS (31.4 ± 4.2%. During the laboratory examination along with the respiratory viruses group noted the high herpes virus infection (51.2%, particularly human herpes virus 6 type (of 38.7%. The extension of the spectrum of the diagnostic examination of children  with FS will establish  the role of infectious triggers in the occurrence of FS and thereby define rational tactics and dispensary observation of this group of patients.

  13. ‘Playing Deaf’: Jewish Women at the Medical Missions of East London, 1880–1920s

    Directory of Open Access Journals (Sweden)

    Ellen Ross

    2011-09-01

    Full Text Available Organizations whose fundamentalist eschatology inspired them to attempt to convert Jews to Christianity had existed from early in the nineteenth century, but with the intensification of Jewish emigration to Britain in the 1880s dozens opened stations in East London. Historians today correctly continue to stress the insult and annoyance the missionaries represented to the struggling Jewish immigrants. This essay focuses on the specialized medical missions - at least a dozen, at times more - attached to the major East London missionary organizations, and designed to exchange good health care (for free for a hearing of the ‘Gospel truth’. These have received less attention from historians than have the general missions, though they proved extremely popular with poor Jews, so much so that many urged the Jewish Board of Guardians to provide rival dispensaries. This study thus places the medical missions within the extensive health care systems of the district. ‘Playing Deaf’ also seeks to position the medical missions within Jewish immigrant social and family life. Mission dispensaries were among the several Christian spaces that Jewish women would have to negotiate as they tried to organize work and family life in a state with an established Protestant church, so women’s behaviour in mission spaces may exemplify other kinds of interactions with the Christian world. Jewish mothers used the missions’ free doctors and nurses to stretch their household budgets, so the majority of patients were women and children - yet women as a group were less susceptible to conversionist rhetoric than men, especially single men. A major primary source for this study is the missionary press, with its extensive coverage of the largest of the medical missions, the Mildmay Medical Mission to the Jews. Mildmay’s reports depict encounters inside the medical missions and provide insight into the subjective lives of the mission doctors, whose efforts to

  14. Investigation using an advanced extremity gamma instrumentation system of options for shielding the hand during the preparation and injection of radiopharmaceuticals.

    Science.gov (United States)

    Whitby, M; Martin, C J

    2003-03-01

    Staff preparing and injecting radiopharmaceuticals in hospitals may receive significant radiation doses to their hands. These doses may be high enough to warrant that they be classified as radiation workers. The influence of local shielding on finger doses has been investigated. Staff preparing radioactive liquids in a radionuclide dispensary and drawing up and injecting radiopharmaceuticals in a nuclear medicine department have been studied. Measurements have been recorded with an electronic extremity dose monitor, an advanced extremity gamma instrumentation system (AEGIS), worn near to the finger tip. The electronic dosimeter allows the pattern of doses received during different procedures to be determined. Doses received for individual manipulations during many routine sessions have been recorded for different staff members. Dose distributions around shielded vials and syringes have also been measured using AEGIS. In the radionuclide dispensary the vials from which radioactive liquids are dispensed are held in tungsten shields, whereas in nuclear medicine simple lead pots are used. Syringe shields are employed for some parts of dispensing and patient injections. Data on dose distributions have been used in interpretation of results from monitoring. Use of syringe shields during dispensing reduced the finger dose by 75-85%. The peaks in dose rate were 60% lower, and periods of exposure to high dose rates were reduced in length by a third because of the restriction in the region of high dose rate. The extremity doses to staff dispensing and injecting radiopharmaceuticals in nuclear medicine were of similar magnitude. Doses received during dispensing varied from 10 to 555 microGy depending upon whether the vial containing the radiopharmaceutical was directly handled or not. Dose received from individual injections varied from 1 to 150 microGy depending on the degree of difficulty experienced during the injection.

  15. [The "pharmaceutical chain", important asset of health safety in France. Synthesis of the session].

    Science.gov (United States)

    Santini, C

    2008-01-01

    The National Academy of Pharmacy underlines the importance of health safety guarantees, provided by the "pharmaceutical chain" that bring the medicine until his user (from manufacturers to dispensing pharmacists), chain of which the security of each link is controlled and guaranteed by pharmacists. The first of the safety rules lies in the very fast availability of the medicine for the patients, in every respect of the national territory, due to an efficient system of pharmaceutical distribution and to a tightened network of pharmaceutical dispensaries (that constitutes a network of expertises especially to the service of patients and public health). All along the chain, also exists a same concern to guarantee and to preserve the pharmaceutical quality of the medicines. An essential element of the health safety is the right usage of the medicine, to which contribute: information associated with the marketing of the medicine, the very important role of the dispensing pharmacist as such sanitary adviser and therapeutic education teacher, the intervention of the hospital dispensary in clinical pharmacy, the "Pharmaceutical File" under setting up, pharmacovigilance, traceability of medicines ... Pharmacists, responsible at the level of the different steps of the chain, get appropriate skills, carry out themselves their duties and are responsible in front of the National Board of Pharmacists, and their common professional knowledge reinforces the cohesion and the robustness of the chain. Facing the serious issue of counterfeiting of medicines, the pharmaceutical chain constitutes an important line of defence against the entry of counterfeited drugs into commercial channels. The academy of Pharmacy warns against all evolution that would consist to break, even partially, of the mandatory and continuous pharmaceutical control.

  16. Health facility committees and facility management - exploring the nature and depth of their roles in Coast Province, Kenya.

    Science.gov (United States)

    Goodman, Catherine; Opwora, Antony; Kabare, Margaret; Molyneux, Sassy

    2011-09-22

    Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural health facilities in Kenya, initiatives to increase community accountability have focused on Health Facility Committees (HFCs). In Coast Province the role of HFCs has been expanded with the introduction of direct funding of rural facilities. We explored the nature and depth of managerial engagement of HFCs at the facility level in two rural districts in this Coastal setting, and how this has contributed to community accountability We conducted structured interviews with the health worker in-charge and with patients in 30 health centres and dispensaries. These data were supplemented with in-depth interviews with district managers, and with health workers and HFC members in 12 health centres and dispensaries. In-depth interviews with health workers and HFC members included a participatory exercise to stimulate discussion of the nature and depth of their roles in facility management. HFCs were generally functioning well and played an important role in facility operations. The breadth and depth of engagement had reportedly increased after the introduction of direct funding of health facilities which allowed HFCs to manage their own budgets. Although relations with facility staff were generally good, some mistrust was expressed between HFC members and health workers, and between HFC members and the broader community, partially reflecting a lack of clarity in HFC roles. Moreover, over half of exit interviewees were not aware of the HFC's existence. Women and less well-educated respondents were particularly unlikely to know about the HFC. There is potential for HFCs to play an active and important role in health facility management, particularly where they have control over some facility level resources. However, to optimise their contribution, efforts are needed to

  17. Health facility committees and facility management - exploring the nature and depth of their roles in Coast Province, Kenya

    Directory of Open Access Journals (Sweden)

    Kabare Margaret

    2011-09-01

    Full Text Available Abstract Background Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural health facilities in Kenya, initiatives to increase community accountability have focused on Health Facility Committees (HFCs. In Coast Province the role of HFCs has been expanded with the introduction of direct funding of rural facilities. We explored the nature and depth of managerial engagement of HFCs at the facility level in two rural districts in this Coastal setting, and how this has contributed to community accountability Methods We conducted structured interviews with the health worker in-charge and with patients in 30 health centres and dispensaries. These data were supplemented with in-depth interviews with district managers, and with health workers and HFC members in 12 health centres and dispensaries. In-depth interviews with health workers and HFC members included a participatory exercise to stimulate discussion of the nature and depth of their roles in facility management. Results HFCs were generally functioning well and played an important role in facility operations. The breadth and depth of engagement had reportedly increased after the introduction of direct funding of health facilities which allowed HFCs to manage their own budgets. Although relations with facility staff were generally good, some mistrust was expressed between HFC members and health workers, and between HFC members and the broader community, partially reflecting a lack of clarity in HFC roles. Moreover, over half of exit interviewees were not aware of the HFC's existence. Women and less well-educated respondents were particularly unlikely to know about the HFC. Conclusions There is potential for HFCs to play an active and important role in health facility management, particularly where they have control over some facility level resources

  18. Investigation using an advanced extremity gamma instrumentation system of options for shielding the hand during the preparation and injection of radiopharmaceuticals

    Energy Technology Data Exchange (ETDEWEB)

    Whitby, M; Martin, C J [Health Physics, Department of Clinical Physics and Bio-Engineering, Western Infirmary, Glasgow G11 6NY (United Kingdom)

    2003-03-01

    Staff preparing and injecting radiopharmaceuticals in hospitals may receive significant radiation doses to their hands. These doses may be high enough to warrant that they be classified as radiation workers. The influence of local shielding on finger doses has been investigated. Staff preparing radioactive liquids in a radionuclide dispensary and drawing up and injecting radiopharmaceuticals in a nuclear medicine department have been studied. Measurements have been recorded with an electronic extremity dose monitor, an advanced extremity gamma instrumentation system (AEGIS), worn near to the finger tip. The electronic dosimeter allows the pattern of doses received during different procedures to be determined. Doses received for individual manipulations during many routine sessions have been recorded for different staff members. Dose distributions around shielded vials and syringes have also been measured using AEGIS. In the radionuclide dispensary the vials from which radioactive liquids are dispensed are held in tungsten shields, whereas in nuclear medicine simple lead pots are used. Syringe shields are employed for some parts of dispensing and patient injections. Data on dose distributions have been used in interpretation of results from monitoring. Use of syringe shields during dispensing reduced the finger dose by 75-85%. The peaks in dose rate were 60% lower, and periods of exposure to high dose rates were reduced in length by a third because of the restriction in the region of high dose rate. The extremity doses to staff dispensing and injecting radiopharmaceuticals in nuclear medicine were of similar magnitude. Doses received during dispensing varied from 10 to 555 {mu}Gy depending upon whether the vial containing the radiopharmaceutical was directly handled or not. Dose received from individual injections varied from 1 to 150 {mu}Gy depending on the degree of difficulty experienced during the injection.

  19. U.S. cannabis legalization and use of vaping and edible products among youth.

    Science.gov (United States)

    Borodovsky, Jacob T; Lee, Dustin C; Crosier, Benjamin S; Gabrielli, Joy L; Sargent, James D; Budney, Alan J

    2017-08-01

    Alternative methods for consuming cannabis (e.g., vaping and edibles) have become more popular in the wake of U.S. cannabis legalization. Specific provisions of legal cannabis laws (LCL) (e.g., dispensary regulations) may impact the likelihood that youth will use alternative methods and the age at which they first try the method - potentially magnifying or mitigating the developmental harms of cannabis use. This study examined associations between LCL provisions and how youth consume cannabis. An online cannabis use survey was distributed using Facebook advertising, and data were collected from 2630 cannabis-using youth (ages 14-18). U.S. states were coded for LCL status and various LCL provisions. Regression analyses tested associations among lifetime use and age of onset of cannabis vaping and edibles and LCL provisions. Longer LCL duration (ORvaping: 2.82, 95% CI: 2.24, 3.55; ORedibles: 3.82, 95% CI: 2.96, 4.94), and higher dispensary density (ORvaping: 2.68, 95% CI: 2.12, 3.38; ORedibles: 3.31, 95% CI: 2.56, 4.26), were related to higher likelihood of trying vaping and edibles. Permitting home cultivation was related to higher likelihood (OR: 1.93, 95% CI: 1.50, 2.48) and younger age of onset (β: -0.30, 95% CI: -0.45, -0.15) of edibles. Specific provisions of LCL appear to impact the likelihood, and age at which, youth use alternative methods to consume cannabis. These methods may carry differential risks for initiation and escalation of cannabis use. Understanding associations between LCL provisions and methods of administration can inform the design of effective cannabis regulatory strategies. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. [Conservative therapy and surgical treatment of chronic tonsillitis in the children].

    Science.gov (United States)

    Kriukov, A I; Ivoĭlov, A Iu; Turovskiĭ, A B; Khamzalieva, R B; Tovmasian, A S

    2013-01-01

    The objective of the present study was to undertake the statistical analysis of the methods employed to treat tonsillitis in the children with a view to optimizing adequate dispensary observation, planned conservative therapy and surgical treatment of the patients presenting with chronic tonsillitis. The analysis of the excerpts from the annual reports presented by the head of the otorhinolaryngological department of the Children's City Clinical Hospital No 9 involved the patients admitted for the pre-planned and urgent treatment of paratonsillar abscess between 1990 and 2010. It was shown that the number of children with paratonsillar abscess increased during this period from 5.8 to 12.0%. At the same time, the number of such patients undergoing surgery for the treatment of toxico-allergic forms (TAF-I and TAF-II) decreased from 26.7 to 8.7-11.6% of their total number admitted to the department for the treatment of pharyngeal pathology. These diseases developed in the children frequently ill with chronic tonsillitis after its recurrent exacerbations. Importantly, all these children were registered in the dispensaries of district out-patient clinics at the places of residence and repeatedly underwent courses of conservative therapy of chronic tonsillitis that either resulted in the temporary improvement of their health conditions or produced no effect whatever. Nevertheless, no district otorhinolaryngologist recommended tonsillectomy to a child with chronic tonsillitis. It is concluded that adequate regular medical check-ups in combination with the planned courses of conservative treatment and hospitalization of the patients in due time for the surgical treatment (tonsillectomy) permit to reduce the frequency of complications of such an insidious disease as chronic tonsillitis.

  1. [Aspects of the pathology of the Dogon of Sangha].

    Science.gov (United States)

    Bellis, G; Yalkue, Y

    1991-01-01

    Morbidity data from the dispensary of the district of Sangha, Mali, are analyzed. The morbidity data do not precisely mirror the health situation of the district because some villages located 2 or 3 hours away have less recourse to the dispensary. Data were collected for May, when the dry season ends, and September, when significant rainfall occurs. 578 persons were treated in May. The parasite Schistosoma haematobium, which is present in shallow and stagnant water and around onion fields, was the largest single cause of consultation. Schistosoma haematobium causes genital bilharziasis leading to sterility in women, genitourinary infections, and neoplastic bladder disease. A number of women had combined vaginitis-adnexitis causing tubal obstruction, and some also had uterine fibromas. Almost 20% of consultations were concerned with pathologies of the urinary or genital tracts. In all, 47.2% of consultations were for parasitic diseases including 28.4% for bilharziasis; 17.8% for bacterial diseases including 8.1% for gonorrhea, 5.7% for anemia, 5.3% for gastroenterologic problems, 3.1% for ophthalmologic problems, and 20.9% for other or poorly defined causes. The dusty air in the end of the dry season was the cause of colds which sometimes led to bronchopneumopathies. Intestinal parasites accounted for less than 3% of consultations. There were 537 consultations in September 1991. Parasite infections again accounted for 45.7% of consultations, with 15.1% due to malaria. Bacterial diseases accounted for 16.9%, with gonorrhea responsible for 9.2%. 4.3% of consultations were for anemia, 9.8% for gastroenterological problems, 4.5% for ophthalmologic problems, and 18.8% for other or poorly defined causes.

  2. Surveillance of Canine Rabies in the Central African Republic: Impact on Human Health and Molecular Epidemiology.

    Directory of Open Access Journals (Sweden)

    Vianney Tricou

    2016-02-01

    Full Text Available Although rabies represents an important public health threat, it is still a neglected disease in Asia and Africa where it causes tens of thousands of deaths annually despite available human and animal vaccines. In the Central African Republic (CAR, an endemic country for rabies, this disease remains poorly investigated.To evaluate the extent of the threat that rabies poses in the CAR, we analyzed data for 2012 from the National Reference Laboratory for Rabies, where laboratory confirmation was performed by immunofluorescence and PCR for both animal and human suspected cases, and data from the only anti-rabies dispensary of the country and only place where post-exposure prophylaxis (PEP is available. Both are located in Bangui, the capital of the CAR. For positive samples, a portion of the N gene was amplified and sequenced to determine the molecular epidemiology of circulating strains.In 2012, 966 exposed persons visited the anti-rabies dispensary and 632 received a post-exposure rabies vaccination. More than 90% of the exposed persons were from Bangui and its suburbs and almost 60% of them were under 15-years of age. No rabies-related human death was confirmed. Of the 82 samples from suspected rabid dogs tested, 69 were confirmed positive. Most of the rabid dogs were owned although unvaccinated. There was a strong spatiotemporal correlation within Bangui and within the country between reported human exposures and detection of rabid dogs (P<0.001. Phylogenetic analysis indicated that three variants belonging to Africa I and II lineages actively circulated in 2012.These data indicate that canine rabies was endemic in the CAR in 2012 and had a detrimental impact on human health as shown by the hundreds of exposed persons who received PEP. Implementation of effective public health interventions including mass dog vaccination and improvement of the surveillance and the access to PEP are urgently needed in this country.

  3. Corrective action decision document, Second Gas Station, Tonopah test range, Nevada (Corrective Action Unit No. 403)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

    This Corrective Action Decision Document (CADD) for Second Gas Station (Corrective Action Unit [CAU] No. 403) has been developed for the U.S. Department of Energy`s (DOE) Nevada Environmental Restoration Project to meet the requirements of the Federal Facility Agreement and Consent Order (FFACO) of 1996 as stated in Appendix VI, {open_quotes}Corrective Action Strategy{close_quotes} (FFACO, 1996). The Second Gas Station Corrective Action Site (CAS) No. 03-02-004-0360 is the only CAS in CAU No. 403. The Second Gas Station CAS is located within Area 3 of the Tonopah Test Range (TTR), west of the Main Road at the location of former Underground Storage Tanks (USTs) and their associated fuel dispensary stations. The TTR is approximately 225 kilometers (km) (140 miles [mi]) northwest of Las Vegas, Nevada, by air and approximately 56 km (35 mi) southeast of Tonopah, Nevada, by road. The TTR is bordered on the south, east, and west by the Nellis Air Force Range and on the north by sparsely populated public land administered by the Bureau of Land Management and the U.S. Forest Service. The Second Gas Station CAS was formerly known as the Underground Diesel Tank Site, Sandia Environmental Restoration Site Number 118. The gas station was in use from approximately 1965 to 1980. The USTs were originally thought to be located 11 meters (m) (36 feet [ft]) east of the Old Light Duty Shop, Building 0360, and consisted of one gasoline UST (southern tank) and one diesel UST (northern tank) (DOE/NV, 1996a). The two associated fuel dispensary stations were located northeast (diesel) and southeast (gasoline) of Building 0360 (CAU 423). Presently the site is used as a parking lot, Building 0360 is used for mechanical repairs of vehicles.

  4. Situação da rêde pública de assistência médico-sanitária na área metropolitana da Grande São Paulo Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil

    Directory of Open Access Journals (Sweden)

    João Yunes

    1971-12-01

    ção prevista de pessoal. A par dêste quadro carencial, observou-se falta de coordenação entre os podêres públicos responsáveis pelas unidades sanitárias, levando a supercobertura de algumas áreas e o total abandono de outras.The situation of the Public Health Unit Centers care system is analysed by the "Great São Paulo" Metropolitan Area (Brazil which contains 37 cities and 8 million inhabitants. There is a health unit center to every 101.025 inhabitants. There is no homogeneous proportion between the size of the population and the number of the health unit centers since there are regions of the Metropolitan area that have from 22.000 inhabitants (to every health center to 136.142. The number of the Maternal and Child Health centers is 232 with 34400 inhabitants to every unit, and the variation by regions goes from 2444 inhabitants (to every unit to 73500. There is a Tuberculosis Dispensary to every 380048 inhabitants. The Northern region of the Metropolitan Area with 67000 inhabitants does not have any Tuberculoiss Dispensary. The proportion founded to the Leprosy Dispensaries is 570071 inhabitantes to every unit. The Northern and Southwest region with 155000 inhabitants do not have any Leprosy Dispensary. There is no rational criteria to the geographical localization of the Health Unit Centers beside this occurs a poor quantitative and qualitative medical attendance. Among the main goals of the Administrative Reform of the Health State Department, São Paulo, Brazil we distinguished: normative centralization, executive descentralization and, in local level, integration of the health unit center. Only 25.6% of the Health Centers are integrated physically and functionally, 40.0% of the Subsidiary Centers, 42.8% of the Tuberculosis Dispensaries and 42.8% of the Leprosy Dispensaries. According to the new terminology 21 Health Centers were classified as being of type I, 10 of type II, 16 of type III, 26 of type IV and 138 of type V. This classification is concerned to

  5. Situação da rêde pública de assistência médico-sanitária na área metropolitana da Grande São Paulo Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil

    Directory of Open Access Journals (Sweden)

    João Yunes

    2006-02-01

    ção prevista de pessoal. A par dêste quadro carencial, observou-se falta de coordenação entre os podêres públicos responsáveis pelas unidades sanitárias, levando a supercobertura de algumas áreas e o total abandono de outras.The situation of the Public Health Unit Centers care system is analysed by the "Great São Paulo" Metropolitan Area (Brazil which contains 37 cities and 8 million inhabitants. There is a health unit center to every 101.025 inhabitants. There is no homogeneous proportion between the size of the population and the number of the health unit centers since there are regions of the Metropolitan area that have from 22.000 inhabitants (to every health center to 136.142. The number of the Maternal and Child Health centers is 232 with 34400 inhabitants to every unit, and the variation by regions goes from 2444 inhabitants (to every unit to 73500. There is a Tuberculosis Dispensary to every 380048 inhabitants. The Northern region of the Metropolitan Area with 67000 inhabitants does not have any Tuberculosis Dispensary. The proportion founded to the Leprosy Dispensaries is 570071 inhabitants to every unit. The Northern and Southwest region with 155000 inhabitants do not have any Leprosy Dispensary. There is no rational criteria to the geographical localization of the Health Unit Centers beside this occurs a poor quantitative and qualitative medical attendance. Among the main goals of the Administrative Reform of the Health State Department, São Paulo, Brazil we distinguished: normative centralization, executive descentralization and, in local level, integration of the health unit center. Only 25.6% of the Health Centers are integrated physically and functionally, 40.0% of the Subsidiary Centers, 42.8% of the Tuberculosis Dispensaries and 42.8% of the Leprosy Dispensaries. According to the new terminology 21 Health Centers were classified as being of type I, 10 of type II, 16 of type III, 26 of type IV and 138 of type V. This classification is concerned to the

  6. Effects of diet-induced obesity on protein expression in insulin signaling pathways of skeletal muscle in male Wistar rats

    Directory of Open Access Journals (Sweden)

    Fatani S

    2012-07-01

    Full Text Available Sameer Fatani,1 Abdul-Razak Abubakari,2 Imose Itua,2 Christopher Wong,3 Cecil Thomas,3 Ebrahim K Naderali21Obesity Biology Unit, School of Clinical Sciences, University of Liverpool, 2Department of Health Sciences, Liverpool Hope University, Hope Park, 3Aintree University Hospital NHS Foundation Trust, Liverpool, UKBackground: The prevalence of diet-induced obesity is increasing globally, and posing significant health problems for millions of people worldwide. Diet-induced obesity is a major contributor to the global pandemic of type 2 diabetes mellitus. The reduced ability of muscle tissue to regulate glucose homeostasis plays a major role in the development and prognosis of type 2 diabetes. In this study, an animal model of diet-induced obesity was used to elucidate changes in skeletal muscle insulin signaling in obesity-induced diabetes.Methods: Adult male Wistar rats were randomized and assigned to either a control group or to a test group. Controls were fed a standard laboratory pellet diet (chow-fed, while the test group had free access to a highly palatable diet (diet-fed. After 8 weeks, the diet-fed animals were subdivided into three subgroups and their diets were altered as follows: diet-to-chow, diet-fed with addition of fenofibrate given by oral gavage for a further 7 weeks, or diet-fed with vehicle given by oral gavage for a further 7 weeks, respectively.Results: Untreated diet-fed animals had a significantly higher body weight and metabolic profile than the control chow-fed animals. Intramuscular triacylglyceride levels in the untreated obese animals were significantly higher than those in the control chow-fed group. Expression of protein kinase C beta, phosphatidylinositol 3, Shc, insulin receptor substrate 1, ERK1/2, and endothelial nitric oxide synthase was significantly increased by dietary obesity, while that of insulin receptor beta, insulin receptor substrate 1, and protein kinase B (Akt were not affected by obesity

  7. Graduates of different UK medical schools show substantial differences in performance on MRCP(UK Part 1, Part 2 and PACES examinations

    Directory of Open Access Journals (Sweden)

    Mollon Jennifer

    2008-02-01

    Full Text Available Abstract Background The UK General Medical Council has emphasized the lack of evidence on whether graduates from different UK medical schools perform differently in their clinical careers. Here we assess the performance of UK graduates who have taken MRCP(UK Part 1 and Part 2, which are multiple-choice assessments, and PACES, an assessment using real and simulated patients of clinical examination skills and communication skills, and we explore the reasons for the differences between medical schools. Method We perform a retrospective analysis of the performance of 5827 doctors graduating in UK medical schools taking the Part 1, Part 2 or PACES for the first time between 2003/2 and 2005/3, and 22453 candidates taking Part 1 from 1989/1 to 2005/3. Results Graduates of UK medical schools performed differently in the MRCP(UK examination between 2003/2 and 2005/3. Part 1 and 2 performance of Oxford, Cambridge and Newcastle-upon-Tyne graduates was significantly better than average, and the performance of Liverpool, Dundee, Belfast and Aberdeen graduates was significantly worse than average. In the PACES (clinical examination, Oxford graduates performed significantly above average, and Dundee, Liverpool and London graduates significantly below average. About 60% of medical school variance was explained by differences in pre-admission qualifications, although the remaining variance was still significant, with graduates from Leicester, Oxford, Birmingham, Newcastle-upon-Tyne and London overperforming at Part 1, and graduates from Southampton, Dundee, Aberdeen, Liverpool and Belfast underperforming relative to pre-admission qualifications. The ranking of schools at Part 1 in 2003/2 to 2005/3 correlated 0.723, 0.654, 0.618 and 0.493 with performance in 1999–2001, 1996–1998, 1993–1995 and 1989–1992, respectively. Conclusion Candidates from different UK medical schools perform differently in all three parts of the MRCP(UK examination, with the

  8. Vector competence of Aedes aegypti (L.) and Culex quinquefasciatus (Say) for Dirofilaria immitis (Leidy).

    Science.gov (United States)

    Tiawsirisup, Sonthaya; Nithiuthai, Suwannee

    2006-01-01

    This study was performed to examine the vector competence of Aedes aegypti and Culex quinquefasciatus for Dirofilaria immitis. Eleven individual experiments were conducted in this study. Nonthaburi and Udon Thani strains of Ae. aegypti were allowed to feed on infected dogs that had 5,750 and 4,600 microfilariae (mW) per ml of blood, respectively. Three groups of Bangkok-strain Cx. quinquefasciatus were allowed to feed on dogs that had 4,800, 5,200, and 5,850 mf per ml of blood. Six groups of Liverpool-strain Ae. aegypti were allowed to feed on dogs with 1,650, 1,950, 3,350, 9,000, 9,250, and 11,550 mf per ml of blood. Three to 4% of Nonthaburi-strain, and 0-6% of Udon Thani-strain Ae. aegypti became infected and had infective-stage larvae (L3) of D. immitis in their probosces. Zero to 1 and 7% of Bangkok-strain Cx. quinquefasciatus had L3 in their probosces after taking blood meals with 4,800 and 5,850 mf per ml of blood, respectively. The percent-infected Liverpool-strain Ae. aegypti with L3 in their probosces were 3-12, 0-12, 10, 16, 7-19, and 0-21 after taking blood meals with 1,650, 1,950, 3,350, 9,000, 9,250, and 11,550 mf per ml of blood, respectively, when tested at different post-blood-feeding days. This study showed both Ae. aegypti and Cx. quinquefasciatus from Thailand can become vectors for D. immitis; however, Liverpool-strain Ae. aegypti are more likely to be competent vectors for D. immitis than Ae. aegypti and Cx. quinquefasciatus from Thailand. The percent infection rates of Ae. aegypti and Cx. quinquefasciatus with D. immitis in the field in Thailand need to be investigated, to confirm the role of these mosquitoes in the life cycle of D. immitis in nature.

  9. A Luminous Red Nova in M31 and its Progenitor System

    CERN Document Server

    Williams, S C; Bode, M F; Steele, I A

    2015-01-01

    We present observations of M31LRN 2015 (MASTER OT J004207.99+405501.1), discovered in M31 in January 2015, and identified as a rare and enigmatic luminous red nova (LRN). Spectroscopic and photometric observations obtained by the Liverpool Telescope showed the LRN becoming extremely red as it faded from its M(V) = -9.4 +/- 0.2 peak. Early spectra showed strong Halpha emission that weakened over time as a number of absorption features appeared, including Na I D and Ba II. At later times strong TiO absorption bands were also seen. A search of archival Hubble Space Telescope data revealed a luminous red source to be the likely progenitor system, with pre-outburst Halpha emission also detected in ground-based data. The outburst of M31LRN 2015 shows many similarities, both spectroscopically and photometrically, with that of V838 Mon, the best studied LRN. We finally discuss the possible progenitor scenarios.

  10. Immigration, Statecraft and Public Health: The 1920 Aliens Order, Medical Examinations and the Limitations of the State in England

    Science.gov (United States)

    Taylor, Becky

    2016-01-01

    This article considers the medical measures of the 1920 Aliens Order barring aliens from Britain. Building on existing local and port public health inspection, the requirement for aliens to be medically inspected before landing significantly expanded the duties of these state agencies and necessitated the creation of a new level of physical infrastructure and administrative machinery. This article closely examines the workings and limitations of alien medical inspection in two of England’s major ports—Liverpool and London—and sheds light on the everyday working of the Act. In doing so it reflects on the ambitions, actions and limitations of the state and so extends research by historians of the nineteenth and early twentieth century on the disputed histories of public health and the complexities of statecraft. Overall it suggests the importance of developing nuanced understandings of the gaps and failures arising from the translation of legislation into practice. PMID:27482146

  11. A PALAVRA E O IMPÉRIO: MANOEL DE FREITAS BRAZILEIRO E A NOVA GRAMMATICA INGLEZA E PORTUGUEZA

    OpenAIRE

    Pablo Antonio Iglesias Magalhães

    2013-01-01

    O presente artigo investiga a primeira gramática inglesa publicada por um brasílico, em Liverpool, no ano de 1812. Em tempos de agitação política e transformações econômicas que abalaram o Império português, a circulação de compêndios de gramática inglesa, bem como sua introdução nos colégios e círculos intelectuais, ampliou o acesso às notícias vindas da Inglaterra e aos livros que difundiam práticas e ideias liberais, antagônicas à manutenção do sistema colonial na América po...

  12. Dalteparin-sodium induced drug fever in a neonate.

    Science.gov (United States)

    Wackernagel, Dirk; Obaya, Sami; Nydert, Per

    2016-10-13

    Drug fever caused by dalteparin-sodium (DS), a low-molecular-weight derivative of heparin, is neither listed in the official drug information and nor published as a case report until today. A preterm infant, born at 26 weeks of gestation, developed fever 2 days after starting a treatment with DS for an intracardial thrombus. The fever reverses soon after changing the treatment to unfractionated heparin and reappeared after reintroduction of DS. Once again, after discontinuing DS, the infant regained normothermia. Bacterial and viral infections, tissue damage, impaired liver or kidney function, preservative agents and comedications could be ruled out as fever origin. By using the Naranjo adverse drug reaction (ADR) probability scale and the Liverpool ADR causality assessment tool, this case can be classified as 'probable ADR' and 'definite ADR'. This is the first case report of a drug fever caused by the low-molecular-weight heparin DS in a preterm infant.

  13. Interpretation of the White Paper about the Springer's E -book%Springer电子书的白皮书解读

    Institute of Scientific and Technical Information of China (English)

    汤罡辉

    2012-01-01

    编译解读了施普林格出版社发布的系列电子书调研白皮书报告,也比较分析了施普林格的电子书使用过程中,英国利物浦大学与中国上海大学的使用差别。通过深入分析将有助于图书馆及其他机构开展相关研究时作参考。%Compiled Interpretation series white paper on research report published by Springer - Verlag e - book, and analysis the use process of Springer e - book , what its difference between the University of Liverpool University and Shanghai University. Through in -depth analysis will help to give a reference to libraries and other research institutions.

  14. A Review of Early-Time Optical Follow-ups with 2-m Robotic Telescopes

    CERN Document Server

    Gomboc, A; Mundell, C G; Melandri, A; Monfardini, A; Bersier, D; Bode, M F; Carter, D; Kobayashi, S; Mottram, C J; Smith, R J; Steele, I A

    2006-01-01

    We summarise recent deep, rapid GRB follow-up observations using the RoboNet-1.0 network which comprises three fully-robotic 2-m telescopes, the Liverpool Telescope and the Faulkes Telescopes North and South. Observations begin automatically within minutes of receipt of a GRB alert and may continue for hours or days to provide well-sampled multi-colour light curves or deep upper limits. Our light curves show a variety of early afterglow behaviour, from smooth, simple or broken power laws to 'bumpy', for a wide range of optical brightness (from the unprecedented faint detections of GRB 060108 and GRB 060510B to classical bright ones). We discuss GRB 051111 as an example of how the combination of optical and X-ray light curves can provide insight into the circumburst environment, in particular the role played by intrinsic extinction soon after the burst.

  15. Dicty_cDB: Contig-U03740-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available nianus cD... 44 6.3 1 ( ES406873 ) MUT06-N12.y1d-s SHGC-MUT Mytilus california...nus cD... 44 6.3 1 ( ES403602 ) MUT01-A09.x1d-t SHGC-MUT Mytilus californianus cD... 4...4 6.3 1 ( ES402313 ) MUT15-P09.x1d-t SHGC-MUT Mytilus californianus cD... 44 6.3 1 ( ES400682 ) MUT15-P09.y1d-s SHGC-MUT Mytilus cali....3 1 ( CC121159 ) NDL.46M14.T7 Notre Dame Liverpool Aedes aegypti g... 44 6.3 1 ( ES407965 ) MUT01-A09.y1d-s SHGC-MUT Mytilus califor...fornianus cD... 44 6.3 1 ( EH650455 ) OFL-P04_B08 Adult

  16. Comportamiento Violento, Embriaguez, Uso de Drogas y Capital Social en los Contextos de Ocio Nocturno

    Directory of Open Access Journals (Sweden)

    Amador Calafat

    2011-04-01

    Full Text Available Violent behaviour linked to nightlife leisure contexts is a problem that particularly affects younger population groups. We carried out a survey with a sample of 1,363 young people who frequently take part in the nightlife of nine European cities (Athens, Berlin, Brno, Lisbon, Ljubljana, Liverpool, Palma, Venice and Vienna, to explore relationships between violence (carrying a weapon, being threatened or injured with a weapon, being involved in a physical fight, alcohol and drug use, and social capital. 11.4% of women and 28.4% of men reported having been involved in a physical fight over the previous month. Logistical regression analyses revealed that being male and younger were predictors for the three violent behaviours; drunkenness and drug use predicted carrying a weapon and being threatened and having many friends predicted carrying a weapon and fighting. There is clearly a need for increasing attention to studying and preventing violence in recreation al settings.

  17. VELO module characterisation Results from the Glasgow LHCb VELO module burn-in

    CERN Document Server

    Bates, A; Marinho, F; Parkes, C; Saavedra, A; Viret, S

    2007-01-01

    The LHCb VErtex LOcator (VELO) modules were constructed at Liverpool University and assembled into the VELO detector halves at CERN. Between these two stages each module was rigorously inspected, tested and thermally cycled in the Glasgow module burn-in setup. The results of the extensive tests are summarised in this note for each one of the tested VELO modules. Major results presented in this note are the full characterisation of the leakage currents, bad channels, signal to noise measurements and metrology correlations. There were multiple small problems that were identified through visual inspections of the modules and the feed back into the production process proved critical. As a result of the electrical and thermal tests one module was withheld from production and reserved as a spare module. In addition further studies are reported which were based on individual modules such as characterisation of the timing of the front end pulse shapes.

  18. ARIADNE, a Photographic LAr TPC at the CERN Neutrino Platform

    CERN Document Server

    Mavrokoridis, K; Nessi, M; Roberts, A; Smith, N A; Touramanis, C; CERN. Geneva. SPS and PS Experiments Committee; SPSC

    2016-01-01

    This letter of intent describes a novel and innovative two-phase LAr TPC with photographic capabilities as an attractive alternative readout method to the currently accepted segmented THGEMs which will require many thousands of charge readout channels for kton-scale two-phase TPCs. These colossal LAr TPCs will be used for the future long-baseline-neutrino-oscillation experiments. Optical readout also presents many other clear advantages over current readout techniques such as ease of scalability, upgrade, installation and maintenance, and cost effectiveness. This technology has already been demonstrated at the Liverpool LAr facility with the photographic capturing of cosmic muon tracks and single gammas using a 40-litre prototype. We have now secured ERC funding to develop this further with the ARIADNE programme. ARIADNE will be a 1-ton two-phase LAr TPC utilizing THGEM and EMCCD camera readouts in order to photograph interactions, allowing for track reconstruction and particle identification. We are request...

  19. 8th International Conference on Bio-Inspired Computing : Theories and Applications

    CERN Document Server

    Pan, Linqiang; Fang, Xianwen

    2013-01-01

    International Conference on Bio-Inspired Computing: Theories and Applications (BIC-TA) is one of the flagship conferences on Bio-Computing, bringing together the world’s leading scientists from different areas of Natural Computing. Since 2006, the conferences have taken place at Wuhan (2006), Zhengzhou (2007), Adelaide (2008), Beijing (2009), Liverpool & Changsha (2010), Malaysia (2011) and India (2012). Following the successes of previous events, the 8th conference is organized and hosted by Anhui University of Science and Technology in China. This conference aims to provide a high-level international forum that researchers with different backgrounds and who are working in the related areas can use to present their latest results and exchange ideas. Additionally, the growing trend in Emergent Systems has resulted in the inclusion of two other closely related fields in the BIC-TA 2013 event, namely Complex Systems and Computational Neuroscience. These proceedings are intended for researchers in the fiel...

  20. The potential effects of electromagnetic fields generated by cabling between offshore wind turbines upon elasmobranch fishes

    Energy Technology Data Exchange (ETDEWEB)

    Gill, A.B.; Taylor, H

    2001-09-01

    This report details research supervised by Dr Andrew Gill, at the University of Liverpool, on behalf of the Countryside Council for Wales to assess the potential effects of electromagnetic fields generated by cabling between offshore wind turbines upon Elasmobranch Fishes. The report contains four main sections: 1. A review of the literature relating to electroreception in elasmobranchs and relevant literature on offshore wind farm developments. 2. A review of the current situation regarding offshore wind developments focussing on their environmental impacts with particular implications for British elasmobranches. 3. A summary of the current status and extent of relevant biological knowledge of British elasmobranchs. 4. A pilot study which experimentally demonstrates the response of the benthic elasmobranch, the dogfish Scyliorhinus canicula, to two electric fields, one simulating prey and the other the maximum potential output from unburied undersea cables. Finally, the report provides recommendations for future research considerations.

  1. The First World War and its influence on the development of orthopaedic surgery.

    Science.gov (United States)

    Scotland, T

    2014-01-01

    By December 1914, overwhelming numbers of soldiers with infected musculoskeletal wounds had filled hospitals in France and Britain. Frequently initial management had been inadequate. In 1915, patients with orthopaedic wounds were segregated for the first time when Robert Jones established an experimental orthopaedic unit in Alder Hey Hospital, Liverpool. In 1916 he opened the first of 17 orthopaedic centres in Britain to surgically treat and rehabilitate patients. Henry Gray from Aberdeen emerged as the leading authority in the management of acute musculoskeletal wounds in casualty clearing stations in France and Flanders. Gray had particular expertise in dealing with compound fractures of the femur for which he documented an 80% mortality rate in 1914-15.

  2. The Galactic O-Star Catalog (GOSC) and the Galactic O-Star Spectroscopic Survey (GOSSS): current status

    Science.gov (United States)

    Maíz Apellániz, J.; Alonso Moragón, A.; Ortiz de Zárate Alcarazo, L.; The Gosss Team

    2017-03-01

    We present the updates of the Galactic O-Star Catalog (GOSC) that we have undertaken in the last two years: new spectral types, more objects, additional information, and coordination with CDS. We also present updates for the Galactic O-Star Spectroscopic Survey (GOSSS). A new paper (GOSSS-III) has been published and ˜ 1000 targets have been observed since 2014. Four new setups have been added to our lineup and for two of them we have already obtained over 100 spectra: with OSIRIS at the 10.4 m GTC we are observing northern dim stars and with FRODOspec at the 2.0 m Liverpool Telescope we are observing northern bright stars. Finally, we also make available new versions of MGB, the spectral classification tool associated with the project, and of the GOSSS grid of spectroscopic standards.

  3. Em meus olhos e ouvidos: música popular, deslocamento no espaço urbano e a produção de sentidos em lugares dos Beatles

    Directory of Open Access Journals (Sweden)

    Luiz Henrique Assis Garcia

    2011-06-01

    Full Text Available Meu propósito é investigar como a música popular, através de trocas culturais que marcam a construção de identidades atribuídas a grupos e lugares, define vínculos e fronteiras no tecido urbano, ao mesmo tempo em que evidencia as trajetórias traçadas pelos músicos que o atravessam. Para tanto, optei pelo estudo formal e contextual de Strawberry Fields Forever e Penny Lane, canções dos Beatles que produzem sentidos sobre "lugares" e que congregaram memórias e identidades construídas em sua experiência como citadinos no deslocamento desde seu passado em Liverpool ao presente de então em Londres.

  4. Manchester medical society (imaging section) presidential address 2008

    Energy Technology Data Exchange (ETDEWEB)

    Blakeley, C. [University of Salford (United Kingdom); Manchester Royal Infirmary (CMFT) (United Kingdom)], E-mail: c.blakeley@salford.ac.uk; Hogg, P. [University of Salford (United Kingdom)

    2009-12-15

    This article is based partly upon the Presidential Address of the Manchester Medical Society (Imaging Section) in 2008. It reviews the development of radiology services in the Manchester (UK) area from their inception in 1896 to the installation of the first EMI body CT scanner in Europe. It considers some of the innovative people in the Manchester area and some milestone events that occurred in that area to help establish the role and value of X-ray in diagnostic imaging. In this article the first recorded case of when X-ray imaging was used in a forensic domiciliary case is also outlined; this occurred approximately 35 miles north of Manchester on 23rd April 1896. The article also explains some interesting background information on the development of the first EMI CT scanner, drawing particularly on the revenue stream generated by the music section of EMI through the success of The Beatles - a band which emanated 35 miles from Manchester in Liverpool.

  5. The changing nature of end of life care

    Directory of Open Access Journals (Sweden)

    Katrine Cauldwell

    2015-01-01

    Full Text Available Good end of life care (EOLC for patients with incurable cancer is becoming a greater priority for oncologists in recent years. Frameworks such as the Liverpool Care Pathway (LCP have often been helpful in guiding good care at the end of life. However, in the past year, the LCP has been phased out of use in the United Kingdom (UK, following concerns that it was poorly implemented. This review describes the LCP′s origins in the UK, its strengths and limitations, and the concerns that prompted a review of its use. It describes the recommendations for change made by an independent review, and the alternative strategies now being developed in the UK to guide good EOLC. Although the LCP is still being widely used worldwide, the lessons learned from the UK can be widely applied in other countries.

  6. Exploring the translational disconnect between the murine and human inflammatory response: analysis of LPS dose–response relationship in murine versus human cell lines and implications for translation into murine models of sepsis

    Directory of Open Access Journals (Sweden)

    McCarron EP

    2015-10-01

    Full Text Available Eamon P McCarron,1 Dominic P Williams,1 Daniel J Antoine,1 Anja Kipar,2 Jana Lemm,3 Sebastian Stehr,3 Ingeborg D Welters,4 1Department of Clinical and Molecular Pharmacology, Centre for Drug Safety Science, Institute of Translational Medicine, 2Department of Veterinary Pathology, University of Liverpool, Liverpool, UK; 3Department of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany; 4Department of Obesity and Endocrinology, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK Background: Inflammation forms an important part of the human innate immune system and is largely dependent on the activation of the "classical" NF-κB pathway through Toll-like receptors (TLRs. Understanding this has allowed researchers to explore roles of therapeutic targets in managing conditions such as sepsis. Recapitulating an inflammatory response using lipopolysaccharide (LPS, a "sterile" technique, can provide information that is dissimilar to the clinical condition. By examining NF-κB activation (through immunoblotting of the p65 subunit in two separate cell lines (murine and human and analyzing two murine models of sepsis (intraperitoneal [IP] LPS and IP stool inoculation, an evaluation of the translational disconnect between experimental and clinical sepsis can be made. Methods: THP-1 (human cells and RAW 264.7 (murine cells were dosed with concentrations of LPS (human, 1 pg/mL to 100 ng/mL; murine, 30 pg/mL to 1,000 ng/mL and nuclear actin and p65 were immunoblotted to measure changes in nuclear density. In vivo, C57BL/6 mice received either IP injection of stool suspension (5 µL/g or LPS (25 mg/kg or saline (1 mL/kg. Animals were culled at 6 hours and tissues were analyzed. Results: An increase in basal p65:actin density in THP-1 cells (mean 0.214, standard error of the mean 0.024 was seen at doses as small as 0.1 ng/mL (0.519±0.064. In contrast to RAW 264.7 cells, basal increases (0.170±0

  7. Gamma Ray Bursts in the Era of Rapid Followup

    CERN Document Server

    Mundell, C G; Steele, I A

    2010-01-01

    We present a status report on the study of gamma-ray bursts (GRB) in the era of rapid follow-up using the world's largest robotic optical telescopes - the 2-m Liverpool and Faulkes telescopes. Within the context of key unsolved issues in GRB physics, we describe (1) our innovative software that allows real-time automatic analysis and interpretation of GRB light curves, (2) the novel instrumentation that allows unique types of observations (in particular, early time polarisation measurements) and (3) the key science questions and discoveries to which robotic observations are ideally suited, concluding with a summary of current understanding of GRB physics provided by combining rapid optical observations with simultaneous observations at other wavelengths.

  8. Display of a proton-proton interaction as seen in the streamer chamber of NA5

    CERN Multimedia

    CERN PhotoLab

    1979-01-01

    This experiment was performed by the Bari-Cracow-Liverpool-Munich (MPI)-Nijmegen Collaboration using the unseparated H2 beam in the EHN1 hall. The setup consisted of a three-gap streamer chamber (2x1.4x0.72 m3) inside a superconducting vertex magnet, large magnetostrictive spark chambers, proportional chambers and beam defining counters. A large acceptance electron and hadron calorimeter completed the setup. Particles from beam interactions on a target, 36.5 cm long, 2 cm in diameter (for liquid hydrogen) located inside the chamber at its entrance were photographed. Multiplicities, rapidity distributions, and correlations were studied for interactions with a large value for the sum of the transverse momenta.

  9. An innovative 3-D numerical modelling procedure for simulating repository-scale excavations in rock - SAFETI

    Energy Technology Data Exchange (ETDEWEB)

    Young, R. P.; Collins, D.; Hazzard, J.; Heath, A. [Department of Earth Sciences, Liverpool University, 4 Brownlow street, UK-0 L69 3GP Liverpool (United Kingdom); Pettitt, W.; Baker, C. [Applied Seismology Consultants LTD, 10 Belmont, Shropshire, UK-S41 ITE Shrewsbury (United Kingdom); Billaux, D.; Cundall, P.; Potyondy, D.; Dedecker, F. [Itasca Consultants S.A., Centre Scientifique A. Moiroux, 64, chemin des Mouilles, F69130 Ecully (France); Svemar, C. [Svensk Karnbranslemantering AB, SKB, Aspo Hard Rock Laboratory, PL 300, S-57295 Figeholm (Sweden); Lebon, P. [ANDRA, Parc de la Croix Blanche, 7, rue Jean Monnet, F-92298 Chatenay-Malabry (France)

    2004-07-01

    This paper presents current results from work performed within the European Commission project SAFETI. The main objective of SAFETI is to develop and test an innovative 3D numerical modelling procedure that will enable the 3-D simulation of nuclear waste repositories in rock. The modelling code is called AC/DC (Adaptive Continuum/ Dis-Continuum) and is partially based on Itasca Consulting Group's Particle Flow Code (PFC). Results are presented from the laboratory validation study where algorithms and procedures have been developed and tested to allow accurate 'Models for Rock' to be produced. Preliminary results are also presented on the use of AC/DC with parallel processors and adaptive logic. During the final year of the project a detailed model of the Prototype Repository Experiment at SKB's Hard Rock Laboratory will be produced using up to 128 processors on the parallel super computing facility at Liverpool University. (authors)

  10. Malaria and urbanization in sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Klinkenberg Eveline

    2005-02-01

    Full Text Available Abstract There are already 40 cities in Africa with over 1 million inhabitants and the United Nations Environmental Programme estimates that by 2025 over 800 million people will live in urban areas. Recognizing that malaria control can improve the health of the vulnerable and remove a major obstacle to their economic development, the Malaria Knowledge Programme of the Liverpool School of Tropical Medicine and the Systemwide Initiative on Malaria and Agriculture convened a multi-sectoral technical consultation on urban malaria in Pretoria, South Africa from 2nd to 4th December, 2004. The aim of the meeting was to identify strategies for the assessment and control of urban malaria. This commentary reflects the discussions held during the meeting and aims to inform researchers and policy makers of the potential for containing and reversing the emerging problem of urban malaria.

  11. GRB 130427A: a Nearby Ordinary Monster

    CERN Document Server

    Maselli, A; Nava, L; Mundell, C G; Kawai, N; Campana, S; Covino, S; Cummings, J R; Cusumano, G; Evans, P A; Ghirlanda, G; Ghisellini, G; Guidorzi, C; Kobayashi, S; Kuin, P; La Parola, V; Mangano, V; Oates, S; Sakamoto, T; Serino, M; Virgili, F; Zhang, B -B; Barthelmy, S; Beardmore, A; Bernardini, M G; Bersier, D; Burrows, D; Calderone, G; Capalbi, M; Chiang, J; D'Avanzo, P; D'Elia, V; De Pasquale, M; Fugazza, D; Gehrels, N; Gomboc, A; Harrison, R; Hanayama, H; Japelj, J; Kennea, J; Kopac, D; Kouveliotou, C; Kuroda, D; Levan, A; Malesani, D; Marshall, F; Nousek, J; O'Brien, P; Osborne, J P; Pagani, C; Page, K L; Page, M; Perri, M; Pritchard, T; Romano, P; Saito, Y; Sbarufatti, B; Salvaterra, R; Steele, I; Tanvir, N; Vianello, G; Weigand, B; Wiersema, K; Yatsu, Y; Yoshii, T; Tagliaferri, G

    2014-01-01

    Long-duration Gamma-Ray Bursts (GRBs) are an extremely rare outcome of the collapse of massive stars, and are typically found in the distant Universe. Because of its intrinsic luminosity ($L\\sim 3 \\times 10^{53}$ erg s$^{-1}$) and its relative proximity ($z=0.34$), GRB 130427A was a unique event that reached the highest fluence observed in the gamma-ray band. Here we present a comprehensive multiwavelength view of GRB 130427A with Swift, the 2-m Liverpool and Faulkes telescopes and by other ground-based facilities, highlighting the evolution of the burst emission from the prompt to the afterglow phase. The properties of GRB 130427A are similar to those of the most luminous, high-redshift GRBs, suggesting that a common central engine is responsible for producing GRBs in both the contemporary and the early Universe and over the full range of GRB isotropic energies.

  12. Namibia's nuclear nightmare

    Energy Technology Data Exchange (ETDEWEB)

    Clark, D.

    Since July 1987 Liverpool dock workers refused to handle shipments of Namibian and South African uranium. They are hoping to extend the blockade to other ports in Britain. The recipients of the uranium hexafluoride, British Nuclear Fuels Ltd. (BNFL) have had to find other routes for their shipments of uranium. The main argument for not allowing access to Namibian uranium is to protect Namibia's natural resources, but it is also a stand against aparteid. URENCO, a uranium enrichment consortium with British participation is accused by the United Nations Council for Namibia of processing Namibian uranium at its Dutch plant. Writs have been served but it may be 1989 before the hearings take place. An effective blockade is called for throughout Britain. The routes by which movement of uranium from South Africa takes place is shown schematically.

  13. The Angstrom Project Alert System: real-time detection of extragalactic microlensing

    CERN Document Server

    Darnley, M J; Newsam, A; Duke, J P; Gould, A; Han, C; Ibrahimov, M A; Im, M; Jeon, Y B; Karimov, R G; Lee, C U; Park, B G

    2006-01-01

    The Angstrom Project is undertaking an optical survey of stellar microlensing events across the bulge region of the Andromeda Galaxy (M31) using a distributed network of two-meter class telescopes. The Angstrom Project Alert System (APAS) has been developed to identify in real time candidate microlensing and transient events using data from the Liverpool and Faulkes North robotic telescopes. This is the first time that real-time microlensing discovery has been attempted outside of the Milky Way and its satellite galaxies. The APAS is designed to enable follow-up studies of M31 microlensing systems, including searches for gas giant planets in M31. Here we describe the APAS and we present a few example light curves obtained during its commissioning phase which clearly demonstrate its real-time capability to identify microlensing candidates as well as other transient sources.

  14. Suggestibility, Dissociation and Positive Schizotypy

    Directory of Open Access Journals (Sweden)

    Emma Barkus

    2010-01-01

    Full Text Available Partimos de una muestra de 94 participantes, seleccionados de la muestra de referencia de 1206 personas que ya habían participado en un estudio que valoraba la estructura factorial del Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE. Estas 94 personas fueron asignadas en grupos diferenciados en términos de bajo, moderado o altos niveles de esquizotipia positiva. Todos completaron también la Escala de Experiencias Disociativas (DES y el Inventario de Sugestionabilidad (IOS. Nuestros resultados sugieren que el aumento de los niveles informados de las experiencias disociativas y mayor sugestionabilidad, ambos, de forma independiente, predicen puntuaciones más altas de la esquizotipia positiva, pero la sugestión parece ser un predictor más potente que la disociación.

  15. Valedictory Editorial: The past six years.

    Science.gov (United States)

    Lennon, Michael A

    2016-12-01

    Fifty years ago this month I graduated from the University of Liverpool. A few months earlier, along with three friends, I had driven overland to attend the International Dental Students Congress held that year in Israel. On the way we drove the spectacular road from Beirut up to Damascus, visited Petra in the Southern Jordanian desert, at that time devoid of tourists, viewed the Chagall windows in the synagogue on the Hadassah University Medical campus, and listened to the world cup final with a group of German students in a youth hostel overlooking the Mandelbaum Gate. Little did we know that within twelve months these beautiful countries and their kind people would be plunged into war and that this conflict and chaos would continue to haunt this region, almost unabated, for the next fifty years. Copyright© 2016 Dennis Barber Ltd.

  16. A partial susceptibility approach to analysing the magnetic properties of environmental materials: a case study

    Science.gov (United States)

    Xie, Shanju; Dearing, John A.; Bloemendal, Jan

    1999-09-01

    An approach to expressing the magnetic properties of environmental materials in terms of the contributions of the magnetic susceptibilities of specific magnetic components is reported. The approach links the partial susceptibilities of discrete particles, domains or mineral fractions with the concentration-dependent parameters by means of multiple linear regression methods. The case study, using the Liverpool street dust data set, demonstrates that the technique is able to model the contributions of the main magnetic components satisfactorily. Several factors may have a significant impact on the regression results. These include the validity of the linear proportional relationships between partial susceptibilities and the relevant concentration-dependent parameters, the adequacy of the variable selection procedure and the regression model, and the suitability of certain magnetic parameters.

  17. The Galactic O-Star Catalog (GOSC) and the Galactic O-Star Spectroscopic Survey (GOSSS): current status

    CERN Document Server

    Apellániz, J Maíz; Alcarazo, L Ortiz de Zárate

    2016-01-01

    We present the updates of the Galactic O-Star Catalog (GOSC) that we have undertaken in the last two years: new spectral types, more objects, additional information, and coordination with CDS. We also present updates for the Galactic O-Star Spectroscopic Survey (GOSSS). A new paper (GOSSS-III) has been published and ~1000 targets have been observed since 2014. Four new setups have been added to our lineup and for two of them we have already obtained over 100 spectra: with OSIRIS at the 10.4 m GTC we are observing northern dim stars and with FRODOspec at the 2.0 m Liverpool Telescope we are observing northern bright stars. Finally, we also make available new versions of MGB, the spectral classification tool associated with the project, and of the GOSSS grid of spectroscopic standards.

  18. The Pericles Space Case: Preserving Earth Observation Data for the Future

    Science.gov (United States)

    Muller, C.; Pandey, P.; Pericles Consortium

    2016-08-01

    PERICLES (Promoting and Enhancing the Reuse of Information throughout the Content Lifecycle exploiting Evolving Semantics) is an FP7 project started on February 2013. It aims at preserving by design large and complex data sets. PERICLES is coordinated by King's College London, UK and its partners are University of Borås (Sweden), CERT (Greece), DotSoft(Greece), GeorgAugustUniversität, Göttingen (Germany), University of Liverpool (UK), Space Application Services (Belgium), XEROX France and University of Edinburgh (UK). Two additional partners provide the case studies: Tate Gallery (UK) brings the digital art and media case study and B.USOC (Belgian Users Support and Operations Centre) brings the space science case study.

  19. Polarization measurement in the COMPASS polarized target

    CERN Document Server

    Kondo, K; Baum, G; Berglund, P; Doshita, N; Gautheron, F; Görtz, S; Hasegawa, T; Horikawa, N; Ishimoto, S; Iwata, T; Kisselev, Yu V; Koivuniemi, J H; Le Goff, J M; Magnon, A; Meyer, W; Reicherz, G; Matsuda, T

    2004-01-01

    Continuous wave nuclear magnetic resonance (NMR) is used to determine the target polarization in the COMPASS experiment. The system is made of the so-called Liverpool Q-meters, Yale-cards, and VME modules for data taking and system controlling. In 2001 the NMR coils were embedded in the target material, while in 2002 and 2003 the coils were mounted on the outer surface of the target cells to increase the packing factor of the material. Though the error of the measurement became larger with the outer coils than with the inner coils, we have performed stable measurements throughout the COMPASS run time for 3 years. The maximum polarization was +57% and -53% as the average in the target cells.

  20. New overhead line equipment on existing structures of Great Eastern route

    Energy Technology Data Exchange (ETDEWEB)

    Willi, Urs; Wittig, Mike [Furrer + Frey AG, Berne (Switzerland)

    2009-07-01

    The Great Eastern route, from London Liverpool Street via Shenfield to Chelmsford and South-end-on-Sea is equipped with 60-year old overhead line equipment with fixed termination conductors. For the 2012 Olympics the performance and reliability of the line have to be improved for the increasing number of trains and a speed of up to 160 km/h with three pantographs per train. This busy line can only afford a limited number and duration of service suspensions which would be insufficient to allow the complete renewal of the overhead line. For this reason, a new overhead line system had to be designed which can be mounted on the existing structures. (orig.)

  1. GRB 130427A: A Nearby Ordinary Monster

    Science.gov (United States)

    Maselli, A.; Melandri, A.; Nava, L.; Mundell, C. G.; Kawai, N.; Campana, S.; Covino, S.; Cummings, J. R.; Cusumano, G.; Evans, P. A.; Ghirlanda, G.; Ghisellini, G.; Guidorzi, C.; Kobayashi, S.; Kuin, P.; La Parola, V.; Mangano, V.; Oates, S.; Sakamoto, T.; Serino, M.; Virgili, F.; Zhang, B.-B.; Barthelmy, S.; Beardmore, A.; Bernardini, M. G.; Bersier, D.; Burrows, D.; Calderone, G.; Capalbi, M.; Chiang, J.; D'Avanzo, P.; D'Elia, V.; De Pasquale, M.; Fugazza, D.; Gehrels, N.; Gomboc, A.; Harrison, R.; Hanayama, H.; Japelj, J.; Kennea, J.; Kopac, D.; Kouveliotou, C.; Kuroda, D.; Levan, A.; Malesani, D.; Marshall, F.; Nousek, J.; O'Brien, P.; Osborne, J. P.; Pagani, C.; Page, K. L.; Page, M.; Perri, M.; Pritchard, T.; Romano, P.; Saito, Y.; Sbarufatti, B.; Salvaterra, R.; Steele, I.; Tanvir, N.; Vianello, G.; Weigand, B.; Wiersema, K.; Yatsu, Y.; Yoshii, T.; Tagliaferri, G.

    2014-01-01

    Long-duration gamma-ray bursts (GRBs) are an extremely rare outcome of the collapse of massive stars and are typically found in the distant universe. Because of its intrinsic luminosity (L ˜ 3 × 1053 ergs per second) and its relative proximity (z = 0.34), GRB 130427A reached the highest fluence observed in the γ-ray band. Here, we present a comprehensive multiwavelength view of GRB 130427A with Swift, the 2-meter Liverpool and Faulkes telescopes, and by other ground-based facilities, highlighting the evolution of the burst emission from the prompt to the afterglow phase. The properties of GRB 130427A are similar to those of the most luminous, high-redshift GRBs, suggesting that a common central engine is responsible for producing GRBs in both the contemporary and the early universe and over the full range of GRB isotropic energies.

  2. 5th August 2008 - British Secretary of State for Innovation, Universities and Skills J. Denham MP with DIUS Director General Designate A. F.M. Smith and PA Catherine Perez meeting British scientists, engineers and technicians.

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    Present around the table: Jonathan Ellis\tCERN, Adviser to the Director-General Lyndon R. Evans\tCERN, LHC Project Leader ATLAS Collaboration Catrin Bernius, University College London Dave Charlton, School of Physics and Astronomy, Birmingham CMS Collaboration Robert Bainbridge, Blackett Lab.High Energy Phys.Group, London Peter Sharp, Imperial College, LONDON LHCb Collaboration Themis Bowcock, Department of Physics, Liverpool Malcolm John, Department of Theoretical Physics, Oxford Information Technology James Casey, CERN, Computing engineer Sue Foffano, CERN, Senior Administrator Accelerators Paul Collier, CERN, Senior Physicist David Nisbet, CERN, Electronics Engineer Medical application Manjit Dosanjh, CERN, Senior Engineer Technical students Tom Lansdale, University of the West of England, Bristol Dan Dengate, University of the West of England, Bristol Doctoral student Stephen March, University of Southampton Summer student Hamish Gordon

  3. The 2007 Census Test: evaluation of key objectives.

    Science.gov (United States)

    Compton, Garnett

    2008-01-01

    The Office for National Statistics conducted a major census field test in May and June 2007 as part of the planning and preparation for the next census of population and housing in England and Wales in 2011. The 2007 Census Test was a large scale test covering approximately 100,000 household in five local authorities (LAs) selected to reflect a range of geographic conditions and social characteristics. Within England the Test covered parts of Bath and North East Somerset, Camden, Liverpool and Stoke on Trent. In Wales the Test took place in Carmarthenshire. The selected LAs were chosen to provide a varied cross section of the population and types of housing that would be covered in a full census. This article summarises the evaluation results and, where decided, decisions for 2011 on four key aspects of the Test: delivery method - post-out compared with hand delivery; inclusion of an income question; outsourcing recruitment, training and pay; and liaison with LAs.

  4. Inaugural Lectures in Egyptology: T. E. Peet and His Pupil W. B. Emery

    Directory of Open Access Journals (Sweden)

    Clare Lewis

    2016-11-01

    Full Text Available Inaugural lectures (ILs are often overlooked as academic ephemera, but I believe that they can be used as a powerful historiographical tool, locating the public presentation of academic output with its social and institutional setting. My broader research uses them as a lens through which to examine the development and contingencies of British Egyptology, its self-positioning, and its perception and positioning by others, from the subject’s formal inception into British academia (1892 to the present day. In this paper the focus has, however, been narrowed to the Egyptology inaugural lectures (EILs given by T.E. Peet (1882–1934 (Figure 1, the second Brunner Professor of Egyptology at Liverpool University (1920–1933, and the second reader / professor designate of Egyptology at Oxford (1933–1934 and W.B. Emery (1903–1971 (Figure 2, the fourth Edwards Professor of Egyptian Archaeology and Philology at UCL (1951–1970.

  5. Hangout with CERN: Latest news on the new boson (S02E07)

    CERN Multimedia

    Kahle, Kate

    2013-01-01

    What is the latest on the new particle discovered last year at CERN? In this Hangout with CERN, we find out what physicists are presenting at this week's Moriond conference in Italy. The new particle is looking more and more like a Higgs boson, but what do we know so far and what do we still need to know?Tara Shears, LHCb experiment physicist from the University of Liverpool, is joined by CERN ATLAS physicist Heather Gray and CERN theorist Nazila Mahmoudi, connecting to Pauline Gagnon, ATLAS physicist and CERN blogger, and Victoria Martin, ATLAS physicist, University of Edinburgh, live from the Moriond conference, with Kelly Izlar monitoring questions on social media. Recorded live on 7th March 2013.

  6. Hangout with CERN: About last week... (S02E08)

    CERN Multimedia

    Kahle, Kate

    2013-01-01

    Since last week's hangout (http://www.youtube.com/watch?v=ZgAWstsYxOQ), is there more to say about the new boson discovered last summer? What's the breaking news from the ongoing Moriond conference in Italy? This Hangout with CERN gives the latest results from the experiments, including results from a little experiment of our own.ATLAS experiment physicist Steven Goldfarb is joined by Tara Shears, LHCb experiment physicist from the University of Liverpool, as well as CMS physicist André David Tinoco Mendes and ATLAS physicist and CERN blogger Pauline Gagnon, with ALICE physicist Ken Read monitoring questions on social media. Special guest is Elise Andrew, creator of IFLS / Science is Awesome on Facebook.Recorded live on 14th March 2013.

  7. VizieR Online Data Catalog: Robotic view of 67P perihelion (Snodgrass+, 2016)

    Science.gov (United States)

    Snodgrass, C.; Opitom, C.; de Val-Borro, M.; Jehin, E.; Manfroid, J.; Lister, T.; Marchant, J.; Jones, G. H.; Fitzsimmons, A.; Steele, I. A.; Smith, R. J.; Jermak, H.; Granzer, T.; Meech, K. J.; Rousselot, P.; Levasseur-Regourd, A.-C.

    2016-09-01

    Tables listing the observations of comet 67P taken around its 2015 perihelion, using various robotic telescopes, and the resulting R-band photometry from these observations. Telescopes used are the 2m Liverpool Telescope, La Palma, the 1.2m STELLA telescope, Tenerife, the 0.6m TRAPPIST telescope, La Silla, and the network of 1m and 2m telescopes operated by Las Cumbres Global Telescope network (LCOGT) at the CTIO, Sutherland, McDonald and Siding Spring observatories. Photometry is measured in an aperture with radius equal to 10000km at the distance of the comet. object.dat : -------------------------------------------------------------------------------- Code Name Elem q e i H1 d AU deg mag -------------------------------------------------------------------------------- 67P P/Churyumov-Gerasimenko 2454890.5 1.2465141 0.6401757 7.040861 11.63 (2 data files).

  8. Sedimentation studies relevant to low-level radioactive effluent dispersal in the Irish Sea. Part 3. An evaluation of possible mechanisms for the incorporation of radionuclides into marine sediments

    Energy Technology Data Exchange (ETDEWEB)

    Kirby, R.; Parker, W.R.; Pentreath, R.J.; Lovett, M.B.

    1983-01-01

    Based on circumstantial evidence the Cumbrian mud area was previously interpreted as accretionary. There are no measurements confirming that riverborne sediment reaches the mud area and the postulated subtidal sources appear to be sealed by a lag gravel. In contrast, fine sediment deposited in Liverpool Bay is known to return to the Ribble, Mersey and Dee. Similarly 'hot' particles originating in the Sellafield outfall are implied to travel, perhaps accompanied by natural fine sediment, into the Ravenglass Estuary and elsewhere. The likely interpretation is that fine sediment accumulating in the coastal zone of the eastern Irish Sea is partly derived from seawards. Burrowing animals may also supply uncontaminated sediment to the bed, where it absorbs radionuclides before, in part, being redeposited locally. This implies that no large external sediment source is necessary to explain the radionuclide profiles encountered.

  9. Interview with Brian Tomlinson on Humanising Education

    Directory of Open Access Journals (Sweden)

    Vahid Nimehchisalem

    2016-04-01

    Full Text Available Brian Tomlinson is a Visiting Professor at The University of Liverpool and a TESOL Professor at Anaheim University. He has worked as a teacher, teacher trainer, curriculum developer, university academic and soccer coach in Indonesia, Japan, Nigeria, Oman, Singapore, Vanuatu, UK and Zambia and has given presentations in over 60 countries. He is the Founder and President of MATSDA and has published many articles and books including Developing Materials for Language Teaching, Openings etc. The interview you are about to read here was recorded after his plenary talk at the 11th Malaysia International Conference on English Language Teaching (MICELT 2016 in Swiss-Garden Beach Resort, Damai Laut, Perak, Malaysia.

  10. Comparative Study of Three Different Personal Response Systems with Fourth-Year Undergraduate Veterinary Students.

    Science.gov (United States)

    Duret, Denis; Senior, Avril

    2015-01-01

    The purpose of this study was to compare three different Personal Response Systems that have been used in recent years at the School of Veterinary Science, University of Liverpool: a technology-free system (Communicubes), a handset delivery device (TurningPoint), and a cloud-based technology (Poll Everywhere) that allows students to use a range of personal computing devices to register their answer. All three systems offer a method to promote active learning, and lecturers were encouraged to use them. However, there are cost and logistical implications for each. The authors found that both staff and students did have particular preferences for a specific system. This preference was not the same for both groups. The outcome of the comparison is that further research is needed into cloud-based technology as it offers benefits to the students but is also a distraction.

  11. Magnetic studies of dusts in the urban environment

    CERN Document Server

    Xie, S

    2000-01-01

    non-destructive magnetic measurements may be used as proxies for the organic matter content in street dust. Associations between magnetic properties and element concentrations are investigated by using correlation analysis and factor analysis, which may be a potential approach for source identification of magnetic material in the environment. The study suggests that ferrimagnetic minerals are the dominant magnetic component in Bootle dust samples. Both studied sites show similar magnetic properties, but they can be differentiated using some magnetic parameters, such as chi LF, SIRM, and Hcr / Hc. The difference of magnetic properties in two sites may provide a potential application of magnetic techniques in the study of dust sources in the urban environment. This study makes a useful contribution to environmental magnetism, especially the application of magnetic techniques to the study of dusts in the urban environment. The results also have practical implications for pollution studies in Liverpool and Bootle...

  12. Can you really larn yersel Geordie?

    DEFF Research Database (Denmark)

    Jensen, Marie Møller

    on fairly rude language and jokes, literature of this kind also often take the form of ‘handbooks’ promising to help you learn a particular variety (Lern Yerself Scouse, Larn Yersel Geordie, etc). Honeybone and Watson, who investigated the representation of selected phonological variables in a variety......Popular dialect literature (what Honeybone and Watson 2013 call Contemporary, Humorous, Localised Dialect Literature or CHLDL) is meant to entertain and amuse. It represents a recognisable form of a local variety which speaks to readers with knowledge of that particular variety. While often relying...... of Liverpool popular dialect literature, argue that features which are represented in popular dialect literature are salient phonological features in the community, index the local in speech and carry social meaning of localness.But just how accurate are these types of handbooks and pamphlets in capturing...

  13. Disruption of overshadowing and latent inhibition in high schizotypy individuals.

    Science.gov (United States)

    Granger, K T; Prados, J; Young, A M J

    2012-07-15

    Deficits in selective attention are seen in positively symptomatic schizophrenia sufferers, and in normal people displaying schizotypal traits. We investigated the relationship between selective attention and schizotypy in undergraduate students, by comparing participants' performance in two models of selective attention, overshadowing and latent inhibition, with psychoticism scores derived from the Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE). Using a novel within-subject overshadowing task, we showed that the unusual experiences dimension of schizotypy, but not the other three O-LIFE dimensions, was negatively related to overshadowing score. We also replicated findings that the unusual experiences dimension of schizotypy was negatively related to latent inhibition score. These experiments provide evidence that selective attention is disrupted in normal individuals showing traits relating to positive-like schizophrenic symptoms, and has implications for interpreting selective attention deficits measured in schizophrenia patients.

  14. Joseph Rotblat: Moral Dilemmas and the Manhattan Project

    Science.gov (United States)

    Veys, Lucy

    2013-12-01

    John Fitzgerald Kennedy famously said, "One man can make a difference and every man should try."1 Joseph Rotblat (1908-2005) was the quintessence of Kennedy's conviction. He was the only scientist who left Los Alamos after it transpired that the atomic bomb being developed there was intended for use against adversaries other than Nazi Germany. I explore Rotblat's early research in Warsaw and Liverpool, which established his reputation as a highly capable experimental physicist, and which led him to join the Manhattan Project at Los Alamos in 1944. I examine his motivation for resigning from the project in 1945, and the unwillingness of his fellow scientists to follow suit, which draws attention to the continuing discourse on the responsibility of scientists for the consequences of their research.

  15. A PALAVRA E O IMPÉRIO: MANOEL DE FREITAS BRAZILEIRO E A NOVA GRAMMATICA INGLEZA E PORTUGUEZA

    Directory of Open Access Journals (Sweden)

    Pablo Antonio Iglesias Magalhães

    2013-06-01

    Full Text Available O presente artigo investiga a primeira gramática inglesa publicada por um brasílico, em Liverpool, no ano de 1812. Em tempos de agitação política e transformações econômicas que abalaram o Império português, a circulação de compêndios de gramática inglesa, bem como sua introdução nos colégios e círculos intelectuais, ampliou o acesso às notícias vindas da Inglaterra e aos livros que difundiam práticas e ideias liberais, antagônicas à manutenção do sistema colonial na América portuguesa.

  16. Standardverk framgångsrikt uppdaterat

    DEFF Research Database (Denmark)

    Christiansen, Ask Vest

    2011-01-01

    femte och senaste upplagan av Drugs in Sport, en antologi sammanställd (och till inte ringa del också skriven) av David R. Mottram, emeritusprofessor vid Liverpool John Moores University. Den nya utgåvan innehåller faktiskt dopningsfall, cases, vilket inte var fallet med första upplagan från 1988, som......Dopning är fortsatt ett prioriterat problem inom idrotten, även om det generellt sett pratats mindre om det under det just passerade vinterhalvåret. Man får väl i och för sig anta att provtagningen är lika frekvent oavsett årstid och sport, vilket rimligen, att döma av frånvaron av fall på...

  17. How regional museums form a museum cluster and forge its identity: Take7 Shanghai Science & Technology Museum as an example

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    At present, there are many cases of museum clusters around the world, such as Smithsonian Insti- tution, the Guggenheim Museums and Foundation, Science Museums Group, National Museum Liverpool and so on. Through the analysis, we found that they form clusters in different ways, but they are for the same pur- pose, which is to provide multiple services for the public from the different cultural environment, and to strengthen the local cultural expression and transmission. Shanghai Science & Technology Museum is a large-scale comprehensive museum which contains three venues: a science and technology museum, a natu- ral history museum and a planetarium. Through learns the experience of the international cases for museum clusters, also explore itself museum cluster road to meet the local cultural environment.

  18. The making of a medical entomologist.

    Science.gov (United States)

    Service, Mike W

    2010-01-01

    This article describes the childhood of Mike Service, his very early interest in insects, his time at Imperial College, London University, and his career in Nigeria studying the taxonomy and biology of anopheline malaria vectors. On his return to England he became increasingly interested in the ecology and population dynamics of hematophagous insects. After almost eight years undertaking only research, he joined the Liverpool School of Tropical Medicine, where he was involved in lecturing as well as research and engaged in frequent overseas travel mainly to Africa, Central and South America, and Asia. On retirement he retains an active interest in medical entomology. Although he undertook a considerable amount of taxonomic work on mosquitoes, he believes his most important, and possibly influential, work was introducing ecological methods that were used by agricultural scientists to the study of mosquitoes. For example, the construction of life tables, calculating the percentage mortality of pre-adult mosquitoes, and the identification of predators by serological methods.

  19. Séminaire de physique corpusculaire⎪5 December

    CERN Multimedia

    2012-01-01

    Physics and Realisation of the LHeC, by Prof. Max Klein, University of Liverpool Wednesday 5 December 2012 at 11:15 Science III, Auditoire 1S081 30, quai Ernest-Ansermet, 1211 Genève 4 Abstract: The Large Hadron Electron Collider (LHeC) project involves upgrading the LHC with a new electron beam in order to build a luminous, TeV energy ep and eA collider at CERN. An introduction is given to the physics programme of the LHeC, and the design concepts are described of the 60 GeV electron accelerator and of a new detector for precision deep inelastic scattering. More information here.

  20. A Massive Galaxy Cluster At z=1.45 From The XMM Cluster Survey: Discovery, Confirmation And Implications For The L-T Relation And Cosmology

    Science.gov (United States)

    Sabirli, Kivanc; Romer, A. K.; Davidson, M.; Stanford, S. A.; Viana, P. T.; Hilton, M.; Collins, C. A.; Kay, S. T.; Liddle, A. R.; Mann, R. G.; Miller, C. J.; Nichol, R. C.; West, M. J.; Conselice, C. J.; Spinrad, H.; Stern, D.; XCS Collaboration

    2006-06-01

    We report the discovery of the hottest cluster known at z > 1. It was identified as an extended X-ray source in the XMM Cluster Survey (XCS, Romer et al., 2001) and optical spectroscopy shows that 6 galaxies within a 60 arcsec diameter region lie at z = 1.45 ± 0.01. Hence its redshift is the highest currently known for a spectroscopically-confirmed cluster. Analysis of the X-ray spectra yields kT = 7.9+2.8-1.8 keV (90% confidence) and suggests that it is relatively massive for such a high redshift cluster.We acknowledge financial support from NASA grant NAG-11634 (AKR, RCN, KS, MD, PTPV), The Royal Astronomical Society's Hosie Request (MD, KS), PPARC (ARL, STK, RGM), the NASA XMM program (KS), the Institute of Astronomy at the University of Edinburgh (MD), Liverpool John Moores University (MH), Carnegie Mellon University (KS, AKR), and NSF grant AST-0205960 (MJW).

  1. The Gains from Improved Market Efficiency

    DEFF Research Database (Denmark)

    Persson, Karl Gunnar; Ejrnæs, Mette

    This paper looks at the gains from improved market efficiency in long-distance grain trade in the second half of the 19th century when violations of the law of one price were reduced due to improved information transmission. Two markets, a major export centre, Chicago, and a major importer......, Liverpool, are analyzed. We show that there was a law of one price equilibrium throughout the period but that markets displayed spells of demand- or supply-constrained trade when the law of one price was violated. Over time adjustments back to equilibrium, as measured by the half-life of a shock, become...... faster, violations of the law of one price become smaller and hence less persistent. There were also significant gains from improved market efficiency but that improvement took place after the information ‘regime’ shifted from pre-telegraphic communication to a regime with swift transmission...

  2. Selecting GLP-1 agonists in the management of type 2 diabetes: differential pharmacology and therapeutic benefits of liraglutide and exenatide

    Directory of Open Access Journals (Sweden)

    Jonathan Pinkney

    2010-08-01

    Full Text Available Jonathan Pinkney1, Thomas Fox1, Lakshminarayan Ranganath21Department of Diabetes and Endocrinology, Peninsula College of Medicine and Dentistry, Plymouth, United Kingdom; 2Department of Clinical Biochemistry and Metabolic Medicine, Royal Liverpool University Hospital, Liverpool, United KingdomAbstract: Failure of secretion of the incretin hormone glucagon-like peptide-1 (GLP-1 plays a prominent role in type 2 diabetes, and restoration of GLP-1 action is an important therapeutic objective. Although the short duration of action of GLP-1 renders it unsuited to therapeutic use, 2 long-acting GLP-1 receptor agonists, exenatide and liraglutide, represent a significant advance in treatment. In controlled trials, both produce short-term glucose-lowering effects, with the reduction in hemoglobin A1c of up to 1.3%. These responses are often superior to those observed with additional oral agents. However, unlike sulfonylureas, thiazolidinediones, or insulin, all of which lead to significant weight gain, GLP-1 receptor agonists uniquely result in long-term weight loss of around 5 kg, and higher doses may enhance this further. Reduction in blood pressure of 2–7 mm Hg also has been observed. Both drugs produce transient mild gastrointestinal side effects; although mild hypoglycemia can occur, this is usually in combination with other hypoglycemic therapies. However, serious hypoglycemia and acute pancreatitis are rare. The once-daily dosage of liraglutide makes it more convenient than twice-daily dosage of prandial exenatide, and a superior glucose-lowering effect was observed in the only head-to-head comparison reported so far. Besides cost, these considerations currently favor liraglutide over exenatide. Further studies are needed to confirm long-term safety, and most importantly, that short-term benefits translate into long-term reductions of diabetes-related cardiovascular events and other complications.Keywords: diabetes, weight loss, glycemic control

  3. Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

    Directory of Open Access Journals (Sweden)

    Harris R

    2017-03-01

    Full Text Available Rebecca Harris, Claire Noble, Victoria Lowers Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK Abstract: Neoliberal emphasis on “responsibility” has colonized many aspects of public life, including how health care is provided. Clinical risk assessment of patients based on a range of data concerned with lifestyle, behavior, and health status has assumed a growing importance in many health systems. It is a mechanism whereby responsibility for self (preventive care can be shifted to patients, provided that risk assessment data is communicated to patients in a way which is engaging and motivates change. This study aimed to look at whether the form in which tailored risk information was presented in a clinical setting (for example, using photographs, online data, diagrams etc., was associated with differences in patients’ responses and preferences to the material presented. We undertook a systematic review using electronic searching of nine databases, along with handsearching specialist journals and backward and forward citation searching. We identified eleven studies (eight with a randomized controlled trial design. Seven studies involved the use of computerized health risk assessments in primary care. Beneficial effects were relatively modest, even in studies merely aiming to enhance patient–clinician communication or to modify patients’ risk perceptions. In our paper, we discuss the apparent importance of the accompanying discourse between patient and clinician, which appears to be necessary in order to impart meaning to information on “risk,” irrespective of whether the material is personalized, or even presented in a vivid way. Thus, while expanding computer technologies might be able to generate a highly personalized account of patients’ risk in a time efficient way, the need for face-to-face interactions to impart meaning to the data means that these new technologies cannot fully address the

  4. A presença inglesa no Império Brasileiro: a firma Edward Johnston & Co. e o comércio exportador, 1842-1852

    Directory of Open Access Journals (Sweden)

    Carlos Gabriel Guimarães

    2015-01-01

    Full Text Available O estudo teve como objetivo analisar a organização e a atividade exportadora da firma inglesa Edward Johnston & Co. no Brasil no período 1842 a 1852. Chegando ao Rio de Janeiro em 1821, Edward Johnston trabalhou na firma inglesa F. Le Breton & Co. Em 1827, gerente da firma, casou-se com Henrietta, filha de Charles Alexander Moke, proprietário da fazenda Nassau, produtora de café na floresta da Tijuca, no Rio de Janeiro. Depois de retornar da viagem para Londres e para a Holanda, Edward Johnston desligou-se da firma e virou corretor. O crescimento das exportações brasileiras, o conhecimento da Praça do Rio de Janeiro e os contatos comerciais com a Inglaterra possibilitaram a Edward Johnston organizar a firma Edward Johnston & Co. em 1842, tendo como sócios os negociantes William Joseph Havers e João Ignácio Tavares. Edward Johnston deixou a firma com seus sócios no Rio de Janeiro e retornou para Liverpool. A saída de João Ignácio Tavares da firma, o falecimento de Havers em 1847 e a crise comercial em Liverpool de 1847 fizeram com que Johnston reorganizasse a sociedade no Brasil. A melhora dos negócios e a crescente especialização da firma na exportação do café possibilitaram uma maior presença dos filhos de Johnston. Tal participação originou a Edward Johnston, Son & Co. em 1854. Essa é outra história.

  5. The role of lipid and carbohydrate digestive enzyme inhibitors in the management of obesity: a review of current and emerging therapeutic agents

    Directory of Open Access Journals (Sweden)

    Sonia A Tucci

    2010-05-01

    Full Text Available Sonia A Tucci, Emma J Boyland, Jason CG HalfordKissileff Laboratory for the Study of Human Ingestive Behaviour, School of Psychology, University of Liverpool, Liverpool, UKAbstract: Obesity is a global epidemic associated with significant morbidity and mortality in adults and ill health in children. A proven successful approach in weight management has been the disruption of nutrient digestion, with orlistat having been used to treat obesity for the last 10 years. Although orlistat-induced weight loss remains modest, it produces meaningful reductions in risk factors for obesity-related conditions such as diabetes and cardiovascular disease. Moreover, this lipase inhibitor is free of the serious side effects that have dogged appetite-suppressing drugs. This success had driven investigation into new generation nutraceuticals, supplements and pharmaceutical agents that inhibit the breakdown of complex carbohydrates and fats within the gut. This review focuses on agents purported to inhibit intestinal enzymes responsible for macronutrient digestion. Except for some synthetic products, the majority of agents reviewed are either botanical extracts or bacterial products. Currently, carbohydrate digestion inhibitors are under development to improve glycemic control and these may also induce some weight loss. However, colonic fermentation induced side effects, such as excess gas production, remain an issue for these compounds. The α-glucosidase inhibitor acarbose, and the α-amylase inhibitor phaseolamine, have been used in humans with some promising results relating to weight loss. Nonetheless, few of these agents have made it into clinical studies and without any clinical proof of concept or proven efficacy it is unlikely any will enter the market soon.Keywords: lipase, amylase, saccharidases, overweight, orlistat, Alli®, digestion, body weight

  6. Rank-Based Methods for Selection of Landscape Metrics for Land Cover Pattern Change Detection

    Directory of Open Access Journals (Sweden)

    Priyakant Sinha

    2016-02-01

    Full Text Available Often landscape metrics are not thoroughly evaluated with respect to remote sensing data characteristics, such as their behavior in relation to variation in spatial and temporal resolution, number of land cover classes or dominant land cover categories. In such circumstances, it may be difficult to ascertain whether a change in a metric is due to landscape pattern change or due to the inherent variability in multi-temporal data. This study builds on this important consideration and proposes a rank-based metric selection process through computation of four difference-based indices (β, γ, ξ and θ using a Max–Min/Max normalization approach. Land cover classification was carried out for two contrasting provinces, the Liverpool Range (LR and Liverpool Plains (LP, of the Brigalow Belt South Bioregion (BBSB of NSW, Australia. Landsat images, Multi Spectral Scanner (MSS of 1972–1973 and TM of 1987–1988, 1993–1994, 1999–2000 and 2009–2010 were classified using object-based image analysis methods. A total of 30 landscape metrics were computed and their sensitivities towards variation in spatial and temporal resolutions, number of land cover classes and dominant land cover categories were evaluated by computing a score based on Max–Min/Max normalization. The landscape metrics selected on the basis of the proposed methods (Diversity index (MSIDI, Area weighted mean patch fractal dimension (SHAPE_AM, Mean core area (CORE_MN, Total edge (TE, No. of patches (NP, Contagion index (CONTAG, Mean nearest neighbor index (ENN_MN and Mean patch fractal dimension (FRAC_MN were successful and effective in identifying changes over five different change periods. Major changes in land cover pattern after 1993 were observed, and though the trends were similar in both cases, the LP region became more fragmented than the LR. The proposed method was straightforward to apply, and can deal with multiple metrics when selection of an appropriate set can become

  7. Characterization of air manganese exposure estimates for residents in two Ohio towns

    Science.gov (United States)

    Colledge, Michelle A.; Julian, Jaime R.; Gocheva, Vihra V.; Beseler, Cheryl L.; Roels, Harry A.; Lobdell, Danelle T.; Bowler, Rosemarie M.

    2016-01-01

    This study was conducted to derive receptor-specific outdoor exposure concentrations of total suspended particulate (TSP) and respirable (dae ≤ 10 μm) air manganese (air-Mn) for East Liverpool and Marietta (Ohio) in the absence of facility emissions data, but where long-term air measurements were available. Our “site-surface area emissions method” used U.S. Environmental Protection Agency’s (EPA) AERMOD (AMS/EPA Regulatory Model) dispersion model and air measurement data to estimate concentrations for residential receptor sites in the two communities. Modeled concentrations were used to create ratios between receptor points and calibrated using measured data from local air monitoring stations. Estimated outdoor air-Mn concentrations were derived for individual study subjects in both towns. The mean estimated long-term air-Mn exposure levels for total suspended particulate were 0.35 μg/m3 (geometric mean [GM]) and 0.88 μg/m3 (arithmetic mean [AM]) in East Liverpool (range: 0.014–6.32 μg/m3) and 0.17 μg/m3 (GM) and 0.21 μg/m3 (AM) in Marietta (range: 0.03–1.61 μg/m3). Modeled results compared well with averaged ambient air measurements from local air monitoring stations. Exposure to respirable Mn particulate matter (PM10; PM <10 μm) was higher in Marietta residents. Implications Few available studies evaluate long-term health outcomes from inhalational manganese (Mn) exposure in residential populations, due in part to challenges in measuring individual exposures. Local long-term air measurements provide the means to calibrate models used in estimating long-term exposures. Furthermore, this combination of modeling and ambient air sampling can be used to derive receptor-specific exposure estimates even in the absence of source emissions data for use in human health outcome studies. PMID:26211636

  8. Characterisation of a CZT detector for dosimetry of molecular radiotherapy

    Science.gov (United States)

    McAreavey, L. H.; Harkness-Brennan, L. J.; Colosimo, S. J.; Judson, D. S.; Boston, A. J.; Boston, H. C.; Nolan, P. J.; Flux, G. D.; Denis-Bacelar, A. M.; Harris, B.; Radley, I.; Carroll, M.

    2017-03-01

    A pixelated cadmium zinc telluride (CZT) detector has been characterised for the purpose of developing a quantitative single photon emission computed tomography (SPECT) system for dosimetry of molecular radiotherapy (MRT). This is the aim of the Dosimetric Imaging with CZT (DEPICT) project, which is a collaboration between the University of Liverpool, The Royal Marsden Hospital, The Royal Liverpool and Broadgreen University Hospital, and the commercial partner Kromek. CZT is a direct band gap semiconductor with superior energy resolution and stopping power compared to scintillator detectors used in current SPECT systems. The inherent detector properties have been investigated and operational parameters such as bias voltage and peaking time have been selected to optimise the performance of the system. Good energy resolution is required to discriminate γ-rays that are scattered as they are emitted from the body and within the collimator, and high photon throughput is essential due to the high activities of isotopes administered in MRT. The system has an average measured electronic noise of 3.31 keV full width at half maximum (FWHM), determined through the use of an internal pulser. The energy response of the system was measured across the energy region of interest 59.5 keV to 364.5 keV and found to be linear. The reverse bias voltage and peaking time producing the optimum FWHM and maximum photon throughput were 600 V and 0.5 μs respectively. The average dead time of the system was measured as 4.84 μs and charge sharing was quantified to be 0.71 % at 59.5 keV . A pixel sensitivity calibration map was created and planar images of the medical imaging isotopes 99mTc and 123I were acquired by coupling the device to a prototype collimator, thereby demonstrating the suitability of the detector for the DEPICT project.

  9. Decision support system for monitoring environmental-human interactions.

    Science.gov (United States)

    Delavari-Edalat, Farideh; Abdi, M Reza

    2009-06-01

    The specific aim of this study is to investigate popular attitudes toward trees. The paper is involved the understanding of biophilia tendencies with respect to people's views in an urban area. Biophilia is considered as the idea insisting on the dependency of human identity on his relationship with nature. The biophilia fundamental tendencies were explored to establish a biological framework for valuing and affiliating the natural world. Accordingly, the nine tendencies i.e. utilitarian, naturalistic, ecologistic-scientific, aesthetic, symbolic, humanistic, moralistic, dominionistic, and negativistic were investigate to find out how people relate to the nature especially trees. The investigation was based on a quantitative interview which was applied to the public population in the Liverpool urban parks. Data collected from the designed questionnaire was followed by analysis of the data to identify people's attitudes towards trees. The results indicated how important the physical appeal and beauty of trees was for the people and also showed the people's emotional attachments to trees. Furthermore, a decision support model was proposed to evaluate human instincts and preferences in relation to their surrounding areas using the Analytical Hierarchical Process (AHP). The proposed model composed the environmental factors and the biophilia tendencies as the criteria of evaluating environmental-human interactions. A case study was then conducted in Liverpool parks to examine theses interactions. The data gathered was used as the input to the AHP model for the attribute analysis. The AHP model would enable environment managers to compose the relevant information via a link between human feelings about urban trees, and environmental factors for monitoring purposes and performance analysis.

  10. The Inverse Method for a Childhood Infectious Disease Model with Its Application to Pre-vaccination and Post-vaccination Measles Data.

    Science.gov (United States)

    Kong, Jude D; Jin, Chaochao; Wang, Hao

    2015-12-01

    In this paper, we improve the classic SEIR model by separating the juvenile group and the adult group to better describe the dynamics of childhood infectious diseases. We perform stability analysis to study the asymptotic dynamics of the new model, and perform sensitivity analysis to uncover the relative importance of the parameters on infection. The transmission rate is a key parameter in controlling the spread of an infectious disease as it directly determines the disease incidence. However, it is essentially impossible to measure the transmission rate for certain infectious diseases. We introduce an inverse method for our new model, which can extract the time-dependent transmission rate from either prevalence data or incidence data in existing open databases. Pre- and post-vaccination measles data sets from Liverpool and London are applied to estimate the time-varying transmission rate. From the Fourier transform of the transmission rate of Liverpool and London, we observe two spectral peaks with frequencies 1/year and 3/year. These dominant frequencies are robust with respect to different initial values. The dominant 1/year frequency is consistent with common belief that measles is driven by seasonal factors such as environmental changes and immune system changes and the 3/year frequency indicates the superiority of school contacts in driving measles transmission over other seasonal factors. Our results show that in coastal cities, the main modulator of the transmission of measles virus, paramyxovirus, is school seasons. On the other hand, in landlocked cities, both weather and school seasons have almost the same influence on paramyxovirus transmission.

  11. DNA methylation: its role in transcriptional regulation and association with lung cancer

    Directory of Open Access Journals (Sweden)

    Pantazi P

    2015-01-01

    Full Text Available Paschalia Pantazi,1,2 Amelia Acha-Sagredo,1,3,4 Alexandra Papaioannou,2 Georgios Nikolaidis,1,2 Triantafillos Liloglou1 1Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK; 2Division of Basic Science, University of Crete Medical School, Heraklion, Greece; 3Department of Stomatology II, Oral Medicine and Pathology UFI 11/25, University of the Basque Country, Leioa, Spain; 4IKERBASQUE, Basque Foundation for Science, Bilbao, Spain Abstract: DNA methylation is a fundamental biochemical modification that in conjunction with noncoding RNAs, histone modifications, and chromatin remodeling institutes the epigenetic machinery of mammalian cells. As a result of the second decade of intense epigenetic research and its role in human disease, substantial new mechanisms have been uncovered. However, it is well acknowledged that we have just scratched the tip of the iceberg. Epigenetic deregulation appears to be one of the foundations of major human diseases, including lung cancer, which is the most frequent cause of cancer-related deaths. Currently, significant effort is made to dissect the role of epigenetic deregulation in the development of lung cancer and utilize this knowledge in diagnostic and therapeutic applications. Taking advantage of the recent technologies in genomic research, many studies have been conducted to discover and validate abnormal DNA methylation patterns that may shed light on cancer development pathways and open new areas of potential clinical exploitation. In this article, we provide basic information of the DNA methylation involved in gene regulation and review the latest literature on potential relevant translational applications in lung cancer. Particular emphasis is given to the development and validation of DNA methylation biomarkers that may assist in the clinical management of lung cancer. Keywords: epigenetics, biomarkers, body fluids

  12. Mandatory Reporting? Issues to consider when developing legislation and policy to improve discovery of child abuse

    Directory of Open Access Journals (Sweden)

    Emma Davies

    2014-10-01

    Full Text Available Article by Dr Emma Davies (School of Law, Liverpool John Moores University, Associate Professor Ben Mathews (School of Law, Queensland University of Technology and Professor John Read (Institute of Psychology, Health and Society, University of Liverpool. In the United Kingdom, recent investigations into child sexual abuse occurring within schools, the Catholic Church and the British Broadcasting Corporation, have intensified debate on ways to improve the discovery of child sexual abuse, and child maltreatment generally. One approach adopted in other jurisdictions to better identify cases of severe child maltreatment is the introduction of some form of legislative mandatory reporting to require designated persons to report known and suspected cases. The debate in England has raised the prospect of whether adopting a strategy of some kind of mandatory reporting law is advisable. The purpose of this article is to add to this debate by identifying fundamental principles, issues and complexities underpinning policy and even legislative developments in the interests of children and society. The article will first highlight the data on the hidden nature of child maltreatment and the background to the debate. Secondly, it will identify some significant gaps in knowledge that need to be filled. Thirdly, the article will summarise the barriers to reporting abuse and neglect. Fourthly, we will identify a range of options for, and clarify the dilemmas in developing, legislative mandatory reporting, addressing two key issues: who should be mandated to report, and what types of child maltreatment should they be required to report? Finally, we draw attention to some inherently different goals and competing interests, both between and within the various institutions involved in the safeguarding of children and the criminal prosecution of some offenders. Based on this analysis we offer some concluding observations that we hope contribute to informed and careful

  13. Extent of dispensing prescription-only medications without a prescription in community drug retail outlets in Addis Ababa, Ethiopia: a simulated-patient study

    Directory of Open Access Journals (Sweden)

    Erku DA

    2016-07-01

    Full Text Available Daniel Asfaw Erku,1 Abebe Basazn Mekuria,2 Abdrrahman Shemsu Surur,1 Begashaw Melaku Gebresillassie3 1Department of Pharmaceutical Chemistry, 2Department of Pharmacology, 3Department of Clinical Pharmacy, School of Pharmacy, University of Gondar, Gondar, Ethiopia Purpose: This study was aimed at assessing the extent of dispensing prescription-only medications without a prescription in community drug retail outlets (CDROs of Addis Ababa, Ethiopia.Methods: A descriptive cross-sectional observational study design was used to sample 31 pharmacies, 25 drug stores, and two rural drug vendors from August 11, 2015, to October 21, 2015, through a simple random sampling method. A simulated-patient method of visit was implemented to collect data. Requests of six tracer prescription-only medicines (amoxicillin + clavulanic acid capsule, amitriptyline, captopril, glibenclamide [also known as glyburide], omeprazole capsule, and sildenafil citrate and upper respiratory tract infection were selected as the simulated clinical scenario.Results: Amoxicillin–clavulanic acid capsule was dispensed when requested in 87.93% of the dispensaries. All of the CDROs dispensed omeprazole upon request. Sildenafil citrate (Viagra was in stock in 96.55% of the CDROs, all of which issued the requested number of tablets without asking why or for whom the drug was needed. Amitriptyline, captopril, and glibenclamide (glyburide were dispensed in 84.48%, 89.65%, and 87.93% of CDROs upon the provision of an empty container. Antibiotics were obtained from 75.86% of CDROs for presentation of upper respiratory tract infection symptoms. Among the dispensed antibiotics, the most common was amoxicillin (93.18%, followed by amoxicillin–clavulanic acid capsule (72.72%, and azithromycin (50%. Only 4.5% of the dispensaries asked about drug allergies, and 15.9% of the CDROs informed the simulated patient about the possible side effects of the drugs.Conclusion: This study revealed a very high

  14. It can't hurt to ask; a patient-centered quality of service assessment of health canada's medical cannabis policy and program

    Directory of Open Access Journals (Sweden)

    Lucas Philippe

    2012-01-01

    Full Text Available Abstract Background In 2001 Health Canada responded to a series of Ontario court decisions by creating the Marihuana Medical Access Division (MMAD and the Marihuana Medical Access Regulations (MMAR. Although Health Canada has conducted a small number of stakeholder consultations, the federal government has never polled federally authorized cannabis patients. This study is an attempt to learn more about patient needs, challenges and experiences with the MMAD. Methods Launched in the spring of 2007, Quality of Service Assessment of Health Canada's Medical Cannabis Policy and Program pairs a 50 question online survey addressing the personal experiences of patients in the federal cannabis program with 25 semi-guided interviews. Data gathering for this study took place from April 2007 to Jan. 2008, eventually garnering survey responses from 100 federally-authorized users, which at the time represented about 5% of the patients enrolled in Health Canada's program. This paper presents the results of the survey portion of the study. Results 8% of respondents report getting their cannabis from Health Canada, while 66% grow it for themselves. >50% report that they frequent compassion clubs or dispensaries, which remain illegal and unregulated in Canada. 81% of patients would chose certified organic methods of cultivation; >90% state that not all strains are equally effective at relieving symptoms, and 97% would prefer to obtain cannabis from a source where multiple strains are available. Of the 48 patients polled that had tried the Health Canada cannabis supply, >75% rank it as either "1" or "2" on a scale of 1-10 (with "1" being "very poor", and 10 being "excellent". Discussion 72% of respondents report they are either "somewhat" or "totally unsatisfied" with Canada's medical cannabis program. These survey results and relevant court decisions suggest that the MMAR are not meeting the needs of most of the nation's medical cannabis patient community. It is

  15. Capacity of Health Facilities to Manage Hypertension in Mukono and Buikwe Districts in Uganda: Challenges and Recommendations.

    Directory of Open Access Journals (Sweden)

    Geofrey Musinguzi

    Full Text Available The burden of chronic diseases is increasing in both low- and middle-income countries. However, healthcare systems in low-income countries are inadequately equipped to deal with the growing disease burden, which requires chronic care for patients. The aim of this study was to assess the capacity of health facilities to manage hypertension in two districts in Uganda.In a cross-sectional study conducted between June and October 2012, we surveyed 126 health facilities (6 hospitals, 4 Health Center IV (HCIV, 23 Health Center III (HCIII, 41 Health Center II (HCII and 52 private clinics/dispensaries in Mukono and Buikwe districts in Uganda. We assessed records, conducted structured interviews with heads of facilities, and administered questionnaires to 271 health workers. The study assessed service provision for hypertension, availability of supplies such as medicines, guidelines and equipment, in-service training for hypertension, knowledge of hypertension management, challenges and recommendations.Of the 126 health facilities, 92.9% reported managing (diagnosing/treating patients with hypertension, and most (80.2% were run by non-medical doctors or non-physician health workers (NPHW. Less than half (46% of the facilities had guidelines for managing hypertension. A 10th of the facilities lacked functioning blood pressure devices and 28% did not have stethoscopes. No facilities ever calibrated their BP devices except one. About a half of the facilities had anti-hypertensive medicines in stock; mainly thiazide diuretics (46%, beta blockers (56% and calcium channel blockers (48.4%. Alpha blockers, mixed alpha & beta blockers and angiotensin II receptor antagonists were only stocked by private clinics/dispensaries. Most HCIIs lacked anti-hypertensive medicines, including the first line thiazide diuretics. Significant knowledge gaps in classification of patients as hypertensive were noted among respondents. All health workers (except 5, 1.9% indicated

  16. 中药自动化立体存储系统及其搬运机械手的设计%Design of the Automated Three-Dimensional Storage System and Its Manipulate for Traditional Chinese Medicine

    Institute of Scientific and Technical Information of China (English)

    侯荣国; 房晓; 矫玉菲; 杨辉; 梁丽芬; 姜鹏鹏

    2013-01-01

    通过设计一套中药自动化立体存储系统及其搬运机械手装置应用在中药库房中以实现中药的自动化立体存储和搬运,提高中药房的信息化管理水平;其控制系统主要以工业用PLC为控制核心,通过PLC编程控制精确定位药箱位置,并借助称重传感器精确控制药量;利用气动方式控制电磁阀动作来完成药箱的开合和搬运机械手手爪的抓取动作;根据中药药房相关工作特点开发出人机操作界面,操作人员可以远程操作界面即可完成中药的抓取工作;结构上采用密集式库架及坡底型药箱的新型结构,节省空间,最终实现对中药房的自动化管理.%A n automated three-dimensional storage system and its manipulate for Traditional Chinese Medicine(TCM) based on the PLCis designed to improve the information management level of the TCM dispensary; the PLC control equipment is used as the core of the storage control system,the accuracy position of the medicine storage cell is realized by PLC controlling,and the gripping dosage of TCM is controlled by help of the weight sensor,which has the 0.lg tolerance to insure accuracy of the TCM dosage.The gas-drive method is used to make the storage cell and special manipulate griper open or close by control of the PLC to complete the gripping any shape of the TCM.A human computer interaction interface (HCⅡ) is a/so designed to realize the remote control based on the working characters of the TCM dispensary.The operator is able to complete the remote-operation of griping the TCM exactly by using the HCⅡ.The structure of the three-dimensional storage intensive type storehouse and steep bottom type are used as the primary structure of the three-dimensional storage to save the space of the storage and increase the efficiency of the TCM management,and the automotive operation is realized to reduce labor intensity.

  17. Is tuberculosis treatment really free in China? A study comparing two areas with different management models.

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    Sangsang Qiu

    Full Text Available China has implemented a free-service policy for tuberculosis. However, patients still have to pay a substantial proportion of their annual income for treatment of this disease. This study describes the economic burden on patients with tuberculosis; identifies related factors by comparing two areas with different management models; and provides policy recommendation for tuberculosis control reform in China.There are three tuberculosis management models in China: the tuberculosis dispensary model, specialist model and integrated model. We selected Zhangjiagang (ZJG and Taixing (TX as the study sites, which correspond to areas implementing the integrated model and dispensary model, respectively. Patients diagnosed and treated for tuberculosis since January 2010 were recruited as study subjects. A total of 590 patients (316 patients from ZJG and 274 patients from TX were interviewed with a response rate of 81%. The economic burden attributed to tuberculosis, including direct costs and indirect costs, was estimated and compared between the two study sites. The Mann-Whitney U Test was used to compare the cost differences between the two groups. Potential factors related to the total out-of-pocket costs were analyzed based on a step-by-step multivariate linear regression model after the logarithmic transformation of the costs.The average (median, interquartile range total cost was 18793.33 (9965, 3200-24400 CNY for patients in ZJG, which was significantly higher than for patients in TX (mean: 6598.33, median: 2263, interquartile range: 983-6688 (Z = 10.42, P < 0.001. After excluding expenses covered by health insurance, the average out-of-pocket costs were 14304.4 CNY in ZJG and 5639.2 CNY in TX. Based on the multivariable linear regression analysis, factors related to the total out-of-pocket costs were study site, age, number of clinical visits, residence, diagnosis delay, hospitalization, intake of liver protective drugs and use of the second

  18. A survey of TB knowledge among medical students in Southwest China: is the information reaching the target?

    Science.gov (United States)

    Zhao, Ying; Ehiri, John; Li, Daikun; Luo, Xingneng; Li, Ying

    2013-01-01

    Objectives Tuberculosis (TB) control in schools is a concern in low-income and middle-income countries with high TB burdens. TB knowledge is recognised as important for TB control in China, which has one of the highest TB prevalence in the world. Accordingly, National TB Control Guideline in China emphasised TB-health education in schools as one of the core strategies for improving TB knowledge among the population. It was important to assess the level of TB knowledge in schools following 5-year implementation of the guideline, to determine whether the information was reaching the targets. Design A cross-sectional study. Methods and study setting This survey assessed TB knowledge and access to TB-health information by questionnaire survey with 1486 undergraduates from two medical universities in Southwest China. Results Overall, the students had inadequate TB knowledge. Only 24.1%, 27.2% and 34.1% of the students had knowledge of TB symptoms of cough/blood-tinged sputum, their local TB dispensaries and free TB treatment policy, respectively. Very few (14.5%) had heard about the Directly Observed Therapy Short Course (DOTS), and only about half (54%) had ever accessed TB-health education information. Exposure to health education messages was significantly associated with increased knowledge of the five core TB knowledge as follows: classic TB symptoms of cough/blood-tinged sputum (OR (95% CI) 0.5(0.4 to 0.7)), TB modes of transmission (OR (95% CI) 0.4(0.3 to 0.5)), curability of TB (OR (95% CI) 0.6(0.5 to 0.7)), location and services provided by TB local dispensaries (OR (95% CI) 0.6(0.5 to 0.8)) and the national free TB treatment policy (OR (95% CI) 0.7(0.5 to 0.8)). Conclusions The findings pose the question of whether it is time for a rethink of the current national and global approach to TB-health education/promotion which favours promotion of awareness on World TB Days rather than regular community sensitisation efforts. PMID:24056486

  19. Extent of dispensing prescription-only medications without a prescription in community drug retail outlets in Addis Ababa, Ethiopia: a simulated-patient study

    Science.gov (United States)

    Erku, Daniel Asfaw; Mekuria, Abebe Basazn; Surur, Abdrrahman Shemsu; Gebresillassie, Begashaw Melaku

    2016-01-01

    Purpose This study was aimed at assessing the extent of dispensing prescription-only medications without a prescription in community drug retail outlets (CDROs) of Addis Ababa, Ethiopia. Methods A descriptive cross-sectional observational study design was used to sample 31 pharmacies, 25 drug stores, and two rural drug vendors from August 11, 2015, to October 21, 2015, through a simple random sampling method. A simulated-patient method of visit was implemented to collect data. Requests of six tracer prescription-only medicines (amoxicillin + clavulanic acid capsule, amitriptyline, captopril, glibenclamide [also known as glyburide], omeprazole capsule, and sildenafil citrate) and upper respiratory tract infection were selected as the simulated clinical scenario. Results Amoxicillin–clavulanic acid capsule was dispensed when requested in 87.93% of the dispensaries. All of the CDROs dispensed omeprazole upon request. Sildenafil citrate (Viagra) was in stock in 96.55% of the CDROs, all of which issued the requested number of tablets without asking why or for whom the drug was needed. Amitriptyline, captopril, and glibenclamide (glyburide) were dispensed in 84.48%, 89.65%, and 87.93% of CDROs upon the provision of an empty container. Antibiotics were obtained from 75.86% of CDROs for presentation of upper respiratory tract infection symptoms. Among the dispensed antibiotics, the most common was amoxicillin (93.18%), followed by amoxicillin–clavulanic acid capsule (72.72%), and azithromycin (50%). Only 4.5% of the dispensaries asked about drug allergies, and 15.9% of the CDROs informed the simulated patient about the possible side effects of the drugs. Conclusion This study revealed a very high rate of dispensing of prescription-only medicines without a prescription. Antimicrobials and drugs for chronic diseases were obtained with ease from almost all of the randomly sampled CDROs. Putting good dispensing practice into effect and adhering to the existing national

  20. DISSECTING AORTIC ANEURYSM IN REAL–LIFE CLINICAL PRACTICE: DIAGNOSTICS, TREATMENT AND PROGNOSIS

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    S. V. Seleznev

    2016-01-01

    Full Text Available Objective: analysis of clinical features of the dissecting aortic aneurysm (DAA and factors affecting prognosis in a group of 40 patients, hospitalized in Ryazan Regional Cardiology Dispensary during 2008–2012.Material and methods. We have analyzed clinical data of 40 patients with DAA, assessed their survival and identified factors affecting prognosis.Results. The mean age of the patients was 61.1 ± 15.6 years; 82 % of them were males. 80 % of the patients were hospitalized in the acute period of the disease, 60 % – during the first 24 hours. 4 2 % of the patients had DAA as a referral diagnosis. The main clinical manifestations of DAA included: chest pain and abdominal pain (92 %, weakness (51 %, shortness of breath (28 %, heart disruptions (8 %, dizziness (5 %, and cough (3 %. Pain syndrome was absent in 8 % of the DAA patients. At physical examination 49 % of the patients demonstrated pale skin, 1 patient (3 % had cyanotic skin. Low blood pressure was observed in 33 % of the cases, tachycardia – in 31 %, and tachypnea – in 13 % of the cases. 26 % of the patients were found to have murmur over the aorta, 10 % – abnormal heart rhythm. 44 % showed tenderness on palpation of the abdomen.Electrocardiography was carried out for 97 % of the study population, chest X-ray for 33 %, transthoracic echocardiography for 4 4 %, and computed tomography (CT for 42 %, including contrast-enhanced computed tomography scanning for 38 %. 31 % of the patients received antiplatelet agents and anticoagulants. 24 % of the patients underwent surgical treatment in Ryazan» Regional Cardiology Dispensary, 36 % were referred to Federal centers of cardiovascular surgery. In-hospital mortality rate was 52 %, 24-hour mortality rate was 30 %. The following factors were found to be statistically significant in terms of the disease prognosis: systolic and diastolic blood pressure, left ventricular ejection fraction, levels of hemoglobin, blood urea and creatinine

  1. Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania

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    Bloch Paul

    2005-07-01

    Full Text Available Abstract Background Intermittent preventive treatment of malaria during pregnancy (IPTp is a key intervention in the national strategy for malaria control in Tanzania. SP, the current drug of choice, is recommended to be administered in the second and third trimesters of pregnancy during antenatal care (ANC visits. To allow for a proper design of planned scaling up of IPT services in Tanzania it is useful to understand the IPTp strategy's acceptability to health managers, ANC service providers and pregnant women. This study assesses the knowledge, attitudes and practices of these groups in relation to malaria control with emphasis on IPTp services. Methods The study was conducted in February 2004, in Korogwe District, Tanzania. It involved in-depth interviews with the district medical officer (DMO, district hospital medical officer in charge and relevant health service staff at two peripheral dispensaries, and separate focus group discussions (FGDs with district Council Health Management Team members at district level and pregnant women at dispensary and community levels. Results Knowledge of malaria risks during pregnancy was high among pregnant women although some women did not associate coma and convulsions with malaria. Contacting traditional healers and self-medication with local herbs for malaria management was reported to be common. Pregnant women and ANC staff were generally aware of SP as the drug recommended for IPTp, albeit some nurses and the majority of pregnant women expressed concern about the use of SP during pregnancy. Some pregnant women testified that sometimes ANC staff allow the women to swallow SP tablets at home which gives a room for some women to throw away SP tablets after leaving the clinic. The DMO was sceptical about health workers' compliance with the direct observed therapy in administering SP for IPTp due to a shortage of clean water and cups at ANC clinics. Intensified sensitization of pregnant women about the

  2. Utilization of health services in a resource-limited rural area in Kenya: Prevalence and associated household-level factors

    Science.gov (United States)

    Ngugi, Anthony K.; Agoi, Felix; Mahoney, Megan R.; Lakhani, Amyn; Mang’ong’o, David; Nderitu, Esther; Armstrong, Robert; Macfarlane, Sarah

    2017-01-01

    Background and methods Knowledge of utilization of health services and associated factors is important in planning and delivery of interventions to improve health services coverage. We determined the prevalence and factors associated with health services utilization in a rural area of Kenya. Our findings inform the local health management in development of appropriately targeted interventions. We used a cluster sample survey design and interviewed household key informants on history of illness for household members and health services utilization in the preceding month. We estimated prevalence and performed random effects logistic regression to determine the influence of individual and household level factors on decisions to utilize health services. Results and conclusions 1230/6,440 (19.1%, 95% CI: 18.3%-20.2%) household members reported an illness. Of these, 76.7% (95% CI: 74.2%-79.0%) sought healthcare in a health facility. The majority (94%) of the respondents visited dispensary-level facilities and only 60.1% attended facilities within the study sub-counties. Of those that did not seek health services, 43% self-medicated by buying non-prescription drugs, 20% thought health services were too costly, and 10% indicated that the sickness was not serious enough to necessitate visiting a health facility. In the multivariate analyses, relationship to head of household was associated with utilization of health services. Relatives other than the nuclear family of the head of household were five times less likely to seek medical help (Odds Ratio 0.21 (95% CI: 0.05–0.87)). Dispensary level health facilities are the most commonly used by members of this community, and relations at the level of the household influence utilization of health services during an illness. These data enrich the perspective of the local health management to better plan the allocation of healthcare resources according to need and demand. The findings will also contribute in the development of

  3. Community response to artemisinin-based combination therapy for childhood malaria: a case study from Dar es Salaam, Tanzania

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    Nyato Daniel J

    2010-02-01

    Full Text Available Abstract Background New malaria treatment guidelines in Tanzania have led to the large-scale deployment of artemether-lumefantrine (Coartem®, popularly known as ALu or dawa mseto. Very little is known about how people in malaria endemic areas interpret policy makers' decision to replace existing anti-malarials, such as sulphadoxine-pyrimethamine (SP with "new" treatment regimens, such as ALu or other formulations of ACT. This study was conducted to examine community level understandings and interpretations of ALu's efficacy and side-effects. The paper specifically examines the perceived efficacy of ALu as articulated by the mothers of young children diagnosed with malaria and prescribed ALu. Methods Participant observation, six focus group discussions in two large villages, followed by interviews with a random sample of 110 mothers of children less than five years of age, who were diagnosed with malaria and prescribed ALu. Additionally, observations were conducted in two village dispensaries involving interactions between mothers/caretakers and health care providers. Results While more than two-thirds of the mothers had an overall negative disposition toward SP, 97.5% of them spoke favourably about ALu, emphasizing it's ability to help their children to rapidly recover from malaria, without undesirable side-effects. 62.5% of the mothers reported that they were spending less money dealing with malaria than previously when their child was treated with SP. 88% of the mothers had waited for 48 hours or more after the onset of fever before taking their child to the dispensary. Mothers' knowledge and reporting of ALu's dosage was, in many cases, inconsistent with the recommended dosage schedule for children. Conclusion Deployment of ALu has significantly changed community level perceptions of anti-malarial treatment. However, mothers continue to delay seeking care before accessing ALu, limiting the impact of highly subsidized rollout of the drug

  4. [Urogenital tuberculosis today].

    Science.gov (United States)

    Zhukova, I I; Kul'chavenia, E V; Kholtobin, D P; Brizhatiuk, E V; Khomiakov, V T; Osadchiĭ, A V

    2013-01-01

    In order to analyze the structure of urogenital tuberculosis, retrospective analysis of medical records of 131 patients with newly diagnosed urogenital tuberculosis observed in the Novosibirsk Regional TB Dispensary from 2009 to 2011 was performed. The renal tuberculosis is main form in the structure is urotuberculosis, detected in 75% of patients, and widespread destructive forms of the disease were diagnosed in more than half of cases. Isolated nephrotuberculosis was more often diagnosed in women--56.8%. 15.9% of patients had asymptomatic nephrotuberculosis; one-third of patients complained of pain in the lumbar region and frequent painful urination (35.2 and 39.8%, respectively); symptoms of intoxication were present in 17% of patients, renal colic--in 9.1%, and gross hematuria--in 7.9% of patients. Mycobacteriuria in isolated nephrotuberculosis was detected in 31.8% of cases. Acute tuberculous orchiepididymitis developed in 35.7% of patients, hemospermia was observed in 7.1% of patients, dysuria was in 35.7% of patients. The pain in the perineum, frequent painful urination (both by 31.6%), hemospermia (26.3%) were main complaints in prostate tuberculosis. Mycobacteria was detected in 10.5% of cases. It was found that urogenital tuberculosis has no pathognomonic symptoms; the most alarming manifestations include long-term dysuria, hematuria, hemospermia.

  5. Pharmacist-led medication-related needs assessment in rural Ghana.

    Science.gov (United States)

    Wilby, Kyle John; Lacey, Jill

    2013-12-01

    Access to both essential and non-essential medications is increasing worldwide. While increased drug access is a positive development, many countries lack the infrastructure for appropriate distribution, administration, and monitoring of drug therapy. The objective of this study was to assess medication and pharmacy-related needs in the rural Ashanti Region of Ghana and to determine barriers of achieving optimal health outcomes in this region. Qualitative domains and associated themes were identified by observations from integration into community culture and from conduction of semi-structured interviews with local community leaders, health workers, or those with knowledge of health-related issues. Eight semi-structured interviews were completed and four thematic domains were identified; access to care, resource shortages, medication safety, and education/training. Barriers and challenges identified under each thematic domain included (but were not limited to) availability of clean water sources, shortages of medications and diagnostic equipment, financial considerations, misunderstanding of medication indications and directions for use, and shortages of qualified pharmacy or dispensary staff. Most respondents also expressed a need for continuing education and training of healthcare personnel. It can be concluded that there is a need for development of health services related to medications. Locally supported interventions and future research should focus on barriers and challenges identified from the thematic domains.

  6. Purposefulness of early application of physical rehabilitation means for improvement of external respiration system functional state of women with post mastectomies syndrome

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    Briskin Y.A.

    2015-12-01

    Full Text Available Purpose: to determine purposefulness of early application of physical rehabilitation means for improvement of external respiration system functional state of women with post mastectomies syndrome. Material: in the research 135 women with post mastectomies syndrome, who endured radical mastectomy by Madden, participated. Women of main groups were trained in compliance with appropriate programs during one year. Effectiveness of trainings was controlled after half of year. Admission to trainings was given by oncologist. Patients of these groups belonged to third clinical group. At the beginning of dispensary period the groups were equal by all indicators of external system function. Results: it was found that early rehabilitation is more effective exclusively for indicators of bronchial patency. Complex, personality oriented program included: aqua-fitness; conditional swimming; health related aerobic and Pilates. It was found that after half year training advantages of early physical rehabilitation were noticed only in indicators of forced exhale volume at first second. Conclusions: we stated importance of early rehabilitation trainings of women with post mastectomies syndrome.

  7. The Effect of 5S-Continuous Quality Improvement-Total Quality Management Approach on Staff Motivation, Patients' Waiting Time and Patient Satisfaction with Services at Hospitals in Uganda.

    Science.gov (United States)

    Take, Naoki; Byakika, Sarah; Tasei, Hiroshi; Yoshikawa, Toru

    2015-03-31

    This study aimed at analyzing the effect of 5S practice on staff motivation, patients' waiting time and patient satisfaction with health services at hospitals in Uganda. Double-difference estimates were measured for 13 Regional Referral Hospitals and eight General Hospitals implementing 5S practice separately. The study for Regional Referral Hospitals revealed 5S practice had the effect on staff motivation in terms of commitment to work in the current hospital and waiting time in the dispensary in 10 hospitals implementing 5S, but significant difference was not identified on patient satisfaction. The study for General Hospitals indicated the effect of 5S practice on patient satisfaction as well as waiting time, but staff motivation in two hospitals did not improve. 5S practice enables the hospitals to improve the quality of services in terms of staff motivation, waiting time and patient satisfaction and it takes as least four years in Uganda. The fourth year since the commencement of 5S can be a threshold to move forward to the next step, Continuous Quality Improvement.

  8. Perinatal HIV-infection in Sankt Petersburg and Modern Therapy Concomitant Viral Infections

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    V. N. Timchenko

    2016-01-01

    Full Text Available The study included 338 HIV-infected children (B-23 and 350 children with perinatal contact HIV infection (R-75, consisting on the dispensary in the department of maternal and child the St. Petersburg City AIDS Center. In 32 persons (9.5% diagnosed with secondary infections. In the structure of viral opportunistic infections (herpesvirus, SARS amounted to 39.8%, bacterial (bronchitis, tonsillitis, pyoderma, tuberculosis — 34.8%, fungal and parasitic (candidiasis of the oral mucosa, PCP — 25.4 %. Combined therapy (causal, pathogenetic, symptomatic SARS in children with B-23 and R-75, allows you to get in early (6th d. Treatment regress the main symptoms of acute respiratory diseases. Modern therapy of congenital cytomegalovirus infection (VTSMI in children with B-23 and R-75 of the first year of life with antitsitomegalovirusnogo immunoglobulin and preparation of human recombinant interferon alfa-2b in the form of rectal suppositories — VIFERON, causes persistent normalization of clinical and laboratory parameters.

  9. [Chronic tonsillitis in the students of a humanitarian higher school: incidence, diagnostics, and therapeutic strategies].

    Science.gov (United States)

    Kunel'skaia, N L; Skriabina, L Iu

    2013-01-01

    The objective of the present work was to study peculiar features of the nosological structure of chronic ENT pathology in the applicants and students of a higher education institution and perform a thorough analysis of the prevalence of various forms of chronic pharyngeal diseases. The study was based at the Polyclinic of Moscow State Institute of International Relations, Russian Ministry of Foreign Affairs, and lasted from 1998 to 2011. A total of 42 829 subjects aged between 15-30 years were examined including 32 186 applicants undergoing physical qualification by the medical evaluation board and 10 643 students subjected to routine annual medical examination. The latter group was characterized by the high prevalence of chronic ENT diseases predominated by pharyngeal pathology (39.6-59.8%). Chronic pharyngeal pathology was prevailed by chronic tonsillitis (32.7-50.6%) followed in the descending order by chronic pharyngitis (16.9-25.2%), papillomas affecting the soft palate, palatine arches and tonsils (0.8-1.5%), and adenoid vegetations (0.05-0.4%). It is concluded that regular medical check-up and treatment provide an effective tool for the prevention of CT progression and the development of its complications in the young subjects. 93.81% of the students were removed from dispensary observation due to improvement of health conditions or recovery. It is concluded that the surgical treatment of CT (bilateral tonsillectomy) should be more extensively applied in the absence of the desired effect of its conservative therapy.

  10. Evaluation of diseases survelliance studies after flood disaster in Batman province

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    Deniz Akgün

    2009-03-01

    Full Text Available The aim of this study was to evaluate the contagious diseases surveillance studies after the flood disaster between 31.10.2006 and 02.11.2006 in Batman province. After flood disaster, there had been taken some measures about water sanitation, immunization and organization of the health services and the public education issues.Super chlorination procedure had been applied to drinking water in the city center. The free chlorine levels of 890 water specimens from different areas of the province had been measured and the results were between 0.3 to 0.8 ppm. A random 359 specimens were tested biologically and chemically and they have been found eligible to use. Health units of the municipality had been provided with adequate tetanus vaccine in order to inoculate the persons who had been wounded. Children without adequate childhood vaccinations and immunizations were encouraged to complete their vaccinations in the closest dispensaries. A structural questionnaire had been applied with the aim of collecting data about potential contagious diseases in the area. For the following two weeks after the disaster, 0.6 % of the residents were observed to have gastroenteritis. However, the EPI Curve of the gastroenteritis cases do not show a potential epidemic in the province. Active surveillance system which applies by visiting households is important for taking essential preventive measures; besides, early detecting of potential contagious diseases.

  11. EXPERIENCE OF USING INDIVIDUAL TITAN IMPLANTS IN NASAL RECONSTRUCTION SURGERY

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    V. V. Epishev

    2016-01-01

    Full Text Available Aim. Clinical use of implants based on patient’s individual topographic anatomical features. Materials and methods. The paper describes two case reports involving the correction of nasal anatomical structure affected during the surgery for facial cancer. Using selective laser sintering technology we manufactured 2 intricate 3D-deformed individual implants from Ti70V30 alloy powders. Implant design was based on CAT/MRT data. Clinical use was conducted on the premises of the department of head and neck surgery in Chelyabinsk Regional Oncological Dispensary. Results. In the fi rst case we obtained an impressive functional result – huge and wide nasal cavity, nose skeleton, and easy nasal breathing. In 30 days we performed endoscopic video-analysis (via nasal passages which showed that 65% of implant surface was covered with mucosa. In the second case, the designed implant allowed the combined surgery including excision of soft tissues, atypical resection of the upper jaw (left part and the left cheek, left maxillary sinusotomy and reconstruction of the left part of the nose and the left cheek with implant and skin fl ap. Conclusion. Clinical use revealed pros and contras of the applied technology. Among contras there are relatively high cost of technology, high standards of competency of a surgeon, a programmer and engineers. Pros include free modeling and setting the implant parameters before operation, exact match between implant size/shape and topographic anatomical data of a certain patient. 

  12. Genotype of cytochrome-450 2C9 in patients with tuberculosis

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    Kresyun V.I.

    2013-06-01

    Full Text Available The aim of present work was to investigate CYP2С9 polymorphism in the south of Ukraine in TB-patients and comparing with the same data of control group by the example of Odessa region. Gene CYP2С9 polymorphism was studied with the help of PCR (polymerase chain reaction and endonuclease analysis. The blood samples were obtained from patients with new cases of pulmonary TB from Odessa regional antituberculous dispensary and healthy donors in Odessa district station of blood transfusion in the year 2010-12. According to genotype of CYP2C9 of 55 TB-patients, 67,3% persons were the carriers of homozygote wild gene CYP2C9*1/*1, 21,8 and 3,6% - heterozygote genes CYP2C9*1/*2 and CYP2C9*1/*3. Only 7,2% individuals belonged to carriers of slow metabolizers genotype - CYP2C9*2/*2, *2/*3, *3/*3. In general, the mutated alleles CYP2C9*2 and CYP2C9*3 in TB-males were observed by 1,8 times more frequently than among healthy donors of the same gender. TB-patients older than 30 years more frequently had mutated allele CYP2C9*2, almost by 3 times than individuals from control group.

  13. Challenges of mainstreaming: Ayurvedic practice in Delhi Government health institutions

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    Sharmistha Mallick

    2016-03-01

    Full Text Available This paper is an attempt to understand the project of mainstreaming in India's health care system that has started with an aim to bring marginalized and alternative systems of medicine in mainstream. The project has gained much attention with the establishment of Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy (AYUSH in the year 2003, which is now a ministry. It has ushered some positive results in terms of growth of AYUSH hospitals and dispensaries. However, it has also raised challenges around the theory and practice of mainstreaming. With an emphasis on Ayurvedic practice in Delhi Government Health Institutions, this article has tried to analyze some of those challenges and intricacies. Drawing on Weber's theory of bureaucratization and Giddens's theory of structuration, the paper asks what happens to an alternative medical system when it becomes part of the bureaucratic set-up. Along with the questions of structures, it also tries to combine the question of the agency of both patients and doctors considered to be the cornerstone of the Ayurvedic medical system. Although our study recognizes some of the successes of the mainstreaming project, it also underlines the challenges and problems it faces by analyzing three points of view (institutions, doctors, and patients.

  14. Does deregulation in community pharmacy impact accessibility of medicines, quality of pharmacy services and costs? Evidence from nine European countries.

    Science.gov (United States)

    Vogler, Sabine; Habimana, Katharina; Arts, Danielle

    2014-09-01

    To analyse the impact of deregulation in community pharmacy on accessibility of medicines, quality of pharmacy services and costs. We analysed and compared community pharmacy systems in five rather deregulated countries (England, Ireland, the Netherlands, Norway, Sweden) and four rather regulated countries (Austria, Denmark, Finland, Spain). Data were collected by literature review, a questionnaire survey and interviews. Following a deregulation, several new pharmacies and dispensaries of Over-the-Counter (OTC) medicines tended to be established, predominantly in urban areas. Unless prevented by regulation, specific stakeholders, e.g. wholesalers, were seen to gain market dominance which limited envisaged competition. There were indications for an increased workload for pharmacists in some deregulated countries. Economic pressure to increase the pharmacy turnover through the sale of OTC medicines and non-pharmaceuticals was observed in deregulated and regulated countries. Prices of OTC medicines were not found to decrease after a deregulation in pharmacy. Access to pharmacies usually increases after a deregulation but this is likely to favour urban populations with already good accessibility. Policy-makers are recommended to take action to ensure equitable accessibility and sustainable competition in a more deregulated environment. No association between pharmaceutical expenditure and the extent of regulation/deregulation appears to exist. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  15. 模拟药房在药学强化训练中的应用探索%Application of Simulated Drugstore to Pharmacy Intensified Training

    Institute of Scientific and Technical Information of China (English)

    韦贤; 王金妮; 黄祖良

    2015-01-01

    药学强化训练应该以学生的就业和创业引导教育,以提高专业技能为关键点,加强学生的自主学习和创新能力、团队协作意识、适应新岗位的能力以及对社会的认知程度。药学强化训练主要是通过在“模拟药房”中模拟案例、用药处方分析、药品不良反应监测和管理等方法来达到强化训练的效果。%In pharmacy intensified training, we should guide and teach employment and entrepreneurship of the students, take improving professional skills as the key part, enhance students' ability of autonomic learning and innovating, teamwork, adjusting new job and social cognition. We obtain the effects mainly through the simulation cases in "simulated dispensary", prescription analysis, monitoring and management of adverse drug reaction in pharmacy intensified training.

  16. [EVALUATION OF QUALITY INDICATORS OF LIFE AS A CRITERION OF THE EFFICIENCY OF TREATMENT FOR LIQUIDATORS OF THE ACCIDENT AT CHERNOBYL AEROSPHORUS, PATIENTS WITH HYPERTENSION DISEASE COMORBID WITH GASTROESOPHAGEAL REFLUX DISEASE].

    Science.gov (United States)

    Synelnik, V; Oparin, A

    2017-04-01

    In order to assess the quality of life of liquidators of the accident at the Chernobyl nuclear power plant (CHPP) of patients with hypertensive comorbid disease with gastroesophageal reflux disease, 52 patients aged 46 to 71 years (mean age 57.5±0, 8 years old) who were on inpatient treatment in the therapeutic department of the Regional Clinical Specialized Dispensary for Radiation Protection of the Population of Kharkov from January 2016 to December 2016. The men among the examined were 44 (84.6%), women - 8 (15.4 All patients were divided into 2 groups, Group I patients received standard therapy, Group II patients, in addition to standard therapy, respectively nosology, received additionally the drug Actovegin ® Takeda Austria GmbH. All quality of life indicators were evaluated before the treatment and after In group I patients, after the standard treatment of GB comorbid with GERD, statistically significantly reduced the limitations on the scale of body pain (BP), therefore, in points, on the contrary, to 18.8±2.8 points increased, indicating a decrease in pain after treatment In patients. In patients with group II GB comorbid with GERD after standard treatment with additional use of Actovegin ®, the daily activity limitations associated with the disease on the scales of physical functioning (PF), role activity (RP), physical pain (BP), Vitality (VT), emotional state (RE).

  17. LABELISASI HARGA OBAT DALAM RANGKA KOMPETISI HARGA OBAT YANG TRANSPARAN DAN AKUNTABEL

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    Martuti Budiharto

    2012-11-01

    Full Text Available The article reviewed some literatures and analyzed secondary data that aquainted with the labeling system on the maximal retail price of medicines which are transparant and accountable. Patients as consumers are not able to be familiar with commodities and services such as medicines and health services. The consumers just bought medicines cash at dispensaries and received receipts which showing prices of the medicines. They had some constrains to do so as they wereeager to recover. Hence they made efforts to get money for paying the medicines. The Government have to be obliged to save patients, that means the patients must get attainable price due to rational calculation and optimal qualified services,based on the regulatory. The Letter of Decree No. 068/MenKes/SK/II/2006 signed by the Ministry of Health explains about labeling on maximal retail prices of medicines on packaging. It is one of government efforts to serve patients to be aquainted to transparency and accountable medical prices. Key words: medicines, transparant, accountable, price

  18. Attitude and opinion towards essential medicine formulary

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    Sharma Sangeeta

    2010-01-01

    Full Text Available Objective : The Delhi State Drug Policy was adopted in 1994 following which the first Essential Medicines List (EML was developed in 1996. The Delhi State Essential Medicines Formulary was brought out in 1997. A need was felt to revise the formulary to match with the EML as the EML is renewed every 2 years. Materials and Methods : A survey was undertaken to elicit the opinions of the doctors practicing in the state on the usefulness of the formulary before revising and printing the updated version. The survey covered dispensaries, 10-20 bedded hospitals, 100-bedded hospitals and two tertiary care hospitals. Discussions were focused on questionnaires on attitudes toward adopting Essential Medicines Formulary using a 10-point scale. Results : Of the 200 doctors approached, only 90 doctors completed the questionnaire. Sixty-nine respondents (76.6% had received the copy of the formulary. Most practitioners welcomed the formulary and were satisfied with the coverage and selection of the medicines. Most respondents (76.9% agreed that a well-developed formulary would improve the quality of the public health care system, although they had reservations about the authority, relevance and effect on professional autonomy. Conclusion : About 74% of the respondents used the formulary in clinical practice as a source of medicine information, which makes its regular revision necessary.

  19. Risk of tuberculosis during pregnancy in Mongolia, a high incidence setting with low HIV prevalence.

    Science.gov (United States)

    Rendell, N L; Batjargal, N; Jadambaa, N; Dobler, C C

    2016-12-01

    To investigate the epidemiology and the relative risk of tuberculosis (TB) in pregnant women in Mongolia, a high TB incidence setting with a low rate of human immunodeficiency virus co-infection, where active case finding for TB in pregnancy is implemented. We retrospectively collected data on pregnant women diagnosed with TB during 2013. Data were collected through doctors at central TB dispensaries who extracted the relevant information from patients' clinical records. The overall incidence of TB among pregnant women was 228 (95%CI 187276) per 100000 person-years, resulting in an incidence rate ratio of 1.31 (95%CI 1.081.59) in pregnant women compared to the general population. Twelve per cent of the pregnant women with TB chose to have an abortion. In this study, pregnant women had a 1.3-fold higher risk of developing TB than the general population. Based on a moderately increased risk of TB during pregnancy in our study and the potential for adverse health outcomes, TB screening among pregnant women can currently be justified, but the cost-effectiveness of this intervention remains unclear. Patients and doctors need to be educated about the safety of standard TB treatment in pregnancy to reduce the rate of abortions.

  20. Experts' perspectives on the role of medical marijuana in oncology: A semistructured interview study.

    Science.gov (United States)

    Braun, I M; Meyer, F L; Gagne, J J; Nabati, L; Yuppa, D P; Carmona, M A; Burstein, H J; Suzuki, J; Nayak, M M; Martins, Y

    2017-08-01

    Expansion of medical marijuana (MM) laws in the United States may offer oncology new therapeutic options. However, the scientific evidence for MM remains in infancy. This study qualitatively explored professional opinion around the role of MM in cancer care. Semistructured interviews were administered to a sample of individuals with expertise at the interface of MM and oncology nationally. Key informant criteria included an oncologic clinical or research background and any of the following: publications, research, or lectures on cannabinoids or cancer symptoms; involvement in the development of MM dispensaries or legislation; and early adoption of state MM certification procedures. A gold standard, grounded, inductive approach was used to identify underlying themes. Participants (N = 15) were predominantly male, in their sixth decade, working in academic settings. Themes ranged from strong beliefs in marijuana's medical utility to reservations about this notion, with calls for expansion of the scientific evidence base and more stringent MM production standards. All participants cited nausea as an appropriate indication, and 13 of 15 pain. Over one-third believed MM to have a more attractive risk profile than opioids and benzodiazepines. Expert opinion was divided between convictions in marijuana's medicinal potential and guardedness in this assertion, with no participant refuting MM's utility outright. Emergent themes included that MM ameliorates cancer-related pain and nausea and is safer than certain conventional medications. Participants called for enhanced purity and production standards, and further research on MM's utility. Copyright © 2017 John Wiley & Sons, Ltd.

  1. Formulación de cápsulas duras de Tamarindus indica L.

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    Jesús Rafael Rodríguez Amado

    Full Text Available Objetivo: formular cápsulas duras a partir de extracto blando de Tamarindus indica L. Métodos: se seleccionaron las cantidades de los excipientes lactosa monohidratada, almidón de maíz y dióxido de silicio coloidal (Aerosil®, utilizando un diseño factorial 2³. Se seleccionó para envasar en cápsulas, el granulado con mejor fluidez y menor humedad residual. Se evaluó la calidad de las cápsulas duras. Resultados: la formulación escogida fue lactosa monohidratada 35,0 g, Aerosil® 3,0 g y almidón de maíz 7,5 g, pues mostró buena fluidez y una humedad residual de 4,17 %. Las cápsulas duras formuladas, presentaron buena calidad tecnológica. Conclusiones: se obtuvieron cápsulas duras que pueden ser preparadas, a pequeña escala, a nivel dispensarial.

  2. Keep in a cool place: exposure of medicines to high temperatures in general practice during a British heatwave.

    Science.gov (United States)

    Crichton, Brian

    2004-07-01

    Exposure of medicines to high temperatures in storage or in transit could reduce their efficacy, and most licences specify storage at 25 degrees C or less. To assess whether this criterion was being met, maximum temperatures in a general practice drug cupboard and in drug bags placed in car boots were recorded for two weeks during a British heatwave (average peak daily ambient temperature 26 degrees C). Also, ten neighbouring dispensing pharmacies were questioned about their temperature-control policies. On every day of the study, maximum temperatures in the drug cupboard and in the car boots exceeded 25 degrees C. Mean daily maxima (range) were: drug cupboard 30.7 (27.5-37.0); silver car 37.5 (32.0-43.5); dark blue car 41.8 (35.0-49.5). None of the local dispensaries had air conditioning or kept a temperature log. In the course of a British summer, medicines were exposed to temperatures that might in theory have reduced their efficacy. This aspect of quality control deserves more attention.

  3. Antiretroviral Therapy – Changes of Basic Laboratory Parameters in Hiv-Infected Bulgarian Patients

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    Stojanova Yancheva Nina

    2015-11-01

    Full Text Available HIV-1 infection keeps on being a global problem because of its pandemic character and the impossibility for eradication. The combined antiretroviral therapy (АRТ remains the only treatment which has proven its effectiveness for maintaining the life of HIV positive patients. Because of long term (life time duration of this therapy, it is necessary to monitor patients for possible drug toxicity. The aim of our research is to evaluate the changes of basic laboratory examinations while conducting a long-term АRТ. We analyzed basic laboratory studies of 145 HIV-infected Bulgarian patients in the current research. The patients were separated into four groups according to their treatment regimen. They were on dispensary monitoring and were being treated in the Department for Patients with Acquired Immune Deficiency in the Specialized Hospital for Active Treatment of Infectious and Parasitic Diseases “Prof. Ivan Kirov” - Sofia. Our results showed that combined ART led to changes in blood count, alanin-aminotransferase (ALT, glucose and total cholesterol. Some of these changes are significant for some of the drugs administered. The current ART does not lead to severe toxicity and life-threatening conditions such as those which were observed in the first few years of ART introduction.

  4. An ethnobotanical study of medicinal plants used by the Masaai people of Losho, Kenya

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    Duncan Mutiso Chalo

    2016-02-01

    Full Text Available Objective: An ethnobotanical survey on the medicinal plant species in Losho, Narok County, Kenya was conducted in order to document traditional medicinal knowledge and application of medicinal plants.Materials and Methods: This study was undertaken between 2012. Information was gathered from traditional practitioners who lived and practised in Losho, Narok County, Kenya using semi-structured questionnaires and personal interviews during field trips. Ethnobotanical data was arranged alphabetically by family name followed by botanical name, vernacular name, part used, folk use, and recipe. Correct identification was made with the help of taxonomist and voucher specimens deposited at the University of Nairobi Herbarium.Results: Twenty six (26 herbalists between the ages 20-69 years (10 men and 16 women were purposively selected and interviewed. The present investigation reported medicinal information for 33 species, belonging to 21 plant families. The most represented plant family was Asteraceae followed by Oleaceae and Rhamnaceae. 36 % of the species were used to manage stomach ache and stomach related ailments while 30% of the plant species were used to treat malaria.Conclusion: This survey showed that although people in study area have access to modern medical facility Losho Dispensary but a lot of them still continue to depend on medicinal plants for the treatment of healthcare problems. The present paper represents significant ethnobotanical information on medical plants which provides baseline data for future pharmacological and phytochemical studies.

  5. [The main tasks concerning the organization of surveillance and prophylaxis of HIV-infection in Russian Federation].

    Science.gov (United States)

    Onishchenko, G G

    2007-01-01

    The main task concerning striving against HIV/AIDS epidemic is effective use of present political, financial, organizational, and informative possibilities. However, despite efforts, the epidemic situation with HIV/AIDS is constantly worsening. Approaches to and stereotypes of the organization of this work and its fulfillment cannot provide a complete solution to this problem. Among strategic tasks that should be fulfilled at the federal level are the following: strengthening of coordination of actions from the departmental level to interaction with Russian and international organizations and the community of people living with HIV/AIDS; determination of requirements and purchase of necessary diagnostic test systems for HIV-infection detection as well as pharmaceuticals, and providing subjects of Russian Federation with them. Tactical tasks that should be fulfilled at the level of subjects of Russian Federation are the following: medical aid to patients with HIV/AIDS should become more approachable; complete dispensary observation and treatment of these patients should be organized. Civil society and interaction between non-profit organizations and governmental structures play an important role in organization and fulfillment of striving against HIV epidemic.

  6. Behaviour of some biopsychosocial factors in the elderly of 90 years old and more.

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    Damaris Rubido Gómez

    2011-09-01

    Full Text Available Aging is a universal process that seems to affect all human beings, which is understood as a succession of morphological, physiological and phychological modifications with an irreversible character. A descriptive investigation was done with the objective of identifying the behaviour of some biopsychosocial factors in elder people of 90 years old and more in the dispensaries 44,45,and 49 of the policlinic 2 “Arcelio Suérez Bernal from Jatibonico municipality from January 1st ,2007 to december 31 st ,2008.The sample was conformed by 23 long lived that fulfilled with the inclusion criteria. Different variables were used like:sex, age, autovalidism, food, toxic habits, assossiated deseases and principal plans and projects. Female sex prevailed (69,6%, the 90-94years old group, coffe as risk factor (56,5 %, hip break (39,1% and the autovalidism in the way (86,9%.It was found these elderly get old in a best way because they were physical and social active.

  7. Challenges of mainstreaming: Ayurvedic practice in Delhi Government health institutions.

    Science.gov (United States)

    Mallick, Sharmistha

    2016-03-01

    This paper is an attempt to understand the project of mainstreaming in India's health care system that has started with an aim to bring marginalized and alternative systems of medicine in mainstream. The project has gained much attention with the establishment of Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) in the year 2003, which is now a ministry. It has ushered some positive results in terms of growth of AYUSH hospitals and dispensaries. However, it has also raised challenges around the theory and practice of mainstreaming. With an emphasis on Ayurvedic practice in Delhi Government Health Institutions, this article has tried to analyze some of those challenges and intricacies. Drawing on Weber's theory of bureaucratization and Giddens's theory of structuration, the paper asks what happens to an alternative medical system when it becomes part of the bureaucratic set-up. Along with the questions of structures, it also tries to combine the question of the agency of both patients and doctors considered to be the cornerstone of the Ayurvedic medical system. Although our study recognizes some of the successes of the mainstreaming project, it also underlines the challenges and problems it faces by analyzing three points of view (institutions, doctors, and patients).

  8. Evaluation of planning and performance of health centres of social security organization in relation to occupational diseases

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    Javadzadeh Ahmadi A

    1998-09-01

    Full Text Available The chief aim of this research is intended to study the planning and performance of the health and treatment units of the Social Security Organization about the illnesses that may occur in connection with occupations. We believe, however, that healthy skilled work force are the nmost important factors for the development and progress of a country. Therefore, illnesses and disabilities from chemical, physical, biological, psychological and ergonomic can be drasticly eliminated in order to ensure the safety standards of the work force. Five occupational medicine centers in Tehran, have undergone 35199 tests for pre-employment medical examinations. The results were fit, conditionally fit, and unfit that were introduced to employers, during August 1996 and July 1997. Periodical examinations, visits of workshops and factories, presentation of health care in 200 dispensaries has helped recognizing professional diseases. The results work of committee of medical assistant, showed 56 cases of disabilities due to occupation. Professional causes, 16.07% of the above disabilities are from mechanical and, 16.07% from transportation. Hands amputation 50%, injuries of waist 19.65%, feet 10.71% and head 7.14% had responsibility for invalidity due to occupations. Other results of this research like time distribution, causes of invalidity have been presented.

  9. The knowledge of parents of children with diarrhea on oralit at the department of child health, Dr. Pirngadi General Hospital Medan.

    Science.gov (United States)

    Saragih, M; Ramayati, R; Karo-Karo, M; Harahap, E; Sutanto, A H; Siregar, H

    1983-01-01

    Over the October 1-December 30, 1981 period, the parents of all inpatients and outpatients at the Department of Child Health, Dr. Pirngadi General Hospital Medan (Indonesia) were interviewed to assess their knowledge or oralit, an oral rehydration treatment. The interviewer asked the educational level of the parents, knowledge and use of oralit, source of information, where oralit was obtained, and whether or not oralit is kept at home. 285 parents were interviewed. 227 had knowledge of oralit, but only 153 had used it; 58 had never heard of it. The primary information source was doctors (63.9%); newspapers and magazines (1.8%) had a minor role. Dispensaries (86.9%) were the places where people obtained oralit easily. Only 74 (48.3%) of the users kept oralit at home; 41 sometimes had it available; and 38 (24.9%) never had it. The main reason (44.3%) why the parents of children with diarrhea never kept it at home was the easy availability of oralit. Of 128 patients who sought treatment from medical staff (doctors and nurses) before they came to the hospital to be treated as inpatients or outpatients, 49% of the doctors and 50% of the nurses did not give oralit beforehand. The promotion of oralit would be more successful if village leaders, teachers, youths, and women's organizations participated in the program.

  10. Disruptive innovation in community pharmacy - Impact of automation on the pharmacist workforce.

    Science.gov (United States)

    Spinks, Jean; Jackson, John; Kirkpatrick, Carl M; Wheeler, Amanda J

    Pharmacy workforce planning has been relatively static for many decades. However, like all industries, health care is exposed to potentially disruptive technological changes. Automated dispensing systems have been available to pharmacy for over a decade and have been applied to a range of repetitive technical processes which are at risk of error, including record keeping, item selection, labeling and dose packing. To date, most applications of this technology have been at the local level, such as hospital pharmacies or single-site community pharmacies. However, widespread implementation of a more centralized automated dispensing model, such as the 'hub and spoke' model currently being debated in the United Kingdom, could cause a 'technology shock,' delivering industry-wide efficiencies, improving medication accessibility and lowering costs to consumers and funding agencies. Some of pharmacists' historical roles may be made redundant, and new roles may be created, decoupling pharmacists to a certain extent from the dispensing and supply process. It may also create an additional opportunity for pharmacists to be acknowledged and renumerated for professional services that extend beyond the dispensary. Such a change would have significant implications for the organization and funding of community pharmacy services as well as pharmacy workforce planning. This paper discusses the prospect of centralized automated dispensing systems and how this may impact on the pharmacy workforce. It concludes that more work needs to be done in the realm of pharmacy workforce planning to ensure that the introduction of any new technology delivers optimal outcomes to consumers, insurers and the pharmacy workforce.

  11. Acceptability and use of portable drinking water and hand washing stations in health care facilities and their impact on patient hygiene practices, Western kenya.

    Science.gov (United States)

    Bennett, Sarah D; Otieno, Ronald; Ayers, Tracy L; Odhiambo, Aloyce; Faith, Sitnah H; Quick, Robert

    2015-01-01

    Many health care facilities (HCF) in developing countries lack access to reliable hand washing stations and safe drinking water. To address this problem, we installed portable, low-cost hand washing stations (HWS) and drinking water stations (DWS), and trained healthcare workers (HCW) on hand hygiene, safe drinking water, and patient education techniques at 200 rural HCFs lacking a reliable water supply in western Kenya. We performed a survey at baseline and a follow-up evaluation at 15 months to assess the impact of the intervention at a random sample of 40 HCFs and 391 households nearest to these HCFs. From baseline to follow-up, there was a statistically significant increase in the percentage of dispensaries with access to HWSs with soap (42% vs. 77%, pdrinking water (6% vs. 55%, pdrinking water using any method (73% vs. 92%, pdrinking water did not change (6%, vs. 8%, p = 0.14). The installation of low-cost, low-maintenance, locally-available, portable hand washing and drinking water stations in rural HCFs without access to 24-hour piped water helped assure that health workers had a place to wash their hands and provide safe drinking water. This HCF intervention may have also contributed to the improvement of hand hygiene and reported safe drinking water behaviors among households nearest to HCFs.

  12. Infectious caused by community-acquired Methicillin-Resistant Staphylococcus aureus (CA-MRSA: three-years experience of an universitary hospital in Rome

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    Anna Altieri

    2010-06-01

    Full Text Available To date methicillin-resistant Staphylococcus aureus (MRSA is one of the most common pathogens causing nosocomial infections(1. In Europe the proportion of MRSA is increasing sharply and the distribution varies from country to country. In recent years there has, in various parts of the world, the emergence of infection with strains of S. aureus methicillin-resistant community-acquired (CA-MRSA than those circulating in hospitals(2. These strains contain a gene that confers resistance to methicillin (mec A SSC mec IV which is usually associated with the gene for Leukocidin Panton Valentine (PVL toxin responsible for necrosis of skin and soft tissue (3. In 2006-2008, at the Laboratory of Bacteriology PolyclinicTor Vergata,were isolated a total of 738 strains of S. aureus from biological samples of different nature (oral, vaginal secretions, wound swab, secreted headset, etc ... of patients related to our surgeries.The identification and study of drug sensitivity of strains were performed with the automatic VITEK2 (bioMérieux. Of the 738 strains of S. aureus identified 212 (28.7% were resistant to methicillin (MRSA, with an increasing trend over the years: 46 isolates, respectively, in 2006, 76 in 2007 and 90 in 2008. The highest frequency of MRSA (varying between 85% and 95% was detected in wound swabs from the dispensary and diabetes (diabetic foot.

  13. HEMOSTASIOLOGICAL MONITORING DURING PREGNANCY

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    I. V. Medyannikova

    2014-01-01

    Full Text Available As gestation progresses, all hemostatic components show changes aimed at compensating for the expenditures associated with fetal development. Activation of the hemostatic system during pregnancy creates a premorbid background for thrombotic and hemorrhagic complications. Hemostasiological examination is one of the compulsory dispensary management stages for pregnant women. An algorithm for the diagnosis of pregnancy-associated disorders in the hemostatic system is to solve the following problems: to identify the causes of hemocoagulation disorders, to determine the risk of thrombotic and hemorrhagic disorders, to prevent obstetric complications, and to monitor antithrombotic therapy. Hemostatic monitoring in pregnant women is based on rating and special methods and includes 3 stages: early, extended, and differential.The need for extended hemostatic examination is first determined and the direction of a search for a defective component is concretized in relation of the changes found. Interpretation of laboratory test values in terms of a female medical history and gestational age underlies the timely diagnosis, adequate treatment policy, and effective prevention of gestational complications.

  14. HEMOSTASIOLOGICAL MONITORING DURING PREGNANCY

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    I. V. Medyannikova

    2014-11-01

    Full Text Available As gestation progresses, all hemostatic components show changes aimed at compensating for the expenditures associated with fetal development. Activation of the hemostatic system during pregnancy creates a premorbid background for thrombotic and hemorrhagic complications. Hemostasiological examination is one of the compulsory dispensary management stages for pregnant women. An algorithm for the diagnosis of pregnancy-associated disorders in the hemostatic system is to solve the following problems: to identify the causes of hemocoagulation disorders, to determine the risk of thrombotic and hemorrhagic disorders, to prevent obstetric complications, and to monitor antithrombotic therapy. Hemostatic monitoring in pregnant women is based on rating and special methods and includes 3 stages: early, extended, and differential.The need for extended hemostatic examination is first determined and the direction of a search for a defective component is concretized in relation of the changes found. Interpretation of laboratory test values in terms of a female medical history and gestational age underlies the timely diagnosis, adequate treatment policy, and effective prevention of gestational complications.

  15. Basic foundations of phthisiology professionalization in the assessment of experts

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    Alenin P.N.

    2016-12-01

    Full Text Available The aim of the work is to study the conditions and stereotypes that determine the process of professionalization in the field of phthisiology. The main factors have been analyzed that characterize the situation of ТВ as a public health sphere in Russia. Material and Methods. Applying qualitative research strategy — semi-structured expert interviews. The basis of the study is the expert opinion of practitioners in the field of ТВ: ТВ service specialists of Saratov Region (Regional Clinical ТВ Dispensary in Saratov and lecturers of the department of Phthisiopulmonology of Saratov State Medical University n.a. V. I. Razumovsky (n=10. Results. The article presents research materials, aimed at identifying the specifics of the basic foundations of national ТВ professionalization. The main factors of vocational choice include a personal interest in the profession, value preferences, information availability, safety and the risk of occupational diseases, the contingent of patients. Conclusion. On the basis of expert opinion the influence of endogenous and exogenous factors to assess ТВ status of the professional medical community, as well as students — physicians in the context of their future professional socialization have been described.

  16. THE PROBLEM OF RECURRENCE OF SARCOIDOSIS IN THE PRACTICE OF OUTPATIENT PHYSICIAN

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    A. Yu. Chernikov

    2016-01-01

    Full Text Available The aim: generalize the  experience of detection  and treatment of recurrence  of sarcoidosis in outpatient practice. Materials and methods.  We investigated  the  clinical, laboratory  and  instrumental results  in the  cards  of 178 patients  with  recurrence  of biopsy-proven  sarcoidosis  and identified in Kursk from 1997 to 2014. Using cluster analysis (K-means method  selected  3 types of relapse of sarcoidosis. Results: The type A of the recurrence of sarcoidosis is characterized by a specific x-ray features in the form of increased intrathoracic  lymph nodes without destruction  of lung tissue, seasonality manifestations, favorable response to the drug-free dynamic tactic dispensary observation. The type B is characterized by a typical mandatory  involvement of the lung tissue, the presence of respiratory distress with a predominance  of restriction, frequent  need to assign corticosteroids.  The type C marked by the appearance  of watercooling lesions, occurs in patients  with a tendency to chronicity of the process and the formation  of a pronounced  residual changes with great  frequency tolerant  to conventional  therapy.  Conclusions: Thus, typing recurrence of sarcoidosis optimise volume surveys at activation of sarcoidosis and tactics of treatment.

  17. Evaluation of the medical assistance to asthmatic patients.

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    Margarita Roméu Escobar

    2005-11-01

    Full Text Available Fundament: The evaluation and perfeccioning of assistance quality in Health services are objectives of permanent interest. Bronquial asthma is a high frequency desease, and it requires an evaluated attention. Objective: to evaluate the medical attention to the asthmatic patient in the Area III polyclinic of Cienfuegos. Methods: Transversal and descriptive study that included 150 patients randomly selected from the dispensary records of the Area III Educational Polyclinic of Cienfuegos, in December 2001. Medical records were checked and the patients were interviewed. Results: differences were found among the classifications (light, persistent and moderate reflected in medical records and the evaluation the authors made. Only 12 % of the Medical Records had good quality. The 80 % of patients have adequate knowledge about their desease, but most of them do not follow inter-crisis treatment. The place more used for treatment of the crisis was the polyclinic. There is a high level of satisfaction with medical services. Conclusion: The medical care of patient with bronchial asthma can be improved, being more systematic in inter-crisis treatment based on previous evaluation of each patient and in the sequential use of different therapeutic options, particularly in the practice of correct life styles.

  18. Cannabis as an adjunct to or substitute for opiates in the treatment of chronic pain.

    Science.gov (United States)

    Lucas, Philippe

    2012-01-01

    There is a growing body of evidence to support the use of medical cannabis as an adjunct to or substitute for prescription opiates in the treatment of chronic pain. When used in conjunction with opiates, cannabinoids lead to a greater cumulative relief of pain, resulting in a reduction in the use of opiates (and associated side-effects) by patients in a clinical setting. Additionally, cannabinoids can prevent the development of tolerance to and withdrawal from opiates, and can even rekindle opiate analgesia after a prior dosage has become ineffective. Novel research suggests that cannabis may be useful in the treatment of problematic substance use. These findings suggest that increasing safe access to medical cannabis may reduce the personal and social harms associated with addiction, particularly in relation to the growing problematic use of pharmaceutical opiates. Despite a lack of regulatory oversight by federal governments in North America, community-based medical cannabis dispensaries have proven successful at supplying patients with a safe source of cannabis within an environment conducive to healing, and may be reducing the problematic use of pharmaceutical opiates and other potentially harmful substances in their communities.

  19. Assessment of four common underfive children illnesses Routine Health Management Information System data for decision making at Ilemela Municipal Council, Northwest Tanzania: A case series analysis.

    Science.gov (United States)

    Kabakama, Severin; Ngallaba, Sospatro; Musto, Richard; Montesanti, Stephanie; Konje, Eveline; Kishamawe, Coleman

    2016-09-01

    In 2012, The Tanzania Ministry Of Health introduced the revised Routine Health Management Information System (RHMIS) modules and registers, and introduced the open source software for data collection at the district council level. Despite a series of data collection tools revisions, the quality of data collated from both public and private primary health care facilities has not been investigated. A case series study design was conducted on underfive children outpatient registers and monthly reports on malaria, acute respiratory infections, acute diarrhoea and pneumonia from 10 randomly selected health facilities. The data was entered into excel software and exported to stata version 11 for analysis. The data was analyzed for completeness, timely report submission and reporting accuracy. The Study found that 62% of the expected data was complete. Around 40% of the facilities submitted reports on time. Private health facilities submitted monthly reports late compared to the public facilities (p-value=0.039). There was 26% over-reporting of diagnosis. Health centres tended to over-report more diagnoses by 11 times higher than the dispensaries. In addition, private owned health facilities tended to over-report more diagnoses by 6 times higher than public owned health facilities. The RHMIS data collected through out patients department (OPD) registers on four common underfive children's illnesses at ilemela municipality were of unsatisfactory quality in light of allocation of resource allocations in the comprehensive council health plan. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. [The directions of activity of the medical service on prophylaxis and early revealing of tuberculosis in the Armed Forces of the Russian Federation].

    Science.gov (United States)

    Khalimov, Iu Sh; Beznosik, R V; Shitov, Iu N; Dantsev, V V; Muchaidze, R D

    2012-07-01

    The basic directions of system of antituberculous actions in the Armed Forces of the Russian Federation includes: 1) non-admission of citizens, sick of tuberculosis, on military service; 2) allocation of group of persons with the raised risk of tuberculosis among all military servicemen, dispensary dynamic supervision over them and carrying out of chemoprophylaxis; 3) revealing of tuberculosis among military servicemen at preventive medical inspections (including fluorography), and also in case of reference for medical aid with the symptoms specifying on possibility of tuberculosis; 4) carrying out antiepidemic actions in military unit, in case of revealing patient, sick of tuberculosis, well-timed, qualitatively and in full. The major stage of antituberculous actions is a profound medical examination of young reinforcement (recruits under service call and under the contract) after the arrival in army. Preventive actions in group of persons with the raised risk of tuberculosis also are a priority for the medical service of military unit. Final desinfection, controllable emergency chemoprophylaxis and extraordinary fluorography of contact persons under epidemic indications are crucial important for decrease of morbidity in the army focuses of tuberculosis.

  1. [HYGIENIC ASSESSMENT OF WORKING CONDITIONS AND HEALTH OF EMPLOYEES OF THE "SIBERIAN LIFT CO., LTD."].

    Science.gov (United States)

    Rodkin, V P; Usatov, A N

    2015-01-01

    There was carried out a hygienic assessment of the working conditions and health of employees of the "Siberian Lift Co., Ltd.". When studying occupational factors on workplaces intensity, the temperature radiation, natural and artificial lighting, and also the content of chemicals they were revealed to fail to answer to the hygienic specifications. It is established that in 82% of employees the class of working conditions was detected as admissible (2) and in 18%--harmful (3.1 and 3.2). Results of the performed periodic medical examination of employees of the "Siberian Lift Co., Ltd.". It is testified that 6.14% out of them are persistently unfit of the work with harmful and (or) dangerous substances and occupational factors also. 4.68% of employees demand an additional examination. 11,70% of workers need for out-patient examination and treatment. Sanatorium treatment is required for 1 (0.29%) the person. 4,68% of employees of the "Siberian Lift Co., Ltd." need dispensary supervision. There are suggested measures for the improvement of working conditions and health of the employees.

  2. Antimicrobial drug use in Austrian pig farms: plausibility check of electronic on-farm records and estimation of consumption.

    Science.gov (United States)

    Trauffler, M; Griesbacher, A; Fuchs, K; Köfer, J

    2014-10-25

    Electronic drug application records from farmers from 75 conventional pig farms were revised and checked for their plausibility. The registered drug amounts were verified by comparing the farmers' records with veterinarians' dispensary records. The antimicrobial consumption was evaluated from 2008 to 2011 and expressed in weight of active substance(s), number of used daily doses (nUDD), number of animal daily doses (nADD) and number of product-related daily doses (nPrDD). All results were referred to one year and animal bodyweight (kg biomass). The data plausibility proof revealed about 14 per cent of unrealistic drug amount entries in the farmers' records. The annual antimicrobial consumption was 33.9 mg/kg/year, 4.9 UDDkg/kg/year, 1.9 ADDkg/kg/year and 2.5 PrDDkg/kg/year (average). Most of the antimicrobials were applied orally (86 per cent) and at group-level. Main therapy indications were metaphylactic/prophylactic measures (farrow-to-finish and fattening farms) or digestive tract diseases (breeding farms). The proportion of the 'highest priority critically important antimicrobials' was low (12 per cent). After determination of a threshold value, farms with a high antimicrobial use could be detected. Statistical tests showed that the veterinarian had an influence on the dosage, the therapy indication and the active substance. Orally administered antimicrobials were mostly underdosed, parenterally administered antimicrobials rather correctly or overdosed.

  3. The legal status of cannabis (marijuana) and cannabidiol (CBD) under U.S. law.

    Science.gov (United States)

    Mead, Alice

    2017-05-01

    In the United States, federal and state laws regarding the medical use of cannabis and cannabinoids are in conflict and have led to confusion among patients, caregivers, and healthcare providers. Currently, cannabis is legal for medical purposes in 50% of the states, and another seventeen states allow products that are high in cannabidiol (CBD) and low in THC (tetrahydrocannabinol) for medical use. Many of these artisanal products are sold in dispensaries or over the internet. However, none of these products has been approved by the Food and Drug Administration (FDA). Understanding how federal laws apply to clinical research and practice can be challenging, and the complexity of these laws has resulted in particular confusion regarding the legal status of CBD. This paper provides an up-to-date overview (as of August 2016) of the legal aspects of cannabis and cannabidiol, including cultivation, manufacture, distribution, and use for medical purposes. This article is part of a Special Issue title, Cannabinoids and Epilepsy. Copyright © 2017 The Author. Published by Elsevier Inc. All rights reserved.

  4. [Transmission and development of foreign medicinal materials in the Tang and Song Dynasties].

    Science.gov (United States)

    Wu, Meng-Hua; Zhao, Zhong-Zhen; Cao, Hui

    2016-11-01

    Many foreign medicinal materials that were imported to China via the Silk Road and maritime trade have enriched Chinese medicine. Imported foreign medicines reached a high point by the Tang and Song Dynasties, particularly in the case of aromatic medicines, which supplemented domestic Chinese aromatics and were widely employed in official dispensaries in the Song Dynasty. This study investigated historical records related to imported Chinese medicines in the Tang and Song periods, focusing on their varieties, quantity, use, and localization trends. Foreign medicines were assimilated as Chinese medical theory was applied to interpret their effects, and aromatics such as frankincense that were extremely expensive in the Tang Dynasty became accessible to common people by the Song Dynasty. By the Song Dynasty, some foreign medicines began to be domestically cultivated and the boundary between foreign and traditional Chinese medicines became blurred; foreign medicines gradually transformed into Chinese medicines. The importation of foreign medicines during the Tang and Song Dynasties was a historical turning point that contributed greatly to the development of traditional Chinese medicine. Copyright© by the Chinese Pharmaceutical Association.

  5. Social risk factors in the elderly.

    Directory of Open Access Journals (Sweden)

    Yanelis Emilia Tabio Henry

    2011-09-01

    Full Text Available There are social risk factors that can rebound negatively in the functional capacity of elder people thus they associate to an enchancement of the vulnerability to have them develop a state of fragility and necessity. A descriptive investigation was done with the objective of determinig the social risk factors of elder people in the dispensaries 28 of policlinic ll from Jatibonico municipality from january 1 st to december 31 st, 2009 .The sample was conformed by 103 older people. Different variables were used like: age, sex, marital status, associated desease and basic components of the family functions disminished or null. It prevailed the 60-64 and 70-74 year old group (24.3%, female sex (60.2%, the elder widow women (20,3 %, the hypertension (60,2% and family comprehension about conduct and elderly points of view (50,4%. There was a high incidence of the social risk factors associated to the presence of old women, alone and widows, the lessen of economic resources, the retirement, the incomprehension of elder people by their families and the presence of non transmisible chronic desease.

  6. Dr. Tomaž Furlan (1901–1961 and his fight against tuberculosis – on the 110th anniversary of his birth

    Directory of Open Access Journals (Sweden)

    Damjana Furlan Hrabar

    2012-05-01

    Full Text Available Dr Tomaž Furlan (1901–1961, physician and tuberculosis specialist at the Golnik sanatorium, greatly influenced Slovenian and former Yugoslav treatment of tuberculosis. Before the discovery of antituberculotics, he made a significant contribution to the surgical treatment of consumption using the collapse therapy, and especially by the help of extrapleural pneumolysis. After the discovery of the antibiotic streptomycin and other antituberculotics in the early 50’s, he and his colleagues successfully introduced chemotherapy, which gradually replaced surgical treatment and in the mid-Fifties greatly reduced tuberculosis morbidity and mortality rates. In 1955, Dr Furlan opened the first ward for the treatment of non-specific lung diseases at the Golnik hospital. He with his co-workers also fought against tuberculosis in Slovenia by founding dispensaries, vaccinating against the illness, carrying out X-ray diagnostics and founding a Register of tuberculosis. He published numerous professional and popular articles on tuberculosis and was editor-in-chief of the medical journal “The Fight against Tuberculosis”. During the interwar period (1918–1941 he was a Christian socialist, participated in politics and advocated socialism with Christian ethics. He was a great patriot, committed to the health and cultural and economic development of the Slovenian nation.

  7. Unmasking the health problems faced by the police personnel

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    G.Jahnavi

    2012-11-01

    Full Text Available Aim: To assess the health problems of the police personnel under Vijayawada police commisionerate 2. To make the health check ups regular and 3. To make the physical fitness programme mandatory for them.Study design: cross sectional study Methodology: Health check up was done for 617 police personnel from 12.11.09 to 4.12.09. In the morning hours, a group of junior doctors, paramedical staff and technicians visited the police dispensary to do the general check up, take blood samples and ECG. The following afternoon a group of specialists visited to check the same patients along with their reports to make the final diagnosis. Results: Out of 617 police personnel 259 (42% were overweight/obese, lack of physical activity was found in 397 (64% of them, alcohol consumption was present in 148 (24% and smoking in 136 (22% of the police personnel. Diabetes was diagnosed in 229 (37% and hypertension in 203 (33%. Anemia was detected in 154 (25%, visual abnormalities in 59 (10%, lipid abnormalities in 185 (30%, liver function test abnormalities in 31 (5%, ECG abnormalities in 25 (4%, renal function abnormalities in 6 (1%. Conclusion: A Physical fitness Schedule along with Stress alleviation techniques to be made mandatory for the police personnel to keep them physically and mentally fit, to perform critical job functions, to alleviate stress, and to improve their quality of life. Routine health checkups should be done to detect lurking dangers.

  8. [Management of motor disability in rural Sahelian environment. Experience of the center for rehabilitation and devices in Bogande, Burkina Faso].

    Science.gov (United States)

    Condamine, J L; Artigues, S; Catherine, V; Diagnougou, N; Ouoba, T

    1998-01-01

    The center for rehabilitation and fitting of the disabled in Bogande, Burkina Faso has been in operation since 1992. It was created by a non-governmental organization named Actions de Solidarité Internationale (ASI). The primary goal of the center is to provide support devices to restore upright position and mobility and allow social reinsertion especially for disabled persons between the ages of 0 and 20 years. Approximately one hundred people are treated annually. Treatment is delivered either directly in villages or in dispensaries if the disabled person can be brought in with the assistance of family members or health care workers. This policy has enhanced the quality of information, training, and prevention. Patients with severe disabilities beyond the scope of treatment at the center are contraindicated. The activities of the center have been organized with a view to covering costs. A welding shop has been set up to produce aid devices and provide revenues to pay for some services. The major lessons of this experience involve the need for active recruitment in villages, for contraindicating patients with severe untreatable disability, for developing economically sustainable programs, for training management staff, and for good financial planning. In 4 years of operation, the rehabilitation and fitting center has demonstrated its ability to meet the needs of the disabled in Bogande.

  9. Bio-medical waste management in the U.T., Chandigarh.

    Science.gov (United States)

    Singh, Kamaljit; Arora, Shakti Kumar; Dhadwal, P J S; Singla, Ashwani; John, Siby

    2004-01-01

    Investigations were carried out to assess the generation and disposal of biomedical waste in the various medical establishments in the urban and rural areas of the U.T. Chandigarh. It was found that there were 474 medical establishments in the U.T., Chandigarh including Nursing Homes, Clinics, Dispensaries, Pathological labs., Hospitals, Veterinary Institutions and Animal houses. The total quantity of bio-medical waste generated in Chandigarh is 811.35 kg/day and the rate of generation of bio-medical waste varies from 0.06 kg/day/bed to 0.25 kg/day/bed. Though the major hospitals are equipped with incinerators, proper bio-medical waste management system is yet to be implemented. The medical establishments in the rural area and smaller ones in the urban area dispose off their bio-medical waste along with municipal solid waste and no waste management system exists. It is recommended that an integrated waste management plan using the three incinerators installed at the major hospitals can safely dispose off the total bio-medical waste generated in the city.

  10. Changing patterns of malaria during 1996-2010 in an area of moderate transmission in Southern Senegal

    Directory of Open Access Journals (Sweden)

    Vaillant Michel T

    2011-07-01

    Full Text Available Abstract Background Malaria is reportedly receding in different epidemiological settings, but local long-term surveys are limited. At Mlomp dispensary in south-western Senegal, an area of moderate malaria transmission, year-round, clinically-suspected malaria was treated with monotherapy as per WHO and national policy in the 1990s. Since 2000, there has been a staggered deployment of artesunate-amodiaquine after parasitological confirmation; this was adopted nationally in 2006. Methods Data were extracted from clinic registers for the period between January 1996 and December 2010, analysed and modelled. Results Over the 15-year study period, the risk of malaria decreased about 32-times (from 0.4 to 0.012 episodes person-year, while anti-malarial treatments decreased 13-times (from 0.9 to 0.07 treatments person-year and consultations for fever decreased 3-times (from 1.8 to 0.6 visits person-year. This was paralleled by changes in the age profile of malaria patients so that the risk of malaria is now almost uniformly distributed throughout life, while in the past malaria used to concern more children below 16 years of age. Conclusions This study provides direct evidence of malaria risk receding between 1996-2010 and becoming equal throughout life where transmission used to be moderate. Infection rates are no longer enough to sustain immunity. Temporally, this coincides with deploying artemisinin combinations on parasitological confirmation, but other contributing causes are unclear.

  11. Dental manpower development in the Pacific: case study in the Republic of the Marshall Islands.

    Science.gov (United States)

    Tut, Ohnmar K; Langidrik, Justina R; Milgrom, Peter M

    2007-03-01

    This case study reports the ongoing progress and results of a manpower development program to expand indigenous dental personnel at four levels in the Republic of the Marshall Islands. The program was designed to: 1) increase the number of Marshallese students who successfully complete dentistry training; 2) recruit and train a group of Marshallese high school graduates in dental assisting for service in new preventive outreach programs within the community; 3) enhance the dental training of health assistants providing primary medical care to outer islands away from the main population centers of Majuro and Ebeye; and 4) provide in-service training on tooth decay prevention for Head Start teachers. The program resulted in the training of one Marshallese dentist and two Marshallese dental therapist, 16 primary care health aides who received oral health training for work in the outer island dispensaries, and 200 Head Start and kindergarten teachers who completed in-service training in oral health. Additional expertise was shared with other United States Affiliated Pacific Islands (USAPI) to enhance the dental workforce throughout the Pacific.

  12. State Medical Marijuana Laws and the Prevalence of Opioids Detected Among Fatally Injured Drivers

    Science.gov (United States)

    Santaella-Tenorio, Julian; Mauro, Christine; Wrobel, Julia; Cerdà, Magdalena; Keyes, Katherine M.; Hasin, Deborah; Martins, Silvia S.; Li, Guohua

    2016-01-01

    Objectives. To assess the association between medical marijuana laws (MMLs) and the odds of a positive opioid test, an indicator for prior use. Methods. We analyzed 1999–2013 Fatality Analysis Reporting System (FARS) data from 18 states that tested for alcohol and other drugs in at least 80% of drivers who died within 1 hour of crashing (n = 68 394). Within-state and between-state comparisons assessed opioid positivity among drivers crashing in states with an operational MML (i.e., allowances for home cultivation or active dispensaries) versus drivers crashing in states before a future MML was operational. Results. State-specific estimates indicated a reduction in opioid positivity for most states after implementation of an operational MML, although none of these estimates were significant. When we combined states, we observed no significant overall association (odds ratio [OR] = 0.79; 95% confidence interval [CI] = 0.61, 1.03). However, age-stratified analyses indicated a significant reduction in opioid positivity for drivers aged 21 to 40 years (OR = 0.50; 95% CI = 0.37, 0.67; interaction P < .001). Conclusions. Operational MMLs are associated with reductions in opioid positivity among 21- to 40-year-old fatally injured drivers and may reduce opioid use and overdose. PMID:27631755

  13. Malaria associated symptoms in pregnant women followed-up in Benin

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    Massougbodji Achille

    2011-03-01

    Full Text Available Abstract Background It is generally agreed that in high transmission areas, pregnant women have acquired a partial immunity to malaria and when infected they present few or no symptoms. However, longitudinal cohort studies investigating the clinical presentation of malaria infection in pregnant women in stable endemic areas are lacking, and the few studies exploring this issue are unconclusive. Methods A prospective cohort of women followed monthly during pregnancy was conducted in three rural dispensaries in Benin from August 2008 to September 2010. The presence of symptoms suggestive of malaria infection in 982 women during antenatal visits (ANV, unscheduled visits and delivery were analysed. A multivariate logistic regression was used to determine the association between symptoms and a positive thick blood smear (TBS. Results During routine ANVs, headache was the only symptom associated with a higher risk of positive TBS (aOR = 1.9; p Conclusion The majority of pregnant women were symptomless during routine visits when infected with malaria in an endemic stable area. The only suggestive sign of malaria (fever was associated with malaria only on the occasion of unscheduled visits. The prevention of malaria in pregnancy could be improved by reassessing the design of IPTp, i.e. by determining an optimal number of doses and time of administration of anti-malarial drugs.

  14. Analysis of Medications Returned During a Medication Take-Back Event

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    Christina H.J. Yang

    2015-07-01

    Full Text Available A medication take-back event was held in Lansing, MI, USA, for four hours in September 2013. The objective was to quantify medication waste by determining the ratio of medication units remaining versus dispensed and to identify therapeutic classes with greater ratios of remaining medication units. Drug name, strength, quantity remaining, quantity dispensed, dispensary source, and brand or generic were recorded from the label of each medication container returned. Out of the over 3600 medication containers collected, this study analyzed 2459 containers, which included 304 controlled substances. On average, 66 percent of the medications dispensed in these containers were unused, and therefore wasted. Immunologic medications had the lowest quantity of waste at 54%, while geriatrics/miscellaneous therapeutic class yielded the highest quantity of waste at 79%. The most common therapeutic classes collected were pain/spasm, cardiovascular, and mental health. Greater emphasis on patient education regarding medication adherence and health care professionals’ judicious prescribing habits is warranted to reduce the frequency of unused medications. The increased accessibility to medication return sites may alleviate the prevalence of medication accumulation, environmental damage, and medication misuse.

  15. Robotic health assistant (Feverkit) for the rational management of fevers among nomads in Nigeria.

    Science.gov (United States)

    Akogun, Oladele

    2011-06-01

    The innovation described in this paper was motivated by concern that in Africa, parasite resistance to antimalarial drugs is associated with irrational drug use where health facilities are inaccessible. However, advancement in digital technology, simple diagnostic devices and smart drug packaging inspire innovative strategies. The combination of communication technology, rapid diagnostic tools, and antibiotic and antimalarial medicines can increase access to evidence-based malaria management, reduce mortality and slow the development of resistance to drugs. The author initiated development of a solar-powered device (Feverkit) programmed with user-interactive capabilities and equipped with a detachable laboratory and dispensary for community management of fevers. The operational performance of 10 units of the device was evaluated among 20 nomadic Fulani communities in northeastern Nigeria. A brief introduction to its parts and functions was sufficient for community-selected nomadic caregivers to use it competently for managing 207 fever cases in eight weeks, with a 97% (p=.000) recovery rate. The Feverkit guided the nomads to distinguish between malaria and non-malaria-induced fevers, and thus selectively treat them. Camp communities accepted the device and were willing to pay between US$33 and $334 (mean, $113; mode, $67) to keep it. Public-private sector collaboration is essential for sustaining and scaling up production of the Feverkit as a commercial health device for the management of fevers among nomads.

  16. [Japanese medicines studied by Hepburn, an American missionary, in 1860s].

    Science.gov (United States)

    Amano, H; Kawabuchi, M; Tanaka, Y; Sugihara, M

    1994-01-01

    In the last days of the Tokugawa shogunate when Japan was opened its door to trade, J.C. Hepburn came to Japan, and he contributed to the modernization of Japan as a missionary, a doctor and an instructor. His great academic achievement was publishing a Japanese-English and English-Japanese dictionary. The dictionary contained words which were generally used in those days. It is said that it was way of living and culture in Japan as seen by an American. Words about medicine show the conditions of the business of medicine in those days. Until 1889 a pharmacist was not professionalized yet, nor was the separation of dispensary from medical practice effective. As most of doctors were Chinese herb doctors, there was not the word "MD." As Chinese doctors were the leading ones, lots of words about herb were mentioned. We can find only a few words about chemicals. The common people used patent medicine such as Daranisuke, Mankintan. Less than 100 years, sorts of medicine in Japan have changed to those of medicine in Western countries.

  17. Corrective action decision document second gas station, Tonopah Test Range, Nevada (Corrective Action Unit No. 403). Revision No. 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-06-01

    This Corrective Action Decision Document (CADD) for Second Gas Station has been developed for the U.S. Department of Energy`s (DOE) Nevada Environmental Restoration Project to meet the requirements of the Federal Facility Agreement and Consent Order (FFACO) of 1996 as stated in Appendix VI, {open_quotes}Corrective Action Strategy{close_quotes}. The Second Gas Station Corrective Action Site (CAS) No. 03-02-004-03 is the only CAS in CAU No. 403. The Second Gas Station CAS is located within Area 3 of the Tonopah Test Range (TTR), west of the Main Road at the location of former Underground Storage Tanks (USTs) and their associated fuel dispensary stations. The TTR is approximately 225 kilometers (km) (140 miles [mi]) northwest of Las Vegas, Nevada, by air and approximately 56 km (3 5 mi) southeast of Tonopah, Nevada, by road. The TTR is bordered on the south, east, and west by the Nellis Air Force Range and on the north by sparsely populated public land administered by the Bureau of Land Management and the U.S. Forest Service.

  18. Through the Looking Glass: Public and Professional Perspectives on Patient-centred Professionalism in Modern-day Community Pharmacy

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    Frances Rapport

    2009-11-01

    Full Text Available This paper presents five consultation workshops with 29 community pharmacists, stakeholders and patients that examined "patient-centred professionalism" in terms of pharmacists' working day and environment. The concept is ill-defined in both medical and pharmacy literature and the study aimed to clarify the situated nature of the term for patients and health professionals across settings. Workshops were supported by bio-photographic datasets of "in-situ" practice and Nominal Group Work. The thematic content analyses led to the following aspects: building caring relationships; managing external forces; the effects of space and environment, and different roles and expectations. The study reveals how patient-centred professionalism cannot be defined in any singular or stationary sense, but should be seen as a "moveable feast", best understood through everyday examples of practice and interaction, in relation to whose experience is being expressed, and whose needs considered. The phrase is being mobilised by a whole set of interests and stakeholders to reshape practice, the effect of which remains both uncertain and contested. Whilst patients prioritise a quick and efficient dispensing service from knowledgeable pharmacists, pharmacists rail against increasing public demands and overtly formalised consultations that take them away from the dispensary where the defining aspects of their professionalism lie. URN: urn:nbn:de:0114-fqs100177

  19. Homeopathic drug therapy. Homeopathy in Chikungunya Fever and Post-Chikungunya Chronic Arthritis: an observational study.

    Science.gov (United States)

    Wadhwani, Gyandas G

    2013-07-01

    To observe the effect of homeopathic therapy in Chikungunya Fever (CF) and in Post-Chikungunya Chronic Arthritis (PCCA) in a primary health care setting. A prospective observational study was conducted at Delhi Government Homeopathic Dispensary, Aali Village, New Delhi, India, for a period of 6 months, from 1st October 2010 to 31st March 2011. 126 patients (75 CF, 51 PCCA) were enrolled based on predefined inclusion criteria. A single homeopathic medicine was prescribed for each patient after case taking with the help of Materia Medica and/or Repertory. Results were evaluated on the basis of visual analogue scale and symptom scores. Complete recovery was seen in 84.5% CF cases in a mean time of 6.8 days. 90% cases of PCCA recovered completely in a mean time of 32.5 days. Homeopathic therapy may be effective in CF and PCCA. A randomized controlled trial should be considered. Copyright © 2013 The Faculty of Homeopathy. Published by Elsevier Ltd. All rights reserved.

  20. Sleep quality moderates the relation between depression symptoms and problematic cannabis use among medical cannabis users.

    Science.gov (United States)

    Babson, Kimberly A; Boden, Matthew Tyler; Bonn-Miller, Marcel O

    2013-05-01

    This study sought to extend research on the relation between depression symptoms and problematic cannabis use by evaluating the potential moderating role of perceived sleep quality among medical cannabis users. This employed a cross-sectional design. The sample consisted of 162 adults (mean age = 42.05 years, SD = 14.8; 22% female), with current recommendations from a doctor for medical cannabis, recruited from a medical cannabis dispensary. Consistent with previous research, individuals with heightened depression symptoms had greater problematic cannabis use. In addition, perceived sleep quality moderated this relation, such that depression symptoms differentially related to problematic cannabis use as a function of perceived quality of sleep (ΔR(2) = .03, p = .02). Participants with higher levels of depression and good perceived sleep quality had the greatest rates of problematic cannabis use. These results suggest that individuals with heightened depression may have higher rates of problematic cannabis use, in part, because of the beneficial effects of cannabis in terms of perceived sleep quality.

  1. DRINKING WATER, SANITATION AND HEALTH IN KOLKATA METROPOLITAN CITY: CONTRIBUTION TOWARDS URBAN SUSTAINABILITY

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    R. B. Singh

    2015-01-01

    Full Text Available In an urban area, the water is supplied through centralised municipal tap water system. For the present enquiry, the municipal supply of water for drinking and sanitation purposes has been assessed in terms of its availability and accessibility to the people, possible sources of water contamination and related health issues in Kolkata. The relevant data have been accessed from various secondary sources where the published data from West Bengal Pollution Control Board (WBPCB and Kolkata Municipal Corporation (KMC are noteworthy. The data thus obtained have been assessed qualitatively to depict the ground reality on sanitation and health related issues. The analyses of the data reveal that in Kolkata, the availability of good quality drinking water is not sufficient as the supply is low and inadequate. On the other hand, the underground water which is considered as the alternative source to the people is found to be contaminated with heavy metals like arsenic and lead. The non-availability of sufficientwater for drinking and sanitation purposes and consumption of contaminated water mayresult into poor health condition with various water borne diseases. The data on diseases from dispensaries (aided by KMC in Kolkata has revealed that people with water borne diseases are significant in number where they are found to be affected with diseases like Acute Diarrhoeal Infection and Dysenteries. Some suitable measures have been proposed whereby applying those, the availability and accessibility of water for drinking and proper sanitation could be enhanced and the occurrences of diseases might be avoided.

  2. St John's Hospital (Morton House), Launceston, Australia: A history of the hospital and Dr William Russ Pugh's first operations under ether.

    Science.gov (United States)

    Haridas, R P; Paull, J D

    2017-03-01

    On 7 June 1847, William Russ Pugh, MD, performed two operations at the St John's Hospital and Self-Supporting Dispensary, Launceston, Tasmania, while his patients were rendered insensible by the inhalation of sulphuric ether. These operations are the earliest documented surgical operations under ether in Australia. St John's Hospital officially opened on 1 September 1845. The hospital may have closed in late 1853 because of financial difficulties. The two-storey Georgian-style building which served as the hospital was completed c1831-1832. It has served as a residence, school, boarding school, hospital, medical consulting rooms and commercial offices. The building is now known as Morton House. We could not identify the date when the name Morton House was adopted, or explain the origin of the name. The earliest identified use of this name is in May 1873 in a newspaper advertisement for boarders. No person with the surname Morton is known to have been associated with the building as an owner or as a tenant. The name Morton House may honour William T.G. Morton, MD, the Boston dentist who performed the first public demonstration of surgical etherisation on 16 October 1846.

  3. Pain, Cannabis Species, and Cannabis Use Disorders.

    Science.gov (United States)

    Cohen, Nicole L; Heinz, Adrienne J; Ilgen, Mark; Bonn-Miller, Marcel O

    2016-05-01

    The purpose of this study was to examine whether individuals who used medical cannabis for chronic pain were at increased risk for cannabis use problems compared with individuals who used medical cannabis for other reasons (e.g., anxiety, insomnia, and muscle spasms). An additional aim was to determine whether individuals who used cannabis for chronic pain, as well as those who reported greater within-group pain levels, demonstrated a species preference (i.e., sativa, indica, hybrids) and the extent to which species preference was associated with cannabis use problems. Participants were 163 medical cannabis users (77% male), recruited from a medical marijuana dispensary in California, who completed assessments of medical cannabis use motives, history, preferences (species type), and problems, as well as current pain level. Individuals who used cannabis to manage chronic pain experienced fewer cannabis use problems than those who did not use it for pain; among those who used it for pain, the average pain level in the past week was not associated with cannabis use problems. Furthermore, individuals who used cannabis for chronic pain were more likely to use indica over sativa. Preference for indica was associated with fewer cannabis use problems than preference for hybrid species. Individuals who use cannabis to manage chronic pain may be at a lower risk for cannabis use problems, relative to individuals who use it for other indications, potentially as a function of their species preference.

  4. Cannabis species and cannabinoid concentration preference among sleep-disturbed medicinal cannabis users.

    Science.gov (United States)

    Belendiuk, Katherine A; Babson, Kimberly A; Vandrey, Ryan; Bonn-Miller, Marcel O

    2015-11-01

    Individuals report using cannabis for the promotion of sleep, and the effects of cannabis on sleep may vary by cannabis species. Little research has documented preferences for particular cannabis types or cannabinoid concentrations as a function of use for sleep disturbances. 163 adults purchasing medical cannabis for a physical or mental health condition at a cannabis dispensary were recruited. They provided self-report of (a) whether cannabis use was intended to help with sleep problems (e.g. insomnia, nightmares), (b) sleep quality (PSQI), (c) cannabis use (including preferred type), and (d) symptoms of DSM-5 cannabis dependence. 81 participants reported using cannabis for the management of insomnia and 14 participants reported using cannabis to reduce nightmares. Individuals using cannabis to manage nightmares preferred sativa to indica strains (Fisher's exact test (2) = 6.83, p cannabis dependence compared with those who preferred indica strains (χ(2)(2) = 4.09, p cannabis with significantly higher concentrations of CBD. Individuals who reported at least weekly use of hypnotic medications used cannabis with lower THC concentrations compared to those who used sleep medications less frequently than weekly (t(17) = 2.40, p cannabis used were observed in this convenience sample of individuals using cannabis for the management of sleep disturbances. Controlled prospective studies are needed to better characterize the impact that specific components of cannabis have on sleep. Copyright © 2015. Published by Elsevier Ltd.

  5. Current Therapeutic Cannabis Controversies and Clinical Trial Design Issues

    Science.gov (United States)

    Russo, Ethan B.

    2016-01-01

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

  6. Opioid Addiction: Social Problems Associated and Implications of Both Current and Possible Future Treatments, including Polymeric Therapeutics for Giving Up the Habit of Opioid Consumption

    Directory of Open Access Journals (Sweden)

    M. Cristina Benéitez

    2017-01-01

    Full Text Available Background. Detoxification programmes seek to implement the most secure and compassionate ways of withdrawing from opiates so that the inevitable withdrawal symptoms and other complications are minimized. Once detoxification has been achieved, the next stage is to enable the patient to overcome his or her drug addiction by ensuring consumption is permanently and completely abandoned, only after which can the subject be regarded as fully recovered. Methods. A systematic search on the common databases of relevant papers published until 2016 inclusive. Results and Conclusion. Our study of the available oral treatments for opioid dependence has revealed that no current treatment can actually claim to be fully effective. These treatments require daily oral administration and, consequently, regular visits to dispensaries, which in most cases results in a lack of patient compliance, which causes fluctuations in drug plasma levels. We then reviewed alternative treatments in the available scientific literature on polymeric sustained release formulations. Research has been done not only on release systems for detoxification but also on release systems for giving up the habit of taking opioids. These efforts have obtained the recent authorization of polymeric systems for use in patients that could help them to reduce their craving for drugs.

  7. Validity of the Neurology Quality of Life (Neuro-QoL) Measurement System in Adult Epilepsy

    Science.gov (United States)

    Victorson, David; Cavazos, Jose E.; Holmes, Gregory L.; Reder, Anthony T.; Wojna, Valerie; Nowinski, Cindy; Miller, Deborah; Buono, Sarah; Mueller, Allison; Moy, Claudia; Cella, David

    2014-01-01

    cognitive function (executive function and general concerns) produced moderate to strong correlations with the QOLIE-31 Cognition subscale (r’s = .65 & .75, respectively) and moderate relations with the Liverpool Adverse Events scale (r’s = .51 & .69, respectively). Finally, the Neuro-QoL Fatigue measure demonstrated moderate associations with the QOLIE-31 Energy/Fatigue subscale (r=−.65), Liverpool Adverse Events Scale (r=.69) and the Liverpool Seizure Severity Scale (r=.50). Five Neuro-QoL short forms demonstrated statistically significant responsiveness to change at 5–7 months, including Fatigue, Sleep Disturbance, Depression, Positive Affect & Well-being, and Emotional and Behavioral Dyscontrol. Overall, Neuro-QoL instruments showed good evidence for internal consistency, test-retest reliability, convergent validity and responsiveness to change over several months. These results support the validity of Neuro-QoL to measure HRQL in adults with epilepsy. PMID:24361767

  8. Validity of the Neurology Quality-of-Life (Neuro-QoL) measurement system in adult epilepsy.

    Science.gov (United States)

    Victorson, David; Cavazos, Jose E; Holmes, Gregory L; Reder, Anthony T; Wojna, Valerie; Nowinski, Cindy; Miller, Deborah; Buono, Sarah; Mueller, Allison; Moy, Claudia; Cella, David

    2014-02-01

    ). Neuro-QoL measures of perceived cognitive function (executive function and general concerns) produced moderate-to-strong correlations with the QOLIE-31 Cognition subscale (r's=.65 and .75, respectively) and moderate relations with the Liverpool Adverse Events Profile (r's=.51 and .69, respectively). Finally, the Neuro-QoL Fatigue measure demonstrated moderate associations with the QOLIE-31 Energy/Fatigue subscale (r=-.65), Liverpool Adverse Events Profile (r=.69), and the Liverpool Seizure Severity Scale (r=.50). Five Neuro-QoL short forms demonstrated statistically significant responsiveness to change at 5-7months, including Fatigue, Sleep Disturbance, Depression, Positive Affect and Well-Being, and Emotional and Behavioral Dyscontrol. Overall, Neuro-QoL instruments showed good evidence for internal consistency, test-retest reliability, convergent validity, and responsiveness to change over several months. These results support the validity of Neuro-QoL to measure HRQL in adults with epilepsy. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. Chronic airflow limitation in a rural Indian population: etiology and relationship to body mass index

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    Chakrabarti B

    2011-10-01

    Full Text Available Biswajit Chakrabarti1, Sabita Purkait2, Punyabrata Gun2, Vicky C Moore3, Samadrita Choudhuri4, MJ Zaman5,6, Christopher J Warburton1, Peter MA Calverley7, Rahul Mukherjee3 1Aintree Chest Centre, University Hospital Aintree, Liverpool, UK; 2Moitri Swasthya Kendra, Shramajibi Swasthya Udyog, Chengail, West Bengal, India; 3Department of Respiratory Medicine and Physiology, Birmingham Heartlands Hospital, Birmingham, UK; 4National Medical College, Birgunj, Nepal; 5Department of Epidemiology and Public Health, University College, London, UK; 6The George Institute for Global Health, Sydney, Australia; 7Clinical Sciences Centre, University Hospital Aintree, Liverpool, UK Purpose: Respiratory conditions remain a source of morbidity globally. As such, this study aimed to explore factors associated with the development of airflow obstruction (AFO in a rural Indian setting and, using spirometry, study whether underweight is linked to AFO. Methods: Patients > 35 years old attending a rural clinic in West Bengal, India, took a structured questionnaire, had their body mass index (BMI measured, and had spirometry performed by an ancillary health care worker. Results: In total, 416 patients completed the study; spirometry was acceptable for analysis of forced expiratory volume in 1 second in 286 cases (69%; 16% were noted to exhibit AFO. Factors associated with AFO were: increasing age (95% confidence interval (CI 0.004–0.011; P = 0.005, smoking history (95% CI 0.07–0.174; P = 0.006, male gender (95% CI 0.19–0.47; P = 0.012, reduced BMI (95% CI 0.19–0.65; P = 0.02, and occupation (95% CI 0.12–0.84; P = 0.08. The mean BMI in males who currently smoked (n = 60; 19.29 kg/m2; standard deviation [SD] 3.46 was significantly lower than in male never smokers (n = 33; 21.15 kg/m2 SD 3.38; P < 0.001. AFO was observed in 27% of subjects with a BMI <18.5 kg/m2, falling to 13% with a BMI ≥18.5 kg/m2 (P = 0.013. AFO was observed in 11% of housewives, 22% of farm

  10. Effectiveness of a tailored neck training program on neck strength, movement, and fatigue in under-19 male rugby players: a randomized controlled pilot study

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    Barrett MD

    2015-05-01

    Full Text Available Matthew D Barrett,1 Terence F McLoughlin,2 Kieran R Gallagher,1 Don Gatherer,3 Michael TR Parratt,1 Jonathan R Perera,1 Tim WR Briggs1 1Royal National Orthopaedic Hospital, Stanmore, Middlesex, United Kingdom; 2Royal Liverpool University Hospital, Liverpool, Mersey Deanery, United Kingdom; 3The Gatherer Partnership, Aylesbury, United Kingdom Purpose: To investigate the effect of a tailored neck muscle conditioning program on neck muscle strength, neck muscle fatigue, and range of neck movement in 16–18-year-old male rugby players. Materials and methods: Thirty-four male rugby players were divided into forward and back playing positions and randomized within these groups. Seventeen players were randomly assigned to each group. The test group was given a tailored 6-week exercise regime based on their baseline measurements to be performed three times a week in addition to their normal training and playing. The control group trained and played as normal. The outcome measures used were cervical spine range of movement, neck strength, and neck muscle fatigability. Results: There were no clinically relevant statistically significant differences between the two groups. Trends identified between the two groups suggest that a tailored neck exercise program increases neck strength, particularly neck extension, and increases resistance to fatigue, as well as influencing right- and left-sided neck muscle balance. A reduction in range of movement was also demonstrated in the test group. There was a great deal of variability in range of movement and strength within this age group. No previously undiagnosed neck conditions were detected, and there were no adverse events reported. Conclusion: This study has shown that neck strength, range of movement, and susceptibility of the neck muscles to fatigue can be influenced using a focused neck training regime. It forms an important basis for a larger, multicenter study to ensure the neck is given due attention in

  11. SN 2011A: A Low-luminosity Interacting Transient with a Double Plateau and Strong Sodium Absorption

    Science.gov (United States)

    de Jaeger, T.; Anderson, J. P.; Pignata, G.; Hamuy, M.; Kankare, E.; Stritzinger, M. D.; Benetti, S.; Bufano, F.; Elias-Rosa, N.; Folatelli, G.; Förster, F.; González-Gaitán, S.; Gutiérrez, C. P.; Inserra, C.; Kotak, R.; Lira, P.; Morrell, N.; Taddia, F.; Tomasella, L.

    2015-07-01

    We present optical photometry and spectroscopy of the optical transient SN 2011A. Our data span 140 days after discovery including {BVRI} u\\prime g\\prime r\\prime i\\prime z\\prime photometry and 11 epochs of optical spectroscopy. Originally classified as a type IIn supernova (SN IIn) due to the presence of narrow Hα emission, this object shows exceptional characteristics. First, the light curve shows a double plateau, a property only observed before in the impostor SN 1997bs. Second, SN 2011A has a very low luminosity ({M}V=-15.72), placing it between normal luminous SNe IIn and SN impostors. Third, SN 2011A shows low velocity and high equivalent width absorption close to the sodium doublet, which increases with time and is most likely of circumstellar origin. This evolution is also accompanied by a change in line profile; when the absorption becomes stronger, a P Cygni profile appears. We discuss SN 2011A in the context of interacting SNe IIn and SN impostors, which appears to confirm the uniqueness of this transient. While we favor an impostor origin for SN 2011A, we highlight the difficulty in differentiating between terminal and non-terminal interacting transients. This paper includes data obtained with the 6.5 m Magellan Telescopes and du Pont telescope; the Gemini-North Telescope, Mauna Kea, USA (Gemini Program GN-2010B-Q67, PI: Stritzinger); the PROMPT telescopes at Cerro Tololo Inter-American Observatory in Chile; with the Liverpool Telescope operated on the island of La Palma by Liverpool John Moores University in the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofisica de Canarias with financial support from the UK Science and Technology Facilities Council; based on observations made with the Nordic Optical Telescope, operated by the Nordic Optical Telescope Scientific Association at the Observatorio del Roque de los Muchachos, La Palma, Spain, of the Instituto de Astrofisica de Canarias; the NTT from ESO Science Archive

  12. Service users’ experiences and views of aggressive situations in mental health care: a systematic review and thematic synthesis of qualitative studies

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    Gudde CB

    2015-10-01

    Full Text Available Camilla Buch Gudde,1,2 Turid Møller Olsø,4 Richard Whittington,1,5,6 Solfrid Vatne,3 1Forensic Department Brøset, Centre for Research and Education in Forensic Psychiatry, St Olavs Hospital, 2Department of Social Work and Health Science, Faculty of Social Science and Technology Management, NTNU, Trondheim, 3Institute of Health and Social Sciences, Molde University College, Molde, 4Norwegian Resource Centre for Community Mental Health, NTNU Social Research AS, 5Department of Neuroscience, Norwegian University of Science and Technology, NTNU, Trondheim, Norway; 6Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK Background: Aggressive situations occurring within mental health services can harm service users, staff, and the therapeutic environment. There is a consensus that the aggression phenomenon is multidimensional, but the picture is still unclear concerning the complex interplay of causal variables and their respective impact. To date, only a small number of empirical studies include users’ views of relevant factors. The main objective of this review is to identify and synthesize evidence relating to service users’ experiences and views of aggressive situations in mental health settings. Methods: We included qualitative studies of any design reporting on service users’ own experiences of conditions contributing to aggressive situations in mental health care and their views on preventative strategies. Eligible articles were identified through an electronic database search (PsycINFO, PubMed, Ovid Nursing Database, Embase, and CINAHL, hand search, and cross-referencing. Extracted data were combined and interpreted using aspects of thematic synthesis. Results: We reviewed 5,566 records and included 13 studies (ten qualitative and three mixed methods. Service users recognized that both their own mental state and negative aspects of the treatment environment affected the development of aggressive situations

  13. Particle tracking in the eastern Irish Sea

    Science.gov (United States)

    Wolf, Judith; Amoudry, Karen; Phillips, Hazel; Brown, Jenny

    2017-04-01

    The unstructured grid finite volume community ocean model (FVCOM) has been applied to the west coast of the UK, in order to examine the circulation and transport in the eastern Irish Sea. Tides, freshwater river discharge and meteorological forcing for the year 2008 were used to force the baroclinic hydrodynamic circulation. The hydrodynamics of the Irish Sea are largely governed by the semidiurnal tide, which has a tidal range reaching 10m at Liverpool is the eastern Irish Sea. Tidal currents reach 1 ms-1 over the majority of the area, which means that much of Irish Sea is vertically well-mixed throughout the year period, with a few areas affected by seasonal stratification, such as the cyclonic gyre in the deep channel off Ireland in the western Irish Sea which experiences thermal stratification in summer. In Liverpool Bay, horizontal density gradients, created through freshwater influence from estuaries along the coastline interact with the strong tidal current to produce a phenomenon known as strain-induced periodic stratification (SIPS). There are water quality concerns due to the tendency to eutrophication, as the area is often exposed to industrial pollution and excess nutrients from effluent waters and rivers. There is also concern about the fate of radioactive materials discharged from the Sellafield nuclear reprocessing plant since 1952. In addition to the present discharges from the site, it has been estimated that it is likely that all of the americium and plutonium and around 10% of the caesium entering the Irish Sea were originally assimilated into deposits of silt and mud sediments; this material may be regarded as a considerable potential source of radionuclides. Determining suspended sediment pathways in this region is important in order to identify potential areas vulnerable to deposition of radioactive material, particularly as radionuclide uptake onto sediments takes place in the offshore 'mud patch' before returning to the coast to be deposited

  14. Roflumilast: a review of its use in the treatment of COPD

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    Wedzicha JA

    2016-01-01

    Full Text Available Jadwiga A Wedzicha,1 Peter MA Calverley,2 Klaus F Rabe3,41Airways Disease Section, National Heart and Lung Institute, Imperial College London, London, 2Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK; 3Department of Internal Medicine, Christian-Albrechts University, Kiel, 4Department of Pulmonary Medicine and Medical Director, LungenClinic Grosshansdorf, Airway Research Centre North, German Centre for Lung Research, Grosshansdorf, Germany Abstract: COPD is a progressive condition involving chronic inflammation and parenchymal destruction with resulting airflow limitation. COPD is associated with worsening airflow limitation over time and increased frequency of COPD exacerbations, leading to increased mortality and morbidity. The effects of COPD extend beyond the lungs, as multiple comorbidities may occur with COPD, including cardiovascular disease, diabetes mellitus, osteoporosis, depression, and pneumonia. COPD exacerbations are associated with a rapid worsening of baseline symptoms that requires prompt management and may necessitate hospitalization in the case of a severe episode. Patients with COPD exacerbations require urgent management of symptoms to prevent further worsening, and preventative steps may be taken to help reduce the number and frequency of future exacerbations. Roflumilast is a potent and selective inhibitor of the enzyme phosphodiesterase-4 that targets the systemic inflammation associated with COPD. Roflumilast has a variety of anti-inflammatory effects including decreasing inflammatory mediators and the expression of cell surface markers and inhibition of apoptosis. Several clinical trials evaluating roflumilast in the treatment of COPD have demonstrated significant improvements from baseline versus placebo in lung function, including increases in mean pre- and postbronchodilator forced expiratory volume in 1 second and forced vital capacity. Data suggest that roflumilast reduces moderate to

  15. KIC 8462852 optical dipping event

    Science.gov (United States)

    Waagen, Elizabeth O.

    2017-05-01

    T. Boyajian (Louisiana State University) et al. reported in ATel #10405 that an optical dip is underway in KIC 8462852 (Boyajian's Star, Tabby's Star) beginning on 2017 May 18 UT. Tentative signs of small dips had been seen beginning April 24, and enhanced monitoring had begun at once at Fairborn Observatory (Tennessee State University). Photometry and spectroscopy from there on May 18 and 19 UT showed a dip underway. Cousins V photometry showed a drop of 0.02 magnitude, the largest dip (and the first clear one) seen in more than a year of monitoring. AAVSO observer Bruce Gary (GBL, Hereford, AZ) carried out V photometry which showed a fading from 11.906 V ± 0.004 to 11.9244 V ± 0.0033 between UT 2017 May 14 and May 19, a drop of 1.7%. Swift/UVOT observations obtained May 18 15:19 did not show a statistically significant drop in v, but Gary's photometry is given more weight. r'-band observations from Las Cumbres Observatory obtained 2017 May 17 to May 19 showed a 2% dip. Spectra by I. Steele (Liverpool JMU) et al. taken on 2017 May 20 with the 2.0 meter Liverpool Telescope, La Palma, showed no differences in the source compared to a reference spectrum taken 2016 July 4 when the system was not undergoing a dip (ATel #10406).Dips typically last for a few days, and larger dips can last over a week. It is not clear that this dip is over. Precision time-series V photometry is urgently requested from AAVSO observers, although all photometry is welcome. Finder charts with sequence may be created using the AAVSO Variable Star Plotter (https://www.aavso.org/vsp). See full Alert Notice for more details. KIC 8462852 was the subject of AAVSO Alert Notices 532 and 542. See also Boyajian et al. 2016, also available as a preprint (http://arxiv.org/abs/1509.03622). General information about KIC 8462852 may be found at http://www.wherestheflux.com/.

  16. Nonconsensual withdrawal of nutrition and hydration in prolonged disorders of consciousness: authoritarianism and trustworthiness in medicine.

    Science.gov (United States)

    Rady, Mohamed Y; Verheijde, Joseph L

    2014-11-07

    The Royal College of Physicians of London published the 2013 national clinical guidelines on prolonged disorders of consciousness (PDOC) in vegetative and minimally conscious states. The guidelines acknowledge the rapidly advancing neuroscientific research and evolving therapeutic modalities in PDOC. However, the guidelines state that end-of-life decisions should be made for patients who do not improve with neurorehabilitation within a finite period, and they recommend withdrawal of clinically assisted nutrition and hydration (CANH). This withdrawal is deemed necessary because patients in PDOC can survive for years with continuation of CANH, even when a ceiling on medical care has been imposed, i.e., withholding new treatment such as cardiopulmonary resuscitation for acute life-threatening illness. The end-of-life care pathway is centered on a staged escalation of medications, including sedatives, opioids, barbiturates, and general anesthesia, concurrent with withdrawal of CANH. Agitation and distress may last from several days to weeks because of the slow dying process from starvation and dehydration. The potential problems of this end-of-life care pathway are similar to those of the Liverpool Care Pathway. After an independent review in 2013, the Department of Health discontinued the Liverpool Care pathway in England. The guidelines assert that clinicians, supported by court decisions, have become the final authority in nonconsensual withdrawal of CANH on the basis of "best interests" rationale. We posit that these guidelines lack high-quality evidence supporting: 1) treatment futility of CANH, 2) reliability of distress assessment from starvation and dehydration, 3) efficacy of pharmacologic control of this distress, and 4) proximate causation of death. Finally, we express concerns about the utilitarian-based assessment of what constitutes a person's best interests. We are disturbed by the level and the role of medical authoritarianism institutionalized by these

  17. Glacial evolution of Central-East Greenland Margin: a GLANAM project contribution

    Science.gov (United States)

    Pérez, Lara F.; Nielsen, Tove

    2017-04-01

    The dynamic evolution of the Greenland Ice Sheet is directly related to the Northern Hemisphere glaciation. The ice sheet has influenced the Greenland margins construction conditioning their morphology and their reply to other control factors in the evolution, as tectonic and oceanographic events. Thus, the sedimentary record preserved around Greenland has registered the glacial oscillations of the Northern Hemisphere, as well as the influence of other conditioning factors in the development of a permanent ice sheet on Greenland. The aim of this work is to summarize the new insights of Central-East Greenland glacial evolution reached within the framework of the Marie Curie Initial Training Network (ITN-FP7-PEOPLE-2012-ITN): Glaciated North Atlantic Margins (GLANAM) project. Several multichannel seismic profiles have been acquired along Central-East Greenland Margin, with both research and exploration proposes. They enable the large-scale reconstruction of the major stratigraphic events from late Miocene to Present, in agreement with an age correlation with ODP sites along the margin. High-resolution seismic, sub-bottom profiles, swath bathymetry and sediment cores are also locally available supporting detailed interpretation of the Quaternary sedimentary record. While ice-rafter debris (IRD) in the northern seas have been interpreted as indicators of tidewater glaciers on Greenland, the acoustic and seismic evidences summarized in this work allow reconstruction of different episodes of cross-shelf advances of the Greenland Ice Sheet along the central-east margin. The results of this work reveal an early cross-shelf glaciation occurred off Blosseville Kyst during late Miocene and early Pliocene followed by major ice-stream activity off Scoresby Sund during early Quaternary and glacial advance off Liverpool Land in late Quaternary. Higher resolution of the Quaternary data off Liverpool Land suggests that the intense ice-stream of the Scoresby Sund fjord was gradually

  18. Clinical implications for substandard, nonproprietary medicines in multiple sclerosis: focus on fingolimod

    Directory of Open Access Journals (Sweden)

    Correale J

    2016-06-01

    Full Text Available Jorge Correale,1 Erwin Chiquete,2 Alexey Boyko,3 Roy G Beran,4–6 Jorge Barahona Strauch,7,8 Snezana Milojevic,9 Nadina Frider101Department of Neurology, Raúl Carrea Institute for Neurological Research, Foundation for the Fight against Infant Neurological Illnesses (FLENI, Buenos Aires, Argentina; 2Department of Neurology and Psychiatry, Salvador Zubirán National Institute of Medical Sciences and Nutrition, Mexico City, Mexico; 3Clinical and Research Center “MS and Other Demyelinating Diseases” at the Neuroclinical Hospital, Department of Neurology, Neurosurgery and Medical Genetics of the Pirogov Russian National Research Medical University, Moscow, Russia; 4South Western Clinical School, University of New South Wales, Liverpool, 5Department of Neurology, Liverpool Hospital, Sydney, NSW, 6School of Medicine, Griffith University, Southport, QLD, Australia; 7Department of Neurology, Clínica Alemana de Santiago, 8School of Medicine, Universidad del Desarrollo, Santiago, Chile; 9Novartis Pharma AG, Basel, Switzerland; 10Novartis Latin America and Canada Region, Buenos Aires, ArgentinaAbstract: Both proprietary and nonproprietary medicines are expected to undergo rigorous preapproval testing and both should meet stringent health authority regulatory requirements related to quality to obtain approval. Nonproprietary (also known as copy, or generic medicines, which base their authorization and use on the proprietary documentation and label, are often viewed as a means to help lower the cost and, thus, increase patient access. If these medicines fail to meet quality standards, such as good manufacturing practice and bioequivalence (in humans, they are then defined as substandard copies and can pose serious risks to patients in terms of safety and efficacy. Potentially noncontrolled or different manufacturing process and excipients in nonproprietary medicines may result in poor batch-to-batch reproducibility (accurate and consistent quantity of

  19. Pharmacy Apps: a new frontier on the digital landscape?

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    Davies MJ

    2014-09-01

    Full Text Available Background: Over the course of recent years smartphone and tablet technology has evolved rapidly. Similarly, the sphere of healthcare is constantly developing and striving to embrace the newest forms of technology in order to optimise function. Many opportunities for mobile applications (i.e. ‘apps’ pertinent to the healthcare sector are now emerging. Objective: This study will consider whether registered pharmacists within the United Kingdom (UK believe it appropriate to use mobile apps during the provision of healthcare within the community setting. Methods: Further to Liverpool John Moores University (LJMU ethical approval, the 30 item questionnaire was distributed to UK registered pharmacists (n=600 practising within inner city Manchester, Liverpool and Newcastle. The questions were formatted as multiple choice, Likert scales or the open answer type. On questionnaire completion and return, data were analysed using simple frequencies, cross tabulations and non-parametric techniques in the Statistical Package for the Social Sciences (SPSS (v18. Results: The majority of respondents (78.4% of 211 participants confirmed that they were confident when using mobile apps on their technology platform. In general, mobile apps were perceived to be useful in facilitating patient consultations (55% and supporting healthcare education (80%. The main barrier for mobile app use within the workplace was company policy, deemed significant in the case of regional / national chain pharmacies (p<0.001. Pharmacists alluded to the fact that whilst mobile apps demonstrate potential in modern day practise, they will have a greater impact in the future (p<0.001. Conclusion: The data indicate that although pharmacists are supportive of mobile apps in healthcare, a number of factors (i.e. risk, company policy and lack of regulation may preclude their use in modern day pharmacy practise. Clearly, limitations of the technology must be addressed in order to maximise

  20. Integrated, multi-parameter, investigation of eruptive dynamics at Santiaguito lava dome, Guatemala

    Science.gov (United States)

    Lavallée, Yan; De Angelis, Silvio; Rietbrock, Andreas; Lamb, Oliver; Hornby, Adrian; Lamur, Anthony; Kendrick, Jackie E.; von Aulock, Felix W.; Chigna, Gustavo

    2016-04-01

    Understanding the nature of the signals generated at volcanoes is central to hazard mitigation efforts. Systematic identification and understanding of the processes responsible for the signals associated with volcanic activity are only possible when high-resolution data are available over relatively long periods of time. For this reason, in November 2014, the Liverpool Earth Observatory (LEO), UK, in collaboration with colleagues of the Instituto Nacional de Sismologia, Meteorologia e Hidrologia (INSIVUMEH), Guatemala, installed a large multi-parameter geophysical monitoring network at Santiaguito - the most active volcano in Guatemala. The network, which is to date the largest temporary deployment on Santiaguito, includes nine three-component broadband seismometers, three tiltmeters, and five infrasound microphones. Further, during the initial installation campaign we conducted visual and thermal infrared measurements of surface explosive activity and collected numerous rock samples for geochemical, geophysical and rheological characterisation. Activity at Santiaguito began in 1922, with the extrusion of a series of lava domes. In recent years, persistent dome extrusion has yielded spectacularly episodic piston-like motion displayed by characteristic tilt/seismic patterns (Johnson et al, 2014). This cyclicity episodically concludes with gas emissions or gas-and-ash explosions, observed to progress along a complex fault system in the dome. The explosive activity is associated with distinct geophysical signals characterised by the presence of very-long period earthquakes as well as more rapid inflation/deflation cycles; the erupted ash further evidences partial melting and thermal vesiculation resulting from fault processes (Lavallée et al., 2015). One year of data demonstrates the regularity of the periodicity and intensity of the explosions; analysis of infrasound data suggests that each explosion expulses on the order of 10,000-100,000 kg of gas and ash. We