WorldWideScience

Sample records for early site review

  1. Regulatory Review of Early Site Permit Applications

    International Nuclear Information System (INIS)

    Scott, Michael L.

    2004-01-01

    The U.S. Nuclear Regulatory Commission (NRC) has received and is reviewing three applications for early site permits (ESPs). The ESP process allows early resolution of site-related issues affecting possible construction and operation of a new nuclear power plant. The nuclear industry views a successful and predictable ESP process as an important step in assessing whether to seek authorization to construct and operate a new generation of nuclear power reactors in the United States. Because consideration of ESP applications is a first-of-a-kind activity, a number of issues have emerged prior to and during the reviews of the first three applications. Issues have included the need for design information at the ESP stage, accident analyses, quality assurance, and seismic analyses. The NRC has been working to resolve identified issues to support a Commission decision on whether to issue an ESP approximately 33-37 months after receipt of each ESP application. (authors)

  2. Early site reviews for nuclear power facilities: procedures and possible technical review options. Draft

    International Nuclear Information System (INIS)

    1978-02-01

    The document provides guidance for utility companies, State and other governmental agencies, and others who may request or may wish to participate in an early review of site suitability issues related to a site proposed for a nuclear power or test reactor. Although the emphasis of this document is on a nuclear electric generating station, the guidance provided can be used for a test reactor or other kinds of reactors. The procedures to be followed by applicants for construction permits and by others are described and the possible significant areas of technical review are delineated

  3. Report of the Peer Review Panel on the early site suitability evaluation of the Potential Repository Site at Yucca Mountain, Nevada; Yucca Mountain Site Characterization Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1992-01-01

    The US Department of Energy (DOE) Yucca mountain Site Characterization Project Office (YMPO) assigned Science Applications International Corporation (SAIC), the Technical and Management Support Services (T&MSS) contractor to the YmPo, the task of conducting an Early Site Suitability Evaluation (ESSE) of the Yucca mountain site as a potential site for a high-level radioactive waste repository. First, the assignment called for the development of a method to evaluate a single site against the DOE General Guidelines for Recommendation of Sites for Nuclear Waste Repositories, 10 CFR Part 960. Then, using this method, an evaluation team, the ESSE Core Team, of senior YMP scientists, engineers, and technical experts, evaluated new information obtained about the site since publication of the final Environmental Assessment (DOE, 1986) to determine if new suitability/unsuitability findings could be recommended. Finally, the Core Team identified further information and analyses needed to make final determinations for each of the guidelines. As part of the task, an independent peer review of the ESSE report has been conducted. Expertise was solicited that covered the entire spectrum of siting guidelines in 10 CFR Part 960 in order to provide a complete, in-depth critical review of the data evaluated and cited in the ESSE report, the methods used to evaluate the data, and the conclusions and recommendations offered by the report. Fourteen nationally recognized technical experts (Table 2) served on the Peer Review Panel. The comments from the Panel and the responses prepared by the ESSE Core Team, documented on formal Comment Response Forms, constitute the body of this document.

  4. Web site review. Carolinas HealthCare recognized Internet marketing potential early.

    Science.gov (United States)

    Botvin, Judith D

    2005-01-01

    Since the early days of the Internet, administrators Carolinas HealthCare System in Charlotte, NC, have appreciated its potential as a marketing tool. This places a lot of expectations on the Web site, www.carolinashealthcare.org, which is managed by the marketing-public relations department. Find out how the well-established site fulfills its mission and more.

  5. Report of the Peer Review Panel on the early site suitability evaluation of the Potential Repository Site at Yucca Mountain, Nevada

    International Nuclear Information System (INIS)

    1992-01-01

    The US Department of Energy (DOE) Yucca mountain Site Characterization Project Office (YMPO) assigned Science Applications International Corporation (SAIC), the Technical and Management Support Services (T ampersand MSS) contractor to the YmPo, the task of conducting an Early Site Suitability Evaluation (ESSE) of the Yucca mountain site as a potential site for a high-level radioactive waste repository. First, the assignment called for the development of a method to evaluate a single site against the DOE General Guidelines for Recommendation of Sites for Nuclear Waste Repositories, 10 CFR Part 960. Then, using this method, an evaluation team, the ESSE Core Team, of senior YMP scientists, engineers, and technical experts, evaluated new information obtained about the site since publication of the final Environmental Assessment (DOE, 1986) to determine if new suitability/unsuitability findings could be recommended. Finally, the Core Team identified further information and analyses needed to make final determinations for each of the guidelines. As part of the task, an independent peer review of the ESSE report has been conducted. Expertise was solicited that covered the entire spectrum of siting guidelines in 10 CFR Part 960 in order to provide a complete, in-depth critical review of the data evaluated and cited in the ESSE report, the methods used to evaluate the data, and the conclusions and recommendations offered by the report. Fourteen nationally recognized technical experts (Table 2) served on the Peer Review Panel. The comments from the Panel and the responses prepared by the ESSE Core Team, documented on formal Comment Response Forms, constitute the body of this document

  6. Early site review report for the Sundesert site, San Diego Gas and Electric Company. Project No. 558

    International Nuclear Information System (INIS)

    1977-01-01

    The purpose of the report is to present the Nuclear Regulatory Commission's evaluation of several of the matters relating to the suitability of the Sundesert site near Blythe, California, on which the San Diego Gas and Electric Company proposes to build the Sundesert Nuclear Plant, Units 1 and 2. The report summarizes the results of the technical evaluation of the suitability of the proposed Sundesert site for a nuclear plant and delineates the scope of the technical matters considered in evaluating the suitability of the site

  7. SURGICAL SITE INFECTION: REVIEW

    Directory of Open Access Journals (Sweden)

    P. H. M. Bonai

    2016-07-01

    Full Text Available Nosocomial infection or nosocomial infection (NI is one of the factors that increase the cost of maintaining patients in the health system, even in processes that should safely occur, such as hospital patients and performing simple and routine surgical procedures surgical centers and clinics leading to complications resulting from these infections that prolong hospital stay and promote pain and suffering to the patient, resulting in the defense of the quality of services and influencing negatively the hospitals. Therefore, the aim of this study was to review the factors that result in surgical site infection, with the purpose of better understanding of the subject and the possibility of preventive actions to better treatment outcome of the patient.

  8. Early Site Permit Demonstration Program: Plant parameters envelope report

    International Nuclear Information System (INIS)

    1993-03-01

    The Early Site Permit (ESP) Demonstration Program is the nuclear industry's initiative for piloting the early resolution of siting-related issues before the detailed design proceedings of the combined operating license review. The ESP Demonstration Program consists of three phases. The plant parameters envelopes task is part of Phase 1, which addresses the generic review of applicable federal regulations and develops criteria for safety and environmental assessment of potential sites. The plant parameters envelopes identify parameters that characterize the interface between an ALWR design and a potential site, and quantify the interface through values selected from the Utility Requirements Documents, vendor design information, or engineering assessments. When augmented with site-specific information, the plant parameters envelopes provide sufficient information to allow ESPs to be granted based on individual ALWR design information or enveloping design information for the evolutionary, passive, or generic ALWR plants. This document is expected to become a living document when used by future applicants

  9. Early Site Permit Demonstration Program: Siting Guide, Site selection and evaluation criteria for an early site permit application

    International Nuclear Information System (INIS)

    1993-01-01

    In August 1991, the Joint Contractors came to agreement with Sandia National Laboratories (SNL) and the Department of Energy (DOE) on a workscope for the cost-shared Early Site Permit Demonstration Program. One task within the scope was the development of a guide for site selection criteria and procedures. A generic Siting Guide his been prepared that is a roadmap and tool for applicants to use developing detailed siting plans for their specific region of the country. The guide presents three fundamental principles that, if used, ensure a high degree of success for an ESP applicant. First, the site selection process should take into consideration environmentally diverse site locations within a given region of interest. Second, the process should contain appropriate opportunities for input from the public. Third, the process should be applied so that it is clearly reasonable to an impartial observer, based on appropriately selected criteria, including criteria which demonstrate that the site can host an advanced light water reactor (ALWR). The Siting Guide provides for a systematic, comprehensive site selection process in which three basic types of criteria (exclusionary, avoidance, and suitability) are presented via a four-step procedure. It provides a check list of the criteria for each one of these steps. Criteria are applied qualitatively, as well as presented numerically, within the guide. The applicant should use the generic guide as an exhaustive checklist, customizing the guide to his individual situation

  10. Early Site Permit Demonstration Program: Siting Guide, Site selection and evaluation criteria for an early site permit application. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-24

    In August 1991, the Joint Contractors came to agreement with Sandia National Laboratories (SNL) and the Department of Energy (DOE) on a workscope for the cost-shared Early Site Permit Demonstration Program. One task within the scope was the development of a guide for site selection criteria and procedures. A generic Siting Guide his been prepared that is a roadmap and tool for applicants to use developing detailed siting plans for their specific region of the country. The guide presents three fundamental principles that, if used, ensure a high degree of success for an ESP applicant. First, the site selection process should take into consideration environmentally diverse site locations within a given region of interest. Second, the process should contain appropriate opportunities for input from the public. Third, the process should be applied so that it is clearly reasonable to an impartial observer, based on appropriately selected criteria, including criteria which demonstrate that the site can host an advanced light water reactor (ALWR). The Siting Guide provides for a systematic, comprehensive site selection process in which three basic types of criteria (exclusionary, avoidance, and suitability) are presented via a four-step procedure. It provides a check list of the criteria for each one of these steps. Criteria are applied qualitatively, as well as presented numerically, within the guide. The applicant should use the generic guide as an exhaustive checklist, customizing the guide to his individual situation.

  11. Early Site Permit Demonstration Program: Regulatory criteria evaluation report

    International Nuclear Information System (INIS)

    1993-03-01

    The primary objective of the Early Site Plan Demonstration Program (ESPDP) is to demonstrate successfully the use of 10CFR52 to obtain ESPs for one or more US sites for one (or more) ALWR nuclear power plants. It is anticipated that preparation of the ESP application and interaction with NRC during the application review process will result not only in an ESP for the applicant(s) but also in the development of criteria and definition of processes, setting the precedent that facilitates ESPs for subsequent ESP applications. Because siting regulatory processes and acceptance criteria are contained in over 100 separate documents, comprehensive licensing and technical reviews were performed to establish whether the requirements and documentation are self-consistent, whether the acceptance criteria are sufficiently well-defined and clear, and whether the licensing process leading to the issuance of an ESP is unambiguously specified. This document provides appendices C and D of this report. Appendix C contains data from the licensing and technical reviews; Appendix D contains technology toolkit data sheets

  12. Early Site Permit Demonstration Program: Regulatory criteria evaluation report

    International Nuclear Information System (INIS)

    1993-03-01

    The primary objective of the Early Site Plan Demonstration Program (ESPDP) is to demonstrate successfully the use of 10CFR52 to obtain ESPs for one or more US sites for one (or more) ALWR nuclear power plants. It is anticipated that preparation of the ESP application and interaction with NRC during the application review process will result not only in an ESP for the applicant(s) but also in the development of criteria and definition of processes, setting the precedent that facilitates ESPs for subsequent ESP applications. Because siting regulatory processes and acceptance criteria are contained in over 100 separate documents, comprehensive licensing and technical reviews were performed to establish whether the requirements and documentation are self-consistent, whether the acceptance criteria are sufficiently well-defined and clear, and whether the licensing process leading to the issuance of an ESP is unambiguously specified. This document provides appendices A and B of this report. Appendix A contains a list of regulations, regulatory guidance, and acceptance criteria; Appendix B contains a cross-reference index of siting-related documentation

  13. The Hanford Site: An anthology of early histories

    International Nuclear Information System (INIS)

    Gerber, M.S.

    1993-10-01

    This report discusses the following topics: Memories of War: Pearl Harbor and the Genesis of the Hanford Site; safety has always been promoted at the Hanford Site; women have an important place in Hanford Site history; the boom and bust cycle: A 50-year historical overview of the economic impacts of Hanford Site Operations on the Tri-Cities, Washington; Hanford's early reactors were crucial to the sites's history; T-Plant made chemical engineering history; the UO 3 plant has a long history of service. PUREX Plant: the Hanford Site's Historic Workhorse. PUREX Plant Waste Management was a complex challenge; and early Hanford Site codes and jargon

  14. Making Connections: Navigate the Internet for Early Childhood Sites.

    Science.gov (United States)

    Larson, Jeanette

    1998-01-01

    Explains terminology related to the use of the Internet, describes how to find Web sites, and explains some of the sites designed for child-care professionals. The sites included are those related to health and nutrition, early-childhood and parenting organizations, children's television, reading and literature, sites for children, and regional…

  15. The Hanford Site: An anthology of early histories

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, M.S.

    1993-10-01

    This report discusses the following topics: Memories of War: Pearl Harbor and the Genesis of the Hanford Site; safety has always been promoted at the Hanford Site; women have an important place in Hanford Site history; the boom and bust cycle: A 50-year historical overview of the economic impacts of Hanford Site Operations on the Tri-Cities, Washington; Hanford`s early reactors were crucial to the sites`s history; T-Plant made chemical engineering history; the UO{sub 3} plant has a long history of service. PUREX Plant: the Hanford Site`s Historic Workhorse. PUREX Plant Waste Management was a complex challenge; and early Hanford Site codes and jargon.

  16. Early ceramic sites in southern Lau, Fiji

    International Nuclear Information System (INIS)

    Clark, G.

    2009-01-01

    The Lau Group is a dispersed chain of islands in east Fiji trending north-south on the inactive Lau Ridge remnant volcanic arc, which is part of the convergent margin system comprising the Lau Basin and Tonga Ridge to the east. In the south of the Lau Group are several remote islands that are closer to Tangatapu than they are to the largest islands of Viti Levu and Vanua Levu in the Fiji Group. Two of these islands, Vatoa and Doi islands in the Ono-i-Lau Group, were visited briefly in 2006 after field work on Kabara when the government supply boat 'Sandy' made scheduled stops to unload and collect cargo. Lapita pottery and a fortification were recorded on Doi Island in the Ono Group, and on Vatoa Island a site with plain ware ceramics dating to c. 2000 cal. BP was located. The position of the two remote islands lying between the main islands of Fiji and Tongan archipelago suggests they were particularly subject to influence from population contacts and movements from islands to their east and west in prehistory. In the eighteenth and nineteenth century central and southern Lau were the centre of an important canoe building industry based on the hardwood Instia bijuga (vesi) used to construct large sailing canoes which were the prerogative of Tongan and Fijian chiefs. Archaeological and linguistic studies of the Lau Group suggest a complicated history of population movements earlier during Lapita (2900-2500 BP) and post-Lapita (∼2500-1000 BP) times, which can be examined from the study of ceramic sites in southern Lau. (author). 27 refs., 3 figs

  17. REVIEW ARTICLE Conjugated Hyperbilirubinaemia in Early Infancy ...

    African Journals Online (AJOL)

    REVIEW ARTICLE Conjugated Hyperbilirubinaemia in Early Infancy. AOK Johnson. Abstract. Conjugated hyperbilirubinaemia exists when the conjugated serum bilirubin level is more than 2 mg/dl or more than 20 per cent of the total serum bilirubin. It is always pathological in early infancy. The causes are many and diverse ...

  18. Early Site Permit Demonstration Program: Plant parameters envelope report. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-01

    The Early Site Permit (ESP) Demonstration Program is the nuclear industry`s initiative for piloting the early resolution of siting-related issues before the detailed design proceedings of the combined operating license review. The ESP Demonstration Program consists of three phases. The plant parameters envelopes task is part of Phase 1, which addresses the generic review of applicable federal regulations and develops criteria for safety and environmental assessment of potential sites. The plant parameters envelopes identify parameters that characterize the interface between an ALWR design and a potential site, and quantify the interface through values selected from the Utility Requirements Documents, vendor design information, or engineering assessments. When augmented with site-specific information, the plant parameters envelopes provide sufficient information to allow ESPs to be granted based on individual ALWR design information or enveloping design information for the evolutionary, passive, or generic ALWR plants. This document is expected to become a living document when used by future applicants.

  19. Report of early site suitability evaluation of the potential repository site at Yucca Mountain, Nevada

    International Nuclear Information System (INIS)

    Younker, J.L.; Andrews, W.B.; Fasano, G.A.; Herrington, C.C.; Mattson, S.R.; Murray, R.C.; Ballou, L.B.; Revelli, M.A.; Ducharme, A.R.; Shephard, L.E.; Dudley, W.W.; Hoxie, D.T.; Herbst, R.J.; Patera, E.A.; Judd, B.R.; Docka, J.A.; Rickertsen, L.D.

    1992-01-01

    This study evaluated the technical suitability of Yucca Mountain, Nevada, as a potential site for a mined geologic repository for the permanent disposal of radioactive waste. The evaluation was conducted primarily to determine early in the site characterization program if there are any features or conditions at the site that indicate it is unsuitable for repository development. A secondary purpose was to determine the status of knowledge in the major technical areas that affect the suitability of the site. This early site suitability evaluation (ESSE) was conducted by a team of technical personnel at the request of the Associate Director of the US Department of Energy (DOE) Office of Geologic Disposal, a unit within the DOE's Office of Civilian Radioactive Waste Management. The Yucca Mountain site has been the subject of such evaluations for over a decade. In 1983, the site was evaluated as part of a screening process to identify potentially acceptable sites. The site was evaluated in greater detail and found suitable for site characterization as part of the Environmental Assessment (EA) (DOE, 1986) required by the Nuclear Waste Policy Act of 1982 (NWPA). Additional site data were compiled during the preparation of the Site Characterization Plan (SCP) (DOE, 1988a). This early site suitability evaluation has considered information that was used in preparing both-documents, along with recent information obtained since the EA and SCP were published. This body of information is referred to in this report as ''current information'' or ''available evidence.''

  20. Safety Review Services, Site Review Services and IRRS

    International Nuclear Information System (INIS)

    Yllera, Javier

    2010-01-01

    The selection and the evaluation of the site for a nuclear power plant are crucial parts of establishing a nuclear power programme and can be significantly affected by costs, public acceptance and safety considerations. Siting is the process of selecting a suitable site for a facility. This is area containing the plant, defined by a boundary and under effective control of the Plant Management. For safety related issues comparison within topics is generally quite straightforward. For example, sites with relatively higher seismic hazard would be penalized in comparison with those in more stable areas. The site for the NPP is generally chosen at a relatively ‘aseismic’ part of the country. This generally means that well known seismogenic sources are more than at least 50 kms from the site. The proposed sites for nuclear installations shall be examined with respect to the frequency and the severity of natural and human induced events and phenomena that could affect the safety of the installation. The Events unconnected with the operation of a facility or activity which could have an effect on the safety of the facility or activity. The relationship between the site and the design for the nuclear installation shall be examined to ensure that the radiological risk to the public and the environment arising from releases defined by the source terms is acceptably low. The Nuclear Regulatory Authority should issue a document that sets out the technical safety and security criteria against which the Site Permit Application for a new NPP will be reviewed. The objective of the Site Safety Review Services (SSRS) is provided upon request from a Member State. An independent review and assessment of the site and nuclear installation safety in relation to external natural and man induced hazards. This is to make recommendations on additional analysis or plant modifications to be carried out in order to comply with the IAEA Safety Standards and to enhance safety

  1. Report of early site suitability evaluation of the potential repository site at Yucca Mountain, Nevada; Yucca Mountain Site Characterization Project

    Energy Technology Data Exchange (ETDEWEB)

    Younker, J.L.; Andrews, W.B.; Fasano, G.A.; Herrington, C.C.; Mattson, S.R.; Murray, R.C. [Science Applications International Corp., Las Vegas, NV (United States); Ballou, L.B.; Revelli, M.A. [Lawrence Livermore National Lab., CA (United States); Ducharme, A.R.; Shephard, L.E. [Sandia National Labs., Albuquerque, NM (United States); Dudley, W.W.; Hoxie, D.T. [Geological Survey, Denver, CO (United States); Herbst, R.J.; Patera, E.A. [Los Alamos National Lab., NM (United States); Judd, B.R. [Decision Analysis Co., Portola Valley, CA (United States); Docka, J.A.; Rickertsen, L.D. [Weston Technical Associates, Washington, DC (United States)

    1992-01-01

    This study evaluated the technical suitability of Yucca Mountain, Nevada, as a potential site for a mined geologic repository for the permanent disposal of radioactive waste. The evaluation was conducted primarily to determine early in the site characterization program if there are any features or conditions at the site that indicate it is unsuitable for repository development. A secondary purpose was to determine the status of knowledge in the major technical areas that affect the suitability of the site. This early site suitability evaluation (ESSE) was conducted by a team of technical personnel at the request of the Associate Director of the US Department of Energy (DOE) Office of Geologic Disposal, a unit within the DOE`s Office of Civilian Radioactive Waste Management. The Yucca Mountain site has been the subject of such evaluations for over a decade. In 1983, the site was evaluated as part of a screening process to identify potentially acceptable sites. The site was evaluated in greater detail and found suitable for site characterization as part of the Environmental Assessment (EA) (DOE, 1986) required by the Nuclear Waste Policy Act of 1982 (NWPA). Additional site data were compiled during the preparation of the Site Characterization Plan (SCP) (DOE, 1988a). This early site suitability evaluation has considered information that was used in preparing both-documents, along with recent information obtained since the EA and SCP were published. This body of information is referred to in this report as ``current information`` or ``available evidence.``

  2. Early and late surgical site infections in ear surgery.

    Science.gov (United States)

    Bastier, P L; Leroyer, C; Lashéras, A; Rogues, A-M; Darrouzet, V; Franco-Vidal, V

    2016-04-01

    A retroauricular approach is routinely used for treating chronic otitis media. The incidence of surgical site infections after ear surgery is around 10% in contaminated or dirty procedures. This observational prospective study describes surgical site infections after chronic otitis media surgery with the retroauricular approach and investigated their potential predictive factors. This observational prospective study included patients suffering from chronic otitis media and eligible for therapeutic surgery with a retroauricular approach. During follow-up, surgical site infections were defined as "early" if occurring within 30 days after surgery or as "late" if occurring thereafter. The data of 102 patients were analysed. Concerning early surgical site infections, four cases were diagnosed (3.9%) and a significant association was found with preoperative antibiotic therapy, wet ear at pre-operative examination, class III (contaminated) in the surgical wound classification, NNIS (National Nosocomial Infection Surveillance) index > 1, and oral post-operative antibiotic use. Seven late surgical site infections were diagnosed (7.1%) between 90 and 160 days after surgery and were significantly correlated to otorrhoea during the 6 months before surgery, surgery duration ≤60 minutes, canal wall down technique and use of fibrin glue. Surgical site infections after chronic otitis media surgery seem to be associated with factors related to the inflammatory state of the middle ear at the time of surgery in early infections and with chronic inflammation in late infections. © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy.

  3. Early Site Permit Demonstration Program: Recommendations for communication activities and public participation in the Early Site Permit Demonstration Program

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-27

    On October 24, 1992, President Bush signed into law the National Energy Policy Act of 1992. The bill is a sweeping, comprehensive overhaul of the Nation`s energy laws, the first in more than a decade. Among other provisions, the National Energy Policy Act reforms the licensing process for new nuclear power plants by adopting a new approach developed by the US Nuclear Regulatory Commission (NRC) in 1989, and upheld in court in 1992. The NRC 10 CFR Part 52 rule is a three-step process that guarantees public participation at each step. The steps are: early site permit approval; standard design certifications; and, combined construction/operating licenses for nuclear power reactors. Licensing reform increases an organization`s ability to respond to future baseload electricity generation needs with less financial risk for ratepayers and the organization. Costly delays can be avoided because design, safety and siting issues will be resolved before a company starts to build a plant. Specifically, early site permit approval allows for site suitability and acceptability issues to be addressed prior to an organization`s commitment to build a plant. Responsibility for site-specific activities, including communications and public participation, rests with those organizations selected to try out early site approval. This plan has been prepared to assist those companies (referred to as sponsoring organizations) in planning their communications and public involvement programs. It provides research findings, information and recommendations to be used by organizations as a resource and starting point in developing their own plans.

  4. Early Site Permit Demonstration Program: Recommendations for communication activities and public participation in the Early Site Permit Demonstration Program

    International Nuclear Information System (INIS)

    1993-01-01

    On October 24, 1992, President Bush signed into law the National Energy Policy Act of 1992. The bill is a sweeping, comprehensive overhaul of the Nation's energy laws, the first in more than a decade. Among other provisions, the National Energy Policy Act reforms the licensing process for new nuclear power plants by adopting a new approach developed by the US Nuclear Regulatory Commission (NRC) in 1989, and upheld in court in 1992. The NRC 10 CFR Part 52 rule is a three-step process that guarantees public participation at each step. The steps are: early site permit approval; standard design certifications; and, combined construction/operating licenses for nuclear power reactors. Licensing reform increases an organization's ability to respond to future baseload electricity generation needs with less financial risk for ratepayers and the organization. Costly delays can be avoided because design, safety and siting issues will be resolved before a company starts to build a plant. Specifically, early site permit approval allows for site suitability and acceptability issues to be addressed prior to an organization's commitment to build a plant. Responsibility for site-specific activities, including communications and public participation, rests with those organizations selected to try out early site approval. This plan has been prepared to assist those companies (referred to as sponsoring organizations) in planning their communications and public involvement programs. It provides research findings, information and recommendations to be used by organizations as a resource and starting point in developing their own plans

  5. Eastern Africa Social Science Research Review: Site Map

    African Journals Online (AJOL)

    Eastern Africa Social Science Research Review: Site Map. Journal Home > About the Journal > Eastern Africa Social Science Research Review: Site Map. Log in or Register to get access to full text downloads.

  6. Exemestane in early breast cancer: a review

    Directory of Open Access Journals (Sweden)

    Michael Untch

    2008-12-01

    Full Text Available Michael Untch1, Christian Jackisch21Interdisciplinary Breast Centre, Helios Klinikum Berlin-Buch, University Charité, Berlin, Germany; 2Department of Gynecology/Obstetrics, Klinikum Offenbach GmbH, Offenbach, GermanyAbstract: The adjuvant treatment of women with endocrine-sensitive early breast cancer has been dominated for the last 40 years by tamoxifen. However, the side-effects associated with this therapy have prompted a search for safer and biochemically more selective endocrine agents and led to the development of the third-generation aromatase inhibitors (AIs anastrozole, letrozole and exemestane. Promising results in advanced disease have paved the way for treating early breast cancer, and AIs are increasingly replacing tamoxifen in the adjuvant setting. Several large, randomized trials with AIs have been completed or are ongoing in women with early-stage breast cancer, documenting the significant impact that these drugs are making on the risk for recurrence of breast cancer. As a result, there is increasing and widespread use of AI therapy for the treatment of early-stage endocrine-responsive breast cancer. This review summarizes the data for exemestane in the adjuvant setting, showing that a switch to exemestane after 2 to 3 years of tamoxifen therapy is associated with a statistically significant survival benefit and is regarded as being sensitive by international and national experts.Keywords: early breast cancer, adjuvant setting, endocrine-sensitive, tamoxifen, aromatase inhibitor, exemestane, switch, IES 31, NSABP B-33, TEAM

  7. Early Rehabilitation After Stroke: a Narrative Review.

    Science.gov (United States)

    Coleman, Elisheva R; Moudgal, Rohitha; Lang, Kathryn; Hyacinth, Hyacinth I; Awosika, Oluwole O; Kissela, Brett M; Feng, Wuwei

    2017-11-07

    Despite current rehabilitative strategies, stroke remains a leading cause of disability in the USA. There is a window of enhanced neuroplasticity early after stroke, during which the brain's dynamic response to injury is heightened and rehabilitation might be particularly effective. This review summarizes the evidence of the existence of this plastic window, and the evidence regarding safety and efficacy of early rehabilitative strategies for several stroke domain-specific deficits. Overall, trials of rehabilitation in the first 2 weeks after stroke are scarce. In the realm of very early mobilization, one large and one small trial found potential harm from mobilizing patients within the first 24 h after stroke, and only one small trial found benefit in doing so. For the upper extremity, constraint-induced movement therapy appears to have benefit when started within 2 weeks of stroke. Evidence for non-invasive brain stimulation in the acute period remains scant and inconclusive. For aphasia, the evidence is mixed, but intensive early therapy might be of benefit for patients with severe aphasia. Mirror therapy begun early after stroke shows promise for the alleviation of neglect. Novel approaches to treating dysphagia early after stroke appear promising, but the high rate of spontaneous improvement makes their benefit difficult to gauge. The optimal time to begin rehabilitation after a stroke remains unsettled, though the evidence is mounting that for at least some deficits, initiation of rehabilitative strategies within the first 2 weeks of stroke is beneficial. Commencing intensive therapy in the first 24 h may be harmful.

  8. Early Site Permit Demonstration Program: Regulatory criteria evaluation report

    International Nuclear Information System (INIS)

    1993-03-01

    The primary objective of the ESPDP is to demonstrate successfully the use of 10CFR52 to obtain ESPs for one or more US sites for one (or more) ALWR nuclear power plants. It is anticipated that preparation of the ESP application and interaction with NRC during the application review process will result not only in an ESP for the applicant(s) but also in the development of criteria and definition of processes, setting the precedent that facilitates ESPs for subsequent ESP applications. Because siting regulatory processes and acceptance criteria are contained in over 100 separate documents, comprehensive licensing and technical reviews were performed to establish whether the requirements and documentation are self-consistent, whether the acceptance criteria are sufficiently well-defined and clear, and whether the licensing process leading to the issuance of an ESP is unambiguously specified. The results of the technical and licensing evaluations are presented in this report. The purpose, background, and organization of the ESPDP is delineated in Section 1. Section 11 contains flowcharts defining siting application requirements, environmental report requirements, and emergency planning/preparedness requirements for ALWRS. The licensing and technical review results are presented in Section III

  9. Early Site Permit Demonstration Program: Regulatory criteria evaluation report

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-01

    The primary objective of the ESPDP is to demonstrate successfully the use of 10CFR52 to obtain ESPs for one or more US sites for one (or more) ALWR nuclear power plants. It is anticipated that preparation of the ESP application and interaction with NRC during the application review process will result not only in an ESP for the applicant(s) but also in the development of criteria and definition of processes, setting the precedent that facilitates ESPs for subsequent ESP applications. Because siting regulatory processes and acceptance criteria are contained in over 100 separate documents, comprehensive licensing and technical reviews were performed to establish whether the requirements and documentation are self-consistent, whether the acceptance criteria are sufficiently well-defined and clear, and whether the licensing process leading to the issuance of an ESP is unambiguously specified. The results of the technical and licensing evaluations are presented in this report. The purpose, background, and organization of the ESPDP is delineated in Section 1. Section 11 contains flowcharts defining siting application requirements, environmental report requirements, and emergency planning/preparedness requirements for ALWRS. The licensing and technical review results are presented in Section III.

  10. Phosphorylation site dynamics of early T-cell receptor signaling

    DEFF Research Database (Denmark)

    Chylek, Lily A; Akimov, Vyacheslav; Dengjel, Jörn

    2014-01-01

    In adaptive immune responses, T-cell receptor (TCR) signaling impacts multiple cellular processes and results in T-cell differentiation, proliferation, and cytokine production. Although individual protein-protein interactions and phosphorylation events have been studied extensively, we lack...... that diverse dynamic patterns emerge within seconds. We detected phosphorylation dynamics as early as 5 s and observed widespread regulation of key TCR signaling proteins by 30 s. Development of a computational model pointed to the presence of novel regulatory mechanisms controlling phosphorylation of sites...... a systems-level understanding of how these components cooperate to control signaling dynamics, especially during the crucial first seconds of stimulation. Here, we used quantitative proteomics to characterize reshaping of the T-cell phosphoproteome in response to TCR/CD28 co-stimulation, and found...

  11. Larynx cancer in early stages: bibliographic review

    International Nuclear Information System (INIS)

    Umana Herrera, Vanessa

    2014-01-01

    A bibliographical analysis on the subject of early laryngeal cancer (neoplams staged as Tis, T1-T2 N0) was carried out through a bibliographic review of updated articles. The anatomy, epidemiology, generalities, clinical presentation and behavior of cancer were described. The biopsy, the clinical history, the physical examination and radiodiagnostic studies are used for a correct staging and according to the stage, to select the appropriate treatment. Treatment modalities and prescription dose for this type of cancer are compared and explained. The locoregional evaluation of glottic cancer is performed by Computed Axial Tomography (CAT), Nuclear Magnetic Resonance (NMR), Ultrasound (US) and Positron Emission Tomography-Computed Tomography (PET/CT). CAT and NMR have shown to be more accurate in the evaluation of glottic larynx cancer compared with clinical endoscopic examination alone. CAT, NMR, US and PET/CT were clearly more sensitive and specific in the assessment of the neck that only palpation. The preservation of the voice is an important parameter in choosing a therapeutic modality. Radiotherapy has proven to be the most used and known treatment. Radiation therapy with Cobalt 60 is commonly used in Costa Rica for the treatment of early larynx cancer [es

  12. Subsistence economy of el paraiso, an early peruvian site.

    Science.gov (United States)

    Quilter, J; E, B O; Pearsall, D M; Sandweiss, D H; Jones, J G; Wing, E S

    1991-01-18

    Studies of food remains from the Preceramic monumental site of E1 Paraíso, Peru (1800 to 1500 B.C.), have shed new light on a debate regarding the relative importance of seafood versus terrestrial resources and the role of cultigens in subsistence economies during the early development of Peruvian civilization. Fish was the primary animal food at the site whereas plant foods consisted of a mixture of cultivated resources (squashes, beans, peppers, and jicama) with an additional reliance on fruits (guava, lucuma, and pacae). Wild plants, especially the roots of sedges and cat-tail, also may have accounted for a substantial part of the diet. Cotton was a chief crop, used in making fishing tackle and the textiles that served as clothing and items of high value and status. As an example of the beginnings of civilization, El Paraíso is a case in which impressive architecture was built on a relatively simple subsistence economy and energy was expended in the production of resources useful in local and regional exchange systems.

  13. 78 FR 26356 - Notice of Environmental Site Review

    Science.gov (United States)

    2013-05-06

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Notice of Environmental Site Review York Haven Power Company, LLC Project No. 1888-030. Exelon Generation Company, LLC Project No. 405-106. Exelon Generation Company, LLC Project No. 2355-018. On May 21, 22, and 23, 2013, Commission staff will hold an environmental site review for the...

  14. Site remediation techniques in India: a review

    International Nuclear Information System (INIS)

    Anomitra Banerjee; Miller Jothi

    2013-01-01

    India is one of the developing countries operating site remediation techniques for the entire nuclear fuel cycle waste for the last three decades. In this paper we intend to provide an overview of remediation methods currently utilized at various hazardous waste sites in India, their advantages and disadvantages. Over the years the site remediation techniques have been well characterized and different processes for treatment, conditioning and disposal are being practiced. Remediation Methods categorized as biological, chemical or physical are summarized for contaminated soils and environmental waters. This paper covers the site remediation techniques implemented for treatment and conditioning of wastelands arising from the operation of nuclear power plant, research reactors and fuel reprocessing units. (authors)

  15. Early Site Permit Demonstration Program: Station design alternatives report

    International Nuclear Information System (INIS)

    1993-03-01

    This report provides the results of investigating the basis for including Station Design Alternatives (SDAs) in the regulatory guidance given for nuclear plant environmental reports (ERs), explains approaches or processes for evaluating SDAs at the early site permit (ESP) stage, and applies one of the processes to each of the ten systems or subsystems considered as SDAS. The key objective o this report s to demonstrate an adequate examination of alternatives can be performed without the extensive development f design data. The report discusses the Composite Suitability Approach and the Established Cutoff Approach in evaluating station design alternatives and selects one of these approaches to evaluate alternatives for each of the plant or station that were considered. Four types of ALWRs have been considered due to the availability of extensive plant data: System 80+, AP600, Advanced Boiling Reactor (ABWR), and Simplified Boiling Water Reactor (SBWR). This report demonstrates the feasibility of evaluating station design alternatives when reactor design detail has not been determined, quantitatively compares the potential ental impacts of alternatives, and focuses the ultimate selection of a alternative on cost and applicant-specific factors. The range of alternatives system is deliberately limited to a reasonable number to demonstrate the or to the three most commonly used at operating plants

  16. Experiences from site-specific landslide early warning systems

    Science.gov (United States)

    Michoud, C.; Bazin, S.; Blikra, L. H.; Derron, M.-H.; Jaboyedoff, M.

    2013-10-01

    Landslide early warning systems (EWSs) have to be implemented in areas with large risk for populations or infrastructures when classical structural remediation measures cannot be set up. This paper aims to gather experiences of existing landslide EWSs, with a special focus on practical requirements (e.g., alarm threshold values have to take into account the smallest detectable signal levels of deployed sensors before being established) and specific issues when dealing with system implementations. Within the framework of the SafeLand European project, a questionnaire was sent to about one-hundred institutions in charge of landslide management. Finally, we interpreted answers from experts belonging to 14 operational units related to 23 monitored landslides. Although no standard requirements exist for designing and operating EWSs, this review highlights some key elements, such as the importance of pre-investigation work, the redundancy and robustness of monitoring systems, the establishment of different scenarios adapted to gradual increasing of alert levels, and the necessity of confidence and trust between local populations and scientists. Moreover, it also confirms the need to improve our capabilities for failure forecasting, monitoring techniques and integration of water processes into landslide conceptual models.

  17. 14 CFR 420.21 - Launch site location review-launch site boundary.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Launch site location review-launch site boundary. 420.21 Section 420.21 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION... travels given a worst-case launch vehicle failure in the launch area. An applicant must clearly and...

  18. Artificially regenerating longleaf pine on wet sites: preliminary analysis of effects of site preparation treatments on early survival and growth

    Science.gov (United States)

    Benjamin O. Knapp; G. Geoff Wang; Joan L. Walker

    2010-01-01

    Our study, conducted over two years on poorly drained, sandy sites in Onslow County, NC, compared the effects of eight common site preparation treatments on early survival and growth of planted longleaf pine seedlings. Through two growing seasons, we found survival to be similar across all treatments (p = 0.8806), but root collar diameter was greatest with combinations...

  19. Workshop material for state review of USNRC site suitability criteria for high-level radioactive waste repositories

    International Nuclear Information System (INIS)

    1977-08-01

    The Nuclear Regulatory Commission (NRC) is developing criteria on which to judge whether a proposed site for a geologic repository is suitable for disposal of high-level nuclear wastes. To aid in its analysis and assessment, NRC is planning three early independent reviews of the site suitability criteria development effort: a peer review by experts outside of NRC; a review by the National Academy of Sciences; and a review by State officials. This document has been prepared to aid workshop participants in understanding the Preliminary Site Suitability Criteria and to prepare them to contribute to an evaluation of those criteria

  20. Main phases of siting for nuclear power plants with review of required investigations

    International Nuclear Information System (INIS)

    Malbasa, N.

    1984-01-01

    The purpose of the article is a short description of the main phases in the process of siting for nuclear power plants as interpreted and applied by the Institut za elektroprivredu, Zagreb in the screening, comparison and evaluation of the sites for NPPs in the SR of Croatia. The scope and purpose, as well as review of required data and investigations for each particular phase are given. Common used methods for the comparison of sites are described and example of rejection criteria applicable for early phases of the siting is proposed. It is given a list of the most important activities which detailed analysis id indispensable for ending of the evaluation and getting a site permit from the regulatory body. A legal and regulatory basis for carrying out the siting process is also described. (author)

  1. Does Infection Site Matter? A Systematic Review of Infection Site Mortality in Sepsis.

    Science.gov (United States)

    Motzkus, Christine A; Luckmann, Roger

    2017-09-01

    Sepsis treatment protocols emphasize source control with empiric antibiotics and fluid resuscitation. Previous reviews have examined the impact of infection site and specific pathogens on mortality from sepsis; however, no recent review has addressed the infection site. This review focuses on the impact of infection site on hospital mortality among patients with sepsis. The PubMed database was searched for articles from 2001 to 2014. Studies were eligible if they included (1) one or more statistical models with hospital mortality as the outcome and considered infection site for inclusion in the model and (2) adult patients with sepsis, severe sepsis, or septic shock. Data abstracted included stage of sepsis, infection site, and raw and adjusted effect estimates. Nineteen studies were included. Infection sites most studied included respiratory (n = 19), abdominal (n = 19), genitourinary (n = 18), and skin and soft tissue infections (n = 11). Several studies found a statistically significant lower mortality risk for genitourinary infections on hospital mortality when compared to respiratory infections. Based on studies included in this review, the impact of infection site in patients with sepsis on hospital mortality could not be reliably estimated. Misclassification among infections and disease states remains a serious possibility in studies on this topic.

  2. A review of studies on community based early warning systems

    Directory of Open Access Journals (Sweden)

    Margaret Macherera

    2016-04-01

    Full Text Available Community-based early warning systems involve community driven collection and analysis of information that enable warning messages to help a community to react to a hazard and reduce the resulting loss or harm. Most early warning systems are designed at the national or global level. Local communities’ capacity to predict weather conditions using indigenous knowledge has been demonstrated in studies focusing on climate change and agriculture in some African countries. This review was motivated by successes made in non-disease specific community-based early warning systems with a view to identify opportunities for developing similar systems for malaria. This article reviewed the existing community-based early warning systems documented in literature. The types of disasters that are addressed by these systems and the methodologies utilised in the development of the systems were identified. The review showed that most of the documented community-based early warning systems focus on natural disasters such as floods, drought, and landslides. Community-based early warning systems for human diseases are very few, even though such systems exist at national and regional and global levels. There is a clear gap in terms of community-based malaria early warning systems. The methodologies for the development of the community-based early warning systems reviewed mainly derive from the four elements of early warning systems; namely risk knowledge, monitoring, warning communication and response capability. The review indicated the need for the development of community based early warning systems for human diseases. Keywords: community; early warning; disaster; hazards

  3. Review of site recommendation process in Draft Environmental Assessments

    International Nuclear Information System (INIS)

    Joy, H.; Longo, T.; Burton, E.S.

    1985-01-01

    In December 1984, the US Department of Energy (DOE) published Draft Environmental Assessments (EAs) on nine potentially acceptable nuclear waste repository sites. Five sites in the states of Mississippi, Nevada, Texas, Utah, and Washington were proposed in the Draft EAs for nomination under the Nuclear Waste Policy Act as suitable for further detailed study (site characterization). The Nevada, Texas, and Washington sites were further proposed for recommendation to the President as preferred for site characterization. This paper reviews the process that DOE used in selecting the three sites proposed for site characterization. The process is consistent with DOE's implementation guidelines for selecting repository sites, and proceeds in three steps. First, the sites are ranked in order of preference for each of twenty technical guidelines based on information in the Draft EAs. The second step combines the individual guideline rankings into postclosure and preclosure guideline group rankings, and, finally, into an overall ranking. In the third step, the sensitivity of the choice of the three preferred sites is examined for a range of guideline weightings

  4. Social networking sites and older users - a systematic review

    OpenAIRE

    Nef, Tobias; Ganea, Raluca L.; Müri, René M.; Mosimann, Urs P.

    2017-01-01

    BACKGROUND Social networking sites can be beneficial for senior citizens to promote social participation and to enhance intergenerational communication. Particularly for older adults with impaired mobility, social networking sites can help them to connect with family members and other active social networking users. The aim of this systematic review is to give an overview of existing scientific literature on social networking in older users. METHODS Computerized databases were sea...

  5. Review of underground siting of nuclear power plants

    International Nuclear Information System (INIS)

    1974-01-01

    A review of the potential for the underground siting of nuclear power generating plants has been undertaken. The review comprised a survey and assessment of relevant published documents currently available, together with discussions with Government sponsored agencies and other bodies, to evaluate the current status of technology related to the design and construction of underground nuclear power plants. It includes a review of previous work related to the underground siting of power plants and other facilities; a preliminary evaluation of the relative merits of the various concepts of undergrounding which have been proposed or constructed; a review of current technology as it relates to the requirements for the design, construction and operation of underground nuclear power plants; an examination of the safety and environmental aspects; and the identification of areas of further study which will be required if the underground is to be established as a fully viable alternative to surface siting. No attempt has been made to draw final conclusions at this stage. Nothing has been found to suggest that the underground siting concept could not provide a viable alternative to the surface concept. It is also apparent that no major technological developments are required. It is not clear, however, whether the improvements in safety and containment postulated for the underground can be realized at an economic cost; or even whether any additional cost is in fact involved. The problem is essentially site dependent and requires further study for which recommendations are made. (auth)

  6. Siting and early-stage project management of nuclear power plant

    International Nuclear Information System (INIS)

    Wang Kai; Li Guojin

    2013-01-01

    In this paper, difficulties and challenges facing in siting of nuclear power plant after Fukushima nuclear accident is introduced. The key points for siting are analyzed. The site characteristics related to nuclear safety and the evaluated methods are discussed. From project management perspective, main procedures and key points for the early-stage of a nuclear power project are described. (authors)

  7. The Construction Site Project: Transforming Early Childhood Teacher Practice

    Science.gov (United States)

    McNaughton, Kathryn; Krentz, Caroline

    2007-01-01

    The work of Malaguzzi (in Edwards, Gandini, & Forman, 1998; Fraser, 2006) has made the fundamentals of the preschools of Reggio Emilia familiar to many early childhood educators. The article describes an authentic project that enhanced undergraduate and postgraduate participants' understanding of the impact of collaboration, conversation, and…

  8. Plutonium and Americium Geochemistry at Hanford: A Site Wide Review

    Energy Technology Data Exchange (ETDEWEB)

    Cantrell, Kirk J.; Felmy, Andrew R.

    2012-08-23

    This report was produced to provide a systematic review of the state-of-knowledge of plutonium and americium geochemistry at the Hanford Site. The report integrates existing knowledge of the subsurface migration behavior of plutonium and americium at the Hanford Site with available information in the scientific literature regarding the geochemistry of plutonium and americium in systems that are environmentally relevant to the Hanford Site. As a part of the report, key research needs are identified and prioritized, with the ultimate goal of developing a science-based capability to quantitatively assess risk at sites contaminated with plutonium and americium at the Hanford Site and the impact of remediation technologies and closure strategies.

  9. Advanced Simulation Capability for Environmental Management (ASCEM): Early Site Demonstration

    International Nuclear Information System (INIS)

    Meza, Juan; Hubbard, Susan; Freshley, Mark D.; Gorton, Ian; Moulton, David; Denham, Miles E.

    2011-01-01

    The U.S. Department of Energy Office of Environmental Management, Technology Innovation and Development (EM-32), is supporting development of the Advanced Simulation Capability for Environmental Management (ASCEM). ASCEM is a state-of-the-art scientific tool and approach for understanding and predicting contaminant fate and transport in natural and engineered systems. The modular and open source high performance computing tool will facilitate integrated approaches to modeling and site characterization that enable robust and standardized assessments of performance and risk for EM cleanup and closure activities. As part of the initial development process, a series of demonstrations were defined to test ASCEM components and provide feedback to developers, engage end users in applications, and lead to an outcome that would benefit the sites. The demonstration was implemented for a sub-region of the Savannah River Site General Separations Area that includes the F-Area Seepage Basins. The physical domain included the unsaturated and saturated zones in the vicinity of the seepage basins and Fourmile Branch, using an unstructured mesh fit to the hydrostratigraphy and topography of the site. The calculations modeled variably saturated flow and the resulting flow field was used in simulations of the advection of non-reactive species and the reactive-transport of uranium. As part of the demonstrations, a new set of data management, visualization, and uncertainty quantification tools were developed to analyze simulation results and existing site data. These new tools can be used to provide summary statistics, including information on which simulation parameters were most important in the prediction of uncertainty and to visualize the relationships between model input and output.

  10. Critique of one-stop siting in Washington: streamlining review without compromising effectiveness

    International Nuclear Information System (INIS)

    Granger, J.A.; Wise, K.R.

    1980-01-01

    The state of Washington adopted a one-stop power plant siting law in 1970 so that the regulatory elements could be coordinated into a single siting decision. Efficiency improves as duplications and inconsistencies disappear, but increasing lead times and higher costs persist in the state. An analysis of the legislation examines why certain statutory and regulatory provisions allow this to happen, pointing particularly at the review and approval process. Appropriate reforms include adequate funds and staff for the permit agency, early identification of issues, prehearing conferences, and explicit guidelines and standards. 114 references and footnotes

  11. Review of early assessment models of innovative medical technologies.

    Science.gov (United States)

    Fasterholdt, Iben; Krahn, Murray; Kidholm, Kristian; Yderstræde, Knud Bonnet; Pedersen, Kjeld Møller

    2017-08-01

    Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models for early assessment in different health organisations and discusses which models hold most promise for hospital decision makers. A scoping review of published studies between 1996 and 2015 was performed using nine databases. The following information was collected: decision context, decision problem, and a description of the early assessment model. 2362 articles were identified and 12 studies fulfilled the inclusion criteria. An additional 12 studies were identified and included in the review by searching reference lists. The majority of the 24 early assessment studies were variants of traditional cost-effectiveness analysis. Around one fourth of the studies presented an evaluation model with a broader focus than cost-effectiveness. Uncertainty was mostly handled by simple sensitivity or scenario analysis. This review shows that evaluation models using known methods assessing cost-effectiveness are most prevalent in early assessment, but seems ill-suited for early assessment in hospitals. Four models provided some usable elements for the development of a hospital-based model. Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

  12. Tamuarawai (EQS) : an early lapita site on Emirau, New Ireland, PNG

    International Nuclear Information System (INIS)

    Summerhayes, G.R.; Matisoo-Smith, E.; Mandui, H.; Allen, J.; Specht, J.; Hogg, N.; McPherson, S.

    2010-01-01

    In 2007 a new Early Lapita site called Tamuarawai (EQS) was located on Emirau Island, Papua New Guinea. Two seasons of excavation (2007, 2008) have been undertaken. This paper describes the site and some of the preliminary analyses undertaken. Some unusual results suggest that Tamuarawai will make an important contribution to modelling the Early Lapita occupation of the Bismarck Archipelago. (author). 29 refs., 11 figs., 11 tabs.

  13. A review of studies on community based early warning systems

    OpenAIRE

    Margaret Macherera; Moses J. Chimbari

    2016-01-01

    Community-based early warning systems involve community driven collection and analysis of information that enable warning messages to help a community to react to a hazard and reduce the resulting loss or harm. Most early warning systems are designed at the national or global level. Local communities’ capacity to predict weather conditions using indigenous knowledge has been demonstrated in studies focusing on climate change and agriculture in some African countries. This review was motivated...

  14. The role of social networking sites in early adolescents’ social life

    NARCIS (Netherlands)

    Antheunis, M.L.; Schouten, A.P.; Krahmer, E.J.

    2016-01-01

    The aim of this study was to examine the role of social networking sites (SNSs) in early adolescents’ social lives. First, we investigated the relation between SNS use and several aspects of early adolescents’ social lives (i.e., friendship quality, bridging social capital, and bonding social

  15. The Role of Social Networking Sites in Early Adolescents' Social Lives

    Science.gov (United States)

    Antheunis, Marjolijn L.; Schouten, Alexander P.; Krahmer, Emiel

    2016-01-01

    The aim of this study was to examine the role of social networking sites (SNSs) in early adolescents' social lives. First, we investigated the relation between SNS use and several aspects of early adolescents' social lives (i.e., friendship quality, bridging social capital, and bonding social capital). Second, we examined whether there are…

  16. 78 FR 78369 - Submission for OMB Review; 30-Day Comment Request: Early Career Reviewer Program Online...

    Science.gov (United States)

    2013-12-26

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; 30-Day Comment Request: Early Career Reviewer Program Online Application System--Center for Scientific Review (CSR) SUMMARY: Under the provisions of Section 3507(a)(1)(D) of the Paperwork Reduction Act...

  17. Review of Social Networking Sites' Security and Privacy

    OpenAIRE

    YANG, SHUN

    2015-01-01

    Nowadays social media networking has dramatically increased. Social networking sites like Facebook make users create huge amount of profiles and share personal information within networking of different users. Social networking exposes personal information far beyond the group of friends. And that information or data on social media networking could be potential threat to people's information security and privacy. In this review, we are going to view the privacy risks and security problem...

  18. Social Networking Sites, Depression, and Anxiety: A Systematic Review

    OpenAIRE

    Seabrook, Elizabeth M; Kern, Margaret L; Rickard, Nikki S

    2016-01-01

    Background Social networking sites (SNSs) have become a pervasive part of modern culture, which may also affect mental health. Objective The aim of this systematic review was to identify and summarize research examining depression and anxiety in the context of SNSs. It also aimed to identify studies that complement the assessment of mental illness with measures of well-being and examine moderators and mediators that add to the complexity of this environment. Methods A multidatabase search was...

  19. Independent technical reviews for groundwater and soil remediation projects at US Department Of Energy sites - 59188

    International Nuclear Information System (INIS)

    Kaback, Dawn S.; Chamberlain, Grover; Morse, John G.; Petersen, Scott W.

    2012-01-01

    The US Department of Energy Office of Environmental Management has supported independent technical reviews of soil and groundwater projects at multiple DOE sites over the last 10 years. These reviews have resulted in significant design improvements to remedial plans that have accelerated cleanup and site closure. Many have also resulted in improved understanding of complex subsurface conditions, promoting better approaches to design and implementation of new technologies. Independent technical reviews add value, because they provide another perspective to problem solving and act as a check for especially challenging problems. By bringing in a team of independent experts with a broad experience base, alternative solutions are recommended for consideration and evaluation. In addition, the independence of the panel is significant, because it is able to address politically sensitive issues. The expert panel members typically bring lessons learned from other sites to help solve the DOE problems. In addition, their recommendations at a particular site can often be applied at other sites, making the review even more valuable. The review process can vary, but some common lessons ensure a successful review: - Use a multi-disciplinary broadly experienced team; - Engage the panel early and throughout the project; - Involve regulators and stakeholders in the workshop, if appropriate. - Provide sufficient background information; - Close the workshop with a debriefing followed by a written report. Many groundwater remediation challenges remain at DOE sites. Independent technical reviews have and will ensure that the best capabilities and experience are applied to reduce risks and uncertainties. Even though the groundwater remediation industry has developed significantly over the last twenty years, advancements are needed to address the complexities of the subsurface at the DOE sites. These advancements have tremendous potential to save millions of dollars and to accelerate the

  20. Social networking sites and older users - a systematic review.

    Science.gov (United States)

    Nef, Tobias; Ganea, Raluca L; Müri, René M; Mosimann, Urs P

    2013-07-01

    Social networking sites can be beneficial for senior citizens to promote social participation and to enhance intergenerational communication. Particularly for older adults with impaired mobility, social networking sites can help them to connect with family members and other active social networking users. The aim of this systematic review is to give an overview of existing scientific literature on social networking in older users. Computerized databases were searched and 105 articles were identified and screened using exclusion criteria. After exclusion of 87 articles, 18 articles were included, reviewed, classified, and the key findings were extracted. Common findings are identified and critically discussed and possible future research directions are outlined. The main benefit of using social networking sites for older adults is to enter in an intergenerational communication with younger family members (children and grandchildren) that is appreciated by both sides. Identified barriers are privacy concerns, technical difficulties and the fact that current Web design does not take the needs of older users into account. Under the conditions that these problems are carefully addressed, social networking sites have the potential to support today's and tomorrow's communication between older and younger family members.

  1. Early Childhood Discipline: A Review of the Literature

    Science.gov (United States)

    Firmin, Michael W.; Castle, Sally L.

    2008-01-01

    In this literature review concerning early childhood discipline we particularly highlight American children's discipline with respect to historical perspectives, generational theories, gender issues, parental styles, methods of discipline, and corporal punishment. We also address corporal punishment's history, the debate among experts, beliefs and…

  2. Mentoring: A Review of Early Career Researcher Studies

    Science.gov (United States)

    Boeren, Ellen; Lokhtina-Antoniou, Irina; Sakurai, Yusuke; Herman, Chaya; McAlpine, Lynn

    2015-01-01

    This paper reviews 23 journal articles on "mentoring" in the context of Early Career Researchers, defined as those in academia with less than 10 years of experience from the start of their PhD. Achieving a better understanding of mentoring is important since within the higher education context new dynamics have created expectations…

  3. Accident Causal Factors on the Building Construction Sites: A Review

    Directory of Open Access Journals (Sweden)

    Opeyemi Samuel Williams

    2018-01-01

    Full Text Available The concerns for cost, quality and timely delivery of projects have been in existence from time immemorial, whereas the passion for these should be extended to safe execution of site works by the construction participants, as safety of life is very paramount. However, high level of commitment that is essential for the safe execution of site works has become a taboo. Hence, a plethora of accidents takes place on the site ranging from falls from height, contact with working tools, vehicle-related, slip and trip, collapse, exposure to harmful substances, to lifting and handling object accidents. It is pertinent to know that, responsibility for accidents on site cuts across all project participants (clients, consultants, contractors, workers, as well as the construction site environment. Recognition of the construction participants and site environmental factors as agents of accident is the focus of this research. Through extensive review of literature, a copious number of factors were identified and subsequently grouped under five factors as client-related, consultant-related, contractor-related, construction workers-related, and construction site-related. However, there has been a dearth of research in the grouping of accident contributing factors. The identification and understanding of these factors will go a long way in mitigating construction accidents, coupled with proven measures taken in positively addressing them. Efforts to prevent these causative factors include inter alia elimination of hazards from design, effective safety management, adequate planning of activities and employment of seasoned professionals by the client. The contractors are to embark on staff safety auditing, set up safety committees, conduct regular training for staff, use innovative technology, uphold housekeeping and report accident occurrence, while strict adherence to safety regulations must be adopted by all construction operatives.

  4. A review of influenza detection and prediction through social networking sites.

    Science.gov (United States)

    Alessa, Ali; Faezipour, Miad

    2018-02-01

    Early prediction of seasonal epidemics such as influenza may reduce their impact in daily lives. Nowadays, the web can be used for surveillance of diseases. Search engines and social networking sites can be used to track trends of different diseases seven to ten days faster than government agencies such as Center of Disease Control and Prevention (CDC). CDC uses the Illness-Like Influenza Surveillance Network (ILINet), which is a program used to monitor Influenza-Like Illness (ILI) sent by thousands of health care providers in order to detect influenza outbreaks. It is a reliable tool, however, it is slow and expensive. For that reason, many studies aim to develop methods that do real time analysis to track ILI using social networking sites. Social media data such as Twitter can be used to predict the spread of flu in the population and can help in getting early warnings. Today, social networking sites (SNS) are used widely by many people to share thoughts and even health status. Therefore, SNS provides an efficient resource for disease surveillance and a good way to communicate to prevent disease outbreaks. The goal of this study is to review existing alternative solutions that track flu outbreak in real time using social networking sites and web blogs. Many studies have shown that social networking sites can be used to conduct real time analysis for better predictions.

  5. Review of data types for the SKB site investigation programme

    Energy Technology Data Exchange (ETDEWEB)

    Klos, Richard

    2002-11-01

    SKB is currently undertaking a detailed site investigation programme (SIP) to characterise the geology and surface ecosystems in areas around potential sites for a planned repository for spent nuclear fuel. This report reviews site specific and generic data types needed to characterise biosphere processes relevant to the evaluation of long-term radiological safety in the context of assessments of future impacts arising from the deep geologic disposal of spent nuclear fuel. Focus is on the types of data that make up the different elements of radiological assessment models and how the data used relate to site-specific characteristics. The relevance of the SIP to the development of assessment models for long-term assessment is addressed, including the representation of the geosphere-biosphere interface. Reference to SKB's programme is made in order to determine how well the current programme will meet the needs of assessment models that will be developed and used in the assessment of long-term safety. The review also provides SSI with a basis for the planning of further SSI R and D work. The process, by which site-specific information is converted into a form suitable for use in numerical assessment models, can be quite complex. An overview of assessment model concepts is provided and the links between these and real-word site information considered. Focusing on the needs of assessment models, the review provides a summary of the main types of analyses and site-specific models that are needed for safety evaluations. Review of the SIP indicates that information from the programme feeds into a set of detailed site description models. However there is a gap between the descriptive components and the detailed model descriptions needed to configure numerical assessment models. Details of system evolution are not clearly dealt with in the programme. The SIP focuses on a detailed description of the site the present day. However, radiological impacts are not expected to

  6. Review of data types for the SKB site investigation programme

    International Nuclear Information System (INIS)

    Klos, Richard

    2002-11-01

    SKB is currently undertaking a detailed site investigation programme (SIP) to characterise the geology and surface ecosystems in areas around potential sites for a planned repository for spent nuclear fuel. This report reviews site specific and generic data types needed to characterise biosphere processes relevant to the evaluation of long-term radiological safety in the context of assessments of future impacts arising from the deep geologic disposal of spent nuclear fuel. Focus is on the types of data that make up the different elements of radiological assessment models and how the data used relate to site-specific characteristics. The relevance of the SIP to the development of assessment models for long-term assessment is addressed, including the representation of the geosphere-biosphere interface. Reference to SKB's programme is made in order to determine how well the current programme will meet the needs of assessment models that will be developed and used in the assessment of long-term safety. The review also provides SSI with a basis for the planning of further SSI R and D work. The process, by which site-specific information is converted into a form suitable for use in numerical assessment models, can be quite complex. An overview of assessment model concepts is provided and the links between these and real-word site information considered. Focusing on the needs of assessment models, the review provides a summary of the main types of analyses and site-specific models that are needed for safety evaluations. Review of the SIP indicates that information from the programme feeds into a set of detailed site description models. However there is a gap between the descriptive components and the detailed model descriptions needed to configure numerical assessment models. Details of system evolution are not clearly dealt with in the programme. The SIP focuses on a detailed description of the site the present day. However, radiological impacts are not expected to reach

  7. Review of potential EGS sites and possible EGS demonstration scenarios

    Energy Technology Data Exchange (ETDEWEB)

    None

    1999-09-01

    Review of potential sites for Enhanced Geothermal Systems (EGS) and development of reference scenarios for EGS demonstration projects are two sub-tasks included in the FY 1999 EGS Research and Development (R&D) Management Task (DOE Task Order Number DE-AT07-99ID60365, included in the Appendix of this report). These sub-tasks are consistent with the EGS Strategic Plan, which includes milestones relating to EGS site selection (Milestone 4, to be completed in 2004) and development of a cost-shared, pilot-scale demonstration project (Milestone 5, to be completed in 2008). The purpose of the present work is to provide some reference points for discussing what type of EGS projects might be undertaken, where they might be located, and what the associated benefits are likely to be. The review of potential EGS sites is presented in Chapter 2 of this report. It draws upon site-selection criteria (and potential project sites that were identified using those criteria) developed at a mini-workshop held at the April 1998 DOE Geothermal Program Review to discuss EGS R&D issues. The criteria and the sites were the focus of a paper presented at the 4th International Hot Dry Rock Forum in Strasbourg in September 1998 (Sass and Robertson-Tait, 1998). The selection criteria, project sites and possible EGS developments discussed in the workshop and paper are described in more detail herein. Input from geothermal operators is incorporated, and water availability and transmission-line access are emphasized. The reference scenarios for EGS demonstration projects are presented in Chapter 3. Three alternative scenarios are discussed: (1) a stand-alone demonstration plant in an area with no existing geothermal development; (2) a separate generating facility adjacent to an existing geothermal development; and (3) an EGS project that supplies an existing geothermal power plant with additional generating capacity. Furthermore, information potentially useful to DOE in framing solicitations and

  8. CERCLA document flow: Compressing the schedule, saving costs, and expediting review at the Savannah River Site

    International Nuclear Information System (INIS)

    Hoffman, W.D.

    1991-01-01

    The purpose of this paper is to convey the logic of the CERCLA document flow including Work Plans, Characterization Studies, Risk Assessments, Remedial Investigations, Feasibility Studies, proposed plans, and Records of Decision. The intent is to show how schedules at the Savannah River Site are being formulated to accomplish work using an observational approach where carefully planned tasks can be initiated early and carried out in parallel. This paper will share specific proactive experience in working with the EPA to expedite projects, begin removal actions, take interim actions, speed document flow, and eliminate unnecessary documents from the review cycle

  9. Evaluation of regulatory processes affecting nuclear power plant early site approval and standardization

    International Nuclear Information System (INIS)

    1983-12-01

    This report presents the results of a survey and evaluation of existing federal, state and local regulatory considerations affecting siting approval of power plants in the United States. Those factors that may impede early site approval of nuclear power plants are identified, and findings related to the removal of these impediments and the general improvement of the approval process are presented. A brief evaluation of standardization of nuclear plant design is also presented

  10. Early Pregnancy Losses: Review of Nomenclature, Histopathology, and Possible Etiologies.

    Science.gov (United States)

    Pinar, M Halit; Gibbins, Karen; He, Mai; Kostadinov, Stefan; Silver, Robert

    2018-05-08

    Miscarriage is a frequent complication of human pregnancy: ∼50% to 70% of spontaneous conceptions are lost prior to the second trimester. Etiology of miscarriage includes genetic abnormalities, infections, immunological and implantation disorders, uterine and endocrine abnormalities, and lifestyle factors. Given such variability, knowledge regarding causes, pathophysiological mechanisms, and morphologies of primary early pregnancy loss has significant gaps; often, pregnancy losses remain unexplained. Pathologic evaluation of miscarriage tissue is an untapped source of knowledge. Although miscarriage specimens comprise a significant part of pathologists' workload, information reported from these specimens is typically of minimal clinical utility for delineating etiology or predicting recurrence risk. Standardized terminology is available, though not universally used. We reintroduce the terminology and review new information about early pregnancy losses and their morphologies. Current clinical terminology is inconsistent, hampering research progress. This review is a resource for diagnostic pathologists studying this complex problem.

  11. Employment and educational outcomes in early intervention programmes for early psychosis: a systematic review.

    Science.gov (United States)

    Bond, G R; Drake, R E; Luciano, A

    2015-10-01

    Young adults with early psychosis want to pursue normal roles - education and employment. This paper summarises the empirical literature on the effectiveness of early intervention programmes for employment and education outcomes. We conducted a systematic review of employment/education outcomes for early intervention programmes, distinguishing three programme types: (1) those providing supported employment, (2) those providing unspecified vocational services and (3) those without vocational services. We summarised findings for 28 studies. Eleven studies evaluated early intervention programmes providing supported employment. In eight studies that reported employment outcomes separately from education outcomes, the employment rate during follow-up for supported employment patients was 49%, compared with 29% for patients receiving usual services. The two groups did not differ on enrolment in education. In four controlled studies, meta-analysis showed that the employment rate for supported employment participants was significantly higher than for control participants, odds ratio = 3.66 [1.93-6.93], p < 0.0001. Five studies (four descriptive and one quasi-experimental) of early intervention programmes evaluating unspecified vocational services were inconclusive. Twelve studies of early intervention programmes without vocational services were methodologically heterogeneous, using diverse methods for evaluating vocational/educational outcomes and precluding a satisfactory meta-analytic synthesis. Among studies with comparison groups, 7 of 11 (64%) reported significant vocational/education outcomes favouring early intervention over usual services. In early intervention programmes, supported employment moderately increases employment rates but not rates of enrolment in education. These improvements are in addition to the modest effects early programmes alone have on vocational/educational outcomes compared with usual services.

  12. Immediate placement of implants into infected sites: a systematic review.

    Science.gov (United States)

    Chrcanovic, Bruno Ramos; Martins, Maximiliano Delany; Wennerberg, Ann

    2015-01-01

    Traditionally, before placing dental implants, the compromised teeth are removed and the extraction sockets are left to heal for several months. To preserve the alveolar bone level from the collapse caused by healing and to reduce treatment time in situations in which tooth extraction precedes implant placement, some clinicians began to install the implant immediately into the postextraction socket without waiting for the site to heal. The purpose of this study was to review the literature regarding treatment outcomes of immediate implant placement into sites exhibiting pathology after clinical procedures to perform the decontamination of the implant's site. The following questions were raised: Does the presence of periodontal or endodontic infection affect immediate implant placement success? What is suggested to address the infection in the socket prior to immediate placement? An electronic search in PubMed (U.S. National Library of Medicine, Bethesda, MD, USA) was undertaken in March 2013. The titles and abstracts from these results were read to identify studies within the selection criteria. Eligibility criteria included both animal and human studies, and excluded any review and case reports articles. The publication's intervention had to have been implant placement into a site classified as having an infection (periapical, endodontic, perioendodontic, and periodontal). The search strategy initially yielded 706 references. Thirty-two studies were identified within the selection criteria, from which nine were case reports and review articles and were excluded. Additional hand-searching of the reference lists of selected studies yielded five additional papers. The high survival rate obtained in several studies supports the hypothesis that implants may be successfully osseointegrated when placed immediately after extraction of teeth presenting endodontic and periodontal lesions, provided that appropriate clinical procedures are performed before the implant

  13. Interventions to Promote Cancer Awareness and Early Presentation: Systematic Review

    OpenAIRE

    J Austoker; C Bankhead; Lindsay J. L. Forbes; L Atkins; F Martin; K Robb; J Wardle; A J. Ramirez

    2009-01-01

    Background: Low cancer awareness contributes to delay in presentation for cancer symptoms and may lead to delay in cancer diagnosis. The aim of this study was to review the evidence for the effectiveness of interventions to raise cancer awareness and promote early presentation in cancer to inform policy and future research. Methods: We searched bibliographic databases and reference lists for randomised controlled trials of interventions delivered to individuals, and controlled or uncontrolled...

  14. [Early detection of ovarian cancer: tomorrow? A review].

    Science.gov (United States)

    Chene, G; Penault-Llorca, F; Robin, N; Cayre, A; Provencher, D M; Dauplat, J

    2013-02-01

    Ovarian cancer is the most lethal of the gynaecological malignancies because this «silent killer» is almost always diagnosed at an advanced stage. Precursor lesions have at least been discovered. This review will describe in details specific features of tubal and ovarian preinvasive lesions and the old and novel techniques that could be used for early detection of ovarian cancer. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  15. Japan's Siting Process for the Geological Disposal of High-level Radioactive Waste - An International Peer Review

    International Nuclear Information System (INIS)

    Brassinnes, Stephane; Fabbri, Olivier; Rubenstone, James; Seppaelae, Timo; Siemann, Michael; ); Kwong, Gloria; )

    2016-01-01

    The Nuclear Energy Agency carried out an independent peer review of Japan's siting process and criteria for the geological disposal of high-level radioactive waste in May 2016. The review concluded that Japan's site screening process is generally in accordance with international practices. As the goal of the siting process is to locate a site - that is both appropriate and accepted by the community - to host a geological disposal facility for high-level radioactive waste, the international review team emphasises in this report the importance of maintaining an open dialogue and interaction between the regulator, the implementer and the public. Dialogue should begin in the early phases and continue throughout the siting process. The international review team also underlines the importance of taking into account feasibility aspects when selecting a site for preliminary investigations, but suggests that it would be inappropriate to set detailed scientific criteria for nationwide screening at this stage. The team has provided extensive advisory remarks in the report as opportunities for improvement, including the recommendation to use clear and consistent terminology in defining the site screening criteria as it is a critical factor in a successful siting process. (authors)

  16. Waste certification review program at the Savannah River Site

    International Nuclear Information System (INIS)

    Faulk, G.W.; Kinney, J.C.; Knapp, D.C.; Burdette, T.E.

    1996-01-01

    After approving the waste certification programs for 45 generators of low-level radioactive and mixed waste, Westinghouse Savannah River Company (WSRC) moved forward to implement a performance-based approach for assuring that approved waste generators maintain their waste certification programs. WSRC implemented the Waste Certification Review Program, which is comprised of two sitewide programs, waste generator self-assessments and Facility Evaluation Board reviews, integrated with the WSRC Solid Waste Management Department Waste Verification Program Evaluations. The waste generator self-assessments ensure compliance with waste certification requirements, and Facility Evaluation Board reviews provide independent oversight of generators' waste certification programs. Waste verification evaluations by the TSD facilities serve as the foundation of the program by confirming that waste contents and generator performance continue to meet waste acceptance criteria (WSRC 1994) prior to shipment to treatment, storage, and disposal facilities. Construction of the Savannah River Site (SRS) was started by the US Government in 1950. The site covers approximately 300 square miles located along the Savannah River near Aiken, South Carolina. It is operated by the US Department of Energy (DOE). Operations are conducted by managing and operating contractors, including the Westinghouse Savannah River Company (WSRC). Historically, the primary purpose of the SRS was to produce special nuclear materials, primarily plutonium and tritium. In general, low-level radioactive and mixed waste is generated through activities in operations. Presently, 47 SRS facilities generate low-level radioactive and mixed waste. The policies, guidelines, and requirements for managing these wastes are determined by DOE and are reflected in DOE Order 5820.2A (US DOE 1988)

  17. Recognizing Politics in the Nursery: Early Childhood Education Institutions as Sites of Mundane Politics

    Science.gov (United States)

    Millei, Zsuzsa; Kallio, Kirsi Pauliina

    2018-01-01

    In his inspirational article titled 'Bringing politics into the nursery', Peter Moss argues for early childhood institutions to "become" places of 'democratic political practice'. In this article, the authors add to Moss's call and argue that these institutions are sites of 'mundane political practice', containing various attitudinal…

  18. Contemporary Management of Early-Stage Melanoma: A Systematic Review.

    Science.gov (United States)

    Rosko, Andrew J; Vankoevering, Kyle K; McLean, Scott A; Johnson, Timothy M; Moyer, Jeffrey S

    2017-05-01

    The incidence of melanoma is increasing, with 76 380 new cases of invasive melanoma and 68 480 new cases of melanoma in situ expected in 2016. To review the contemporary management of early-stage melanoma. We searched PubMed, MEDLINE, and the Cochrane Database of Systematic Reviews databases from January 1, 2011, to May 1, 2016, yielding 966 articles. We focused our search on early-stage (melanoma in situ, stage I, and stage II) cutaneous melanoma. After excluding articles, 41 articles were manually reviewed. A review of the bibliographies of selected articles generated additional references. While the majority of recent advances have been in the treatment of advanced melanoma, surgical excision with margins based on the presence and depth of invasion continues to be the cornerstone of management. Sentinel lymph node biopsy plays a central role in the staging and treatment of melanoma. Accurate diagnosis and adequate surgical excision are critical in reducing local recurrences and improving outcomes. Sentinel lymph node biopsy is useful in staging the regional nodal basin and guiding treatment in appropriately selected patients.

  19. Off-site shipment request development and review plan

    International Nuclear Information System (INIS)

    1992-05-01

    On May 17, 1991, Department of Energy Headquarters (DOE-HQ) imposed a moratorium on the shipment of all Resource Conservation and Recovery Act (RCRA) hazardous and Toxic Substances Control Act (TSCA) waste to commercial treatment, storage and disposal facilities. The moratorium was imposed after it was discovered that some shipments of RCRA and TSCA waste from Department of Energy (DOE) sites contained small quantities of radioactive and special nuclear material (SNM). The shipment of these wastes has been attributed to inconsistent and possibly erroneous interpretation of DOE Orders and guidance. In an effort to clarify existing DOE Orders and guidance and establish throughout the DOE complex, June 21, 1991, DOE-HQ issued in draft the Performance Objective for Certification of Non-Radioactive Hazardous Waste. This Performance Objective was subsequently approved on November 15, 1991. The Performance Objective contains specific requirements that must be net to allow the shipment of RCRA and TSCA waste for commercial treatment, storage and disposal. On July 16, 1991, based on the initial draft of the Performance Objective, Martin Marietta Energy Systems (MMES) issued a directive which applies the Performance Objective requirements to all wastes and materials. In addition, this MMES directive imposed the requirement for a review by a Central Waste Management (CWM) Readiness Review Board (RRB). Additional DOE and MMES guidance and directives have been issued since May 17, 1991. This plan applies to all waste destined for shipment from the Portsmouth Gaseous Diffusion Plant (PORTS) to off-site commercial treatment, storage and disposal facilities, and to all materials destined for recycle, surplus and salvage

  20. Mercury pollution in Asia: a review of the contaminated sites.

    Science.gov (United States)

    Li, P; Feng, X B; Qiu, G L; Shang, L H; Li, Z G

    2009-09-15

    This article describes the mercury contaminated sites in Asia. Among the various regions, Asia has become the largest contributor of anthropogenic atmospheric mercury (Hg), responsible for over half of the global emission. Based on different emission source categories, the mercury contaminated sites in Asia were divided into various types, such as Hg pollution from Hg mining, gold mining, chemical industry, metal smelting, coal combustion, metropolitan cities, natural resources and agricultural sources. By the review of a large number of studies, serious Hg pollutions to the local environment were found in the area influenced by chemical industry, mercury mining and gold mining. With the probable effects of a unique combination of climatic (e.g. subtropical climate), environmental (e.g. acid rain), economic (e.g. swift growth) and social factors (e.g. high population density), more effort is still needed to understand the biogeochemistry cycle of Hg and associated health effects in Asia. Safer alternatives and cleaner technologies must be developed and effectively implemented to reduce mercury emission; remedial techniques are also required to restore the historical mercury pollution in Asia.

  1. The basics of integrating environmental and engineering in early wind farm siting

    Energy Technology Data Exchange (ETDEWEB)

    Alberti, A. [Tetra Tech Inc., Oakville, ON (Canada)

    2010-07-01

    This PowerPoint presentation discussed methods of integrating environmental and engineering studies into the early phases of wind farm siting plans. Most renewable energy development projects begin by an assessment of the transmission capability and renewable resources, followed by engineering and environmental screening procedures. Transmission screening is conducted to identify preliminary interconnection corridors between potential development sites and potential interconnecting transmission lines. Critical issues analysis (CIA) studies identify conditions, siting issues, and potential environmental and engineering tasks related to early scheduling and budget procedures. The components of a CIA include desktop and field studies that are conducted to document issues that warrant special consideration. Team members are comprised of qualified experts who are familiar with the geographic region and are able to collaborate at an early stage in the project. However, many CIA studies do not consider engineering constructability issues or develop strategies for ensuring community support for wind power projects. Conceptual layouts for wind power facilities include information related to turbine locations, access roads, and transmission lines and equipment. Engineering studies are used to evaluate conditions and potential hazards. Issues related to agricultural sites must also be considered. The final locations of turbines must be checked to ensure constructability and energy production potential. tabs., figs.

  2. Social Networking Sites, Depression, and Anxiety: A Systematic Review.

    Science.gov (United States)

    Seabrook, Elizabeth M; Kern, Margaret L; Rickard, Nikki S

    2016-11-23

    Social networking sites (SNSs) have become a pervasive part of modern culture, which may also affect mental health. The aim of this systematic review was to identify and summarize research examining depression and anxiety in the context of SNSs. It also aimed to identify studies that complement the assessment of mental illness with measures of well-being and examine moderators and mediators that add to the complexity of this environment. A multidatabase search was performed. Papers published between January 2005 and June 2016 relevant to mental illness (depression and anxiety only) were extracted and reviewed. Positive interactions, social support, and social connectedness on SNSs were consistently related to lower levels of depression and anxiety, whereas negative interaction and social comparisons on SNSs were related to higher levels of depression and anxiety. SNS use related to less loneliness and greater self-esteem and life satisfaction. Findings were mixed for frequency of SNS use and number of SNS friends. Different patterns in the way individuals with depression and individuals with social anxiety engage with SNSs are beginning to emerge. The systematic review revealed many mixed findings between depression, anxiety, and SNS use. Methodology has predominantly focused on self-report cross-sectional approaches; future research will benefit from leveraging real-time SNS data over time. The evidence suggests that SNS use correlates with mental illness and well-being; however, whether this effect is beneficial or detrimental depends at least partly on the quality of social factors in the SNS environment. Understanding these relationships will lead to better utilization of SNSs in their potential to positively influence mental health. ©Elizabeth M Seabrook, Margaret L Kern, Nikki S Rickard. Originally published in JMIR Mental Health (http://mental.jmir.org), 23.11.2016.

  3. Social Networking Sites, Depression, and Anxiety: A Systematic Review

    Science.gov (United States)

    Kern, Margaret L; Rickard, Nikki S

    2016-01-01

    Background Social networking sites (SNSs) have become a pervasive part of modern culture, which may also affect mental health. Objective The aim of this systematic review was to identify and summarize research examining depression and anxiety in the context of SNSs. It also aimed to identify studies that complement the assessment of mental illness with measures of well-being and examine moderators and mediators that add to the complexity of this environment. Methods A multidatabase search was performed. Papers published between January 2005 and June 2016 relevant to mental illness (depression and anxiety only) were extracted and reviewed. Results Positive interactions, social support, and social connectedness on SNSs were consistently related to lower levels of depression and anxiety, whereas negative interaction and social comparisons on SNSs were related to higher levels of depression and anxiety. SNS use related to less loneliness and greater self-esteem and life satisfaction. Findings were mixed for frequency of SNS use and number of SNS friends. Different patterns in the way individuals with depression and individuals with social anxiety engage with SNSs are beginning to emerge. Conclusions The systematic review revealed many mixed findings between depression, anxiety, and SNS use. Methodology has predominantly focused on self-report cross-sectional approaches; future research will benefit from leveraging real-time SNS data over time. The evidence suggests that SNS use correlates with mental illness and well-being; however, whether this effect is beneficial or detrimental depends at least partly on the quality of social factors in the SNS environment. Understanding these relationships will lead to better utilization of SNSs in their potential to positively influence mental health. PMID:27881357

  4. Optimization Review: Carson River Mercury Superfund Site, Carson City, Nevada

    Science.gov (United States)

    The Carson River Mercury Site (CRMS) (Figure 1) is located in northwest Nevada and was designated a Superfund site in 1990 because of elevated mercury concentrations observed in surface water, sediments and biota inhabiting the site.

  5. Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection.

    Science.gov (United States)

    Oh, Won-Oak; Yeom, Insun; Kim, Dong-Seok; Park, Eun-Kyung; Shim, Kyu-Won

    2018-01-01

    Cranial surgical site infection is a significant cause of morbidity and mortality in hospitals. Preoperative hair shaving for cranial neurosurgical procedures is performed traditionally in an attempt to protect patients against complications from infections at cranial surgical sites. However, preoperative shaving of surgical incision sites using traditional surgical blades without properly washing the head after surgery can cause infections at surgical sites. Therefore, a rapid protocol in which the scalp remains unshaven and absorbable sutures are used for scalp closure with early postoperative shampooing is examined in this study. A retrospective comparative study was conducted from January 2008 to December 2012. A total of 2,641 patients who underwent unshaven cranial surgery with absorbable sutures for scalp closure were enrolled in this study. Data of 1,882 patients who underwent surgery with the traditional protocol from January 2005 to December 2007 were also analyzed for comparison. Of 2,641 patients who underwent cranial surgery with the rapid protocol, all but 2 (0.07%) patients experienced satisfactory wound healing. Of 1,882 patients who underwent cranial surgery with the traditional protocol, 3 patients (0.15%) had infections. Each infection occurred at the superficial incisional surgical site. Unshaven cranial surgery using absorbable sutures for scalp closure with early postoperative shampooing is safe and effective in the cranial neurosurgery setting. This protocol has a positive psychological effect. It can help patients accept neurosurgical procedures and improve their self-image after the operation. © 2017 S. Karger AG, Basel.

  6. Early diagnosis of atherosclerosis with panoramic radiographs: a review

    Directory of Open Access Journals (Sweden)

    Daiane Landim Borba

    Full Text Available Abstract Carotid artery disease has been linked with cerebral vascular accident, also known as stroke, cerebral hemorrhage, or cerebral ischemia. It is caused by narrowing or obstruction of arteries in the neck (the carotid arteries that are responsible for transporting blood from the aorta to the brain. Panoramic radiographs are used in dentistry to show both dental arches as a supplement to the clinical dental examination. The objective of this study is to highlight the importance of panoramic radiographs for diagnosis of arterial disease, by means of a bibliographic review. The PubMed database was searched using the keywords “atherosclerosis” and “panoramic”, with the filters “last 5 years” and “humans”. Twenty articles were identified, six of which were chosen for this study because they were open access. The review concluded that panoramic radiographs enable early diagnosis of carotid artery calcification, resulting in earlier interventions, and offer an accessible cost.

  7. International Expert Review of SRCan: Site Investigation Aspects. External review contribution in support of SKI's and SSI's review of SR-Can. INSITE/OVERSITE

    International Nuclear Information System (INIS)

    2008-03-01

    As a first evaluation of long-term safety for KBS-3 repositories at Forsmark and Laxemar, the SIG (Site Investigation Group) found SR-Can to be a well-produced and generally well-argued safety assessment. Overall, SKB is to be complimented on this project. Members of of the two groups INSITE and OVERSITE within the SIG had somewhat differing views on how well SKB had made use of the site data available at the end of the SDM 1.2 stage of investigations. This difference is less to do with the extent of site characterisation than of its use and application, reflecting the different levels of maturity of SKB's geosphere and biosphere assessment programmes. The more recent and current work on the sites means that our concerns expressed in this review should, to a large extent, be addressable in or prior to SR-Site, provided SKB is so minded. However, we acknowledge that some of the issues we raise will not be fully resolved until underground rock characterisation from excavations or longer records of surface conditions are available. There are also some key aspects of SKB's methodology still under development that would benefit from review prior to their use in SR-Site. More space in the currently pressing schedule would allow for this review and a consequent increase in confidence. In any case, the authorities should be aware that SKB may face residual programmatic risks, associated principally with the underground design and layout (and their knockon effects into performance), even after SR-Site. An early understanding of some of these relationships would be helped by a plan (at least on an outline level) of the underground characterisation programme. We also note that many engineering matters are still to be confronted, not least the EBS design and its implementation, along with the treatment of high stresses, if Forsmark is selected. However, our views on the nature of the SR-Can analysis and the way in which site data have been utilised in it (our principal remit

  8. Monumental Misjudgements? Early Conservative Interventions and their Impact on Orcadian Neolithic Sites

    OpenAIRE

    Ritchie, Georgina

    2014-01-01

    The contemporary experience of visiting many Neolithic sites in Orkney is dominated by the physical manifestations of early conservative interventions; the most striking of these being a series of cover-houses, installed over chambered tombs to ensure their protection from the elements. These shelters range in scale from small concrete domes enclosing the interior of the monuments (such as that over the Knowe of Yarso, depicted in the cover image), to a vast free-standing steel enclosure (see...

  9. Early interventions to prevent retinal vasculopathy in diabetes: a review

    Directory of Open Access Journals (Sweden)

    Harrison WW

    2015-08-01

    Full Text Available Wendy W Harrison, Vladimir YevseyenkovArizona College of Optometry, Midwestern University, Glendale, AZ, USAAbstract: Diabetic eye disease is a public health concern in all areas of the world as a leading cause of blindness in the working aged to elderly populations. Diabetes damages the lining of the microvasculature throughout the body through prolonged exposure to hyperglycemic conditions. The ocular changes are progressive with very little recourse for improvement once damage begins. Current treatments for the eye focus mainly on the late stages of the disease when neovascularization or edema threatens sight. Early interventions for diabetic vasculopathy involve metabolic therapy to improve blood glucose and blood pressure control. Technology improvements have a large part to play in advancing diagnosis of diabetic eye disease. These new technologies offer both structural and functional means for assessment of retinal health. This review focuses on current treatments for diabetic eye disease at all stages with an emphasis on new and early interventions. It also details established and emerging technologies used for earlier detection of diabetic eye disease, which is vital to the development and approval of much needed treatments targeted at earlier stages of diabetic retinopathy. Possible future treatments should be aimed to prevent retinal vasculopathy from progressing. This review will explore current research on this topic and what is needed moving forward.Keywords: diabetes, diabetic retinopathy, vascular disease

  10. Review of MammoSite brachytherapy: Advantages, disadvantages and clinical outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Bensaleh, Saleh; Bezak, Eva; Borg, Martin (Dept. of Radiation Oncology, Royal Adelaide Hospital, Adelaide (Australia))

    2009-05-15

    Background. The MammoSite radiotherapy system is an alternative treatment option for patients with early-stage breast cancer to overcome the longer schedules associated with external beam radiation therapy. The device is placed inside the breast surgical cavity and inflated with a combination of saline and radiographic contrast to completely fill the cavity. The treatment schedule for the MammoSite monotherapy is 34 Gy delivered in 10 fractions at 1.0 cm from the balloon surface with a minimum of 6 hours between fractions on the same day. Material and methods. This review article presents the advantages, disadvantages, uncertainties and clinical outcomes associated with the MammoSite brachytherapy (MSB). Results. Potential advantages of MSB are: high localised dose with rapid falloff for normal tissue sparing, minimum delay between surgery and RT, catheter moves with breast, improved local control, no exposure to staff, likely side-effects reduction and potential cost/time saving (e.g. for country patients). The optimal cosmetic results depend on the balloon-to-skin distance. Good-to-excellent cosmetic results are achieved for patients with balloon-skin spacing of =7 mm. There have been very few published data regarding the long term tumour control and cosmesis associated with the MSB. The available data on the local control achieved with the MSB were comparable with other accelerated partial breast irradiation techniques. The contrast medium inside the balloon causes dose reduction at the prescription point. Current brachytherapy treatment planning systems (BTPS) do not take into account the increased photon attenuation due to high Z of contrast. Some BTPS predicted up to 10% higher dose near the balloon surface compared with Monte Carlo calculations using various contrast concentrations (5-25%). Conclusion. Initial clinical results have shown that the MammoSite device could be used as a sole radiation treatment for selected patients with early stage breast cancer

  11. Review of MammoSite brachytherapy: Advantages, disadvantages and clinical outcomes

    International Nuclear Information System (INIS)

    Bensaleh, Saleh; Bezak, Eva; Borg, Martin

    2009-01-01

    Background. The MammoSite radiotherapy system is an alternative treatment option for patients with early-stage breast cancer to overcome the longer schedules associated with external beam radiation therapy. The device is placed inside the breast surgical cavity and inflated with a combination of saline and radiographic contrast to completely fill the cavity. The treatment schedule for the MammoSite monotherapy is 34 Gy delivered in 10 fractions at 1.0 cm from the balloon surface with a minimum of 6 hours between fractions on the same day. Material and methods. This review article presents the advantages, disadvantages, uncertainties and clinical outcomes associated with the MammoSite brachytherapy (MSB). Results. Potential advantages of MSB are: high localised dose with rapid falloff for normal tissue sparing, minimum delay between surgery and RT, catheter moves with breast, improved local control, no exposure to staff, likely side-effects reduction and potential cost/time saving (e.g. for country patients). The optimal cosmetic results depend on the balloon-to-skin distance. Good-to-excellent cosmetic results are achieved for patients with balloon-skin spacing of =7 mm. There have been very few published data regarding the long term tumour control and cosmesis associated with the MSB. The available data on the local control achieved with the MSB were comparable with other accelerated partial breast irradiation techniques. The contrast medium inside the balloon causes dose reduction at the prescription point. Current brachytherapy treatment planning systems (BTPS) do not take into account the increased photon attenuation due to high Z of contrast. Some BTPS predicted up to 10% higher dose near the balloon surface compared with Monte Carlo calculations using various contrast concentrations (5-25%). Conclusion. Initial clinical results have shown that the MammoSite device could be used as a sole radiation treatment for selected patients with early stage breast cancer

  12. Ecotoxicity literature review of selected Hanford Site contaminants

    International Nuclear Information System (INIS)

    Driver, C.J.

    1994-03-01

    Available information on the toxicity, food chain transport, and bioconcentration of several Hanford Site contaminants were reviewed. The contaminants included cesium-137, cobalt-60, europium, nitrate, plutonium, strontium-90, technetium, tritium, uranium, and chromium (III and VI). Toxicity and mobility in both aquatic and terrestrial systems were considered. For aquatic systems, considerable information was available on the chemical and/or radiological toxicity of most of the contaminants in invertebrate animals and fish. Little information was available on aquatic macrophyte response to the contaminants. Terrestrial animals such as waterfowl and amphibians that have high exposure potential in aquatic systems were also largely unrepresented in the toxicity literature. The preponderance of toxicity data for terrestrial biota was for laboratory mammals. Bioconcentration factors and transfer coefficients were obtained for primary producers and consumers in representative aquatic and terrestrial systems; however, little data were available for upper trophic level transfer, particularly for terrestrial predators. Food chain transport and toxicity information for the contaminants were generally lacking for desert or sage brush-steppe organisms, particularly plants and reptiles

  13. Towards the Study of the Early Medieval Site Bashanta-II

    Directory of Open Access Journals (Sweden)

    Ochir-Goryaeva Maria A.

    2016-12-01

    Full Text Available The authors offer preliminary results on study of a new early medieval site discovered in the Gorodovikovo District (Kalmykia during a field survey near Bashanta-I hillfort at Chapaevskoe Lake (or Tsagan nur in Kalmyk language. The new site is found 8 km to the south-west from Bashanta-I hillfort, on the bank of the Egorlyk River. The site is dated by two radiocarbon dates by the middle of the 7th – late 8th centuries, i.e. by the time of Khazar Khanate. Some preliminary studies on the site included topographical mapping, collection of stray finds and a few prospection pits. These activities yielded numerous ceramic sherds, roof tiles and debris of masonry. Judging by the existing cultural stratum, remains of stone structures made of shell stone blocks and numerous ceramic finds of good quality, the new site was a settlement of Saltovo-Mayaki Culture, presumably a satellite hillfort. The identity of ceramics and construction materials allowed the authors to name this new site as Bashanta-II.

  14. Practical Application of Site-Specific Earthquake Early Warning (EEW) System

    International Nuclear Information System (INIS)

    Kanda, Katsuhisa

    2014-01-01

    The development of an on-site warning system was reported. This system improves the timing of warnings and reduces the number of false alarms by improving the method of estimating the JMA seismic intensity using earthquake early warning system information based on site-specific data. Moreover, the development of an application for practical use in a construction company and an integrated system for realizing system shutdown was also reported. The concept of this system is based on the following. Seismic intensity is not distributed concentrically, and the attenuation relationship cannot explain the distribution of seismic intensity precisely. The standard method of seismic intensity prediction is construed as 'attenuation relationship + soil amplification factor', but this may be improved in the reformulation 'original attenuation relationship for each site + correction factors dependent on the epicenter location and depth' using a seismic intensity database that includes data on recent and historical earthquakes. (authors)

  15. A Review of the Decommissioning Costs of the Ranstad Site

    Energy Technology Data Exchange (ETDEWEB)

    Varley, Geoff (NAC International, Norcross, GA (United States))

    2009-08-15

    The main objective of this study has been to review the future cost to decommission and dismantling the industrial area at the site of the old uranium mine at Ranstad in Sweden. Analyses of some detailed comparative empirical information have been used in the context of preliminary 'bench-marking' studies. The estimated costs for decommissioning of the old uranium mine in Ranstad have been compared with actual costs from other relevant decommissioning projects. In this way it has been possible to give a preliminary qualitative statement about the accuracy of the Ranstad cost estimate. The study gives the following lessons learned: 1. The available information suggests that the overall estimated cost may be reasonable, but there are still some points of weakness that need to be elaborated more in detail before a full statement about the adequacy of the forecast cost will be possible. 2. Especially the costs associated with declassification activities warrant further analysis in order to determine there level of accuracy. 3. There exists the possibility that the estimate might be low concerning decontamination, dismantling and planning and institutional work. 4. Further work and analysis is needed in order to develop a more transparent cost estimate in which the stakeholders can have the highest confidence. 5. A new bidding procedure for the conventional demolition may result in lower estimated costs. Hence, it would be beneficial to obtain an updated estimate based on at least more than one quotation. 6. The method of addressing uncertainty and risk should be more connected to the logistics of specific decommissioning activities, in order to be more transparent and clearer in details. There is a need for further study to develop a better estimate. In the short run follow-up work needs to be undertaken to provide a better understanding of what are the major contributors to risk and cost drivers in the planned decommissioning process at the Ranstad

  16. A Review of the Decommissioning Costs of the Ranstad Site

    International Nuclear Information System (INIS)

    Varley, Geoff

    2009-08-01

    The main objective of this study has been to review the future cost to decommission and dismantling the industrial area at the site of the old uranium mine at Ranstad in Sweden. Analyses of some detailed comparative empirical information have been used in the context of preliminary 'bench-marking' studies. The estimated costs for decommissioning of the old uranium mine in Ranstad have been compared with actual costs from other relevant decommissioning projects. In this way it has been possible to give a preliminary qualitative statement about the accuracy of the Ranstad cost estimate. The study gives the following lessons learned: 1. The available information suggests that the overall estimated cost may be reasonable, but there are still some points of weakness that need to be elaborated more in detail before a full statement about the adequacy of the forecast cost will be possible. 2. Especially the costs associated with declassification activities warrant further analysis in order to determine there level of accuracy. 3. There exists the possibility that the estimate might be low concerning decontamination, dismantling and planning and institutional work. 4. Further work and analysis is needed in order to develop a more transparent cost estimate in which the stakeholders can have the highest confidence. 5. A new bidding procedure for the conventional demolition may result in lower estimated costs. Hence, it would be beneficial to obtain an updated estimate based on at least more than one quotation. 6. The method of addressing uncertainty and risk should be more connected to the logistics of specific decommissioning activities, in order to be more transparent and clearer in details. There is a need for further study to develop a better estimate. In the short run follow-up work needs to be undertaken to provide a better understanding of what are the major contributors to risk and cost drivers in the planned decommissioning process at the Ranstad industrial area

  17. Early childhood neurodevelopment after intrauterine growth restriction: a systematic review.

    Science.gov (United States)

    Levine, Terri A; Grunau, Ruth E; McAuliffe, Fionnuala M; Pinnamaneni, RagaMallika; Foran, Adrienne; Alderdice, Fiona A

    2015-01-01

    Children who experienced intrauterine growth restriction (IUGR) may be at increased risk for adverse developmental outcomes in early childhood. The objective of this study was to carry out a systematic review of neurodevelopmental outcomes from 6 months to 3 years after IUGR. PubMed, Embase, PsycINFO, Maternity and Infant Care, and CINAHL databases were searched by using the search terms intrauterine, fetal, growth restriction, child development, neurodevelopment, early childhood, cognitive, motor, speech, language. Studies were eligible for inclusion if participants met specified criteria for growth restriction, follow-up was conducted within 6 months to 3 years, methods were adequately described, non-IUGR comparison groups were included, and full English text of the article was available. A specifically designed data extraction form was used. The methodological quality of included studies was assessed using well-documented quality-appraisal guidelines. Of 731 studies reviewed, 16 were included. Poorer neurodevelopmental outcomes after IUGR were described in 11. Ten found motor, 8 cognitive, and 7 language delays. Other delays included social development, attention, and adaptive behavior. Only 8 included abnormal Doppler parameters in their definitions of IUGR. Evidence suggests that children are at risk for poorer neurodevelopmental outcomes following IUGR from 6 months to 3 years of age. The heterogeneity of primary outcomes, assessment measures, adjustment for confounding variables, and definitions of IUGR limits synthesis and interpretation. Sample sizes in most studies were small, and some examined preterm IUGR children without including term IUGR or AGA comparison groups, limiting the value of extant studies. Copyright © 2015 by the American Academy of Pediatrics.

  18. US EPA record of decision review for landfills: Sanitary landfill (740-G), Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    This report presents the results of a review of the US Environmental Protection Agency (EPA) Record of Decision System (RODS) database search conducted to identify Superfund landfill sites where a Record of Decision (ROD) has been prepared by EPA, the States or the US Army Corps of Engineers describing the selected remedy at the site. ROD abstracts from the database were reviewed to identify site information including site type, contaminants of concern, components of the selected remedy, and cleanup goals. Only RODs from landfill sites were evaluated so that the results of the analysis can be used to support the remedy selection process for the Sanitary Landfill at the Savannah River Site (SRS).

  19. US EPA record of decision review for landfills: Sanitary landfill (740-G), Savannah River Site

    International Nuclear Information System (INIS)

    1993-06-01

    This report presents the results of a review of the US Environmental Protection Agency (EPA) Record of Decision System (RODS) database search conducted to identify Superfund landfill sites where a Record of Decision (ROD) has been prepared by EPA, the States or the US Army Corps of Engineers describing the selected remedy at the site. ROD abstracts from the database were reviewed to identify site information including site type, contaminants of concern, components of the selected remedy, and cleanup goals. Only RODs from landfill sites were evaluated so that the results of the analysis can be used to support the remedy selection process for the Sanitary Landfill at the Savannah River Site (SRS)

  20. Lesbian and Gay Parents in Early Childhood Settings: A Systematic Review of the Research Literature

    Science.gov (United States)

    Averett, Paige; Hegde, Archana; Smith, Justin

    2017-01-01

    This article presents the first systematic review of all the existing peer-reviewed literature (n = 20) on gay and lesbian parents and their children in early childhood education settings. The review includes articles that were empirical or pedagogical practice oriented, focused exclusively on early childhood education (Birth to 5 years), and…

  1. Hominin teeth from the early Late Pleistocene site of Xujiayao, Northern China.

    Science.gov (United States)

    Xing, Song; Martinón-Torres, María; Bermúdez de Castro, Jose María; Wu, Xiujie; Liu, Wu

    2015-02-01

    It is generally accepted that from the late Middle to the early Late Pleistocene (∼340-90 ka BP), Neanderthals were occupying Europe and Western Asia, whereas anatomically modern humans were present in the African continent. In contrast, the paucity of hominin fossil evidence from East Asia from this period impedes a complete evolutionary picture of the genus Homo, as well as assessment of the possible contribution of or interaction with Asian hominins in the evolution of Homo sapiens and Homo neanderthalensis. Here we present a comparative study of a hominin dental sample recovered from the Xujiayao site, in Northern China, attributed to the early Late Pleistocene (MIS 5 to 4). Our dental study reveals a mosaic of primitive and derived dental features for the Xujiayao hominins that can be summarized as follows: i) they are different from archaic and recent modern humans, ii) they present some features that are common but not exclusive to the Neanderthal lineage, and iii) they retain some primitive conformations classically found in East Asian Early and Middle Pleistocene hominins despite their young geological age. Thus, our study evinces the existence in China of a population of unclear taxonomic status with regard to other contemporary populations such as H. sapiens and H. neanderthalensis. The morphological and metric studies of the Xujiayao teeth expand the variability known for early Late Pleistocene hominin fossils and suggest the possibility that a primitive hominin lineage may have survived late into the Late Pleistocene in China. Copyright © 2014 Wiley Periodicals, Inc.

  2. Early Medieval ceramics from the Viile Tecii archaeological site (Romania: an optical and XRD study

    Directory of Open Access Journals (Sweden)

    Corina Ionescu

    2007-10-01

    Full Text Available Mineralogical and petrographic studies of Early Medieval potshards exhumed in the Viile Tecii archaeological site (North Transylvania, Romania show a ceramic body composed of a microcrystalline to amorphous matrix, various clasts and voids. The microscopical features and XRD patterns indicate that illitic-kaolinitic clays were used as raw materials, together with quartzitic sands as tempering material. The ceramic vessels were obtained with the potter’s wheel, but the fabric is only slightly oriented, due either to the fast modeling or to the coarseness of the clayish paste. The thermal alteration of mineral phases points to relatively high firing-temperatures, between 800 and 900°C.

  3. Plant macroremains from an early Neolithic site in eastern Kuyavia, central Poland

    Directory of Open Access Journals (Sweden)

    Mueller-Bieniek Aldona

    2016-06-01

    Full Text Available The study examined plant remains from the Smólsk 2/10 site, situated on the border of two different landscapes and preserving traces of Neolithic occupation from several cultures: Early Linear Pottery culture (LBK, ca 5300-5200 cal. BC to ca 5000 cal. BC. Stroke Band Pottery culture (SBP, ca 4700-4400 cal. BC, the Brześć Kujawski group of Lengyel culture (BKG, ca 4500-4000/3900 cal. BC, Funnel Beaker culture (TRB, ca 3950-3380 BC, and also some features of the Lusatian culture (Hallstatt C, ca 970-790 cal. BC.

  4. Port-site metastasis after laparoscopic surgical staging of endometrial cancer: a systematic review of the published and unpublished data.

    Science.gov (United States)

    Palomba, Stefano; Falbo, Angela; Russo, Tiziana; La Sala, Giovanni Battista

    2012-01-01

    Port-site metastases, also called trocar-site metastasis, have been described after laparoscopic surgery for non-gynecological and gynecological cancers. The aim of this review was to obtain evidence for port-site metastases after laparoscopic surgical staging of endometrial cancer. A systematic search of published and unpublished cases of port-site metastases after laparoscopic staging of endometrial cancer was conducted. All the authors responsible for correspondence were contacted to obtain any missing data. The patients' characteristics and oncologic, surgical, and safety data were recorded and analyzed. Twelve cases of port-site metastases were identified and examined. In 4 cases they were "isolated," that is, recurrence without association with peritoneal carcinomatosis, whereas in 8 cases they were "nonisolated." The port-site metastases did not occur as a result of trocar site localization or dimension. No univocal strategy to prevent port-site metastases was adopted. Among patients with nonisolated port-site metastases, an aggressive histologic condition and a high grade were found in 3 of 6 patients and in 3 of 5 patients, respectively. Among patients with isolated port-site metastases, an early-stage endometrioid adenocarcinoma G2 endometrial cancer and a stage IIB G2 endometrioid adenocarcinoma were described in 3 of 4 patients and in only 1 case, respectively. All the patients with nonisolated port-site metastases died of disease. Similarly, among patients with isolated port-site metastases, only 1 was alive and free of disease after 10 months from recurrence diagnosis. Port-site metastases of endometrial cancer are an entity rarely reported but probably the expression of an aggressive disease. The available data do not allow us to draw conclusions or suggestions for their prevention and the treatment. Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.

  5. Early Site Permit Demonstration Program, plant parameters envelopes: Comparison with ranges of values for four hypothetical sites

    International Nuclear Information System (INIS)

    1992-09-01

    The purpose of this volume is to report the results of the comparison of the ALWR plan parameters envelope with values of site characteristics developed for our hypothetical sites that generally represent conditions encountered within the United States. This effort is not intended to identify or address the suitability of any existing site, site area, or region in the United States. Also included in this volume is Appendix F, SERCH Summaries Regarding Siting

  6. 77 FR 59607 - Black Canyon Hydro, LLC; Notice of Environmental Site Review

    Science.gov (United States)

    2012-09-28

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14110-001] Black Canyon Hydro, LLC; Notice of Environmental Site Review On Wednesday, October 3, 2012, at 3 p.m., Commission staff will be participating in an environmental site review for the proposed Black Canyon Hydroelectric Project. All interested participants should mee...

  7. 13 CFR 120.1025 - Off-site reviews and monitoring.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Off-site reviews and monitoring. 120.1025 Section 120.1025 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Risk-Based Lender Oversight Supervision § 120.1025 Off-site reviews and monitoring. SBA may conduct off...

  8. 13 CFR 120.1051 - Frequency of on-site reviews and examinations.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Frequency of on-site reviews and examinations. 120.1051 Section 120.1051 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Risk-Based Lender Oversight Supervision § 120.1051 Frequency of on-site reviews and examinations...

  9. 6 CFR 27.245 - Review and approval of site security plans.

    Science.gov (United States)

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Review and approval of site security plans. 27.245 Section 27.245 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY CHEMICAL FACILITY ANTI-TERRORISM STANDARDS Chemical Facility Security Program § 27.245 Review and approval of site...

  10. Social networks, support and early psychosis: a systematic review.

    Science.gov (United States)

    Gayer-Anderson, C; Morgan, C

    2013-06-01

    Background. There is strong evidence that those with a long-standing psychotic disorder have fewer social contacts and less social support than comparison groups. There is less research on the extent of social contacts and support prior to or at the onset of psychosis. In the light of recent evidence implicating a range of social experiences and contexts at the onset of psychosis, it is relevant to establish whether social networks and support diminished before or at the time of onset and whether the absence of such supports might contribute to risk, either directly or indirectly. We, therefore, conducted a systematic review of this literature to establish what is currently known about the relationship between social networks, support and early psychosis. Methods. We identified all studies investigating social networks and support in first episode psychosis samples and in general population samples with measures of psychotic experiences or schizotype by conducting systematic searches of electronic databases using pre-defined search terms and criteria. Findings were synthesized using non-quantitative approaches. Results. Thirty-eight papers were identified that met inclusion criteria. There was marked methodological heterogeneity, which limits the capacity to draw direct comparisons. Nonetheless, the existing literature suggests social networks (particularly close friends) and support diminished both among first episode samples and among non-clinical samples reporting psychotic experiences or with schizotype traits, compared with varying comparison groups. These differences may be more marked for men and for those from minority ethnic populations. Conclusions. Tentatively, reduced social networks and support appear to pre-date onset of psychotic disorder. However, the substantial methodological heterogeneity among the existing studies makes comparisons difficult and suggests a need for more robust and comparable studies on networks, support and early psychosis.

  11. Review of geophysical characterization methods used at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    GV Last; DG Horton

    2000-03-23

    This paper presents a review of geophysical methods used at Hanford in two parts: (1) shallow surface-based geophysical methods and (2) borehole geophysical methods. This review was not intended to be ``all encompassing'' but should represent the vast majority (>90% complete) of geophysical work conducted onsite and aimed at hazardous waste investigations in the vadose zone and/or uppermost groundwater aquifers. This review did not cover geophysical methods aimed at large-scale geologic structures or seismicity and, in particular, did not include those efforts conducted in support of the Basalt Waste Isolation Program. This review focused primarily on the more recent efforts.

  12. Review of geophysical characterization methods used at the Hanford Site

    International Nuclear Information System (INIS)

    GV Last; DG Horton

    2000-01-01

    This paper presents a review of geophysical methods used at Hanford in two parts: (1) shallow surface-based geophysical methods and (2) borehole geophysical methods. This review was not intended to be ''all encompassing'' but should represent the vast majority (>90% complete) of geophysical work conducted onsite and aimed at hazardous waste investigations in the vadose zone and/or uppermost groundwater aquifers. This review did not cover geophysical methods aimed at large-scale geologic structures or seismicity and, in particular, did not include those efforts conducted in support of the Basalt Waste Isolation Program. This review focused primarily on the more recent efforts

  13. Pacopampa: Early evidence of violence at a ceremonial site in the northern Peruvian highlands.

    Science.gov (United States)

    Nagaoka, Tomohito; Uzawa, Kazuhiro; Seki, Yuji; Morales Chocano, Daniel

    2017-01-01

    Pacopampa, a ceremonial complex in Peru's northern highlands, reveals early evidence of trauma in the Middle to Late Formative Period coinciding with the emergence of social stratification in the area. We examine the prevalence of trauma in human remains found at the site and present evidence of the circumstances surrounding the deaths of individuals who lived during the early stages of Andean civilization. The materials are the remains of 104 individuals (38 non-adult and 66 adult) from the Middle to Late Formative Periods. We explored trauma macroscopically and recorded patterns based on skeletons' locations, age at death, sex, social class, and chronology. We detected trauma in remains over the Middle to Late Formative Periods. While the prevalence of trauma was minimal in the Middle Formative Period, skeletons from the subsequent era exhibit more severe disturbances. However, all the skeletons show signs of healing and affected individuals experienced a low degree of trauma. Given the archaeological context (the remains were recovered from sites of ceremonial practices), as well as the equal distribution of trauma among both sexes and a lack of defensive architecture, it is plausible that rituals, rather than organized warfare or raids, caused most of the exhibited trauma. Pacopampa was home to a complex society founded on ritual activity in a ceremonial center: this is indicated by the presence of ritual violence in a society that built impressively large, ceremonial architecture and developed social stratification without any political control of surplus agricultural goods.

  14. Early Regulatory Engagement for Successful Site Remediation: the UK Experience - 13173

    International Nuclear Information System (INIS)

    Maitland, R.P.; Senior, D.

    2013-01-01

    The Office for Nuclear Regulation (ONR) is an independent safety, security and transport regulator of the UK nuclear industry. ONR regulates all civil nuclear reactor power stations, fuel manufacture, enrichment, spent fuel reprocessing, most defence sites and installations that store and process legacy spent fuel and radioactive waste. The responsibility for funding and strategic direction of decommissioning and radioactive waste management of state owned legacy sites has rested solely with the Nuclear Decommissioning Authority (NDA) since 2005. A key component of NDA's mandate was to encourage new strategic approaches and innovation to dealing with the UK's waste legacy and which deliver value-for-money to the UK taxpayer. ONR, as an agency of the Health and Safety Executive, is entirely independent of NDA and regulates all prescribed activities on NDA's sites. NDA's competition of site management and closure contracts has attracted significant international interest and the formation of consortia comprised of major British, US, French and Swedish organizations bidding for those contracts. The prominence of US organizations in each of those consortia reflects the scale and breadth of existing waste management and D and D projects in the US. This paper will articulate, in broad terms, the challenges faced by international organizations seeking to employ 'off-the-shelf' technology and D and D techniques, successfully employed elsewhere, into the UK regulatory context. The predominantly 'goal-setting' regulatory framework in the UK does not generally prescribe a minimum standard to which a licensee must adhere. The legal onus on licensees in the UK is to demonstrate, whatever technology is selected, that in its applications, risks are reduced 'So Far As Is Reasonably Practicable' or 'SFAIRP'. By the nature of its role, ONR adopts a conservative approach to regulation; however ONR also recognises that in the decommissioning (and ultimately the site closure) domain

  15. The Cogemagazine reviews. The rehabilitation of mining sites in France

    International Nuclear Information System (INIS)

    Loriot, O.; Bof, M.; Villeneuve, A.

    1998-02-01

    The French uranium mines are progressively closing down. After a mining division has closed down, the main objectives of the Cogema group are: ensuring the long-term safety and healthiness of the site, reducing the residual impacts, preventing any abusive intrusion, reducing the surface of land submitted to right-of-way, encouraging the reconversion of the site, and succeeding in the integration of the site in the landscape in agreement with the local authorities. This brochure presents the strategy followed by Cogema for the rehabilitation of his sites: the French mining concessions and the uranium extraction and processing techniques, the storage of tailings and processing residues, the environment protection and the respect of regulation (environmental surveillance, working groups, administrative procedures and regulatory texts, impact studies...), the backfilling and safety of underground mines, the cost studies for the rehabilitation of open cast mines, the dismantling of factories, the confinement of residues and the revegetation, the continuous monitoring of the rehabilitated sites (water, atmosphere, food..). (J.S.)

  16. Development sites, feeding modes and early stages of seven European Palloptera species (Diptera, Pallopteridae).

    Science.gov (United States)

    Rotheray, Graham E

    2014-12-19

    Two hundred and ninety-eight rearing records and 87 larvae and puparia were obtained of seven species of Palloptera Fallén (Diptera, Pallopteridae), mainly in Scotland during 2012-2013. The third stage larva and puparium of each species were assessed morphologically and development sites and feeding modes investigated by rearing, observation and feeding tests. Early stages appear to be distinguished by the swollen, apico-lateral margins of the prothorax which are coated in vestiture and a poorly developed anal lobe with few spicules. Individual pallopteran species are separated by features of the head skeleton, locomotory spicules and the posterior respiratory organs. Five species can be distinguished by unique character states. Observations and feeding tests suggest that the frequently cited attribute of zoophagy is accidental and that saprophagy is the primary larval feeding mode with autumn/winter as the main period of development. Food plants were confirmed for flowerhead and stem developing species and rain is important for maintaining biofilms on which larvae feed. Due to difficulties in capturing adults, especially males, the distribution and abundance of many pallopteran species is probably underestimated. Better informed estimates are possible if early stages are included in biodiversity assessments. To facilitate this for the species investigated, a key to the third stage larva and puparium along with details on finding them, is provided. 

  17. Collaborative community hazard exposure mapping: Distant Early Warning radar sites in Alaska's North Slope

    Science.gov (United States)

    Brady, M.

    2015-12-01

    A method to produce hazard exposure maps that are developed in collaboration with local coastal communities is the focus of this research. Typically efforts to map community exposure to climate threats over large areas have limited consideration of local perspectives about associated risks, constraining their utility for local management. This problem is especially acute in remote locations such as the Arctic where there are unique vulnerabilities to coastal threats that can be fully understood only through inclusion of community stakeholders. Through collaboration with community members, this study identifies important coastal assets and places and surveys local perspectives of exposure to climate threats along Alaska's vast North Slope coastline spanning multiple municipalities. To model physical exposure, the study adapts the U.S. Geological Survey's (USGS) coastal vulnerability index (CVI) to the Arctic context by incorporating the effects of open water distance determined by sea ice extent, and assigning CVI values to coastal assets and places according to direction and proximity. The study found that in addition to concerns about exposed municipal and industrial assets, North Slope communities viewed exposure of traditional activity sites as presenting a particular risk for communities. Highly exposed legacy Cold War Distant Early Warning Line sites are of particular concern with impacts ranging from financial risk to contamination of sensitive coastal marine environments. This research demonstrates a method to collaboratively map community exposure to coastal climate threats to better understand local risks and produce locally usable exposure maps.

  18. Review of Natural Phenomena Hazard (NPH) Assessments for the DOE Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Snow, Robert L.; Ross, Steven B.

    2011-09-15

    The purpose of this review is to assess the need for updating Natural Phenomena Hazard (NPH) assessments for the DOE's Hanford Site, as required by DOE Order 420.1B Chapter IV, Natural Phenomena Hazards Mitigation, based on significant changes in state-of-the-art NPH assessment methodology or site-specific information. This review is an update and expansion to the September 2010 review of PNNL-19751, Review of Natural Phenomena Hazard (NPH) Assessments for the Hanford 200 Areas (Non-Seismic).

  19. Decommissioning project readiness reviews at the Department of Energy's Hanford, Washington, Site

    International Nuclear Information System (INIS)

    Speer, D.R.; Holmes, P.A.

    1987-01-01

    Two Hanford Site contractors independently formulated readiness review methods to prepare for decontamination and decommissioning (D and D) projects. One readiness review method provided an independent management review process. The other method provided a review by personnel directly involved in the project and concise documentation procedures. A unified system is now used at Hanford which combines the best aspects of both readiness review methods. The unified method assigns category levels based on certain job characteristics. The category assigned to the project then indicates the required level of management review prior to proceeding with the D and D project. In addition, the concise documentation procedures are now used for all category levels

  20. Site safety progress review of spent fuel central interim storage facility. Final report

    International Nuclear Information System (INIS)

    Gurpinar, A.; Serva, L.; Giuliani

    1995-01-01

    Following the request of the Czech Power Board (CEZ) and within the scope of the Technical Cooperation Project CZR/9/003, a progress review of the site safety of the Spent Fuel Central Interim Storage Facility (SFCISF) was performed. The review involved the first two stages of the works comprising the regional survey and identification of candidate sites for the underground and surface storage options. Five sites have been identified as a result of the previous works. The following two stages will involved the identification of the preferred candidate sites for the two options and the final site qualification. The present review had the purpose of assessing the work already performed and making recommendations for the next two stages of works

  1. 75 FR 57086 - Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site

    Science.gov (United States)

    2010-09-17

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site AGENCY: Office of Personnel Management. ACTION: 30-Day Notice and... National Science Foundation in accordance with [[Page 57087

  2. Review of early assessment models of innovative medical technologies

    DEFF Research Database (Denmark)

    Fasterholdt, Iben; Krahn, Murray D; Kidholm, Kristian

    2017-01-01

    INTRODUCTION: Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models...

  3. Early Regulatory Engagement for Successful Site Remediation: the UK Experience - 13173

    Energy Technology Data Exchange (ETDEWEB)

    Maitland, R.P.; Senior, D. [Office for Nuclear Regulation, Redgrave Court, Liverpool L20 7HS (United Kingdom)

    2013-07-01

    decommissioning (and ultimately the site closure) domain, it is often necessary to consider and support novel approaches to achieve the nationally desired end-state. Crucial to successful and compliant operation in this regulatory environment is early and sustained engagement of the contractor with the regulator. There must be a 'no-surprises' culture to engender regulatory confidence early in a project. The paper considers some of the challenges facing international prime and lower tier contractors when undertaking D and D contracts in the UK, and emphasizes the importance of constructive and transparent dialogue with all regulators to sustain confidence at all stages of a major decommissioning project. The paper will also articulate ONR's strategy to increase collaboration with the US Department of Energy in light of increasing UK-US synergy in the area of waste management and to benchmark respective regulatory approaches. (authors)

  4. 13 CFR 120.1050 - On-site reviews and examinations.

    Science.gov (United States)

    2010-01-01

    ... losses); (3) Management quality (including internal controls, loan portfolio management, and asset... Risk-Based Lender Oversight Supervision § 120.1050 On-site reviews and examinations. (a) On-site... operations management; (3) Credit administration; and (4) Compliance with Loan Program Requirements. (b) On...

  5. Planktic foraminiferal photosymbiont bleaching during the Early Eocene Climatic Optimum (Site 1051, northwestern Atlantic)

    Science.gov (United States)

    Luciani, Valeria; D'Onofrio, Roberta; Dickens, Gerald Roy; Wade, Bridget

    2017-04-01

    The symbiotic relationship with algae is a key strategy adopted by many modern species and by early Paleogene shallow-dwelling planktic foraminifera. The endosymbionts play an important role in foraminiferal calcification, longevity and growth, allowing the host to succeed in oligotrophic environment. We have indirect evidence on the presence and loss of algae photosymbionts because symbionts modify the chemistry of the microenvironment where a foraminifer calcifies, resulting in a characteristic geochemical signature between test size and δ13C. We present here the result of a test on loss of algal photosymbiont (bleaching) in planktic foraminifera from the northwest Atlantic Ocean Drilling Program (ODP) Site 1051 across the Early Eocene Climatic Optimum (EECO), the interval ( 49-53 Ma) when Earth surface temperatures and probably atmospheric pCO2 reached their Cenozoic maximum. We select this interval because two symbiont-bearing planktic foraminiferal genera Morozovella and Acarinina, that were important calcifiers of the early Paleogene tropical-subtropical oceans, experienced a marked and permanent switch in abundance at the beginning of the EECO, close to the carbon isotope excursion known as J event. Specifically, the relative abundance of Morozovella permanently decreased by at least half, along with a progressive decrease in the number of species. Concomitantly, the genus Acarinina almost doubled its abundance and diversified within the EECO. Many stressors inducing loss of photosymbiosis may have occurred during the long-lasting environmental conditions relating to the EECO extreme warmth, such as high pCO2 and possible decrease of the surface-water pH. The bleaching may therefore represent a potential mechanism to explain the rapid morozovellid decline at the start of the EECO. Our geochemical data from Site 1051 demonstrate that there was indeed a reduction of algal-symbiosis in morozovellids at the EECO beginning. This bleaching event occurred at the

  6. CRITICAL BOOK REVIEW: Dating and Enchantment in Early Childhood Education

    Directory of Open Access Journals (Sweden)

    Fabrícia S.

    2000-01-01

    Full Text Available Meetings and Enchantment in Early Childhood Education, a work that brings us to the fantasy world of magic, without forgetting the commitment to the education of children aged 0 to 6 years.

  7. [Early detection of autism in children. Review of literature].

    Science.gov (United States)

    Pisula, E

    1997-01-01

    The difficulties with early detection of autistic disorder in children are discussed. DSM-IV diagnostic criteria are presented. Usefulness of clinical interview and clinical experiment in diagnosing autistic disorder are analyzed.

  8. The Performance of Early-Generation Perennial Winter Cereals at 21 Sites across Four Continents

    Directory of Open Access Journals (Sweden)

    Richard C. Hayes

    2018-04-01

    Full Text Available A network of 21 experiments was established across nine countries on four continents and spanning both hemispheres, to evaluate the relative performance of early generation perennial cereal material derived from wheat, rye, and barley and to inform future breeding strategies. The experimental lines were grown in replicated single rows, and first year production and phenology characteristics as well as yield and persistence for up to three years were monitored. The study showed that the existing experimental material is all relatively short-lived (≤3 years, with environments that are milder in summer and winter generally conferring greater longevity. No pedigree was superior across this diverse network of sites although better performing lines at the higher latitude sites were generally derived from Thinopyrum intermedium. By contrast, at lower latitudes the superior lines were generally derived from Th. ponticum and Th. elongatum parentage. The study observed a poor relationship between year 1 performance and productivity in later years, highlighting the need for perennial cereal material with greater longevity to underpin future experimental evaluation, and the importance for breeding programs to emphasize post-year 1 performance in their selections. Hybrid lines derived from the tetraploid durum wheat generally showed greater longevity than derivatives of hexaploid wheat, highlighting potential for greater use of Triticum turgidum in perennial wheat breeding. We advocate a model in future breeding initiatives that develops perennial cereal genotypes for specific target environments rather than a generic product for one global market. These products may include a diversity of cultivars derived from locally adapted annual and perennial parents. In this scenario the breeding program may have access to only a limited range of adapted perennial grass parents. In other situations, such as at very high latitude environments, perennial crops derived

  9. A peer review of the Hanford Site Permanent Isolation Surface Barrier Development Program

    International Nuclear Information System (INIS)

    Wing, N.R.

    1992-09-01

    A panel of technical experts was organized to peer review the Hanford Site Permanent Isolation Surface Barrier Development Program (BDP) and to provide a specific review of a preconceptual prototype barrier design initiated during fiscal year (FY) 1990. The technical peer review of the BDP and the prototype is being conducted in three phases, two of which have been completed. This document presents the peer review panel's findings on the first two phases of the peer review process. Biointrusion and water intrusion control are discussed, along with design life, vegetation, and climate impact

  10. Environmental review of the Radium hill mine site, South Australia

    International Nuclear Information System (INIS)

    Lottermoser, B.G.; Ashley, P.M.

    2005-01-01

    The Radium Hill uranium deposit, in semi-arid eastern South Australia, was discovered in 1906 and mined for radium between 1906 and 1931 and for uranium between 1954 and 1961 (production of 969,300 t of davidite ore averaging 0.12% U 3 O 8 ). Rehabilitation was limited to removal of mine facilities, sealing of underground workings and capping of selected waste repositories. In 2002, gamma-ray data, plus tailings, uncrushed and crushed waste rock, stream sediment, topsoil and vegetation samples were collected to assist in the examination of the current environmental status of the mine site. The preliminary data indicate that capping of tailings storage facilities did not ensure the long-term containment of the low-level radioactive wastes due to the erosion of sides of the impoundments. Moreover, active wind erosion of waste fines from various, physically unstable waste repositories causes increasing radiochemical (up to 0.94 μSv/h) and geochemical (Ce, La, Sc, Th, U, V, Y) impacts on local soils and sediments. However, measured radiation levels of soils and sediments are at or below Australian Radiation Protection Standards (20 mSv/a averaged over five consecutive years). Additional capping and landform design of the crushed waste and tailings repositories are required in order to minimise erosion and impacts on surrounding soils and sediments. (orig.)

  11. A critical review of the literature on early rehabilitation of patients with post-traumatic amnesia in acute care

    DEFF Research Database (Denmark)

    Langhorn, Leanne; Sorensen, Jens C; Pedersen, Preben U

    2010-01-01

    A critical review of the literature on early rehabilitation of patients with post-traumatic amnesia in acute care......A critical review of the literature on early rehabilitation of patients with post-traumatic amnesia in acute care...

  12. Hanford site tank waste remediation system programmatic environmental review report

    International Nuclear Information System (INIS)

    Haass, C.C.

    1998-01-01

    The US Department of Energy (DOE) committed in the Tank Waste Remediation System (TWRS) Environmental Impact Statement (EIS) Record of Decision (ROD) to perform future National Environmental Policy Act (NEPA) analysis at key points in the Program. Each review will address the potential impacts that new information may have on the environmental impacts presented in the TWRS EIS and support an assessment of whether DOE's plans for remediating the tank waste are still pursuing the appropriate plan for remediation or whether adjustments to the program are needed. In response to this commitment, DOE prepared a Supplement Analysis (SA) to support the first of these reevaluations. Subsequent to the completion of the SA, the Phase IB negotiations process with private contractors resulted in several changes to the planned approach. These changes along with other new information regarding the TWRS Program have potential implications for Phase 1 and Phase 2 of tank waste retrieval and waste storage and/or disposal that may influence the environmental impacts of the Phased Implementation alternative. This report focuses on identifying those potential environmental impacts that may require NEPA analysis prior to authorization to begin facility construction and operations

  13. End of mission report on seismic safety review mission for Belene NPP site

    International Nuclear Information System (INIS)

    Gurpinar, A.; Mohammadioun, B.; Schneider, H.; Serva, L.

    1995-01-01

    Upon the invitation of the Bulgarian government through the Committee for the Peaceful Uses of Atomic Energy and within the framework of the implementation of the Technical Cooperation project BUL/9/012 related to site and seismic of NPPs, a mission visited Sofia 3 - 7 July 1995. The mission constituted a follow-up of the interim review of subjects related to tectonic stability and seismic hazard characterization of the site which was performed in September 1993. The main objective of the mission was the final review of the subjects already reviewed in September 1993 as well as issues related to geotechnical engineering and foundation safety. The main terms of reference of the present mission was to verify the implementation of the recommendations of the Site Safety Review Mission of June 1990. This document gives findings on geology-tectonics, seismology and foundation safety. In the end conclusions and recommendations of the mission are presented

  14. Ethics Review for a Multi-Site Project Involving Tribal Nations in the Northern Plains.

    Science.gov (United States)

    Angal, Jyoti; Petersen, Julie M; Tobacco, Deborah; Elliott, Amy J

    2016-04-01

    Increasingly, Tribal Nations are forming ethics review panels, which function separately from institutional review boards (IRBs). The emergence of strong community representation coincides with a widespread effort supported by the U.S. Department of Health & Human Services and other federal agencies to establish a single IRB for all multi-site research. This article underscores the value of a tribal ethics review board and describes the tribal oversight for the Safe Passage Study-a multi-site, community-based project in the Northern Plains. Our experience demonstrates the benefits of tribal ethics review and makes a strong argument for including tribal oversight in future regulatory guidance for multi-site, community-based research. © The Author(s) 2016.

  15. Advancing family health through the Garden of Eatin': on-site food gardens in early childhood education.

    Science.gov (United States)

    Chaufan, Claudia; Yeh, Jarmin; Sigal, Byron

    2015-04-01

    Nutritional practices develop over the life course. Developing healthy habits at an early age can contribute to combating increasing child obesity rates. Through a range of activities that rely on the presence of an on-site food garden, North Bay Children's Center (NBCC), an early childhood education program, has enacted a "culture of health" into all aspects of the curriculum to promote healthy eating practices among children, families, teachers and staff. NBCC's garden program serves as a model in early childhood education and as a community-based intervention to improve family health and prevent child obesity.

  16. Integrated Geophysycal Prospecting in Late Antiquity and Early Medieval Sites in Italy

    Science.gov (United States)

    Giannotta, Maria Teresa; Leucci, Giovanni; De Giorgi, Lara; Matera, Loredana; Persico, Raffaele; Muci, Giuseppe

    2016-04-01

    In this contribution, the results of some integrated geophysical prospecting (magnetometric and GPR) are exposed. This work has been performed in collaboration between archaeologists and geophysicists within the research project "History and Global Archaeology of the Rural Landascapes in Italy, between Late Antiquity and Medieval period. Integrated systems of sources, methodologies, and technologies for a sustainable development", financed by the Italian Ministry for Instruction, University and Research MIUR. In particular, the archaeological sites of Badia and San Giovanni in Malcantone, both in the Apulia Region (eastern-southern Italy) have been prospect. The sites have been identified on the basis of available documents, archaeological surveys and testimonies. In particular, we know that in Badia [1] it was probable the presence of an ancient roman villa of the late ancient period (strongly damaged by the subsequent ploughing activities). Whereas in San Giovanni there is still, today, a small chapel (deconsecrated) that was likely to be part of a previous larger church (probably a basilica of the early Christian period) restricted in the subsequent centuries (probably in more phases). The Saracen raids of the XVI centuries made the site ruined and abandoned. In both sites integrated prospecting have been performed [2-6] with a the integration of archaeological, magnetometer and a GPR data have provided some interesting results, allowing to overcome the difficulties relative to an extensive GPR prospecting, that could not be performed because of the intrinsic superficial roughness and/or the intensive ploughing activities. The prospecting activities, in particular, have added elements that seem to confirm the main archaeological hypothesis that motivate their performing, as it will be show at the conference. References [1] M. T, Giannotta, G. Leucci, R. Persico, M. Leo Imperiale, The archaeological site of Badia in terra d'Otranto: contribution of the

  17. Review of a site developer's geo-scientific data and site-characterisation information to support repository certification

    International Nuclear Information System (INIS)

    Peake, R.T.; Byrum, C.; Ghose, S.

    2007-01-01

    The Waste Isolation Pilot Plant (WIPP) in New Mexico is a first-of-a-kind deep geologic facility for the disposal of transuranic (TRU) radioactive waste from weapons production in the United States. In 1993, Congress authorised the Environmental Protection Agency (EPA) to develop and implement WIPP-site-specific compliance criteria based on the general safety and environmental standards in EPA's high-level and transuranic radioactive waste regulations [1]. EPA published its site-specific regulations [2] in 1996 and certified WIPP to open in 1998. This regulatory framework set the stage for balancing diverse input data, provided a structure for document development, provided a mechanism for interaction between EPA and the Department of Energy (DOE), and provided a guide to support our review of WIPP's safety assessment. EPA's involvement continues during WIPP's operational phase. Confidence in repository site geo-scientific data enhances the regulator's ability to make a credible and defensible certification (licensing) decision and to communicate the basis for the decision to the public. Lack of confidence in the data can lead to lack of credibility about site suitability. Clear regulations and specific quality standards can enhance the quality of site-characterisation documentation and assist the regulator in its approval process of the site. In EPA's regulations, documentation is required on numerous issues, and EPA supplemented this with guidance. High-quality documentation is essential, especially for EPA. In the certification process for WIPP, the documentation in the record and our written interpretation of the record was what was used in legal proceedings that followed EPA's certification of WIPP. EPA and DOE had frequent and generally open communication. During formal regulatory proceedings, all communication had to be documented. Some decisions were made at the staff level, but major decisions were typically addressed and resolved through correspondence

  18. Bioinjection Performance Review for the Building 100 Area and 4.5 Acre Site at the Pinellas County, Florida, Site

    Energy Technology Data Exchange (ETDEWEB)

    Survochak, Scott [US Department of Energy, Washington, DC (United States). Office of Legacy Management; Daniel, Joe [Navarro Research and Engineering, Oak Ridge, TN (United States)

    2016-05-01

    This document provides a summary of a review of the performance of bioinjection activities at the Building 100 Area and the 4.5 Acre Site at the Pinellas County, Florida, Site since 2010, determines how best to optimize future injection events, and identifies the approach for the bioinjection event in 2016 at (1) the 4.5 Acre Site and (2) the Essentra property at the Building 100 Area. Because this document describes the next bioinjection event at the 4.5 Acre Site, it also serves as an addendum to the Interim Remedial Action Plan for Emulsified Edible Oil Injection at the 4.5 Acre Site (DOE 2013). In addition, this document revises the injection layout and injection intervals for the Essentra property that were originally described in the Interim Corrective Measure Work Plan for Source and Plume Treatment at the Building 100 Area (DOE 2014), and is a de facto update of that document. Bioinjection consists of injection of emulsified vegetable oil (EVO) and the microorganism Dehalococcoides mccartyi (DHM; formerly known as Dehalococcoides ethenogenes) into the subsurface to enhance biodegradation of trichloroethene (TCE), dichloroethene (DCE), and vinyl chloride (VC). VC is the only contaminant that exceeds its maximum contaminant level (10 micrograms per liter onsite and 1 microgram per liter onsite) on the 4.5 Acre Site and the Essentra property. Bioinjection was conducted at the 4.5 Acre Site in 2010 and 2013. Approximately 49,900 gallons of EVO and DHM were injected at 95 injection points in February 2010, and approximately 22,900 gallons of EVO and DHM were injected at 46 injection points in July 2013. The injection locations are shown on Figure 1. The goal of bioinjection at the 4.5 Acre Site is to decrease contaminant concentrations to maximum contaminant levels along the west and southwest property boundaries (to meet risk–based corrective action requirements) and to minimize the extent of the contaminant plume in the interior of the site. Bioinjection was

  19. Marine Export Production and Remineralization During Early Eocene Hyperthermal Events at ODP Site 1263, Walvis Ridge, ODP Site 1209, Shatsky Rise and ODP Site 1215, Equatorial Pacific Ocean

    Science.gov (United States)

    Lewis, A.; Griffith, E. M.; Thomas, E.; Winguth, A. M. E.

    2017-12-01

    Understanding the impacts of global hyperthermal events on marine productivity and remineralization is important for understanding the reaction of the ocean to major climate change. Marine export production and remineralization was reconstructed using marine (pelagic) barite accumulation rates (BAR) coupled with records of benthic foraminiferal assemblages across the Paleocene - Eocene Thermal Maximum (PETM) at 55.3 Ma, Eocene Thermal Maximum 2 (ETM2) 2 Ma later, and ETM3 3.1 Ma after the PETM. Marine barite accumulates in deep sea sediment precipitating in the overlying water column during degradation of organic matter exported from the photic zone. Foraminiferal data indicate the amount of organic matter reaching the seafloor. We use the difference between these records to infer changes in rates of remineralization. We present data from ODP Site on Walvis Ridge, Southeastern Atlantic; ODP Site 1209 on Shatsky Rise, North Pacific; and ODP Site 1215, equatorial Pacific. Sites 1263 and 1215 had maximum BAR roughly centered over the maximum negative PETM CIE, whereas at Site 1209 the maximum was before the PETM. The maximum BAR across ETM2 and ETM3 (0.5 and 0.25 of that at the PETM, respectively) was centered over the maximum negative CIE at Site 1263. At Site 1209, the BAR (0.5 the maximum value before the PETM) peaked before ETM2. Barite concentration at Site 1215 was low across at the smaller hyperthermals, but the onset of ETM2 had a maximum value food arrival at the seafloor during elevated BAR, thus indicating enhanced remineralization. During the PETM, at all 3 sites, increases in barite coincided with reduced BFAR. Similar trends were observed during ETM2 at Sites 1263 and 1215, suggesting dramatic changes in remineralization over all hyperthermal events at these sites. Increased remineralization rates could partly account for differences in planktonic and benthic extinction, as observed during the PETM.

  20. Review of Amanda E. Herbert, Female Alliances: Gender, Identity, and Friendship in Early Modern Britain

    Directory of Open Access Journals (Sweden)

    Angela Rehbein

    2015-03-01

    Full Text Available Review of Amanda E. Herbert, Female Alliances: Gender, Identity, and Friendship in Early Modern Britain. New Haven: Yale UP, 2014. xi, 256 pages: illustrations; 24 cm. ISBN 978-0-300-17740-4.

  1. Extended reviewing or the role of potential siting cantons in the ongoing Swiss site selection procedure ('Sectoral Plan')

    International Nuclear Information System (INIS)

    Flueeler, Thomas

    2014-01-01

    The disposition of nuclear waste in Switzerland has a long-standing and sinuous history reflecting its complex socio-technical nature (Flueeler, 2006). Upon the twofold failure to site a repository for low- and intermediate-level radioactive waste at Wellenberg during the 1990's and 2000's, it was recognised that the respective site selections had not been fully transparent. The Swiss government, the Federal Council, accepted the lesson and, after an extensive nationwide consultation at that, established a new site selection process 'from scratch': a systematic, stepwise, traceable, fair and binding procedure with a safety-first approach, yet extensively participatory. The so-called Sectoral Plan for Deep Geological Repositories guarantees the inclusion of the affected and concerned cantons and communities, as well as the relevant authorities in neighbouring countries from an early stage (Swiss Nuclear Energy Act, 2003; BFE, 2008). This contribution shares experience and insights in the ongoing procedure from a cantonal point of view that is an intermediate position between national needs and regional concerns, and with technical regulatory expertise between highly specialised experts and involved publics. (authors)

  2. Legitimation for Early and Rapid Internationalization: A Review of Research in International Entrepreneurship

    DEFF Research Database (Denmark)

    Laine, Igor; Kuivalainen, Olli; Marinova, Svetla Trifonova

    In this paper we respond to Cavusgil and Knight’s call for future research to address the question of born global firms overcome inherent liabilities to achieve legitimacy in foreign markets. To contribute to this call, we have systematically reviewed the extant international entrepreneurship...... literature. By analyzing existing evidence on building organizational legitimacy by early and rapidly internationalizing firms, our review helps to understand reasons and underlying mechanisms of successful legitimation of early and rapid internationalization thus ultimately explaining existence...... entrepreneurship....

  3. Working memory in early Alzheimer's disease: a neuropsychological review.

    Science.gov (United States)

    Huntley, J D; Howard, R J

    2010-02-01

    Reports of the extent of working memory (WM) impairment in early Alzheimer's disease (AD) have been inconsistent. Using the model of WM proposed by Baddeley, neuropsychological evidence for the impairment of WM in early AD is evaluated. Literature searches were performed using Medline, PsycINFO and Embase databases. Individual papers were then examined for additional references not revealed by computerised searches. Phonological loop function is intact at the preclinical and early stages of AD, becoming more impaired as the disease progresses. In mild AD, there is impairment on tasks assessing visuospatial sketchpad (VSS) function; however, these tasks also require executive processing by the central executive system (CES). There is evidence that the CES is impaired in mild AD and may be affected in the earlier preclinical stage of the disease. Episodic buffer function may be impaired but further research is required. Future research into central executive functioning at the earliest stages of the disease, combined with further longitudinal studies, needs to be carried out. Tasks to assess the proposed functions of the episodic buffer and specific tests of the VSS suitable for AD subjects need to be developed and validated. Learning more about these processes and how they are affected in AD is important in understanding and managing the cognitive deficits seen in the early stages of AD.

  4. Growth monitoring as an early detection tool: a systematic review

    NARCIS (Netherlands)

    Scherdel, P.; Dunkel, L.; Dommelen, P. van; Goulet, O.; Salaün, J.F.; Brauner, R.; Heude, B.; Chalumeau, M.

    2016-01-01

    Growth monitoring of apparently healthy children aims at early detection of serious underlying disorders. However, existing growth-monitoring practices are mainly based on suboptimal methods, which can result in delayed diagnosis of severe diseases and inappropriate referrals. We did a systematic

  5. Early Pleistocene archaeological occurrences at the Feiliang site, and the archaeology of human origins in the Nihewan Basin, North China.

    Directory of Open Access Journals (Sweden)

    Shuwen Pei

    Full Text Available The Early Pleistocene archaeological evidence from the fluvio-lacustrine sequence of the Nihewan Basin (North China offers an excellent opportunity to explore early human evolution and behavior in a temperate setting in East Asia, following the earliest 'Out of Africa'. Here we present the first comprehensive study of the Feiliang (FL site, with emphasis on the archaeological sequence, site integrity, and stone artifact assemblages. Magnetostratigraphic dating results show that early humans occupied the site ca. 1.2 Ma. Archaeological deposits were buried rapidly in primary context within shallow lake margin deposits, with only minor post-depositional disturbance from relatively low energy hydraulic forces. The FL lithic assemblage is characterized by a core and flake, Oldowan-like or Mode 1 technology, with a low degree of standardization, expedient knapping techniques, and casually retouched flakes. The bone assemblage suggests that hominin occupation of the FL site was in an open habitat of temperate grassland with areas of steppe and water. The main features of the FL assemblage are discussed in the context of the early Pleistocene archaeology of Nihewan, for which an assessment of current and future research is also presented.

  6. Configuration and specifications of an Unmanned Aerial Vehicle (UAV) for early site specific weed management.

    Science.gov (United States)

    Torres-Sánchez, Jorge; López-Granados, Francisca; De Castro, Ana Isabel; Peña-Barragán, José Manuel

    2013-01-01

    A new aerial platform has risen recently for image acquisition, the Unmanned Aerial Vehicle (UAV). This article describes the technical specifications and configuration of a UAV used to capture remote images for early season site- specific weed management (ESSWM). Image spatial and spectral properties required for weed seedling discrimination were also evaluated. Two different sensors, a still visible camera and a six-band multispectral camera, and three flight altitudes (30, 60 and 100 m) were tested over a naturally infested sunflower field. The main phases of the UAV workflow were the following: 1) mission planning, 2) UAV flight and image acquisition, and 3) image pre-processing. Three different aspects were needed to plan the route: flight area, camera specifications and UAV tasks. The pre-processing phase included the correct alignment of the six bands of the multispectral imagery and the orthorectification and mosaicking of the individual images captured in each flight. The image pixel size, area covered by each image and flight timing were very sensitive to flight altitude. At a lower altitude, the UAV captured images of finer spatial resolution, although the number of images needed to cover the whole field may be a limiting factor due to the energy required for a greater flight length and computational requirements for the further mosaicking process. Spectral differences between weeds, crop and bare soil were significant in the vegetation indices studied (Excess Green Index, Normalised Green-Red Difference Index and Normalised Difference Vegetation Index), mainly at a 30 m altitude. However, greater spectral separability was obtained between vegetation and bare soil with the index NDVI. These results suggest that an agreement among spectral and spatial resolutions is needed to optimise the flight mission according to every agronomical objective as affected by the size of the smaller object to be discriminated (weed plants or weed patches).

  7. Configuration and specifications of an Unmanned Aerial Vehicle (UAV for early site specific weed management.

    Directory of Open Access Journals (Sweden)

    Jorge Torres-Sánchez

    Full Text Available A new aerial platform has risen recently for image acquisition, the Unmanned Aerial Vehicle (UAV. This article describes the technical specifications and configuration of a UAV used to capture remote images for early season site- specific weed management (ESSWM. Image spatial and spectral properties required for weed seedling discrimination were also evaluated. Two different sensors, a still visible camera and a six-band multispectral camera, and three flight altitudes (30, 60 and 100 m were tested over a naturally infested sunflower field. The main phases of the UAV workflow were the following: 1 mission planning, 2 UAV flight and image acquisition, and 3 image pre-processing. Three different aspects were needed to plan the route: flight area, camera specifications and UAV tasks. The pre-processing phase included the correct alignment of the six bands of the multispectral imagery and the orthorectification and mosaicking of the individual images captured in each flight. The image pixel size, area covered by each image and flight timing were very sensitive to flight altitude. At a lower altitude, the UAV captured images of finer spatial resolution, although the number of images needed to cover the whole field may be a limiting factor due to the energy required for a greater flight length and computational requirements for the further mosaicking process. Spectral differences between weeds, crop and bare soil were significant in the vegetation indices studied (Excess Green Index, Normalised Green-Red Difference Index and Normalised Difference Vegetation Index, mainly at a 30 m altitude. However, greater spectral separability was obtained between vegetation and bare soil with the index NDVI. These results suggest that an agreement among spectral and spatial resolutions is needed to optimise the flight mission according to every agronomical objective as affected by the size of the smaller object to be discriminated (weed plants or weed patches.

  8. Utilizing social networking sites to promote adolescents' health: a pragmatic review of the literature.

    Science.gov (United States)

    Francomano, Jesse A; Harpin, Scott B

    2015-01-01

    Social networking site use has exploded among youth in the last few years and is being adapted as an important tool for healthcare interventions and serving as a platform for adolescents to gain access to health information. The aim of this study was to examine the strengths, weaknesses, and best practices of utilizing Facebook in adolescent health promotion and research via pragmatic literature review. We also examine how sites can facilitate ethically sound healthcare for adolescents, particularly at-risk youth. We conducted a literature review of health and social sciences literature from the past 5 years related to adolescent health and social network site use. Publications were grouped by shared content then categorized by themes. Five themes emerged: access to healthcare information, peer support and networking, risk and benefits of social network site use in care delivery, overcoming technological barriers, and social network site interventions. More research is needed to better understand how such Web sites can be better utilized to provide access to adolescents seeking healthcare. Given the broad reach of social network sites, all health information must be closely monitored for accurate, safe distribution. Finally, consent and privacy issues are omnipresent in social network sites, which calls for standards of ethical use.

  9. Trends in port-site metastasis after laparoscopic resection of incidental gallbladder cancer: A systematic review.

    Science.gov (United States)

    Berger-Richardson, David; Chesney, Tyler R; Englesakis, Marina; Govindarajan, Anand; Cleary, Sean P; Swallow, Carol J

    2017-03-01

    The risk of port-site metastasis after laparoscopic removal of incidental gallbladder cancer was previously estimated to be 14-30%. The present study was designed to determine the incidence of port-site metastasis in incidental gallbladder cancer in the modern era (2000-2014) versus the historic era (1991-1999). We also investigated the site of port-site metastasis. Using PRISMA, a systematic review was conducted to identify papers that addressed the development of port-site metastasis after laparoscopic resection of incidental gallbladder cancer. Studies that described cancer-specific outcomes in ≥5 patients were included. A validated quality appraisal tool was used, and a weighted estimate of the incidence of port-site metastasis was calculated. Based on data extracted from 27 papers that met inclusion criteria, the incidence of port-site metastasis in incidental gallbladder cancer has decreased from 18.6% prior to 2000 (95% confidence interval 15.3-21.9%, n = 7) to 10.3% since then (95% confidence interval 7.9-12.7%, n = 20) (P extraction site is at significantly higher risk than nonextraction sites. The incidence of port-site metastasis in incidental gallbladder cancer has decreased but remains high relative to other primary tumors. Any preoperative finding that raises the suspicion of gallbladder cancer should prompt further investigation and referral to a hepato-pancreato-biliary specialist. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Methodological Reflections on the Use of Systematic Reviews in Early Childhood Research

    Science.gov (United States)

    Ang, Lynn

    2018-01-01

    This article sets out to look critically at the use of systematic reviews in the cross-disciplinary field of early childhood and international development. Systematic reviews--a specialist methodology involving the secondary analysis of existing knowledge on a particular topic--is prevalently used to address complex questions in social and…

  11. Family Quality of Life: A Key Outcome in Early Childhood Intervention Services--A Scoping Review

    Science.gov (United States)

    Bhopti, Anoo; Brown, Ted; Lentin, Primrose

    2016-01-01

    A scoping review was conducted to identify factors influencing the quality of life of families of children with disability. The review also explored the scales used to measure family quality of life (FQOL) as an outcome in early childhood intervention services (ECIS). Multiple databases were searched from 2000 to 2013 to include studies pertinent…

  12. The Effectiveness of Peer Review of Teaching When Performed between Early-Career Academics

    Science.gov (United States)

    Woodman, Richard J.; Parappilly, Maria B.

    2015-01-01

    The success of peer review of teaching (PRT) in shaping teaching practice during an academic's formative years may depend on the peers' teaching experience and the frequency of evaluation. Two Australian early-career University lecturers with no previous experience of peer review performed a single PRT on one another following a one week academic…

  13. A Review of Peer Social Development in Early Childhood.

    Science.gov (United States)

    Goin, Robin P.

    1998-01-01

    Reviews the literature on young children's peer social development. Addresses implications of social learning theory and empirical research. Discusses recurring themes, including child/peer versus child/adult interactions, incorporation of toys and games, influence of mothers, and gender peer preferences. Considers areas lacking empirical support…

  14. Comorbidity and survival after early breast cancer. A review

    DEFF Research Database (Denmark)

    Land, Lotte Holm; Dalton, Susanne Oksbjerg; Jørgensen, Trine Lembrecht

    2011-01-01

    : A search in Pubmed with keywords, breast neoplasm, comorbidity, and survival, was performed. A total of 18 studies published between 2000 and August 2010 was included in this review. RESULTS: All 18 studies demonstrated that comorbidity had a significant impact on survival after breast cancer with poorer...

  15. Impacts of intensive forestry on early rotation trends in site carbon pools in the southeastern US

    Science.gov (United States)

    Raija Laiho; Felipe Sanchez; Allan Tiarks; Phillip M. Dougherty; Carl C. Trettin

    2003-01-01

    The effects of different silvicultural practices on site, especially soil, carbon (C) pools are still poorly known. We studied changes in site C pools during the first 5 years following harvesting and conversion of two extensively managed pine-hardwood stands to intensively managed loblolly pine plantations. One study site was located on the lower Atlantic Coastal...

  16. Early Avian Research at the Savannah River Site: Historical Highlights and Possibilities for the Future

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, J.M.; Odum, E.P.

    2000-10-01

    Avian biology was a major component of early research and baseline surveys. The focus of research shifted and the SRS evolved from open fields to forest cover. In the early years avian species richness and abundance increased with successional age of the vegetation from old-field to forest. During the early years resident game birds increased. More recent studies will help to understand the role of habitat in local and regional extinctions. A variety of survey techniques is needed.

  17. Review Article : Utilization of Environmental Radiochemistry Techniques for Selection and Evaluation of Nuclear Facility Sites

    International Nuclear Information System (INIS)

    Atta, E.R.; Madbouly, A.M.; Zakaria, Kh.M.

    2016-01-01

    This research review puts necessary considerations on the available environmental radiochemistry techniques for selection and evaluation of a nuclear facility sites.The main bjective in site evaluation for nuclear facilities in terms of nuclear safety is to protect the site workers, the public and the environment from the effects of ionizing radiation release from nuclear facilities due to accidents. The extreme sensitivity and speed of radiochemical methods make their applications of considerable importance in several fields and they have found many uses. Information about the existed radioactivity in the different nuclear facilities is an essential requirement for their environmental assessment. It is necessary to estimate the various radioactivity levels in the environment through qualitative and quantitative analytical techniques and to assess the potential effects of the nuclear facility in the region by considering the characteristics of sites.The siting and site evaluation requirements are discussed. Emphasis was given to types of radiochemical techniques used for characterization of the site parameters which determine the potential hazards of the site on the facility and the facility on the site. Emphasis has been also given to the quantitative and qualitative analysis of naturally occurring radionuclides for monitoring and control .There are some techniques employed such as radioactive tracer technique, liquid scintillation technique, gamma spectrometry technique, neutron activation analysis technique, fluorimetric technique and isotope hydrology technique.

  18. Risk of Porphyromonas gingivalis recolonization during the early period of periodontal maintenance in initially severe periodontitis sites.

    Science.gov (United States)

    Fujise, Osamu; Miura, Mayumi; Hamachi, Takafumi; Maeda, Katsumasa

    2006-08-01

    Porphyromonas gingivalis is considered a critical pathogen of periodontal diseases including recurrent periodontitis. The profound effects of active periodontal treatment (APT) on P. gingivalis elimination were previously demonstrated and revealed that the subsequent P. gingivalis-free or -suppressed status seems to be maintained during early periodontal maintenance (PMT). The aim of the present study was to show the occurrence of microbial recolonization during this early PMT period. In total, 128 sites from 11 generalized chronic periodontitis patients and one generalized aggressive periodontitis patient underwent clinical and microbiologic examination at baseline (Exam-I), after APT (Exam-II), and in PMT (Exam-III). Exam-III was carried out an average of 4.5 +/- 3.5 months after Exam-II. Detection and quantification of putative pathogens were performed using a polymerase chain reaction-based method. The PMT used was effective in maintaining the clinical conditions improved by APT. However, in microbiological examinations, Exam-III showed higher detection frequency and levels of P. gingivalis than Exam-II. This suggests that a P. gingivalis recolonization started in the early PMT period. P. gingivalis-increased sites then showed significantly more severe signs of periodontitis in Exam-I than P. gingivalis-stable sites (bleeding on probing frequency: 76.7% versus 56.5%; suppuration frequency: 41.9% versus 12.9%). On the other hand, in Exam-II, no significant differences of clinical parameters were noted between P. gingivalis-increased and -stable sites. Severe periodontitis sites before APT seemed to place them at risk of P. gingivalis recolonization in the early PMT period, and this microbial restoration could be a cause of recurrent periodontitis.

  19. Utilisation of helicopter emergency medical services in the early medical response to major incidents: a systematic literature review.

    Science.gov (United States)

    Johnsen, Anne Siri; Fattah, Sabina; Sollid, Stephen J M; Rehn, Marius

    2016-02-09

    This systematic review identifies, describes and appraises the literature describing the utilisation of helicopter emergency medical services (HEMS) in the early medical response to major incidents. Early prehospital phase of a major incident. Systematic literature review performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, the Web of Science, PsycINFO, Scopus, Cinahl, Bibsys Ask, Norart, Svemed and UpToDate were searched using phrases that combined HEMS and 'major incidents' to identify when and how HEMS was utilised. The identified studies were subjected to data extraction and appraisal. The database search identified 4948 articles. Based on the title and abstract, the full text of 96 articles was obtained; of these, 37 articles were included in the review, and an additional five were identified by searching the reference lists of the 37 articles. HEMS was used to transport medical and rescue personnel to the incident and to transport patients to the hospital, especially when the infrastructure was damaged. Insufficient air traffic control, weather conditions, inadequate landing sites and failing communication were described as challenging in some incidents. HEMS was used mainly for patient treatment and to transport patients, personnel and equipment in the early medical management of major incidents, but the optimal utilisation of this specialised resource remains unclear. This review identified operational areas with improvement potential. A lack of systematic indexing, heterogeneous data reporting and weak methodological design, complicated the identification and comparison of incidents, and more systematic reporting is needed. CRD42013004473. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  20. Increasing STEM Exposure in K–5 Schools Through MakerSpace Use: A Multi-Site Early Success Case Study

    OpenAIRE

    Ortega, Veronica Inez

    2017-01-01

    Using Brinkerhoff’s success case methodology, this multi-site case study examined early models of MakerSpace implementation in K–5 schools in a single district. Specifically, this study examined the early use of MakerSpaces as well as the supports and barriers affecting teacher use of these spaces. The study also examined curricular connections and MakerSpace use as a conduit for purveying instruction in the soon-to-be-implemented Next Generation Science Standards. The findings of this stud...

  1. Chromium Toxicity Test for Fall Chinook Salmon (Oncorhynchus tshawytscha) Using Hanford Site Groundwater: Onsite Early Life-Stage Toxicity Evaluation

    International Nuclear Information System (INIS)

    Patton, Gregory W; Dauble, Dennis D; Chamness, Mickie A; Abernethy, Cary S; McKinstry, Craig A

    2001-01-01

    The objective of this study was to evaluate site-specific effects for early life-stage (eyed eggs to free swimming juveniles) fall chinook salmon that might be exposed to hexavalent chromium from Hanford groundwater sources. Our exposure conditions included hexavalent chromium obtained from Hanford groundwater wells near the Columbia River, Columbia River water as the diluent, and locally adapted populations of fall chinook salmon. This report describes both a 96-hr pretest using rainbow trout eggs and an early life-stage test beginning with chinook salmon eggs

  2. Micromorphological investigation on ring road sediments of the Early Bronze Age site Tell Chuera, Syria

    Science.gov (United States)

    Fritzsch, Dagmar; Thiemeyer, Heinrich

    2010-05-01

    Tell Chuera is an Early Bronze Age settlement mount in NE-Syria close to the Turkish border. With a diameter of almost 1 km and a height of 18 m it is one of the biggest tells in the region between the rivers Balikh and Khabur. In 1958 the structures of the city wall was known first by Orthmann (1990). This city wall was built of air-dried mud bricks. The age of the founding of this construction is not yet clear. The earliest pottery from the place is dated around 2500 BC to 2350 BC. Inside the fortification a road was detected, which was first excavated by Novak (1995). We took sediment monoliths in 2004 from a new trench, which shows the same situation of the road. A geomagnetic prospection, that included the whole site, suggests that the road was part of the planned extension of the lower town and serves as a circular road (Meyer, in prep.). The micromorphological investigation focussed on the question, how the road was used. Did animals have had access to the town? The thin sections show different indications of the anthropogenic influence. In all samples pseudomorphs after straw are visible. In many parts ash, charred wood fragments, bone fragments, melted material and fragments of basalt and flint were observable, too. These materials are typical for sediments in streets (cf. Goldberg & Macphail, 2006). In some parts of the thin sections faecal spherulites and dung remains with faecal spherulites give an idea that ruminants used the road as well as men. Trampling structures support this assumption. Moreover, leaching of calcite, its redeposition in mottles, pseudomycels and concretions, hydromorphic stains and the translocation of silt indicate postdepositional pedogenic processes. Literature Goldberg, P., & Macphail, R. I. (2006). Practical and theoretical geoarchaeology: UK Blackwell Publishing. Meyer, J.-W. (in prep.). Überlegungen zur Siedlungsstruktur - eine erste Analyse der Ergebnisse der geomagnetischen Prospektion. In J.-W. Meyer (Ed.), Ausgrabungen

  3. The Mars Science Laboratory Mission: Early Results from Gale Crater Landing Site

    Science.gov (United States)

    Flatow, I.; Grotzinger, J. P.; Blake, D.; Crisp, J. A.; Edgett, K. S.; Gellert, R.; Gomez-Elvira, J.; Hassler, D. M.; Mahaffy, P. R.; Malin, M. C.; Meyer, M. A.; Mitrofanov, I.; Vasavada, A. R.; Wiens, R. C.

    2012-12-01

    The Mars Science Laboratory rover, Curiosity, landed at Gale Crater on August 5th (PDT) and initiated an investigation of modern and ancient environments. The 155-km diameter Gale Crater was chosen as Curiosity's field site based on several attributes: the interior Mount Sharp preserves a succession of flat-lying strata extending almost 5 km above the elevation of the landing site; the lower few hundred meters of the mound show a progression with relative age from clay-bearing to sulfate-bearing strata, separated by an unconformity from overlying likely anhydrous strata; the landing ellipse is characterized by a mixture of alluvial fan and high thermal inertia/high albedo stratified deposits; and a number of stratigraphically/geomorphically distinct fluvial features. Gale's regional context and strong evidence for a progression through multiple potentially habitable environments, represented by a stratigraphic record of extraordinary extent, ensure preservation of a rich record of the environmental history of early Mars. Curiosity has an expected lifetime of at least one Mars year (~23 months), and drive capability of at least 20 km. The MSL science payload was specifically assembled to assess habitability and includes a gas chromatograph-mass spectrometer and gas analyzer that will search for organic carbon in rocks, regolith fines, and the atmosphere (SAM); an x-ray diffractometer that will determine mineralogical diversity (CheMin); focusable cameras that can image landscapes and rock/regolith textures in natural color (MAHLI, Mastcam); an alpha-particle x-ray spectrometer for in situ determination of rock and soil chemistry (APXS); a laser-induced breakdown spectrometer to remotely sense the chemical composition of rocks and minerals (ChemCam); an active/passive neutron spectrometer designed to search for water in rocks/regolith (DAN); a weather station to measure modern-day environmental variables (REMS); and a sensor designed for continuous monitoring of

  4. Physical and Radiological Characterisation of Measuring Sites Within The Croatian Gamma Dose Rate Early Warning Network

    International Nuclear Information System (INIS)

    Cindro, M.; Stepisnik, M.; Pinezic, D.; Sinka, D.; Skanata, D.

    2016-01-01

    The work described in this paper was done within the EU funded project 'Upgrading the systems for the on- and off-line monitoring of radioactivity in the environment in Croatia in regular and emergency situations'. The existing system of early warning in case of nuclear accident in Croatia (SPUNN), managed by the State Office for Radiological and Nuclear Safety, includes 33 stations for measuring ambient gamma dose rate (GDR). The aim of the project was to determine appropriate correction factors that will allow the results from this network to be used not only for timely warning in case of nuclear accident but also in routine environmental monitoring to determine the background radiation. Additionally, in the case of fresh deposition due to radioactive contamination, the corrected values are better suited to be used as an input for support systems for decision making in the case of emergency (such as RODOS), as well as for international data exchange (EURDEP) or automatic interpolation and mapping of radiological data (INTAMAP). The response of the individual probes to natural or accidental radiation mostly depends on the geometry or topography, surrounding buildings, vegetation (trees) and the type of soil beneath the detector. In the case of measuring the dose rate, objects such as buildings act as a shield against gamma radiation and limit the field of vision of the detector. If we want to have representative values that can be compared with other measuring sites, it is clear that we need to define standard conditions that each location has to meet. This is true not only for the probes within the same network, but can also be applied more broadly, at the international level, since data exchange mechanisms for GDR data already exist across Europe. The response of each probe is not determined only by the physical features, it is also important to understand the radiological characteristics of the site. Radiological characterization was performed through

  5. 76 FR 35208 - Pacific Gas and Electric Company; Nevada Irrigation District; Notice of Environmental Site Review

    Science.gov (United States)

    2011-06-16

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [ Project No. 2310-193--California; Project No. 2266-102--California] Pacific Gas and Electric Company; Nevada Irrigation District; Notice of Environmental Site Review On July 6-8, 2011, the Federal Energy Regulatory Commission (Commission) staff and the Pacific Gas and Electric Company ...

  6. 78 FR 37210 - Parker Knoll Hydro, LLC; Notice of Environmental Site Review

    Science.gov (United States)

    2013-06-20

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 13239-002] Parker Knoll Hydro, LLC; Notice of Environmental Site Review Take notice that the following hydroelectric applications have been filed with Commission and are available for public inspection: a. Type of Application: New Major License. b. Project No.: 13239. c. Date...

  7. 77 FR 59921 - Wisconsin Public Service Corporation; Notice of Environmental Site Review

    Science.gov (United States)

    2012-10-01

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 1940-000 Wisconsin; Project No. 1966-000 Wisconsin] Wisconsin Public Service Corporation; Notice of Environmental Site Review In anticipation of the filing of Notices of Intent (NOI) and Pre- Application Documents for the Grandfather Falls Hydroelectric Project No. 1966 and...

  8. 75 FR 42742 - Alaska Village Electric Cooperative; Notice of Environmental Site Review and Scoping Meeting

    Science.gov (United States)

    2010-07-22

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 13272-001] Alaska Village Electric Cooperative; Notice of Environmental Site Review and Scoping Meeting July 15, 2010. a. Project No.: 13272-001. b. Name of Project: Old Harbor Hydroelectric Project. c. Location: On Mountain Creek, near the town of Old Harbor, Kodiak Island...

  9. Rebuilding trust in online shops on consumer review sites : sellers’ responses to user-generated complaints

    NARCIS (Netherlands)

    Matzat, U.; Snijders, C.C.P.

    2012-01-01

    How do online shops re-build trust on consumer-generated review sites after customers accuse them of misbehaving? Theories suggest that the effectiveness of responses depends on the type of accusation, yet online research indicates that apologies are superior to denials regardless of the type of

  10. 75 FR 20400 - Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site

    Science.gov (United States)

    2010-04-19

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site AGENCY: U.S. Office of Personnel Management. ACTION: 60-Day Notice and... applicable supporting documentation, may be obtained by contacting the San Antonio Services Branch, Office of...

  11. 76 FR 7835 - Great River Hydropower, LLC; Notice of Scoping Meetings and Environmental Site Review and...

    Science.gov (United States)

    2011-02-11

    ... Hydropower, LLC; Notice of Scoping Meetings and Environmental Site Review and Soliciting Scoping Comments.... c. Date filed: July 12, 2010. d. Applicant: Great River Hydropower, LLC. e. Name of Project: Upper... 796-foot-long by 46-foot-wide by 25-foot-high concrete hydropower structure consisting of 30 turbine...

  12. Algal Turf Recruitment and Early Growth did not Differ Across Sites that Varied Greatly in Herbivore and Coral Community Structure.

    Science.gov (United States)

    Gaynus, C.

    2016-02-01

    Worldwide losses of coral with accompanying phase shifts to algae have been attributed to human alterations of major ecological processes, especially top down (herbivory) and bottom up (nutrients) forces. While positive effects on macroalgae have received some attention, less is known about turf algae. Closely cropped turf algae (French Polynesia. While this study will continue for 2 years, data here are for 5 weeks. We chose 3 sites in Cooks Bay that likely varied in nutrients and 3 along the north shore, presumably higher in herbivory. At each site 10 recruitment tiles were deployed. Turf communities accumulated over five-weeks while benthic and herbivorous fish communities were quantified at each site. Herbivorous fish communities consisted of juveniles and adults from the families Acanthuridae and Scaridae with both adult and juvenile acanthurids, comprising > 50% of all herbivorous fish. Sites within the bay, however, contained at least 66.7% less fish than sites along the north shore. In contrast benthic surveys portrayed little difference between sites, with turf making up > 70% of total hard bottom cover. Similarly, there was little difference among sites in the recruitment and growth rate ( 0.2-0.3 mm/week) of turf on tiles. While turf recruitment and early development appeared to be unaffected by herbivory or nutrients over the short time, we predict that longer-term effects will occur as this community develops.

  13. Characterization of the clustered regularly interspaced short palindromic repeats sites in Streptococcus mutans isolated from early childhood caries patients.

    Science.gov (United States)

    Chen, Jing; Li, Tiancheng; Zhou, Xuedong; Cheng, Lei; Huo, Yuanyuan; Zou, Jing; Li, Yuqing

    2017-11-01

    The aim of this study was to analyze the characteristics of the clustered regularly interspaced short palindromic repeats (CRISPR) sites in 45 clinical Streptococcus mutans strains and their relationship to the clinical manifestations of early childhood caries (ECC). Forty-five S. mutans strains were isolated from the plaque samples taken from sixty-three children. CRISPR sites were sequenced and BLAST was used to compare these sites to those in the CRISPRTarget database. The association between the distribution of CRISPR sites and the manifestation of caries was analyzed by Chi-Square test. Further, biofilm formation (by crystal violet staining) and the synthesis of polysaccharide (by anthrone-sulfuric method) of all clinical isolated S. mutans strains with both CRISPR sites and no CRISPR site were comapared. Finally, acidogenicity and acidurity of two typical strains were determined using pH drop and acid tolerance assays. Biofilm formation and EPS synthesis by two typical strains were compared by 3D CLSM (Confocal Laser Scanning Microscope) assays and the expression of gtf genes were evaluated using qPCR. We found that most of the spacers in the clinical S. mutans strains were derived from Streptococcus phages APCM01 and M102. The number of CRISPR sites in these strains was associated with the clinical manifestations of ECC. Moreover, we found that the biofilm formation and EPS synthesis ability of the S. mutans strains with both CRISPR sites was significant improved. An association was found between the distribution of CRISPR sites and the clinical manifestations of caries. The CRISPR sites might contribute to the cariogenic potential of S. mutans. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Review of Investigations on Site Selection for Nuclear Power Plants in Croatia

    International Nuclear Information System (INIS)

    Malbasa, N.

    2008-01-01

    A review of site investigation for nuclear facilities in the Republic of Croatia that had been performed from 1964, when investigation started for the first nuclear power plant, to 1994 when the activities were stopped, is presented therein. Brief results of the main investigation were presented including the Tanja site on the Danube upstream of Vukovar. It is the best of all the investigated locations for nuclear power plant in Croatia. The review of results for site selection of low and intermediate level of radioactive waste disposal is also given. The position of nuclear power plants in the strategic documents of the Republic of Croatia was analysed. It is concluded that the status of nuclear facilities in the main strategic documents must be improved because the energy future in Croatia - as almost in all European countries - could hardly be successful without any further development of nuclear energy.(author)

  15. Review of Investigations on Site Selection for Nuclear Power Plants in Croatia

    Energy Technology Data Exchange (ETDEWEB)

    Malbasa, N [Ekonerg, Zagreb (Croatia)

    2008-07-01

    A review of site investigation for nuclear facilities in the Republic of Croatia that had been performed from 1964, when investigation started for the first nuclear power plant, to 1994 when the activities were stopped, is presented therein. Brief results of the main investigation were presented including the Tanja site on the Danube upstream of Vukovar. It is the best of all the investigated locations for nuclear power plant in Croatia. The review of results for site selection of low and intermediate level of radioactive waste disposal is also given. The position of nuclear power plants in the strategic documents of the Republic of Croatia was analysed. It is concluded that the status of nuclear facilities in the main strategic documents must be improved because the energy future in Croatia - as almost in all European countries - could hardly be successful without any further development of nuclear energy.(author)

  16. Progress in centralised ethics review processes: Implications for multi-site health evaluations.

    Science.gov (United States)

    Prosser, Brenton; Davey, Rachel; Gibson, Diane

    2015-04-01

    Increasingly, public sector programmes respond to complex social problems that intersect specific fields and individual disciplines. Such responses result in multi-site initiatives that can span nations, jurisdictions, sectors and organisations. The rigorous evaluation of public sector programmes is now a baseline expectation. For evaluations of large and complex multi-site programme initiatives, the processes of ethics review can present a significant challenge. However in recent years, there have been new developments in centralised ethics review processes in many nations. This paper provides the case study of an evaluation of a national, inter-jurisdictional, cross-sector, aged care health initiative and its encounters with Australian centralised ethics review processes. Specifically, the paper considers progress against the key themes of a previous five-year, five nation study (Fitzgerald and Phillips, 2006), which found that centralised ethics review processes would save time, money and effort, as well as contribute to more equitable workloads for researchers and evaluators. The paper concludes with insights for those charged with refining centralised ethics review processes, as well as recommendations for future evaluators of complex multi-site programme initiatives. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Early diagnosis of autism and impact on prognosis: a narrative review

    Directory of Open Access Journals (Sweden)

    Fernell E

    2013-02-01

    Full Text Available Elisabeth Fernell,1 Mats Anders Eriksson,1,2 Christopher Gillberg11Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Department of Women's and Children's Health, Karolinska Institute, Stockholm, SwedenAbstract: Autism spectrum disorders involve a set of clinical phenotypes that mirror an early onset of neurodevelopmental deviations, with core symptoms that can probably be related to a deficiency in the social instinct. Underlying the cognitive impairments there are physiological brain problems, caused by a large number of medical factors. This narrative review of systematic reviews and meta-analyses from the last 5 years (2008–2012 presents aspects from many areas in autism spectrum disorder research, with a particular focus on early intervention and the subsequent impact on prognosis. Other major areas discussed are epidemiology, early symptoms and screening, early diagnosis, neuropsychology, medical factors, and the existence of comorbidities. There is limited evidence that any of the broadband “early intervention” programs are effective in changing the natural long-term outcome for many individuals with an early diagnosis of autism. However, there is some evidence that Early Intensive Behavioral Intervention (EIBI is an effective treatment for some children with ASD. Nevertheless, there is emerging consensus that early diagnosis and information are needed in order that an autism-friendly environment be “created” around affected individuals.Keywords: autism spectrum disorder, epidemiology, screening, etiology, intervention, outcome

  18. Early interventions and lessons from Harvard Business Review.

    Science.gov (United States)

    Chong, Siow-Ann

    2007-11-01

    To describe the establishment and development of an Early Psychosis Intervention Programme in Singapore that is based on a business model and with concepts drawn from the corporate world. The author who directed this programme describes the circumstances that led to this initiative, the ideas borrowed and adapted from the corporate world, and the lessons learnt in setting up this intervention programme. The modus operandi of the programme is based on the Balanced Scorecard - a model which stresses four equally important components: customers, internal processes, financial health and learning and innovation. Other complementary actions like creating a sense of urgency, forging a vision with a core ideology, empowerment of team members, creating short-term wins, anchoring the changes and finding meaning in the work are vital for the programme to thrive. This model also emphasizes the importance of accountability through the measurability of indicators. These indicators included a significant reduction in the duration of untreated psychosis, a positive change in the referral patterns with better engagement of the primary health-care sector and an improvement in the quality of care for the patients. Much can be learnt from the business world in building and maintaining a public mental health programme. Effective change also requires effective leadership, and the successful implementation of certain strategic steps.

  19. Early port-site metastasis during neoadjuvant chemotherapy in advanced stage ovarian cancer: report of two cases

    OpenAIRE

    Özmen, Batuhan; Şükür, Yavuz Emre; Atabekoglu, Cem Somer; Heper, Aylin Okçu; Sönmezer, Murat; Güngör, Mete

    2011-01-01

    Port-site metastases in gynecological malignancies subsequent to laparoscopy have been reported with an incidence of 1.1-16%. These metastases tend to be disappearing after primary debulking surgery and subsequent primary chemotherapy. Local resection, chemotherapy and/or radiotherapy have been defined in the management of these metastases with enhanced clinical success. However, in extremely rare cases these metastases were also defined very early during neoadjuvant chemotherapy. Herein, we ...

  20. A literature review of the relationship between breastfeeding and early childhood caries

    OpenAIRE

    Narjes Amiri TehraniZadeh; Nahid Asgarizadeh; Vajihe Kamel

    2012-01-01

    Background and Aims: Improper feeding is one of the most important etiologic factors in early childhood caries (ECC). In some clinical trials, breast feeding (BF) is mentioned as a causing factor in ECC. Results in this topic are different or even controversial. It is vital that all general advices given out are consistent with general health education messages. The aim of this study was to conduct a systematic review on the relationship between breast feeding and early childhood caries. Mate...

  1. Uranium-Bearing Evaporite Mineralization Influencing Plume Persistence. Literature Review and DOE-LM Site Surveys

    International Nuclear Information System (INIS)

    2016-01-01

    This report on evaporite mineralization was completed as an Ancillary Work Plan for the Applied Studies and Technology program under the U.S. Department of Energy (DOE) Office of Legacy Management (LM). This study reviews all LM sites under Title I and Title II of the Uranium Mill Tailings Radiation Control Act (UMTRCA) and one Decontamination and Decommissioning site to provide (1) a summary of which sites have evaporite deposits, (2) any available quantitative geochemical and mineralogical analyses, and (3) references to relevant reports. In this study, 'evaporite' refers to any secondary mineral precipitate that occurs due to a loss of water through evaporative processes. This includes efflorescent salt crusts, where this term refers to a migration of dissolved constituents to the surface with a resulting salt crust, where 'salt' can refer to any secondary precipitate, regardless of constituents. The potential for the formation of evaporites at LM sites has been identified, and may have relevance to plume persistence issues. Evaporite deposits have the potential to concentrate and store contaminants at LM sites that could later be re-released. These deposits can also provide a temporary storage mechanism for carbonate, chloride, and sulfate salts along with uranium and other contaminants of concern (COCs). Identification of sites with evaporites will be used in a new technical task plan (TTP), Persistent Secondary Contaminant Sources (PeSCS), for any proposed additional sampling and analyses. This additional study is currently under development and will focus on determining if the dissolution of evaporites has the potential to hinder natural flushing strategies and impact plume persistence. This report provides an initial literature review on evaporites followed by details for each site with identified evaporites. The final summary includes a table listing of all relevant LM sites regardless of evaporite identification.

  2. Uranium-Bearing Evaporite Mineralization Influencing Plume Persistence. Literature Review and DOE-LM Site Surveys

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2016-05-01

    This report on evaporite mineralization was completed as an Ancillary Work Plan for the Applied Studies and Technology program under the U.S. Department of Energy (DOE) Office of Legacy Management (LM). This study reviews all LM sites under Title I and Title II of the Uranium Mill Tailings Radiation Control Act (UMTRCA) and one Decontamination and Decommissioning site to provide (1) a summary of which sites have evaporite deposits, (2) any available quantitative geochemical and mineralogical analyses, and (3) references to relevant reports. In this study, “evaporite” refers to any secondary mineral precipitate that occurs due to a loss of water through evaporative processes. This includes efflorescent salt crusts, where this term refers to a migration of dissolved constituents to the surface with a resulting salt crust, where “salt” can refer to any secondary precipitate, regardless of constituents. The potential for the formation of evaporites at LM sites has been identified, and may have relevance to plume persistence issues. Evaporite deposits have the potential to concentrate and store contaminants at LM sites that could later be re-released. These deposits can also provide a temporary storage mechanism for carbonate, chloride, and sulfate salts along with uranium and other contaminants of concern (COCs). Identification of sites with evaporites will be used in a new technical task plan (TTP), Persistent Secondary Contaminant Sources (PeSCS), for any proposed additional sampling and analyses. This additional study is currently under development and will focus on determining if the dissolution of evaporites has the potential to hinder natural flushing strategies and impact plume persistence. This report provides an initial literature review on evaporites followed by details for each site with identified evaporites. The final summary includes a table listing of all relevant LM sites regardless of evaporite identification.

  3. Techniques for early diagnosis of oral squamous cell carcinoma: Systematic review

    Science.gov (United States)

    Carreras-Torras, Clàudia

    2015-01-01

    Background and objectives The diagnosis of early oral potentially malignant disorders (OPMD) and oral squamous cell carcinoma (OSCC) is of paramount clinical importance given the mortality rate of late stage disease. The aim of this study is to review the literature to assess the current situation and progress in this area. Material and Methods A search in Cochrane and PubMed (January 2006 to December 2013) has been used with the key words “squamous cell carcinoma”, “early diagnosis” “oral cavity”, “Potentially Malignant Disorders” y “premalignant lesions”. The inclusion criteria were the use of techniques for early diagnosis of OSCC and OPMD, 7 years aged articles and publications written in English, French or Spanish. The exclusion criteria were case reports and studies in other languages. Results Out of the 89 studies obtained initially from the search 60 articles were selected to be included in the systematic review: 1 metaanalysis, 17 systematic reviews, 35 prospective studies, 5 retrospective studies, 1 consensus and 1 semi-structured interviews. Conclusions The best diagnostic technique is that which we have sufficient experience and training. Definitely tissue biopsy and histopathological examination should remain the gold standard for oral cancer diagnose. In this systematic review it has not been found sufficient scientific evidence on the majority of proposed techniques for early diagnosis of OSCC, therefore more extensive and exhaustive studies are needed. Key words: Squamous cell carcinoma, early diagnosis, oral cavity, potentially malignant disorders, premalignant lesions. PMID:25662554

  4. Radiofrequency ablation versus resection for Barcelona clinic liver cancer very early/early stage hepatocellular carcinoma: a systematic review.

    Science.gov (United States)

    He, Zhen-Xin; Xiang, Pu; Gong, Jian-Ping; Cheng, Nan-Sheng; Zhang, Wei

    2016-01-01

    To compare the long-term survival outcomes of radiofrequency ablation and liver resection for single very early/early stage hepatocellular carcinoma (HCC). The Cochrane Library (Issue 3, 2015), Embase (1974 to March 15, 2015), PubMed (1950 to March 15, 2015), Web of Science (1900 to March 15, 2015), and Chinese Biomedical Literature Database (1978 to March 15, 2015) were searched to identify relevant trials. Only trials that compared radiofrequency ablation and liver resection for single very early stage (≤2 cm) or early stage (≤3 cm) HCC according to the Barcelona clinic liver cancer (BCLC) staging system were considered for inclusion in this review. The primary outcomes that we analyzed were the 3-year and 5-year overall survival (OS) rates, and the secondary outcomes that we analyzed were the 3-year and 5-year disease-free survival (DFS) rates. Review Manager 5.3 was used to perform a cumulative meta-analysis. Possible publication bias was examined using a funnel plot. A random-effects model was applied to summarize the various outcomes. Six studies involving 947 patients were identified that compared radiofrequency ablation (n=528) to liver resection (n=419) for single BCLC very early HCC. In these six studies, the rates of 3-year OS, 5-year OS, 3-year DFS, and 5-year DFS were significantly lower in the radiofrequency ablation group than in the liver resection group (risk ratio [RR] =0.90, 95% confidence interval [CI]: 0.83-0.98, P=0.01; RR =0.84, 95% CI: 0.75-0.95, P=0.004; RR =0.77, 95% CI: 0.60-0.98, P=0.04; and RR =0.70, 95% CI: 0.52-0.94, P=0.02, respectively). Ten studies involving 2,501 patients were identified that compared radiofrequency ablation (n=1,476) to liver resection (n=1,025) for single BCLC early HCC. In these ten studies, the rates of 3-year OS, 5-year OS, 3-year DFS, and 5-year DFS were also significantly lower in the radiofrequency ablation group than in the liver resection group (RR =0.93, 95% CI: 0.88-0.98, P=0.003; RR =0.84, 95% CI

  5. Development of a decision support system for off-site emergency management in the early phase of a nuclear accident

    International Nuclear Information System (INIS)

    Datta, D.; Sharma, R.M.

    2002-01-01

    Full text: Experience gained after the Chernobyl accident clearly demonstrated the importance of improving administrative, organizational and technical emergency management arrangements in India. The more important areas where technical improvements were needed were early warning monitoring, communication networks for the rapid and reliable exchange of radiological and other information and decision support systems for off-site emergency management. A PC based artificial intelligent software has been developed to have a decision support system that can easily implement to manage off-site nuclear emergency and subsequently analyze the off-site consequences of the nuclear accident. A decision support tool, STEPS (source term estimate based on plant status), that provides desired input to the present software was developed. The tool STEPS facilitates meta knowledge of the system. The paper describes the details of the design of the software, functions of various modules, tuning of respective knowledge base and overall its scope in real sense in nuclear emergency preparedness and response

  6. Ages of tuff beds at East African early hominid sites and sediments in the Gulf of Aden

    Science.gov (United States)

    Sarna-Wojcicki, A. M.; Meyer, C.E.; Roth, P.H.; Brown, F.H.

    1985-01-01

    The early hominids of East Africa were dated by determining the ages of tuff beds at the sites. Despite much research using palaeomagnetic and K/Ar-dating techniques, some of those ages are still controversial 1,2. To obtain independent age estimates for these tephra layers, we have examined cores from DSDP Sites 231 and 232 in the Gulf of Aden (Fig. 1a) which consist mainly of calcareous nannofossil ooze, but also contain rare tephra horizons3 dated by interpolation from the established nannofossil stratigraphy (Fig. 1b). Chemical analysis confirms that the identity and sequence of these horizons is the same as that at the East African sites. We conclude that the age of the Tulu Bor Tuff is <3.4 Myr and hence that the Hadar hominid specimens are also

  7. Wood fuel from early thinning and plantation cleaning. An international review

    International Nuclear Information System (INIS)

    Puttock, D.; Richardsson, J.

    1998-01-01

    Activities 1.2 (Forest management) and 1.2 (Harvesting) of Task XII/IEA Bioenergy Agreement carried out an international review of wood fuel from plantation cleaning and early thinning. The participating countries were Canada, Denmark, Finland, the Netherlands, New Zealand, Sweden and the United Kingdom. The individual country reviews and an international summary are presented in this paper. Each report gives country-related background information on forestry and wood utilization, energy potential from plantation cleaning and early thinning, environmental considerations from the viewpoint of wood fuel recovery, silvicultural systems and methods, cost of wood fuel, and knowledge gaps and problems

  8. Off-site training of laparoscopic skills, a scoping review using a thematic analysis.

    Science.gov (United States)

    Thinggaard, Ebbe; Kleif, Jakob; Bjerrum, Flemming; Strandbygaard, Jeanett; Gögenur, Ismail; Matthew Ritter, E; Konge, Lars

    2016-11-01

    The focus of research in simulation-based laparoscopic training has changed from examining whether simulation training works to examining how best to implement it. In laparoscopic skills training, portable and affordable box trainers allow for off-site training. Training outside simulation centers and hospitals can increase access to training, but also poses new challenges to implementation. This review aims to guide implementation of off-site training of laparoscopic skills by critically reviewing the existing literature. An iterative systematic search was carried out in MEDLINE, EMBASE, ERIC, Scopus, and PsychINFO, following a scoping review methodology. The included literature was analyzed iteratively using a thematic analysis approach. The study was reported in accordance with the STructured apprOach to the Reporting In healthcare education of Evidence Synthesis statement. From the search, 22 records were identified and included for analysis. A thematic analysis revealed the themes: access to training, protected training time, distribution of training, goal setting and testing, task design, and unsupervised training. The identified themes were based on learning theories including proficiency-based learning, deliberate practice, and self-regulated learning. Methods of instructional design vary widely in off-site training of laparoscopic skills. Implementation can be facilitated by organizing courses and training curricula following sound education theories such as proficiency-based learning and deliberate practice. Directed self-regulated learning has the potential to improve off-site laparoscopic skills training; however, further studies are needed to demonstrate the effect of this type of instructional design.

  9. Three-Dimensional High-Frequency Ultrasonography for Early Detection and Characterization of Embryo Implantation Site Development in the Mouse.

    Directory of Open Access Journals (Sweden)

    Mary C Peavey

    Full Text Available Ultrasonography is a powerful tool to non-invasively monitor in real time the development of the human fetus in utero. Although genetically engineered mice have served as valuable in vivo models to study both embryo implantation and pregnancy progression, such studies usually require sacrifice of parous mice for subsequent phenotypic analysis. To address this issue, we used three-dimensional (3-D reconstruction in silico of high-frequency ultrasound (HFUS imaging data for early detection and characterization of murine embryo implantation sites and their development in utero. With HFUS imaging followed by 3-D reconstruction, we were able to precisely quantify embryo implantation site number and embryonic developmental progression in pregnant C57BL6J/129S mice from as early as 5.5 days post coitus (d.p.c. through to 9.5 d.p.c. using a VisualSonics Vevo 2100 (MS550S transducer. In addition to measurements of implantation site number, location, volume and spacing, embryo viability via cardiac activity monitoring was also achieved. A total of 12 dams were imaged with HFUS with approximately 100 embryos examined per embryonic day. For the post-implantation period (5.5 to 8.5 d.p.c., 3-D reconstruction of the gravid uterus in mesh or solid overlay format enabled visual representation in silico of implantation site location, number, spacing distances, and site volume within each uterine horn. Therefore, this short technical report describes the feasibility of using 3-D HFUS imaging for early detection and analysis of post-implantation events in the pregnant mouse with the ability to longitudinally monitor the development of these early pregnancy events in a non-invasive manner. As genetically engineered mice continue to be used to characterize female reproductive phenotypes, we believe this reliable and non-invasive method to detect, quantify, and characterize early implantation events will prove to be an invaluable investigative tool for the study of

  10. Computational Intelligence in Early Diabetes Diagnosis: A Review

    Science.gov (United States)

    Shankaracharya; Odedra, Devang; Samanta, Subir; Vidyarthi, Ambarish S.

    2010-01-01

    The development of an effective diabetes diagnosis system by taking advantage of computational intelligence is regarded as a primary goal nowadays. Many approaches based on artificial network and machine learning algorithms have been developed and tested against diabetes datasets, which were mostly related to individuals of Pima Indian origin. Yet, despite high accuracies of up to 99% in predicting the correct diabetes diagnosis, none of these approaches have reached clinical application so far. One reason for this failure may be that diabetologists or clinical investigators are sparsely informed about, or trained in the use of, computational diagnosis tools. Therefore, this article aims at sketching out an outline of the wide range of options, recent developments, and potentials in machine learning algorithms as diabetes diagnosis tools. One focus is on supervised and unsupervised methods, which have made significant impacts in the detection and diagnosis of diabetes at primary and advanced stages. Particular attention is paid to algorithms that show promise in improving diabetes diagnosis. A key advance has been the development of a more in-depth understanding and theoretical analysis of critical issues related to algorithmic construction and learning theory. These include trade-offs for maximizing generalization performance, use of physically realistic constraints, and incorporation of prior knowledge and uncertainty. The review presents and explains the most accurate algorithms, and discusses advantages and pitfalls of methodologies. This should provide a good resource for researchers from all backgrounds interested in computational intelligence-based diabetes diagnosis methods, and allows them to extend their knowledge into this kind of research. PMID:21713313

  11. Computational intelligence in early diabetes diagnosis: a review.

    Science.gov (United States)

    Shankaracharya; Odedra, Devang; Samanta, Subir; Vidyarthi, Ambarish S

    2010-01-01

    The development of an effective diabetes diagnosis system by taking advantage of computational intelligence is regarded as a primary goal nowadays. Many approaches based on artificial network and machine learning algorithms have been developed and tested against diabetes datasets, which were mostly related to individuals of Pima Indian origin. Yet, despite high accuracies of up to 99% in predicting the correct diabetes diagnosis, none of these approaches have reached clinical application so far. One reason for this failure may be that diabetologists or clinical investigators are sparsely informed about, or trained in the use of, computational diagnosis tools. Therefore, this article aims at sketching out an outline of the wide range of options, recent developments, and potentials in machine learning algorithms as diabetes diagnosis tools. One focus is on supervised and unsupervised methods, which have made significant impacts in the detection and diagnosis of diabetes at primary and advanced stages. Particular attention is paid to algorithms that show promise in improving diabetes diagnosis. A key advance has been the development of a more in-depth understanding and theoretical analysis of critical issues related to algorithmic construction and learning theory. These include trade-offs for maximizing generalization performance, use of physically realistic constraints, and incorporation of prior knowledge and uncertainty. The review presents and explains the most accurate algorithms, and discusses advantages and pitfalls of methodologies. This should provide a good resource for researchers from all backgrounds interested in computational intelligence-based diabetes diagnosis methods, and allows them to extend their knowledge into this kind of research.

  12. Literature Review on the Effects of Prescription Fire on theEcology of Site 300

    Energy Technology Data Exchange (ETDEWEB)

    Preston, R

    2011-03-14

    Lawrence Livermore National Laboratory has historically conducted prescription burns across approximately 2,000 acres of Site 300 on an annual basis to safeguard test facilities and operations from the risk of wildfire encroachment. Prescription burns began in 1960, and although fire frequency varies among the designated burn areas, all have been burned at least once. A patchwork of native perennial grassland communities and associated special-status plant and animal populations occur onsite in many areas that have been receiving these treatments. Because the size and locations of prescription burns may shift in coming years, an evaluation is warranted to determine how these shifts may affect listed biota, including rare plants, and the distinct ecological conditions present on the site. This report presents the results of a literature review conducted by ICF International (ICF) to collect basic information on native perennial grasslands in California, the influence of fire on these grasslands, and management tools for restoring and maintaining them. The objective of this study was to review the scientific literature on California native grasslands and summarize the current state of knowledge pertaining to the possible effects -- both beneficial and detrimental -- of prescribed fire on the ecology of Site 300. The results of this review are intended to inform future management practices that may be carried out at Site 300 to maintain the plant and wildlife communities and to ensure that the ecological conditions benefit the special-status species that inhabit the Site. This review is also intended to identify a study approach to investigate changes over the next 10 years in the burned areas and in areas where burning will be discontinued.

  13. International Expert Review of SRCan: Site Investigation Aspects. External review contribution in support of SKI's and SSI's review of SR-Can. INSITE/OVERSITE

    Energy Technology Data Exchange (ETDEWEB)

    2008-03-15

    As a first evaluation of long-term safety for KBS-3 repositories at Forsmark and Laxemar, the SIG (Site Investigation Group) found SR-Can to be a well-produced and generally well-argued safety assessment. Overall, SKB is to be complimented on this project. Members of of the two groups INSITE and OVERSITE within the SIG had somewhat differing views on how well SKB had made use of the site data available at the end of the SDM 1.2 stage of investigations. This difference is less to do with the extent of site characterisation than of its use and application, reflecting the different levels of maturity of SKB's geosphere and biosphere assessment programmes. The more recent and current work on the sites means that our concerns expressed in this review should, to a large extent, be addressable in or prior to SR-Site, provided SKB is so minded. However, we acknowledge that some of the issues we raise will not be fully resolved until underground rock characterisation from excavations or longer records of surface conditions are available. There are also some key aspects of SKB's methodology still under development that would benefit from review prior to their use in SR-Site. More space in the currently pressing schedule would allow for this review and a consequent increase in confidence. In any case, the authorities should be aware that SKB may face residual programmatic risks, associated principally with the underground design and layout (and their knockon effects into performance), even after SR-Site. An early understanding of some of these relationships would be helped by a plan (at least on an outline level) of the underground characterisation programme. We also note that many engineering matters are still to be confronted, not least the EBS design and its implementation, along with the treatment of high stresses, if Forsmark is selected. However, our views on the nature of the SR-Can analysis and the way in which site data have been utilised in it (our

  14. Early Versus Delayed Motion After Rotator Cuff Repair: A Systematic Review of Overlapping Meta-analyses.

    Science.gov (United States)

    Houck, Darby A; Kraeutler, Matthew J; Schuette, Hayden B; McCarty, Eric C; Bravman, Jonathan T

    2017-10-01

    Previous meta-analyses have been conducted to compare outcomes of early versus delayed motion after rotator cuff repair. To conduct a systematic review of overlapping meta-analyses comparing early versus delayed motion rehabilitation protocols after rotator cuff repair to determine which meta-analyses provide the best available evidence. Systematic review. A systematic review was performed by searching PubMed and Cochrane Library databases. Search terms included "rotator cuff repair," "early passive motion," "immobilization," "rehabilitation protocol," and "meta-analysis." Results were reviewed to determine study eligibility. Patient outcomes and structural healing were extracted from these meta-analyses. Meta-analysis quality was assessed using the Oxman-Guyatt and Quality of Reporting of Meta-analyses (QUOROM) systems. The Jadad decision algorithm was then used to determine which meta-analyses provided the best level of evidence. Seven meta-analyses containing a total of 5896 patients met the eligibility criteria (1 Level I evidence, 4 Level II evidence, 2 Level III evidence). None of these meta-analyses found immobilization to be superior to early motion; however, most studies suggested that early motion would increase range of motion (ROM), thereby reducing time of recovery. Three of these studies suggested that tear size contributed to the choice of rehabilitation to ensure proper healing of the shoulder. A study by Chan et al in 2014 received the highest QUOROM and Oxman-Guyatt scores, and therefore this meta-analysis appeared to have the highest level of evidence. Additionally, a study by Riboh and Garrigues in 2014 was selected as the highest quality study in this systematic review according to the Jadad decision algorithm. The current, best available evidence suggests that early motion improves ROM after rotator cuff repair but increases the risk of rotator cuff retear. Lower quality meta-analyses indicate that tear size may provide a better strategy in

  15. The effect of early postnatal discharge from hospital for women and infants: a systematic review protocol.

    Science.gov (United States)

    Jones, Eleanor; Taylor, Beck; MacArthur, Christine; Pritchett, Ruth; Cummins, Carole

    2016-02-08

    The length of postnatal hospital stay has declined over the last 40 years. There is little evidence to support a policy of early discharge following birth, and there is some concern about whether early discharge of mothers and babies is safe. The Cochrane review on the effects of early discharge from hospital only included randomised controlled trials (RCTs) which are problematic in this area, and a systematic review including other study designs is required. The aim of this broader systematic review is to determine possible effects of a policy of early postnatal discharge on important maternal and infant health-related outcomes. A systematic search of published literature will be conducted for randomised controlled trials, non-randomised controlled trials (NRCTs), controlled before-after studies (CBA), and interrupted time series studies (ITS) that report on the effect of a policy of early postnatal discharge from hospital. Databases including Cochrane CENTRAL, MEDLINE, EMBASE, CINAHL and Science Citation Index will be searched for relevant material. Reference lists of articles will also be searched in addition to searches to identify grey literature. Screening of identified articles and data extraction will be conducted in duplicate and independently. Methodological quality of the included studies will be assessed using the Effective Practice and Organisation of Care (EPOC) criteria for risk of bias tool. Discrepancies will be resolved by consensus or by consulting a third author. Meta-analysis using a random effects model will be used to combine data. Where significant heterogeneity is present, data will be combined in a narrative synthesis. The findings will be reported according to the preferred reporting items for systematic reviews (PRISMA) statement. Information on the effects of early postnatal discharge from hospital will be important for policy makers and clinicians providing maternity care. This review will also identify any gaps in the current

  16. Critical review of decision support tools for sustainability assessment of site remediation options.

    Science.gov (United States)

    Huysegoms, Lies; Cappuyns, Valérie

    2017-07-01

    In Europe alone, there are more than 2,5 million potentially contaminated sites of which 14% are expected to require remediation. Contaminated soil and groundwater can cause damage to human health as well as to valuable ecosystems. Globally more attention has been paid to this problem of soil contamination in the past decades. For example, more than 58 000 sites have been remediated in Europe between 2006 and 2011. Together with this increase in remediation projects there has been a surge in the development of new remediation technologies and decision support tools to be able to match every site and its specific characteristics to the best possible remediation alternative. In the past years the development of decision support tools (DST) has evolved in a more sustainable direction. Several DSTs added the claim not only to denote effective or technologically and economically feasible remediation alternatives but also to point out the more or most sustainable remediation alternatives. These trends in the evaluation of site remediation options left users with a confusing clew of possibly applicable tools to assist them in decision making for contaminated site remediation. This review provides a structured overview on the extent decision support tools for contaminated site remediation, that claim to assist in choosing the most sustainable remediation alternative, actually include the different elements of sustainability proposed in our assessment framework. The review contains an in-depth analysis of thirteen tools specifically developed to assess the sustainability of site remediation alternatives. This analysis is based on six criteria derived from the definition of sustainable development of the Brundtland report. The six criteria were concretized by using the three pillars of sustainability, applied to site remediation according to the SuRF-UK framework, two criteria derived from Life Cycle Assessment and Cost-Benefit Analysis, and an 'User friendly' criterion

  17. Independent Technical Review of In-Tank Precipitation (ITP) at the Savannah River Site

    International Nuclear Information System (INIS)

    1993-06-01

    An Independent Technical Review of In-Tank Precipitation (ITP) and Extended Sludge Processing (ESP) at the Savannah River Site (SRS) was carried out in March, 1993. The review focused on ITP/ESP equipment and chemical processes, integration of ITP/ESP within the High Level Waste (HLW) and Defense Waste Processing Facility (DWPF) systems, and management and regulatory concerns. Following the ITR executive summary, this report includes: Chapter I--summary assessment; Chapter II--recommendations; and Chapter III--technical evaluations

  18. 75 FR 71122 - Erie Boulevard Hydropower L.P.; Notice of Scoping Meetings and Environmental Site Review

    Science.gov (United States)

    2010-11-22

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7518-012--New York] Erie Boulevard Hydropower L.P.; Notice of Scoping Meetings and Environmental Site Review November 15, 2010. Commission staff will be conducting two public scoping meetings and an environmental site review in support...

  19. Implementing an Early Childhood Professional Development Course across 10 Sites and 15 Sections: Lessons Learned

    Science.gov (United States)

    LoCasale-Crouch, Jennifer; Kraft-Sayre, Marcia; Pianta, Robert C.; Hamre, Bridget K.; Downer, Jason T.; Leach, Allison; Burchinal, Margaret; Howes, Carollee; La Paro, Karen; Scott-Little, Catherine

    2011-01-01

    In this article we describe the design and implementation of the National Center for Research on Early Childhood Education's (NCRECE's) college-level course and its delivery to teachers across 10 settings and 15 instructional sections. This professional development intervention, found effective in changing teachers' beliefs, knowledge, and actual…

  20. Information for consideration in reviewing groundwater protection plans for uranium mill tailings sites

    International Nuclear Information System (INIS)

    Thorne, P.D.

    1992-05-01

    Guidelines and acceptance criteria were developed for reviewing certain aspects of groundwater protection plans for uranium mill tailing sites. The aspects covered include: (1) leaching and long-term releases of hazardous and radioactive constituents from tailings and other contaminated materials, (2) attenuation of hazardous and radioactive constituents in groundwater under saturated and unsaturated conditions, (3) design and implementation of groundwater monitoring programs, (4) design and construction of groundwater protection barriers, and (5) efficiency and effectiveness of groundwater cleanup programs. The objective of these guidelines is to assist the US Nuclear Regulatory Commission staff in reviewing Remedial Action Plans for inactive waste sites and licensing application documents for active commercial uranium and thorium mills

  1. Site Development and Teaching of Motor Skills in Early Childhood Education

    Directory of Open Access Journals (Sweden)

    Pedro Gil Madrona

    2014-11-01

    Full Text Available In the stage of Early Childhood Education children continue a progressive discovery of their body itself as a source of feelings and sensations, exploring the different possibilities of action and body functions, will constitute the necessary experiences upon which children’s thought is being built. Besides, affective relationships established in situations of psychomotor education, and particularly through game, will be essential for children’s emotional development. In this sense, this article is focused on justifying the necessary presence of Psychomotor education in Early Childhood Education as well as on showing a pedagogical proposal based on an attractive and entertaining motor intervention for children at this stage. This article contains concepts and assumptions about the psychomotor development, movement contents, motor game and the methodological approach where psychomotor storytelling, learning corners, workshops and projects based on action and adventure spaces shine in their own right. Moreover, a didactic design based on programming motor skills at this stage of Early Childhood Education in a funny and lively way also plays a relevant role in this article. We argue that professionals working in the field of Early Childhood psychomotor skills may know and recognize the value of the proposals shown here so that they can teach us to be more critical regarding our professional practice, increasing our concern about the development of motor skills – physical education in Early Childhood Education in its systematic form – which without any doubt will result in children’s higher levels of welfare and health with regards to their own construction of the reality which surrounds them.

  2. Practitioner Research in Early Childhood Education and Care: A 21-Year Review of the Literature

    Science.gov (United States)

    Shannon, Darbianne; Smith, Sara; Dana, Nancy

    2016-01-01

    Practitioner research has the potential to facilitate the ongoing knowledge and skill development of preservice and in-service early childhood education and care teachers. The purpose of this systematic literature review is to describe the landscape of practitioner research conducted in the United States. This study synthesizes more than 20 years…

  3. Effects of Need Supportive Teaching on Early Adolescents' Motivation and Engagement: A Review of the Literature

    Science.gov (United States)

    Stroet, Kim; Opdenakker, Marie-Christine; Minnaert, Alexander

    2013-01-01

    In the present paper we systematically review the corpus of evidence on the effects of need supportive teaching on early adolescents' motivation and engagement for school. Based on Self-Determination Theory, we define need supportive teaching in terms of teachers' provision of autonomy support, structure, and involvement. The results of an…

  4. Effects of need supportive teaching on early adolescents' motivation and engagement : A review of the literature

    NARCIS (Netherlands)

    Stroet, Kim; Opdenakker, Marie; Minnaert, Alexander

    In the present paper we systematically review the corpus of evidence on the effects of need supportive teaching on early adolescents' motivation and engagement for school. Based on Self-Determination Theory, we define need supportive teaching in terms of teachers' provision of autonomy support,

  5. A Systematic Review of Fidelity of Implementation in Parent-Mediated Early Communication Intervention

    Science.gov (United States)

    Lieberman-Betz, Rebecca G.

    2015-01-01

    This article examined the reporting of four elements of fidelity of implementation (FOI) in parent-mediated early communication treatment studies. Thirty-five studies were reviewed to extract information regarding reporting of dosage, adherence, quality, and participant responsiveness for both practitioners and parents involved in parent-delivered…

  6. 77 FR 56853 - Submission for OMB Review; Comment Request: Process Evaluation of the Early Independence Award...

    Science.gov (United States)

    2012-09-14

    ... respondents is estimated at $9,774. There are no Capital Costs to report. A.12.1--Annualized Estimate of Hour... Collection: Title: Process Evaluation of the Early Independence Award (EIA) Program. Type of Information.... Type of Respondents: Applicants, reviewers, and awardees. The annual reporting burden is as follows...

  7. REVIEW: The early years of single photon emission computed tomography (SPECT): an anthology of selected reminiscences

    Science.gov (United States)

    Jaszczak, Ronald Jack

    2006-07-01

    The origin of SPECT can be found in pioneering experiments on emission tomography performed approximately 50 years ago. This historical review consists of a compilation of first person recollections from nine trailblazing scientists who shaped the early years of SPECT instrumentation during the 1960s and 1970s.

  8. Integrating Early Child Development and Violence Prevention Programs: A Systematic Review

    Science.gov (United States)

    Efevbera, Yvette; McCoy, Dana C.; Wuermli, Alice J.; Betancourt, Theresa S.

    2018-01-01

    Limited evidence describes promoting development and reducing violence in low- and middle-income countries (LMICs), a missed opportunity to protect children and promote development and human capital. This study presents a systematic literature review of integrated early childhood development plus violence prevention (ECD+VP) interventions in…

  9. A review of acid drainage from waste rock dumps and mine sites (Australian and Scandinavia)

    International Nuclear Information System (INIS)

    Harries, J.R.

    1990-05-01

    This report reviews the literature from Australia and Scandinavia on acid drainage from pyritic waste rock dumps with an emphasis on measurements and theory of processes that control the rage of oxidation and the release of pollutants. Conditions within waste rock dumps have been measured at several mine sites and a range of rehabilitation treatments have been tried to reduce the release of pollutants. A number of models have been proposed to calculate air flow, water transport and geochemistry. The data and experience at the mine sites are compared with predictions of the models. Details of Australian and Swedish mine sites where waste rock is a source of acid drainage are described in the Appendices. 92 refs., 2 tabs., 10 figs

  10. A Brief Review of Filtration Studies for Waste Treatment at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Daniel, Richard C.; Schonewill, Philip P.; Shimskey, Rick W.; Peterson, Reid A.

    2010-12-01

    This document completes the requirements of Milestone 1-2, PNNL Draft Literature Review, discussed in the scope of work outlined in the EM-31 Support Project task plan WP-2.3.6-2010-1. The focus of task WP 2.3.6 is to improve the U.S. Department of Energy’s (DOE’s) understanding of filtration operations for high-level waste (HLW) to enhance filtration and cleaning efficiencies, thereby increasing process throughput and reducing the sodium demand (through acid neutralization). Developing the processes for fulfilling the cleaning/backpulsing requirements will result in more efficient operations for both the Hanford Tank Waste Treatment and Immobilization Plant (WTP) and the Savannah River Site (SRS), thereby increasing throughput by limiting cleaning cycles. The purpose of this document is to summarize Pacific Northwest National Laboratory’s (PNNL’s) literature review of historical filtration testing at the laboratory and of testing found in peer-reviewed journals. Eventually, the contents of this document will be merged with a literature review by SRS to produce a summary report for DOE of the results of previous filtration testing at the laboratories and the types of testing that still need to be completed to address the questions about improved filtration performance at WTP and SRS. To this end, this report presents 1) a review of the current state of crossflow filtration knowledge available in the peer-reviewed literature, 2) a detailed review of PNNL-related filtration studies specific to the Hanford site, and 3) an overview of current waste filtration models developed by PNNL and suggested avenues for future model development.

  11. Factors influencing unsafe behaviors and accidents on construction sites: a review.

    Science.gov (United States)

    Khosravi, Yahya; Asilian-Mahabadi, Hassan; Hajizadeh, Ebrahim; Hassanzadeh-Rangi, Narmin; Bastani, Hamid; Behzadan, Amir H

    2014-01-01

    Construction is a hazardous occupation due to the unique nature of activities involved and the repetitiveness of several field behaviors. The aim of this methodological and theoretical review is to explore the empirical factors influencing unsafe behaviors and accidents on construction sites. In this work, results and findings from 56 related previous studies were investigated. These studies were categorized based on their design, type, methods of data collection, analytical methods, variables, and key findings. A qualitative content analysis procedure was used to extract variables, themes, and factors. In addition, all studies were reviewed to determine the quality rating and to evaluate the strength of provided evidence. The content analysis identified 8 main categories: (a) society, (b) organization, (c) project management, (d) supervision, (e) contractor, (f) site condition, (g) work group, and (h) individual characteristics. The review highlighted the importance of more distal factors, e.g., society and organization, and project management, that may contribute to reducing the likelihood of unsafe behaviors and accidents through the promotion of site condition and individual features (as proximal factors). Further research is necessary to provide a better understanding of the links between unsafe behavior theories and empirical findings, challenge theoretical assumptions, develop new applied theories, and make stronger recommendations.

  12. Late Miocene to early Pliocene climate variability off NW Africa (ODP Site 659)

    NARCIS (Netherlands)

    Colin, C.; Siani, G.; Liu, Z.; Blamart, D.; Skonieczny, C.; Zhao, Y.; Bory, A.; Frank, N.; Duchamp-Alphonse, S.; Thil, F.; Richter, T.; Kissel, C.; Gargani, J.

    2014-01-01

    A high resolution delta O-18 record obtained on benthic foraminifera (Cibicides wuellerstorfi) combined with clay mineralogy, major element concentrations and Sr-Nd isotopes have been investigated for the ODP Site 659 located off North Africa in order to reconstruct African monsoon intensity between

  13. Early Exposures to Ecogenomics: Effects of Priming and Web Site Interactivity Among Adolescents

    NARCIS (Netherlands)

    Bos, Mark J.W.; Koolstra, Cees M.; Willems, J.T.J.M.

    2010-01-01

    In the context of public introductions to emerging technologies, this study examined effects of priming and Web site interactivity on adolescents’ attitude development and information processing. In a four (priming) by three (interactivity levels) experiment, participants (N = 273) were required to

  14. Early exposures to ecogenomics: Effects of priming and web site interactivity among adolescents

    NARCIS (Netherlands)

    Bos, M.J.W.; Koolstra, C.M.; Willems, J.T.J.M.

    2010-01-01

    In the context of public introductions to emerging technologies, this study examined effects of priming and Web site interactivity on adolescents' attitude development and information processing. In a four (priming) by three (interactivity levels) experiment, participants (N = 273) were required to

  15. Key components of a service model providing early childhood support for women attending opioid treatment clinics: an Australian state health service review.

    Science.gov (United States)

    Harvey, Susan R; Schmied, Virginia; Nicholls, Daniel; Dahlen, Hannah

    2012-09-01

    To report the findings of a service review--specifically the strategy to provide early childhood services 'on site' at opioid treatment clinics to address access difficulties. Child and family health nurses are skilled in the assessment and support of families during early childhood. However, women with a history of substance abuse are often cautious when engaging with universal and other health services, with the result that the infant may miss recommended developmental screening and early referral to improve health outcomes. In 2006, an internal review was undertaken of the integration of early childhood and parenting services at opioid treatment clinics in a large Area Health Service of New South Wales, Australia. A qualitative study design, using semi-structured interview questions was used. Data were collected via six focus groups (4-15 participants in each group) and individual interview of child and family health nurses, nurse unit managers and clinical staff (n=58). Three key components of a model for providing early childhood support in collaboration with opioid treatment services were identified. First, the importance of building a trusting relationship between the woman and the child and family health nurses, second, maintaining continuity of care and a multidisciplinary/multiagency approach, and finally the importance of staff education, support and professional development. The provision of early childhood and parenting services on site, as part of a multidisciplinary 'one stop shop' approach to service delivery was a clear recommendation of the review. Reduction of access difficulties to specialised early childhood support is of benefit to clients, community health services attempting to provide a service to this difficult to reach population and to drug and alcohol services seeking to provide a high level of holistic care for clients. © 2012 Blackwell Publishing Ltd.

  16. In Situ Analytical Characterization of Contaminated Sites Using Nuclear Spectrometry Techniques. Review of Methodologies and Measurements

    International Nuclear Information System (INIS)

    2017-01-01

    Past and current human activities can result in the contamination of sites by radionuclides and heavy metals. The sources of contamination are various. The most important sources for radionuclide release include global fallout from nuclear testing, nuclear and radiological accidents, waste production from nuclear facilities, and activities involving naturally occurring radioactive material (NORM). Contamination of the environment by heavy metals mainly originates from industrial applications and mineralogical background concentration. Contamination of sites by radionuclides and heavy metals can present a risk to people and the environment. Therefore, the estimation of the contamination level and the identification of the source constitute important information for the national authorities with the responsibility to protect people and the environment from adverse health effects. In situ analytical techniques based on nuclear spectrometry are important tools for the characterization of contaminated sites. Much progress has been made in the design and implementation of portable systems for efficient and effective monitoring of radioactivity and heavy metals in the environment directly on-site. Accordingly, the IAEA organized a Technical Meeting to review the current status and trends of various applications of in situ nuclear spectrometry techniques for analytical characterization of contaminated sites and to support Member States in their national environmental monitoring programmes applying portable instrumentation. This publication represents a comprehensive review of the in situ gamma ray spectrometry and field portable X ray fluorescence analysis techniques for the characterization of contaminated sites. It includes papers on the use of these techniques, which provide useful background information for conducting similar studies, in the following Member States: Argentina, Australia, Brazil, Czech Republic, Egypt, France, Greece, Hungary, Italy, Lithuania

  17. Effects of Early Neglect Experience on Recognition and Processing of Facial Expressions: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Victoria Doretto

    2018-01-01

    Full Text Available Background: Child neglect is highly prevalent and associated with a series of biological and social consequences. Early neglect may alter the recognition of emotional faces, but its precise impact remains unclear. We aim to review and analyze data from recent literature about recognition and processing of facial expressions in individuals with history of childhood neglect. Methods: We conducted a systematic review using PubMed, PsycINFO, ScIELO and EMBASE databases in the search of studies for the past 10 years. Results: In total, 14 studies were selected and critically reviewed. A heterogeneity was detected across methods and sample frames. Results were mixed across studies. Different forms of alterations to perception of facial expressions were found across 12 studies. There was alteration to the recognition and processing of both positive and negative emotions, but for emotional face processing there was predominance in alteration toward negative emotions. Conclusions: This is the first review to examine specifically the effects of early neglect experience as a prevalent condition of child maltreatment. The results of this review are inconclusive due to methodological diversity, implement of distinct instruments and differences in the composition of the samples. Despite these limitations, some studies support our hypothesis that individuals with history of early negligence may present alteration to the ability to perceive face expressions of emotions. The article brings relevant information that can help in the development of more effective therapeutic strategies to reduce the impact of neglect on the cognitive and emotional development of the child.

  18. Non-pharmacological and pharmacological interventions in patients with early arthritis: a systematic literature review informing the 2016 update of EULAR recommendations for the management of early arthritis

    NARCIS (Netherlands)

    Daien, Claire Immediato; Hua, Charlotte; Combe, Bernard; Landewe, Robert

    2017-01-01

    To perform a systematic literature review (SLR) on pharmacological and non-pharmacological treatments, in order to inform the European League Against Rheumatism (EULAR) recommendations for the management of early arthritis (EA). The expert committee defined research questions concerning

  19. The ESR dating of fossil enamel samples from palaeo-anthropological and Palaeolithic sites of Early Pleistocene

    International Nuclear Information System (INIS)

    Chen Qi; Chen Tiemei; Li Jiuqiang

    1999-01-01

    The following problems regarding the ESR dating of fossil enamel samples from palaeo-anthropological and Palaeolithic sites of Early Pleistocene are discussed: 1) the applicability of exponential fitting in the additive method for reliable AD determination; 2) the thermo-stability of the g = 2.0018 line of hydroxyapatite and its influence on apparent ESR ages; 3) the right selection of U-uptake models; and 4) the effect of high U-content in enamel on the ESR ages. It is concluded that the ESR-EU ages of Early Pleistocene enamel samples can only be regarded as the lower limit of the true ages if no appropriate corrections for the factors discussed above are made

  20. Early management of acute pancreatitis: A review of the best evidence.

    Science.gov (United States)

    Stigliano, Serena; Sternby, Hanna; de Madaria, Enrique; Capurso, Gabriele; Petrov, Maxim S

    2017-06-01

    In the 20th century early management of acute pancreatitis often included surgical intervention, despite overwhelming mortality. The emergence of high-quality evidence (randomized controlled trials and meta-analyses) over the past two decades has notably shifted the treatment paradigm towards predominantly non-surgical management early in the course of acute pancreatitis. The present evidence-based review focuses on contemporary aspects of early management (which include analgesia, fluid resuscitation, antibiotics, nutrition, and endoscopic retrograde cholangiopancreatography) with a view to providing clear and succinct guidelines on early management of patients with acute pancreatitis in 2017 and beyond. Copyright © 2017 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  1. Invited review: Carryover effects of early lactation feeding on total lactation performance in dairy cows

    DEFF Research Database (Denmark)

    Jørgensen, Carina; Spörndly, R; Bertilsson, J

    2016-01-01

    In comparison with the intensive research on the direct effects of energy supply on dairy cow lactation performance, little attention has been paid to the effect of early lactation feeding on subsequent production. The present paper reviews 9 studies carried out with the aim of quantifying...... the immediate and subsequent responses in milk production and body weight to early lactation feeding. Most results showed that a more generous feeding in early lactation caused a positive carryover effect on subsequent production, whereas an inadequate level of feed in early lactation has been shown to reduce...... to be determined by several factors including duration of the treatment and post-treatment feeding level. The most important factor though appears to be the magnitude of over- or underfeeding (i.e., a strong relationship between the treatment period feeding level and the subsequent response in production)....

  2. The archaeology, chronology and stratigraphy of Madjedbebe (Malakunanja II): A site in northern Australia with early occupation.

    Science.gov (United States)

    Clarkson, Chris; Smith, Mike; Marwick, Ben; Fullagar, Richard; Wallis, Lynley A; Faulkner, Patrick; Manne, Tiina; Hayes, Elspeth; Roberts, Richard G; Jacobs, Zenobia; Carah, Xavier; Lowe, Kelsey M; Matthews, Jacqueline; Florin, S Anna

    2015-06-01

    Published ages of >50 ka for occupation at Madjedbebe (Malakunanja II) in Australia's north have kept the site prominent in discussions about the colonisation of Sahul. The site also contains one of the largest stone artefact assemblages in Sahul for this early period. However, the stone artefacts and other important archaeological components of the site have never been described in detail, leading to persistent doubts about its stratigraphic integrity. We report on our analysis of the stone artefacts and faunal and other materials recovered during the 1989 excavations, as well as the stratigraphy and depositional history recorded by the original excavators. We demonstrate that the technology and raw materials of the early assemblage are distinctive from those in the overlying layers. Silcrete and quartzite artefacts are common in the early assemblage, which also includes edge-ground axe fragments and ground haematite. The lower flaked stone assemblage is distinctive, comprising a mix of long convergent flakes, some radial flakes with faceted platforms, and many small thin silcrete flakes that we interpret as thinning flakes. Residue and use-wear analysis indicate occasional grinding of haematite and woodworking, as well as frequent abrading of platform edges on thinning flakes. We conclude that previous claims of extensive displacement of artefacts and post-depositional disturbance may have been overstated. The stone artefacts and stratigraphic details support previous claims for human occupation 50-60 ka and show that human occupation during this time differed from later periods. We discuss the implications of these new data for understanding the first human colonisation of Sahul. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Meeting the Challenge: The National Cancer Institute's Central Institutional Review Board for Multi-Site Research.

    Science.gov (United States)

    Massett, Holly A; Hampp, Sharon L; Goldberg, Jacquelyn L; Mooney, Margaret; Parreco, Linda K; Minasian, Lori; Montello, Mike; Mishkin, Grace E; Davis, Catasha; Abrams, Jeffrey S

    2018-03-10

    The National Institutes of Health (NIH) issued a new policy that requires a single institutional review board (IRB) of record be used for all protocols funded by the NIH that are carried out at more than one site in the United States, effective January 2018. This policy affects several hundred clinical trials opened annually across the NIH. Limited data exist to compare the use of a single IRB to that of multiple local IRBs, so some institutions are resistant to or distrustful of single IRBs. Since 2001, the National Cancer Institute (NCI) has funded a central IRB (CIRB) that provides human patient reviews for its extensive national cancer clinical trials program. This paper presents data to show the adoption, efficiencies gained, and satisfaction of the CIRB among NCI trial networks and reviews key lessons gleaned from 16 years of experience that may be informative for others charged with implementation of the new NIH single-IRB policy.

  4. Development of a site specific dynamical tropical cyclone and other extreme weather early warning system for Kalpakkam

    International Nuclear Information System (INIS)

    Ramakrishna, S.S.V.S.; Bhaskar Rao, D.V.; Venkata Srinivas, C.; Venkatesan, R.; Srivastav, Rupa

    2014-01-01

    The project was to study the tropical cyclones over Bay of Bengal for the south east coast region in the neighbourhood of Kalpakkam, with the main objectives of developing a methodology for providing early warning of developing storms for Kalpakkam site region based on numerical methods. The main objectives of the project are to develop a numerical modeling system for the forecasting of cyclonic storms that form in the Bay of Bengal and cross the east coast of Kalpakkam. the model performance with respect to the intensity (extreme winds), rainfall and the movement of the storm will be assessed for a number of past cyclonic storms in the region and simulations will focus on the identification of proper model configuration in terms of horizontal/vertical resolutions and physics parameterizations for deriving best predictions and to implement the same for operations forecasting for the Kalpakkam site in Tamil Nadu

  5. Early rehabilitation in the intensive care unit: an integrative literature review.

    Science.gov (United States)

    Sosnowski, Kellie; Lin, Frances; Mitchell, Marion L; White, Hayden

    2015-11-01

    The aim of this review is to appraise current research which examines the impact of early rehabilitation practices on functional outcomes and quality of life in adult intensive care unit (ICU) survivors. A systematic literature search was undertaken; retrieved data was evaluated against a recognised evaluation tool; research findings were analysed and categorised into themes; and a synthesis of conclusions from each theme was presented as an integrated summation of the topic. Electronic databases of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Ovid Medline and Google Scholar were searched using key search terms 'ICU acquired weakness', 'early rehabilitation' 'early mobility' and 'functional outcomes' combined with 'intensive care' and 'critical illness'. Additional literature was sourced from reference lists of relevant original publications. Five major themes related to the review objectives emerged from the analysis. These themes included: critically ill patients do not always receive physical therapy as a standard of care; ICU culture and resources determine early rehabilitation success; successful respiratory and physical rehabilitation interventions are tailored according to individual patient impairment; early exercise in the ICU prevents the neuromuscular complications of critical illness and improves functional status; early exercise in the ICU is effective, safe and feasible. A limited body of research supports early rehabilitation interventions to optimise the short term outcomes and long term quality of life for ICU survivors. Critical care nurses are in an excellent position to drive change within their departments ensuring that early rehabilitation practices are adopted and implemented. Copyright © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  6. Review of the SQUG type seismic program at Savannah River Site

    International Nuclear Information System (INIS)

    Bitner, J.L.; Lin, C.W.; Anderson, N.R.; Bezler, P.

    1991-01-01

    The production reactors at Savannah River were shut down in 1988 because of questions about their safety. One question is whether they can withstand earthquakes. To answer the earthquake question, the site operator (Westinghouse Savannah River Company) developed a program to evaluate the capability of the safety systems in the K, L, and P reactors to function during and after an earthquake, and to upgrade them if necessary. The seismic program for Savannah River relies heavily on the Generic Implementation Procedure (GIP) developed by the Seismic qualification Utility Group. The GIP was originally developed for application to over 65 commercial power reactors throughout the U.S. It has been thoroughly reviewed by the U.S. Nuclear Regulatory Commission. The objectives of the ISWRT (Independent Seismic Walkdown Review Team) review were to: evaluate the program and evaluate its execution. The first objective was accomplished using an in-office review of the program. The second objective was accomplished using an in-office review and in-plant walkdown of selected safety systems. The ISWRT review and walkdown are summarized in this paper

  7. Early economic evaluation of emerging health technologies: protocol of a systematic review

    Science.gov (United States)

    2014-01-01

    Background The concept of early health technology assessment, discussed well over a decade, has now been collaboratively implemented by industry, government, and academia to select and expedite the development of emerging technologies that may address the needs of patients and health systems. Early economic evaluation is essential to assess the value of emerging technologies, but empirical data to inform the current practice of early evaluation is limited. We propose a systematic review of early economic evaluation studies in order to better understand the current practice. Methods/design This protocol describes a systematic review of economic evaluation studies of regulated health technologies in which the evaluation is conducted prior to regulatory approval and when the technology effectiveness is not well established. Included studies must report an economic evaluation, defined as the comparative analysis of alternatives with respect to their associated costs and health consequences, and must evaluate some regulated health technology such as pharmaceuticals, biologics, high-risk medical devices, or biomarkers. We will conduct the literature search on multiple databases, including MEDLINE, EMBASE, the Centre for Reviews and Dissemination Databases, and EconLit. Additional citations will be identified via scanning reference lists and author searching. We suspect that many early economic evaluation studies are unpublished, especially those conducted for internal use only. Additionally, we use a chain-referral sampling approach to identify authors of unpublished studies who work in technology discovery and development, starting out with our contact lists and authors who published relevant studies. Citation screening and full-text review will be conducted by pairs of reviewers. Abstracted data will include those related to the decision context and decision problem of the early evaluation, evaluation methods (e.g., data sources, methods, and assumptions used to

  8. Stability of implants placed in fresh sockets versus healed alveolar sites: Early findings.

    Science.gov (United States)

    Gehrke, Sergio Alexandre; da Silva Neto, Ulisses Tavares; Rossetti, Paulo Henrique Orlato; Watinaga, Sidney Eiji; Giro, Gabriela; Shibli, Jamil Awad

    2016-05-01

    The present study measured implant stability quotient (ISQ) values at three different time points after surgical procedures to compare whether the stability values differed between implants placed in fresh extraction sockets versus healed alveolar sites. To measure implant stability, resonance frequency analysis (RFA) was performed in 77 patients (53 women, 24 men) with a total of 120 dental implants. These implants were divided into two groups: Group 1 included 60 implants in healed alveolar sites (22 in the maxilla, 38 in the mandible), and Group 2 included 60 implants in fresh sockets (41 in the maxilla, 19 in the mandible). Implant stability was measured immediately at implant placement (baseline), 90, and 150 days later. Statistical analysis was made using a multivariate regression linear model at implant level (α = 0.05). Overall, the means and standard deviations of the ISQ values were 62.7 ± 7.14 (95% confidence interval [CI], 39-88) at baseline, 70.0 ± 6.22 (95% CI, 46-88) at 90 days, and 73.4 ± 5.84 (95% CI, 58-88) at 150 days. In Group 1, the ISQs ranged between 64.3 ± 6.20 and 75.0 ± 5.69, while in Group 2, presented lower values that ranged between 61.2 ± 8.09 and 71.9 ± 5.99 (P = 0.002). Anatomic location and times periods were the only identified variables with an influence on ISQ values at implant level (P sockets and in healed sites exhibited similar evolutions in ISQ values and thus osseointegration; however, the implants in the healed alveolar sites exhibited superior values at all time points. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Early Site Permit Demonstration Program: Guidelines for determining design basis ground motions

    International Nuclear Information System (INIS)

    1993-01-01

    This report develops and applies a methodology for estimating strong earthquake ground motion. The motivation was to develop a much needed tool for use in developing the seismic requirements for structural designs. An earthquake's ground motion is a function of the earthquake's magnitude, and the physical properties of the earth through which the seismic waves travel from the earthquake fault to the site of interest. The emphasis of this study is on ground motion estimation in Eastern North America (east of the Rocky Mountains), with particular emphasis on the Eastern United States and southeastern Canada. Eastern North America is a stable continental region, having sparse earthquake activity with rare occurrences of large earthquakes. While large earthquakes are of interest for assessing seismic hazard, little data exists from the region to empirically quantify their effects. The focus of the report is on the attributes of ground motion in Eastern North America that are of interest for the design of facilities such as nuclear power plants. This document, Volume II, contains Appendices 2, 3, 5, 6, and 7 covering the following topics: Eastern North American Empirical Ground Motion Data; Examination of Variance of Seismographic Network Data; Soil Amplification and Vertical-to-Horizontal Ratios from Analysis of Strong Motion Data From Active Tectonic Regions; Revision and Calibration of Ou and Herrmann Method; Generalized Ray Procedure for Modeling Ground Motion Attenuation; Crustal Models for Velocity Regionalization; Depth Distribution Models; Development of Generic Site Effects Model; Validation and Comparison of One-Dimensional Site Response Methodologies; Plots of Amplification Factors; Assessment of Coupling Between Vertical ampersand Horizontal Motions in Nonlinear Site Response Analysis; and Modeling of Dynamic Soil Properties

  10. Early exposures to ecogenomics: Effects of priming and web site interactivity among adolescents

    OpenAIRE

    Bos, M.J.W.; Koolstra, C.M.; Willems, J.T.J.M.

    2010-01-01

    In the context of public introductions to emerging technologies, this study examined effects of priming and Web site interactivity on adolescents' attitude development and information processing. In a four (priming) by three (interactivity levels) experiment, participants (N = 273) were required to search for and process Web-based information about ecogenomics. Results showed that priming ecogenomics as biotechnology, ecology, economy, or science in general did not affect attitude development...

  11. Early Site Permit Demonstration Program: Guidelines for determining design basis ground motions. Volume 2, Appendices

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-18

    This report develops and applies a methodology for estimating strong earthquake ground motion. The motivation was to develop a much needed tool for use in developing the seismic requirements for structural designs. An earthquake`s ground motion is a function of the earthquake`s magnitude, and the physical properties of the earth through which the seismic waves travel from the earthquake fault to the site of interest. The emphasis of this study is on ground motion estimation in Eastern North America (east of the Rocky Mountains), with particular emphasis on the Eastern United States and southeastern Canada. Eastern North America is a stable continental region, having sparse earthquake activity with rare occurrences of large earthquakes. While large earthquakes are of interest for assessing seismic hazard, little data exists from the region to empirically quantify their effects. The focus of the report is on the attributes of ground motion in Eastern North America that are of interest for the design of facilities such as nuclear power plants. This document, Volume II, contains Appendices 2, 3, 5, 6, and 7 covering the following topics: Eastern North American Empirical Ground Motion Data; Examination of Variance of Seismographic Network Data; Soil Amplification and Vertical-to-Horizontal Ratios from Analysis of Strong Motion Data From Active Tectonic Regions; Revision and Calibration of Ou and Herrmann Method; Generalized Ray Procedure for Modeling Ground Motion Attenuation; Crustal Models for Velocity Regionalization; Depth Distribution Models; Development of Generic Site Effects Model; Validation and Comparison of One-Dimensional Site Response Methodologies; Plots of Amplification Factors; Assessment of Coupling Between Vertical & Horizontal Motions in Nonlinear Site Response Analysis; and Modeling of Dynamic Soil Properties.

  12. A review of the Hanford Site soil corrosion applicable to solid waste containers

    International Nuclear Information System (INIS)

    Divine, J.R.

    1991-05-01

    The first phase of the assessment of the soil corrosion in the solid waste burial grounds of the 200 Areas at the Hanford Site is completed with this review of both existing information developed at the site and relevant offsite information. Detailed soil corrosion data are needed for several reasons: (1) the possibility of predicting the damage to the containers of the retrievable stored transuranic waste that are under soil cover, (2) the feasibility of forecasting the state of waste containers being retrieved in remedial investigation/feasibility studies, (3) the capability of predicting subsidence of the soil over the waste containers, and (4) the capability of forecasting when stored lead shielding or hazardous chemicals might be exposed to the environment. Because corrosion in soils is dependent on the soil type, site-specific data are required even though offsite data can provide guidance on the type and the approximate extent of corrosion to expect. These data permit rough estimations of the corrosion rates of a variety of materials -- including carbon steels, cast irons, stainless steels, and lead -- in the Hanford Site soils. This report attempts to compile these data to facilitate current estimates of waste container longevity. However, because of the lack of well-documented, site-specific data, it is difficult to provide a definite life expectancy for waste containers and other structures. Consequently, additional data are essential for reliable container life estimates. 36 refs., 10 figs., 7 tabs

  13. Excavations of an Early Neolithic Site at Tăşnad, Romania

    Directory of Open Access Journals (Sweden)

    Ciprian Astaloș

    2013-10-01

    Full Text Available The town of Tăşnad, in north-west Romania, is situated at the western end of the Tăşnad Hills which rise to a height of up to 230m above sea-level; the site ‘Sere’ is situated south-west of the town near a thermal spa on the banks of the Cehal river, a tributary of the Ier. The Cehal valley opens towards the Ier and Someş plains which form the north-easternmost part of the Great Hungarian Plain, a marshy area until the large-scale drainage-works of the 19th and 20th centuries. Even today, the Cehal valley is quite swampy, especially at the confluence with the Ier. The Austrian military maps demonstrate large-scale forest-clearance during the last three centuries; at the end of the 18th century, the site itself was still forested. Several prehistoric sites from different periods are located on the first and second terraces of the Cehal, at altitudes of around 140m.

  14. A systematic review of laparoscopic port site hernias in gastrointestinal surgery.

    LENUS (Irish Health Repository)

    Owens, M

    2012-02-01

    INTRODUCTION: Port site hernia is an important yet under-recognised complication of laparoscopic surgery, which carries a high risk of strangulation due to the small size of the defect involved. The purpose of this study was to examine the incidence, classification, and pathogenesis of this complication, and to evaluate strategies to prevent and treat it. METHODS: Medline was searched using the words "port site hernia", "laparoscopic port hernia" "laparoscopic complications" and "trocar site hernias". The search was limited to articles on cholecystectomy, colorectal, bariatric or anti-reflux surgery published in English. A total of 42 articles were analysed and of these 35 were deemed eligible for review. Inclusion criteria were laparoscopic gastrointestinal surgery in English only with reported incidence of port site herniation. Studies were excluded if insufficient data was provided. Eligible studies were also cross-referenced. RESULTS: Analysis of 11,699 patients undergoing laparoscopic gastrointestinal procedures demonstrated an incidence of port site hernias of 0.74% with a mean follow-up of 23.9 months. The lowest incidence of port site herniation was for bariatric surgery with 0.57% in 2644 patients with a mean follow-up of 67.4 months while the highest incidence was for laparoscopic colorectal surgery with an incidence of 1.47% in 477 patients with a mean follow-up of 71.5 months. CONCLUSION: All fascial defects larger than or equal to 10mm should be closed with peritoneum, while smaller defects may require closure in certain circumstances to prevent herniation. Laparoscopic port site herniation is a completely preventable cause of morbidity that requires a second surgical procedure to repair.

  15. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention.

    Science.gov (United States)

    Deutsch, Ellen S; Yonash, Robert A; Martin, Donald E; Atkins, Joshua H; Arnold, Theresa V; Hunt, Christina M

    2018-05-01

    Wrong-site nerve blocks (WSBs) are a significant, though rare, source of perioperative morbidity. WSBs constitute the most common type of perioperative wrong-site procedure reported to the Pennsylvania Patient Safety Authority. This systematic literature review aggregates information about the incidence, patient consequences, and conditions that contribute to WSBs, as well as evidence-based methods to prevent them. A systematic search of English-language publications was performed, using the PRISMA process. Seventy English-language publications were identified. Analysis of four publications reporting on at least 10,000 blocks provides a rate of 0.52 to 5.07 WSB per 10,000 blocks, unilateral blocks, or "at risk" procedures. The most commonly mentioned potential consequence was local anesthetic toxicity. The most commonly mentioned contributory factors were time pressure, personnel factors, and lack of site-mark visibility (including no site mark placed). Components of the block process that were addressed include preoperative nerve-block verification, nerve-block site marking, time-outs, and the healthcare facility's structure and culture of safety. A lack of uniform reporting criteria and divergence in the data and theories presented may reflect the variety of circumstances affecting when and how nerve blocks are performed, as well as the infrequency of a WSB. However, multiple authors suggest three procedural steps that may help to prevent WSBs: (1) verify the nerve-block procedure using multiple sources of information, including the patient; (2) identify the nerve-block site with a visible mark; and (3) perform time-outs immediately prior to injection or instillation of the anesthetic. Hospitals, ambulatory surgical centers, and anesthesiology practices should consider creating site-verification processes with clinician input and support to develop sustainable WSB-prevention practices. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Review of the ANSTO submission on the site geological investigations for the RRR at Lucas Heights

    International Nuclear Information System (INIS)

    2002-01-01

    Preliminary Safety Analysis Report (PSAR) and ANSTO's Consolidated Seismic Report were reviewed by ARPANSA's Regulatory Branch, and by an IAEA consultant to ARPANSA. It included a recommendation by the IAEA Peer Review Team (June 2001) that an additional study be undertaken for the Lucas Heights site in accordance with IAEA Safety Guide 50-SG-S1. In particular this related to regional and local investigations to determine whether there exists a potential for surface faulting at the site area, to formulate the investigations that should be used to determine whether or not any faults in the area should be considered capable. The CEO of ARPANSA requested ANSTO to undertake such a task. The reviews that have been undertaken by experts from Geoscience Australia and the IAEA expert contracted by ARPANSA give confidence that the seismic design of the reactor structures, systems, and components important for safety should not be affected by the fault through the excavations for the foundations of the reactor building. The basis is the conclusions reached by these experts that the fault discovered is very old and not capable under either the USNRC Criteria or the IAEA Criteria. It is not now active, has not been active in the geologically recent past and is unlikely to re-activate within the foreseeable lifespan of the proposed facility. Consequently, this pre-existing fault presents no greater risk than the surrounding unfaulted material. Thus, the replacement reactor need not be designed for such displacement. The existence of this 'incapable' fault does not impact on the probabilistic seismic hazard assessment from which the seismic design basis for the reactor was derived. Therefore, the existing design response spectrum accepted in the Regulatory Assessment Report as the basis for seismic design of structures, systems and components, and approved in the Construction Licence, has not changed and remains adequately conservative with regard to vibratory motion at the site

  17. Soil Stabilization Methods with Potential for Application at the Nevada National Security Site: A Literature Review

    Energy Technology Data Exchange (ETDEWEB)

    Shillito, Rose [DRI; Fenstermaker, Lynn [DRI

    2014-01-01

    Nuclear testing at the Nevada National Security Site (NNSS) has resulted in large areas of surficial radionuclide-contaminated soils. Much of the radionuclide contamination is found at or near the soil surface, and due to the dry climate setting, and the long half-life of radioactive isotopes, soil erosion poses a long-term health risk at the NNSS. The objective of this literature review is to present a survey of current stabilization methods used for minimizing soil erosion, both by water and wind. The review focuses on in situ uses of fundamental chemical and physical mechanisms for soil stabilization. A basic overview of the physical and chemical properties of soil is also presented to provide a basis for assessing stabilization methods. Some criteria for stabilization evaluation are identified based on previous studies at the NNSS. Although no specific recommendations are presented as no stabilization method, alone or in combination, will be appropriate in all circumstances, discussions of past and current stabilization procedures and specific soil tests that may aid in current or future soil stabilization activities at the NNSS are presented. However, not all Soils Corrective Action Sites (CASs) or Corrective Action Units (CAUs) will require stabilization of surficial radionuclide-contaminated soils. Each Soils CAS or CAU should be evaluated for site-specific conditions to determine if soil stabilization is necessary or practical for a given specific site closure alternative. If stabilization is necessary, then a determination will be made as to which stabilization technique is the most appropriate for that specific site.

  18. Promoting Early Child Development With Interventions in Health and Nutrition: A Systematic Review.

    Science.gov (United States)

    Vaivada, Tyler; Gaffey, Michelle F; Bhutta, Zulfiqar A

    2017-08-01

    Although effective health and nutrition interventions for reducing child mortality and morbidity exist, direct evidence of effects on cognitive, motor, and psychosocial development is lacking. To review existing evidence for health and nutrition interventions affecting direct measures of (and pathways to) early child development. Reviews and recent overviews of interventions across the continuum of care and component studies. We selected systematic reviews detailing the effectiveness of health or nutrition interventions that have plausible links to child development and/or contain direct measures of cognitive, motor, and psychosocial development. A team of reviewers independently extracted data and assessed their quality. Sixty systematic reviews contained the outcomes of interest. Various interventions reduced morbidity and improved child growth, but few had direct measures of child development. Of particular benefit were food and micronutrient supplementation for mothers to reduce the risk of small for gestational age and iodine deficiency, strategies to reduce iron deficiency anemia in infancy, and early neonatal care (appropriate resuscitation, delayed cord clamping, and Kangaroo Mother Care). Neuroprotective interventions for imminent preterm birth showed the largest effect sizes (antenatal corticosteroids for developmental delay: risk ratio 0.49, 95% confidence interval 0.24 to 1.00; magnesium sulfate for gross motor dysfunction: risk ratio 0.61, 95% confidence interval 0.44 to 0.85). Given the focus on high-quality studies captured in leading systematic reviews, only effects reported within studies included in systematic reviews were captured. These findings should guide the prioritization and scale-up of interventions within critical periods of early infancy and childhood, and encourage research into their implementation at scale. Copyright © 2017 by the American Academy of Pediatrics.

  19. Prevention and early intervention to improve mental health in higher education students: a review.

    Science.gov (United States)

    Reavley, Nicola; Jorm, Anthony F

    2010-05-01

    The age at which most young people are in higher education is also the age of peak onset for mental and substance use disorders, with these having their first onset before age 24 in 75% of cases. In most developed countries, over 50% of young people are in higher education. To review the evidence for prevention and early intervention in mental health problems in higher education students. The review was limited to interventions targeted to anxiety, depression and alcohol misuse. Interventions to review were identified by searching PubMed, PsycINFO and the Cochrane Database of Systematic Reviews. Interventions were included if they were designed to specifically prevent or intervene early in the general (non-health professional) higher education student population, in one or more of the following areas: anxiety, depression or alcohol misuse symptoms, mental health literacy, stigma and one or more behavioural outcomes. For interventions to prevent or intervene early for alcohol misuse, evidence of effectiveness is strongest for brief motivational interventions and for personalized normative interventions delivered using computers or in individual face-to-face sessions. Few interventions to prevent or intervene early with depression or anxiety were identified. These were mostly face-to-face, cognitive-behavioural/skill-based interventions. One social marketing intervention to raise awareness of depression and treatments showed some evidence of effectiveness. There is very limited evidence that interventions are effective in preventing or intervening early with depression and anxiety disorders in higher education students. Further studies, possibly involving interventions that have shown promise in other populations, are needed.

  20. Andegameryx andegaviensis Ginsburg, 1971 (Artiodactyla, Ruminantia, from the early Miocene site of Estrepouy (MN3, France

    Directory of Open Access Journals (Sweden)

    Morales, J.

    2011-12-01

    Full Text Available Several dental remains from the Early Miocene of Estrepouy (MN3, France previously reported as Amphitragulus aurelianensis by Roman & Viret (1934 are described in this work and assigned to Andegameryx andegaviensis Ginsburg, 1971. The re-study of this material and the comparison with other remains of A. andegaviensis from several european localities of the early Miocene, including the type locality of the species, have permitted us to confirm the presence of A. andegaviensis in the ruminant fauna from Estrepouy.En esta nota describimos algunos de los restos del yacimiento del Mioceno inferior de Estrepouy (MN3, Francia atribuidos por Roman & Viret (1934 a Amphitragulus aruelianensis, cambiando su asignación a Andegameryx andegaviensis Ginsburg, 1971. El reestudio del material y su comparación con los restos de A. andegaviensis de otras localidades europeas del Mioceno inferior, incluyendo la localidad tipo de la especie, permiten confirmar su presencia entre la fauna de rumiantes fósiles de Estrepouy.

  1. Integrated stratigraphy and 40Ar/39Ar chronology of early Middle Miocene sediments from DSDP Leg 42A, Site 372 (Western Mediterranean)

    NARCIS (Netherlands)

    Abdul Aziz, H.; di Stefano, A.; Foresi, L. M.; Hilgen, Frederik J.; Iaccarino, S. M.; Kuiper, K. F.; Lirer, F.; Salvatorini, G.; Turco, E.

    2008-01-01

    An integrated magneto-biostratigraphic framework is presented for Middle Miocene sediments of DSDP Site 372 located in the Western Mediterranean. Detailed biostratigraphic analysis shows a nearly complete sequence of early Middle Miocene calcareous plankton bioevents in the Mediterranean, including

  2. The impact of arthritis on the early employment experiences of young adults: A literature review.

    Science.gov (United States)

    Jetha, Arif

    2015-07-01

    Young adulthood is an important transitional life phase that can determine a person's career trajectory. To date, little research has examined the influence of arthritis on early work experiences. This literature review aims at examining the impact of arthritis on the early career phase of young adults and identifying the barriers to employment. Two independent reviewers searched bibliographic databases for arthritis conditions and a series of employment-related keywords and subject headings. Information on authors, publication year; study design, sample characteristics (e.g., number of participants, age, gender, arthritis type); work outcomes measured; and specific barriers to employment was recorded. Nine studies were uncovered in the review. All studies examined young people with juvenile arthritis (9 of 9 studies) and consisted of sample sizes with less then 150 participants (6 of 9 studies) who were primarily recruited from clinics (7 of 9 studies). All were cross-sectional designs. Employment status was primarily examined and ranged from 11% to 71%. Although not always statistically significant, young adults with arthritis were less likely to be employed when compared to their healthy peers. Greater disease severity, less educational attainment and being female were related to not participating in paid work. This review brings to light the paucity of studies examining the early employment experiences of young adults with arthritis. There is a need to expand research to contribute to recommendations for sustained and productive employment across the working life course. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Multidisciplinary approaches to managing osteoarthritis in multiple joint sites: a systematic review.

    Science.gov (United States)

    Finney, Andrew; Healey, Emma; Jordan, Joanne L; Ryan, Sarah; Dziedzic, Krysia S

    2016-07-08

    The National Institute for Health and Care Excellence's Osteoarthritis (OA) guidelines recommended that future research should consider the benefits of combination therapies in people with OA across multiple joint sites. However, the clinical effectiveness of such approaches to OA management is unknown. This systematic review therefore aimed to identify the clinical and cost effectiveness of multidisciplinary approaches targeting multiple joint sites for OA in primary care. A systematic review of randomised controlled trials. Computerised bibliographic databases were searched (MEDLINE, EMBASE, CINAHL, PsychINFO, BNI, HBE, HMIC, AMED, Web of Science and Cochrane). Studies were included if they met the following criteria; a randomised controlled trial (RCT), a primary care population with OA across at least two different peripheral joint sites (multiple joint sites), and interventions undertaken by at least two different health disciplines (multidisciplinary). The Cochrane 'Risk of Bias' tool and PEDro were used for quality assessment of eligible studies. Clinical and cost effectiveness was determined by extracting and examining self-reported outcomes for pain, function, quality of life (QoL) and health care utilisation. The date range for the search was from database inception until August 2015. The search identified 1148 individual titles of which four were included in the review. A narrative review was conducted due to the heterogeneity of the included trials. Each of the four trials used either educational or exercise interventions facilitated by a range of different health disciplines. Moderate clinical benefits on pain, function and QoL were reported across the studies. The beneficial effects of exercise generally decreased over time within all studies. Two studies were able to show a reduction in healthcare utilisation due to a reduction in visits to a physiotherapist or a reduction in x-rays and orthopaedic referrals. The intervention that showed the most

  4. Early versus delayed rehabilitation following arthroscopic rotator cuff repair: A systematic review.

    Science.gov (United States)

    Gallagher, Brian P; Bishop, Meghan E; Tjoumakaris, Fotios P; Freedman, Kevin B

    2015-05-01

    Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. Our purpose was to perform a systematic review to determine if there are differences between early and delayed rehabilitation after arthroscopic rotator cuff repair in terms of clinical outcomes and healing. We performed a literature search with the terms 'arthroscopic rotator cuff', 'immobilization', 'early', 'delayed', 'late', and 'rehabilitation' using PubMed, Cochrane Central Register of Controlled Trials, and EMBASE. Selection criteria included: level I/II evidence ≤ 6 months in duration, comparing early versus delayed rehabilitation following arthroscopic repair. Data regarding demographics, sample sizes, duration, cuff pathology, surgery, rehabilitation, functional outcomes, pain, ROM and anatomic assessment of healing were analyzed. PRIMSA criteria were followed. We identified six articles matching our criteria. Three reported significantly increased functional scores within the first 3-6 months with early rehabilitation compared to the delayed group, only one of which continued to observe a difference at a final follow-up of 15 months. Four articles showed improved ROM in the first 3-6 months post-operatively with early rehabilitation. One noted transient differences in pain scores. Only one study noted significant differences in ROM at final follow-up. No study reported any significant difference in rates of rotator cuff re-tear. However, two studies noted a trend towards increased re-tear with early rehabilitation that did not reach significance. This was more pronounced in studies including medium-large tears. Early rehabilitation after arthroscopic cuff repair is associated with some initial improvements in ROM and function. Ultimately, similar clinical and anatomical outcomes between groups existed at 1 year. While there was no

  5. Low prevalence of work disability in early inflammatory arthritis (EIA) and early rheumatoid arthritis at enrollment into a multi-site registry: results from the catch cohort.

    Science.gov (United States)

    Mussen, Lauren; Boyd, Tristan; Bykerk, Vivian; de Leon, Faye; Li, Lihua; Boire, Gilles; Hitchon, Carol; Haraoui, Boulos; Thorne, J Carter; Pope, Janet

    2013-02-01

    We determined the prevalence of work disability in early rheumatoid arthritis (ERA) and undifferentiated early inflammatory arthritis (EIA) patients at first enrollment into the Canadian Early Arthritis Cohort (CATCH) who met the 2010 ACR criteria versus those not meeting criteria, to determine the impact of meeting new criteria on work disability status. Data at first visit into the cohort were analyzed. Descriptive statistics and logistic regression analyses were performed to investigate the association of other variables in our database with work disability. 1,487 patients were enrolled in the CATCH study, a multi-site observational, prospective cohort of patients with EIA. 934 patients were excluded (505 based on missing criteria for ACR 2010 classification, as anti-CCP was absent, and 429 were not working for other reasons). Of the 553 patients included, 71 % were female with mean disease duration of 6.4 months. 524 (94.8 %) were employed while 29 (5.2 %) reported work disability at first visit. There were no differences between those meeting 2010 ACR criteria versus those who did not. Baseline characteristics associated with work disability were male gender, age, education, income, HAQ, and positive RF status. The mean HAQ score in work disabled patients was 1.4 versus 0.9 in those who were working (p 50 years; p = 0.3), lower education (p = 0.3) or RF positivity (p = 0.6). We found rates of work disability to be low at entry into this EIA cohort compared to previous studies. There may be potential for intervention in ERA to prevent the development of work disability.

  6. Review of earthquake hazard assessments of plant sites at Paducah, Kentucky and Portsmouth, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    Members of the US Geological Survey staff in Golden, Colorado, have reviewed the submissions of Lawrence Livermore National Laboratory (LLNL) staff and of Risk Engineering, Inc. (REI) (Golden, Colorado) for seismic hazard estimates for Department of Energy facilities at Portsmouth, Ohio, and Paducah, Kentucky. We reviewed the historical seismicity and seismotectonics near the two sites, and general features of the LLNL and EPRI/SOG methodologies used by LLNL and Risk Engineering respectively, and also the separate Risk Engineering methodology used at Paducah. We discussed generic issues that affect the modeling of both sites, and performed alternative calculations to determine sensitivities of seismic hazard results to various assumptions and models in an attempt to assign reasonable bounding values of the hazard. In our studies we find that peak acceleration values of 0.08 g for Portsmouth and 0.32 g for Paducah represent central values of the, ground motions obtained at 1000-year return periods. Peak accelerations obtained in the LLNL and Risk Engineering studies have medians near these values (results obtained using the EPRI/SOG methodology appear low at both sites), and we believe that these medians are appropriate values for use in the evaluation of systems, structures, and components for seismic structural integrity and for the seismic design of new and improved systems, structures, and components at Portsmouth and Paducah.

  7. Review of earthquake hazard assessments of plant sites at Paducah, Kentucky, and Portsmouth, Ohio

    International Nuclear Information System (INIS)

    1992-03-01

    Members of the US Geological Survey staff in Golden, Colorado, have reviewed the submissions of Lawrence Livermore National Laboratory (LLNL) staff and of Risk Engineering, Inc. (REI) (Golden, Colorado) for seismic hazard estimates for Department of Energy facilities at Portsmouth, Ohio, and Paducah, Kentucky. We reviewed the historical seismicity and seismotectonics near the two sites, and general features of the LLNL and EPRI/SOG methodologies used by LLNL and Risk Engineering respectively, and also the separate Risk Engineering methodology used at Paducah. We discussed generic issues that affect the modeling of both sites, and performed alternative calculations to determine sensitivities of seismic hazard results to various assumptions and models in an attempt to assign reasonable bounding values of the hazard. In our studies we find that peak acceleration values of 0.08 g for Portsmouth and 0.32 g for Paducah represent central values of the ground motions obtained at 1000-year return periods. Peak accelerations obtained in the LLNL and Risk Engineering studies have medians near these values (results obtained using the EPRI/SOG methodology appear low at both sites), and we believe that these medians are appropriate values for use in the evaluation of systems, structures, and components for seismic structural integrity and for the seismic design of new and improved systems, structures, and components at Portsmouth and Paducah

  8. Review of earthquake hazard assessments of plant sites at Paducah, Kentucky and Portsmouth, Ohio

    International Nuclear Information System (INIS)

    1997-01-01

    Members of the US Geological Survey staff in Golden, Colorado, have reviewed the submissions of Lawrence Livermore National Laboratory (LLNL) staff and of Risk Engineering, Inc. (REI) (Golden, Colorado) for seismic hazard estimates for Department of Energy facilities at Portsmouth, Ohio, and Paducah, Kentucky. We reviewed the historical seismicity and seismotectonics near the two sites, and general features of the LLNL and EPRI/SOG methodologies used by LLNL and Risk Engineering respectively, and also the separate Risk Engineering methodology used at Paducah. We discussed generic issues that affect the modeling of both sites, and performed alternative calculations to determine sensitivities of seismic hazard results to various assumptions and models in an attempt to assign reasonable bounding values of the hazard. In our studies we find that peak acceleration values of 0.08 g for Portsmouth and 0.32 g for Paducah represent central values of the, ground motions obtained at 1000-year return periods. Peak accelerations obtained in the LLNL and Risk Engineering studies have medians near these values (results obtained using the EPRI/SOG methodology appear low at both sites), and we believe that these medians are appropriate values for use in the evaluation of systems, structures, and components for seismic structural integrity and for the seismic design of new and improved systems, structures, and components at Portsmouth and Paducah

  9. Early parenteral nutrition and growth outcomes in preterm infants: a systematic review and meta-analysis.

    Science.gov (United States)

    Moyses, Helen E; Johnson, Mark J; Leaf, Alison A; Cornelius, Victoria R

    2013-04-01

    The achievement of adequate nutritional intakes in preterm infants is challenging and may explain the poor growth often seen in this group. The use of early parenteral nutrition (PN) is one potential strategy to address this problem, although the benefits and harms are unknown. We determined whether earlier administration of PN benefits growth outcomes in preterm infants. We conducted a systematic review of randomized controlled trials (RCTs) and observational studies. Eight RCTs and 13 observational studies met the inclusion criteria (n = 553 and 1796 infants). The meta-analysis was limited by disparate growth-outcome measures. An assessment of bias was difficult because of inadequate reporting. Results are given as mean differences (95% CIs). Early PN reduced the time to regain birth weight by 2.2 d (1.1, 3.2 d) for RCTs and 3.2 d (2.0, 4.4 d) in observational studies. The maximum percentage weight loss with early PN was lower by 3.1 percentage points (1.7, 4.5 percentage points) for RCTs and by 3.5 percentage points (2.6, 4.3 percentage points) for observational studies. Early PN improved weight at discharge or 36 wk postmenstrual age by 14.9 g (5.3, 24.5 g) (observational studies only), but no benefit was shown for length or head circumference. There was no evidence that early PN significantly affects risk of mortality, necrotizing enterocolitis, sepsis, chronic lung disease, intraventricular hemorrhage, or cholestasis. The results of this review, although subject to some limitations, show that early PN provides a benefit for some short-term growth outcomes. No evidence that early PN increases morbidity or mortality was found. Neonatal research would benefit from the development of a set of core growth outcome measures.

  10. Early Interventions Following the Death of a Parent: Protocol of a Mixed Methods Systematic Review.

    Science.gov (United States)

    Pereira, Mariana; Johnsen, Iren; Hauken, May Aa; Kristensen, Pål; Dyregrov, Atle

    2017-06-29

    Previous meta-analyses examined the effectiveness of interventions for bereaved children showing small to moderate effect sizes. However, no mixed methods systematic review was conducted on bereavement interventions following the loss of a parent focusing on the time since death in regard to the prevention of grief complications. The overall purpose of the review is to provide a rigorous synthesis of early intervention after parental death in childhood. Specifically, the aims are twofold: (1) to determine the rationales, contents, timeframes, and outcomes of early bereavement care interventions for children and/or their parents and (2) to assess the quality of current early intervention studies. Quantitative, qualitative, and mixed methods intervention studies that start intervention with parentally bereaved children (and/or their parents) up to 6 months postloss will be included in the review. The search strategy was based on the Population, Interventions, Comparator, Outcomes, and Study Designs (PICOS) approach, and it was devised together with a university librarian. The literature searches will be carried out in the Medical Literature Analysis and Retrieval System Online (MEDLINE), PsycINFO, Excerpta Medica Database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The Mixed Methods Appraisal Tool will be used to appraise the quality of eligible studies. All data will be narratively synthetized following the Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. The systematic review is ongoing and the data search has started. The review is expected to be completed by the end of 2017. Findings will be submitted to leading journals for publication. In accordance with the current diagnostic criteria for prolonged grief as well as the users' perspectives literature, this systematic review outlines a possible sensitive period for early intervention following the death of a parent. The hereby presented protocol ensures

  11. Early Site Permit Demonstration Program: Guidelines for determining design basis ground motions

    International Nuclear Information System (INIS)

    1993-01-01

    This report develops and applies a methodology for estimating strong earthquake ground motion. The motivation was to develop a much needed tool for use in developing the seismic requirements for structural designs. An earthquake's ground motion is a function of the earthquake's magnitude, and the physical properties of the earth through which the seismic waves travel from the earthquake fault to the site of interest. The emphasis of this study is on ground motion estimation in Eastern North America (east of the Rocky Mountains), with particular emphasis on the Eastern United States and southeastern Canada. Eastern North America is a stable continental region, having sparse earthquake activity with rare occurrences of large earthquakes. While large earthquakes are of interest for assessing seismic hazard, little data exists from the region to empirically quantify their effects. Therefore, empirically based approaches that are used for other regions, such as Western North America, are not appropriate for Eastern North America. Moreover, recent advances in science and technology have now made it possible to combine theoretical and empirical methods to develop new procedures and models for estimating ground motion. The focus of the report is on the attributes of ground motion in Eastern North America that are of interest for the design of facilities such as nuclear power plants. Specifically considered are magnitudes M from 5 to 8, distances from 0 to 500 km, and frequencies from 1 to 35 Hz. This document, Volume IV, provides Appendix 8.B, Laboratory Investigations of Dynamic Properties of Reference Sites

  12. Evaluation of early Archean volcaniclastic and volcanic flow rocks as possible sites for carbonaceous fossil microbes.

    Science.gov (United States)

    Walsh, Maud M

    2004-01-01

    Sedimentary rocks have traditionally been the focus of the search for Archean microfossils; the Earth's oldest fossil bacteria are associated with carbonaceous matter in sedimentary cherts in greenstone belts in the eastern Pilbara block of Western Australia and Barberton greenstone belt of South Africa. Reports of possible fossils in a martian meteorite composed of igneous rock and the discovery of modern bacteria associated with basalts have stimulated a new look at Archean volcanic rocks as possible sites for fossil microbes. This study examines silicified volcaniclastic rocks, near-surface altered volcanic flow rocks, and associated stromatolite- like structures from the Archean Barberton greenstone belt to evaluate their potential for the preservation of carbonaceous fossils. Detrital carbonaceous particles are widely admixed with current-deposited debris. Carbonaceous matter is also present in altered volcanic flow rocks as sparse particles in silica veins that appear to be fed by overlying carbonaceous chert layers. Neither microfossils nor mat-like material was identified in the altered volcanic rocks or adjacent stromatolite-like structures. Ancient volcanic flow and volcaniclastic rocks are not promising sites for carbonaceous fossil preservation.

  13. Independent technical review of Savannah River Site Defense Waste Processing Facility technical issues

    International Nuclear Information System (INIS)

    1992-07-01

    The Savannah River Site (SRS) Defense Waste Processing Facility (DWPF) will vitrify high-level radioactive waste that is presently stored as liquid, salt-cake, and sludge in 51 waste-storage tanks. Construction of the DWPF began in 1984, and the Westinghouse Savannah Company (WSRC) considers the plant to be 100% turned over from construction and 91% complete. Cold-chemical runs are scheduled to begin in November 1992, and hot start up is projected for June 1994. It is estimated that the plant lifetime must exceed 15 years to complete the vitrification of the current, high-level tank waste. In a memo to the Assistant Secretary for Defense Programs (DP-1), the Assistant Secretary for Environmental Restoration and Waste management (EM-1) established the need for an Independent Technical Review (ITR), or the Red Team, to ''review process technology issues preventing start up of the DWPF.'' This report documents the findings of an Independent Technical Review (ITR) conducted by the Department of Energy (DOE), Office of Environmental Restoration and Waste Management (EM), at the request of the Assistant Secretary for Environmental Restoration and Waste Management, of specified aspects of Defense Waste Process Facility (DWPF) process technology. Information for the assessment was drawn from documents provided to the ITR Team by the Westinghouse Savannah River Company (WSRC), and presentations, discussions, interviews, and tours held at the Savannah River Site (SRS) during the weeks of February and March 9, 1992

  14. Important considerations related to the construction of observation wells in radiation facilities sites: A review research

    International Nuclear Information System (INIS)

    El-Sayed, S. A.; Salem, W. M.; Atta, E. R.

    2012-01-01

    Observation wells in radiation facility sites are considered the main sources of the required subsurface geologic and hydrogeologic data. They are the most important means to detect the radioactive and/or chemical contaminants within the ground water. Also, they are used to observe the groundwater level fluctuations and perform the different aquifer tests to understand the hydraulic properties of aquifers and the behavior of contaminants transportation. This research reviews the necessary considerations and available techniques for constructing the observation wells properly. The review process depends on the international guidelines presented in the literature and the field experience. The proper well completion is essential for the well efficiency and longevity. Three main important topics are considered and discussed briefly in this review. They are the preliminary considerations, the drilling program and the well protection procedures. The preliminary considerations included are the collection of the available geologic and hydrogeologic data and information, selection of drilling method and the legal requirements. The drilling program comprises the site preparation, drilling processes, sampling, well logging, well design, casing components and materials, gravel pack and well development. The well protection procedures include well grout, concrete slab and others requirements. Observation wells should be constructed to a high standard and should be properly maintained and protected to ensure ongoing and reliable data collection

  15. UAV SURVEYING FOR A COMPLETE MAPPING AND DOCUMENTATION OF ARCHAEOLOGICAL FINDINGS. THE EARLY NEOLITHIC SITE OF PORTONOVO

    Directory of Open Access Journals (Sweden)

    E. S. Malinverni

    2016-06-01

    Full Text Available The huge potential of 3D digital acquisition techniques for the documentation of archaeological sites, as well as the related findings, is almost well established. In spite of the variety of available techniques, a sole documentation pipeline cannot be defined a priori because of the diversity of archaeological settings. Stratigraphic archaeological excavations, for example, require a systematic, quick and low cost 3D single-surface documentation because the nature of stratigraphic archaeology compels providing documentary evidence of any excavation phase. Only within a destructive process each single excavation cannot be identified, documented and interpreted and this implies the necessity of a re- examination of the work on field. In this context, this paper describes the methodology, carried out during the last years, to 3D document the Early Neolithic site of Portonovo (Ancona, Italy and, in particular, its latest step consisting in a photogrammetric aerial survey by means of UAV platform. It completes the previous research delivered in the same site by means of terrestrial laser scanning and close range techniques and sets out different options for further reflection in terms of site coverage, resolution and campaign cost. With the support of a topographic network and a unique reference system, the full documentation of the site is managed in order to detail each excavation phase; besides, the final output proves how the 3D digital methodology can be completely integrated with reasonable costs during the excavation and used to interpret the archaeological context. Further contribution of this work is the comparison between several acquisition techniques (i.e. terrestrial and aerial, which could be useful as decision support system for different archaeological scenarios. The main objectives of the comparison are: i the evaluation of 3D mapping accuracy from different data sources, ii the definition of a standard pipeline for different

  16. Tikal, Guatemala, and Emergent Maya Civilization: Excavations reveal evidence of early complex-living at a prime Maya Indian site.

    Science.gov (United States)

    Coe, W R

    1965-03-19

    It would be extravagant to claim that these pages have outlined meaningfully the early evolution of Tikal. Data have been provided largely for one excavation locus at a site which, for all its importance, merely has symptomatic value. We cannot claim to have, at present, sufficient material to document satisfyingly the conditions and products of community-wide living at any point in these early times. Present knowledge of Eb and Tzec ceramics and of all the usual archeological correlates (architecture and so on) is disturbingly incomplete. While we do have a good many data on residence throughout much of Preclassic time, considerably more information is needed before a solid evaluation of Preclassic Tikal society can be achieved. One can only hope that pending excavation programs will provide it. Yet, experience shows that probably only a tiny percentage of early cultural remains, regardless of their grandeur and importance at the time, would have survived the constant quest for construction fills to satisfy a seemingly interminable need to build and revamp.

  17. Review of analytical results from the proposed agent disposal facility site, Aberdeen Proving Ground

    Energy Technology Data Exchange (ETDEWEB)

    Brubaker, K.L.; Reed, L.L.; Myers, S.W.; Shepard, L.T.; Sydelko, T.G.

    1997-09-01

    Argonne National Laboratory reviewed the analytical results from 57 composite soil samples collected in the Bush River area of Aberdeen Proving Ground, Maryland. A suite of 16 analytical tests involving 11 different SW-846 methods was used to detect a wide range of organic and inorganic contaminants. One method (BTEX) was considered redundant, and two {open_quotes}single-number{close_quotes} methods (TPH and TOX) were found to lack the required specificity to yield unambiguous results, especially in a preliminary investigation. Volatile analytes detected at the site include 1, 1,2,2-tetrachloroethane, trichloroethylene, and tetrachloroethylene, all of which probably represent residual site contamination from past activities. Other volatile analytes detected include toluene, tridecane, methylene chloride, and trichlorofluoromethane. These compounds are probably not associated with site contamination but likely represent cross-contamination or, in the case of tridecane, a naturally occurring material. Semivolatile analytes detected include three different phthalates and low part-per-billion amounts of the pesticide DDT and its degradation product DDE. The pesticide could represent residual site contamination from past activities, and the phthalates are likely due, in part, to cross-contamination during sample handling. A number of high-molecular-weight hydrocarbons and hydrocarbon derivatives were detected and were probably naturally occurring compounds. 4 refs., 1 fig., 8 tabs.

  18. A reappraisal of the stratigraphy and chronology of Early Pliocene palaeontological sites from Lanzarote Island containing fossil terrestrial animals

    Science.gov (United States)

    Lomoschitz, Alejandro; Sánchez Marco, Antonio; Huertas, María José; Betancort, Juan F.; Isern, Arnau; Sanz, Elena; Meco, Joaquín

    2016-11-01

    The Famara massif, in the north of Lanzarote Island, constitutes the remains of a former island inhabited by the oldest known vertebrate fauna of the Canary archipelago off the coast of Africa. In this study, new ages are offered for the underlying and overlying basaltic lava flows of two paleontological sites. The island's three major palaeontological sites, which contain remains of this ancient fauna (Valle Grande, Valle Chico and Fuente de Gusa), are intercorrelated according to their lithologies, sedimentology, palaeontological content and geochronology. The new K/Ar age interval for the fossiliferous sedimentary deposits ranges between 4.3 ± 0.7 and 3.78 ± 0.71 Ma, within the Early Pliocene, and shows that the first known terrestrial animals in Lanzarote were present on the island for about 500 ka. The principal component of the deposits is a bioclastic calcarenite of aeolian origin (sand sheet deposits), which is present in all three sites and constitutes 65% of the beds. The remaining 35% is of fluvial-aeolian origin (mainly stream deposits). All the beds contain the same fossils (insect egg pods, land snails, avian eggshells and tortoise eggshells). The local palaeogeography and the formation of the deposits were conditioned by a flat plain, larger than 16 km2, over which aeolian sands moved freely with a prevailing NNE-WSW wind direction. In agreement with previous investigations, the palaeoclimate in this interval (ca. 4.3 to 3.8 Ma) must have been mainly dry with some rainy episodes.

  19. Chemotherapy alone versus chemotherapy plus radiotherapy for adults with early stage Hodgkin lymphoma (Review)

    DEFF Research Database (Denmark)

    Blank, Oliver; von Tresckow, Bastian; Monsef, Ina

    2017-01-01

    BACKGROUND: Combined modality treatment consisting of chemotherapy followed by localised radiotherapy is the standard treatment for patients with early stage Hodgkin lymphoma (HL). However, due to long- term adverse effects such as secondary malignancies the role of radiotherapy has been questioned...... recently and some clinical study groups advocate chemotherapy only for this indication. OBJECTIVES: To assess the effects of chemotherapy alone compared to chemotherapy plus radiotherapy in adults with early stage HL . SEARCH METHODS: For the or i ginal version of this review, we searched MEDLINE, Embase......-related mortality (RR 0.99; 95% CI 0.14 to 6.90; P = 0.99; low-quality evidence), there is no evidence for a difference between the use of chemotherapy alone and chemotherapy plus radiotherapy. CRR rate was not reported. AUTHORS' CONCLUSIONS: This systematic review compared the effects of chemotherapy alone...

  20. A review of geophysical investigations at the site of Chalk River Nuclear Laboratories, Ontario

    International Nuclear Information System (INIS)

    Thomas, M.D.; Hayles, J.G.

    1988-01-01

    The site of the Chalk River Nuclear Laboratories was one of the first research areas located on crystalline rocks to be extensively investigated under the Canadian Nuclear Fuel Waste Management Program. A large contribution to meeting the geoscientific objectives of the program has been made using a suite of geophysical techniques. Many of them are standard, though sometimes modified in terms of instrumentation and/or experimental and/or analytical procedures, to meet the particular needs of the waste management program. Relatively new techniques have also been employed. Much of the early evaluation and development of the various techniques took place at the Chalk River site. Standard methods such as gravity, magnetics and seismic sounding have been used to investigate bedrock structure, and the seismic method has also been used to estimate overburden thickness. Standard geophysical borehole logging has been used to obtain in situ estimates of physical properties, to locate fracture zones and to make hole to hole correlations that have helped define local structure. Several standard electrical (e.g. resitivity) and electromagnetic (e.g. VLF-EM) techniques have proven successful in identifying water-filled fractures and faults. Relatively new techniques introduced into the geophysics at Chalk River were: ground probing radar; to investigate overburden; borehole TV and acoustic televiewer and VLF-EM, to locate fractures; studies of seismic tube-waves, well tides and temperature logs, to investigate fracture location and permeability. Most of these methods have been successful and are now routinely employed at other research sites

  1. Associations of early premenopausal fractures with subsequent fractures vary by sites and mechanisms of fractures.

    Science.gov (United States)

    Honkanen, R; Tuppurainen, M; Kroger, H; Alhava, E; Puntila, E

    1997-04-01

    In a retrospective population-based study we assessed whether and how self-reported former fractures sustained at the ages of 20-34 are associated with subsequent fractures sustained at the ages of 35-57. The 12,162 women who responded to fracture questions of the baseline postal enquiry (in 1989) of the Kuopio Osteoporosis Study, Finland formed the study population. They reported 589 former and 2092 subsequent fractures. The hazard ratio (HR), with 95% confidence interval (CI), of a subsequent fracture was 1.9 (1.6-2.3) in women with the history of a former fracture compared with women without such a history. A former low-energy wrist fracture was related to subsequent low-energy wrist [HR = 3.7 (2.0-6.8)] and high-energy nonwrist [HR = 2.4 (1.3-4.4)] fractures, whereas former high-energy nonwrist fractures were related only to subsequent high-energy nonwrist [HR = 2.8 (1.9-4.1)] but not to low-energy wrist [HR = 0.7 (0.3-1.8)] fractures. The analysis of bone mineral density (BMD) data of a subsample of premenopausal women who underwent dual x-ray absorptiometry (DXA) during 1989-91 revealed that those with a wrist fracture due to a fall on the same level at the age of 20-34 recorded 6.5% lower spinal (P = 0.140) and 10.5% lower femoral (P = 0.026) BMD than nonfractured women, whereas the corresponding differences for women with a former nonwrist fracture due to high-energy trauma were -1.8% (P = 0.721) and -2.4% (P = 0. 616), respectively. Our results suggest that an early premenopausal, low-energy wrist fracture is an indicator of low peak BMD which predisposes to subsequent fractures in general, whereas early high-energy fractures are mainly indicators of other and more specific extraskeletal factors which mainly predispose to same types of subsequent fractures only.

  2. A systematic review of early intensive intervention for autism spectrum disorders.

    Science.gov (United States)

    Warren, Zachary; McPheeters, Melissa L; Sathe, Nila; Foss-Feig, Jennifer H; Glasser, Allison; Veenstra-Vanderweele, Jeremy

    2011-05-01

    Early intensive behavioral and developmental interventions for young children with autism spectrum disorders (ASDs) may enhance developmental outcomes. To systematically review evidence regarding such interventions for children aged 12 and younger with ASDs. We searched Medline, PsycINFO, and ERIC (Education Resources Information Center) from 2000 to May 2010. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria. Two reviewers independently extracted data regarding participant and intervention characteristics, assessment techniques, and outcomes and assigned overall quality and strength-of-evidence ratings using predetermined criteria. Thirty-four unique studies met inclusion criteria. Seventeen studies were case series; 2 were randomized controlled trials. We rated 1 study as good quality, 10 as fair quality, and 23 as poor quality. The strength of the evidence overall ranged from insufficient to low. Studies of University of California Los Angeles/Lovaas-based interventions and variants reported clinically significant gains in language and cognitive skills in some children, as did 1 randomized controlled trial of an early intensive developmental intervention approach (the Early Start Denver Model). Specific parent-training approaches yielded gains in short-term language function and some challenging behaviors. Data suggest that subgroups of children displayed more prominent gains across studies, but participant characteristics associated with greater gains are not well understood. Studies of Lovaas-based approaches and early intensive behavioral intervention variants and the Early Start Denver Model resulted in some improvements in cognitive performance, language skills, and adaptive behavior skills in some young children with ASDs, although the literature is limited by methodologic concerns.

  3. Plant species diversity as a driver of early succession in abandoned fields: a multi-site approach.

    Science.gov (United States)

    Van der Putten, W H; Mortimer, S R; Hedlund, K; Van Dijk, C; Brown, V K; Lepä, J; Rodriguez-Barrueco, C; Roy, J; Diaz Len, T A; Gormsen, D; Korthals, G W; Lavorel, S; Regina, I Santa; Smilauer, P

    2000-07-01

    Succession is one of the most studied processes in ecology and succession theory provides strong predictability. However, few attempts have been made to influence the course of succession thereby testing the hypothesis that passing through one stage is essential before entering the next one. At each stage of succession ecosystem processes may be affected by the diversity of species present, but there is little empirical evidence showing that plant species diversity may affect succession. On ex-arable land, a major constraint of vegetation succession is the dominance of perennial early-successional (arable weed) species. Our aim was to change the initial vegetation succession by the direct sowing of later-successional plant species. The hypothesis was tested that a diverse plant species mixture would be more successful in weed suppression than species-poor mixtures. In order to provide a robust test including a wide range of environmental conditions and plant species, experiments were carried out at five sites across Europe. At each site, an identical experiment was set up, albeit that the plant species composition of the sown mixtures differed from site to site. Results of the 2-year study showed that diverse plant species mixtures were more effective at reducing the number of natural colonisers (mainly weeds from the seed bank) than the average low-diversity treatment. However, the effect of the low-diversity treatment depended on the composition of the species mixture. Thus, the effect of enhanced species diversity strongly depended on the species composition of the low-diversity treatments used for comparison. The effects of high-diversity plant species mixtures on weed suppression differed between sites. Low-productivity sites gave the weakest response to the diversity treatments. These differences among sites did not change the general pattern. The present results have implications for understanding biological invasions. It has been hypothesised that alien

  4. Falls and Fall Prevention in Older Adults With Early-Stage Dementia: An Integrative Review.

    Science.gov (United States)

    Lach, Helen W; Harrison, Barbara E; Phongphanngam, Sutthida

    2017-05-01

    Older adults with mild cognitive impairment (MCI) and early-stage dementia have an increased risk of falling, with risks to their health and quality of life. The purpose of the current integrative review was to evaluate evidence on fall risk and fall prevention in this population. Studies were included if they examined falls or fall risk factors in older adults with MCI or early-stage dementia, or reported interventions in this population; 40 studies met criteria. Evidence supports the increased risk of falls in individuals even in the early stages of dementia or MCI, and changes in gait, balance, and fear of falling that may be related to this increased fall risk. Interventions included exercise and multifactorial interventions that demonstrated some potential to reduce falls in this population. Few studies had strong designs to provide evidence for recommendations. Further study in this area is warranted. [Res Gerontol Nurs. 2017; 10(03):139-148.]. Copyright 2016, SLACK Incorporated.

  5. Early Infantile Leigh-like Gene Defects Have a Poor Prognosis: Report and Review

    Directory of Open Access Journals (Sweden)

    Majid Alfadhel

    2017-10-01

    Full Text Available Solute carrier family 19 (thiamine transporter, member 3 ( SCL19A3 gene defect produces an autosomal recessive neurodegenerative disorder associated with different phenotypes and acronyms. One of the common presentations is early infantile lethal Leigh-like syndrome. We report a case of early infantile Leigh-like SLC19A3 gene defects of patients who died at 4 months of age with no response to a high dose of biotin and thiamine. In addition, we report a novel mutation that was not reported previously. Finally, we review the literature regarding early infantile Leigh-like SLC19A3 gene defects and compare the literature with our patient.

  6. Early prediction of outcome of activities of daily living after stroke: a systematic review

    OpenAIRE

    Veerbeek, J.M.; Kwakkel, G.; Wegen, van, E.E.H.; Ket, J.C.F.; Heijmans, M.W.

    2011-01-01

    BACKGROUND AND PURPOSE-Knowledge about robust and unbiased factors that predict outcome of activities of daily living (ADL) is paramount in stroke management. This review investigates the methodological quality of prognostic studies in the early poststroke phase for final ADL to identify variables that are predictive or not predictive for outcome of ADL after stroke. METHODS-PubMed, Ebsco/Cinahl and Embase were systematically searched for prognostic studies in which stroke patients were inclu...

  7. The Use of Social Networking Sites (SNSs) in Health Communication Campaigns: Review and Recommendations.

    Science.gov (United States)

    Shi, Jingyuan; Poorisat, Thanomwong; Salmon, Charles T

    2018-01-01

    The past decade has witnessed a rapid increase in the use of Social Networking Sites (SNSs) in health communication campaigns seeking to achieve an ambitious range of health-related impacts. This article provides a review of 40 studies and research protocols, with a focus on two key factors that differentiate SNSs from more traditional health communication approaches of the past. The first is the potential dualism between message sender and receiver, in which receivers become receiver-sources who forward and amplify the content and reach of health messages. The second is the potential dualism between message and message impact, in which the act of forwarding and modifying messages by receiver-sources itself becomes a measure of message impact. Each of these dualisms has implications for the design and evaluation of contemporary health communication campaigns. The review concludes with a series of observations and recommendations for future health communication research.

  8. Ventral striatum and amygdala activity as convergence sites for early adversity and conduct disorder

    Science.gov (United States)

    Boecker-Schlier, Regina; Buchmann, Arlette F.; Blomeyer, Dorothea; Jennen-Steinmetz, Christine; Baumeister, Sarah; Plichta, Michael M.; Cattrell, Anna; Schumann, Gunter; Esser, Günter; Schmidt, Martin; Buitelaar, Jan; Meyer-Lindenberg, Andreas; Banaschewski, Tobias; Brandeis, Daniel; Laucht, Manfred

    2017-01-01

    Abstract Childhood family adversity (CFA) increases the risk for conduct disorder (CD) and has been associated with alterations in regions of affective processing like ventral striatum (VS) and amygdala. However, no study so far has demonstrated neural converging effects of CFA and CD in the same sample. At age 25 years, functional MRI data during two affective tasks, i.e. a reward (N = 171) and a face-matching paradigm (N = 181) and anatomical scans (N = 181) were acquired in right-handed currently healthy participants of an epidemiological study followed since birth. CFA during childhood was determined using a standardized parent interview. Disruptive behaviors and CD diagnoses during childhood and adolescence were obtained by diagnostic interview (2–19 years), temperamental reward dependence was assessed by questionnaire (15 and 19 years). CFA predicted increased CD and amygdala volume. Both exposure to CFA and CD were associated with a decreased VS response during reward anticipation and blunted amygdala activity during face-matching. CD mediated the effect of CFA on brain activity. Temperamental reward dependence was negatively correlated with CFA and CD and positively with VS activity. These findings underline the detrimental effects of CFA on the offspring's affective processing and support the importance of early postnatal intervention programs aiming to reduce childhood adversity factors. PMID:27694318

  9. Ventral striatum and amygdala activity as convergence sites for early adversity and conduct disorder.

    Science.gov (United States)

    Holz, Nathalie E; Boecker-Schlier, Regina; Buchmann, Arlette F; Blomeyer, Dorothea; Jennen-Steinmetz, Christine; Baumeister, Sarah; Plichta, Michael M; Cattrell, Anna; Schumann, Gunter; Esser, Günter; Schmidt, Martin; Buitelaar, Jan; Meyer-Lindenberg, Andreas; Banaschewski, Tobias; Brandeis, Daniel; Laucht, Manfred

    2017-02-01

    Childhood family adversity (CFA) increases the risk for conduct disorder (CD) and has been associated with alterations in regions of affective processing like ventral striatum (VS) and amygdala. However, no study so far has demonstrated neural converging effects of CFA and CD in the same sample. At age 25 years, functional MRI data during two affective tasks, i.e. a reward (N = 171) and a face-matching paradigm (N = 181) and anatomical scans (N = 181) were acquired in right-handed currently healthy participants of an epidemiological study followed since birth. CFA during childhood was determined using a standardized parent interview. Disruptive behaviors and CD diagnoses during childhood and adolescence were obtained by diagnostic interview (2-19 years), temperamental reward dependence was assessed by questionnaire (15 and 19 years).CFA predicted increased CD and amygdala volume. Both exposure to CFA and CD were associated with a decreased VS response during reward anticipation and blunted amygdala activity during face-matching. CD mediated the effect of CFA on brain activity. Temperamental reward dependence was negatively correlated with CFA and CD and positively with VS activity. These findings underline the detrimental effects of CFA on the offspring's affective processing and support the importance of early postnatal intervention programs aiming to reduce childhood adversity factors. © The Author (2016). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

  10. Satellite radar interferometry for monitoring and early-stage warning of structural instability in archaeological sites

    International Nuclear Information System (INIS)

    Tapete, D; Fanti, R; Casagli, N; Cecchi, R; Petrangeli, P

    2012-01-01

    Satellite interferometric synthetic aperture radar (InSAR) monitoring campaigns were performed on the archaeological heritage of the Roman Forum, Palatino and Oppio Hills in the centre of Rome, Italy, to test the capabilities of persistent scatterer interferometry techniques for the preventive diagnosis of deformation threatening the structural stability of archaeological monuments and buried structures. ERS-1/2 and RADARSAT-1/2 SAR images were processed with the permanent scatterers InSAR (PSInSAR) and SqueeSAR approaches, and the identified measurement points (MP) were radar-interpreted to map the conservation criticalities in relation to the local geohazard factors and active deterioration processes. The multi-temporal reconstruction of past/recent instability events based on the MP deformation time series provided evidences of stabilization for the Domus Tiberiana as a consequence of recent restoration works, as well as of persistent deformation for the Temple of Magna Mater on the Palatino Hill and the structures of the Baths of Trajan on the Oppio Hill. Detailed time series analysis was also exploited to back monitor and understand the nature of the 2010 collapse that occurred close to Nero's Golden House, and to establish an early-stage warning procedure useful to preventively detect potential instability. (paper)

  11. Effects of site preparation treatments on early growth and survival of planted longleaf pine (Pinus palustris Mill.) seedlings in North Carolina

    Science.gov (United States)

    Benjamin O. Knapp; G. Geoff Wang; Joan L. Walker; Susan Cohen

    2006-01-01

    We tested the effects of eight site preparation treatments on early growth and survival of container-grown longleaf pine (Pinus palustris Mill.) seedlings. Treatments included an untreated check, six combinations of two initial vegetation control treatments (chopping or herbicide) with three planting site conditions (flat [no additional treatment],...

  12. Living with early-stage dementia: a review of qualitative studies.

    Science.gov (United States)

    Steeman, Els; de Casterlé, Bernadette Dierckx; Godderis, Jan; Grypdonck, Mieke

    2006-06-01

    This paper presents a literature review whose aim was to provide better understanding of living with early-stage dementia. Even in the early stages, dementia may challenge quality of life. Research on early-stage dementia is mainly in the domain of biomedical aetiology and pathology, providing little understanding of what it means to live with dementia. Knowledge of the lived experience of having dementia is important in order to focus pro-active care towards enhancing quality of life. Qualitative research is fundamentally well suited to obtaining an insider's view of living with early-stage dementia. We performed a meta-synthesis of qualitative research findings. We searched MEDLINE, CINAHL, and PsycINFO and reviewed the papers cited in the references of pertinent articles, the references cited in a recently published book on the subjective experience of dementia, one thesis, and the journal Dementia. Thirty-three pertinent articles were identified, representing 28 separate studies and 21 different research samples. Findings were coded, grouped, compared and integrated. Living with dementia is described from the stage a person discovers the memory impairment, through the stage of being diagnosed with dementia, to that of the person's attempts to integrate the impairment into everyday life. Memory loss often threatens perceptions of security, autonomy and being a meaningful member of society. At early stages of memory loss, individuals use self-protecting and self-adjusting strategies to deal with perceived changes and threats. However, the memory impairment itself may make it difficult for an individual to deal with these changes, thereby causing frustration, uncertainty and fear. Our analysis supports the integration of proactive care into the diagnostic process, because even early-stage dementia may challenge quality of life. Moreover, this care should actively involve both the individual with dementia and their family so that both parties can adjust positively

  13. Wood fuel from early thinning and plantation cleaning. Summary of an international review

    International Nuclear Information System (INIS)

    Puttock, D.

    1998-01-01

    This paper summaries the results of an international of wood fuel from early thinning and plantation cleaning. The economic and biological benefits from early thinning have been well documented. However, removing forest biomass during early stages of stand development from sites which are low in one or more nutrients may contribute a loss of nutrients and organic matter. Depending on the pre-thinning density and the thinning intensity, the potential yield of wood fuel from early thinning may be as much as 79 dry tons per hectare. Thus, wood fuel from the thinnings could be an important source of revenue to forest owners and would contribute to domestic energy requirements. Motor-manual felling predominates in early thinning, mainly due to the lack of appropriate technology for thinning small trees. However, the productivity of motor-manual felling is greatly affected by the initial stand density and declines dramatically at densities greater than 10 000 stems per ha. Under these conditions, purpose-built wood fuel harvesters with small-tree harvesting capability offer the greatest potential for increasing felling productivity and reducing the cost of wood fuel. The cost of wood fuel from early thinnings varies widely between countries from USD 25.00 - 87.50 per dry ton depending on stand conditions, harvesting system, transport distance, domestic tax rates, and stumpage prices. At the low end of this range, wood fuel chips from early thinning are competitive with wood fuel produced from mill waste, the residues from clearfell operations, or from later thinnings

  14. Preoperative skin antiseptic preparations for preventing surgical site infections: a systematic review.

    Science.gov (United States)

    Kamel, Chris; McGahan, Lynda; Polisena, Julie; Mierzwinski-Urban, Monika; Embil, John M

    2012-06-01

    To evaluate the clinical effectiveness of preoperative skin antiseptic preparations and application techniques for the prevention of surgical site infections (SSIs). Systematic review of the literature using Medline, EMBASE, and other databases, for the period January 2001 to June 2011. Comparative studies (including randomized and nonrandomized trials) of preoperative skin antisepsis preparations and application techniques were included. Two researchers reviewed each study and extracted data using standardized tables developed before the study. Studies were reviewed for their methodological quality and clinical findings. Twenty studies (n = 9,520 patients) were included in the review. The results indicated that presurgical antiseptic showering is effective for reducing skin flora and may reduce SSI rates. Given the heterogeneity of the studies and the results, conclusions about which antiseptic is more effective at reducing SSIs cannot be drawn. The evidence suggests that preoperative antiseptic showers reduce bacterial colonization and may be effective at preventing SSIs. The antiseptic application method is inconsequential, and data are lacking to suggest which antiseptic solution is the most effective. Disinfectant products are often mixed with alcohol or water, which makes it difficult to form overall conclusions regarding an active ingredient. Large, well-conducted randomized controlled trials with consistent protocols comparing agents in the same bases are needed to provide unequivocal evidence on the effectiveness of one antiseptic preparation over another for the prevention of SSIs.

  15. Early Site Permit Demonstration Program: Guidelines for determining design basis ground motions

    International Nuclear Information System (INIS)

    1993-01-01

    This report develops and applies a methodology for estimating strong earthquake ground motion. The motivation was to develop a much needed tool for use in developing the seismic requirements for structural designs. An earthquake's ground motion is a function of the earthquake's magnitude, and the physical properties of the earth through which the seismic waves travel from the earthquake fault to the site of interest. The emphasis of this study is on ground motion estimation in Eastern North America (east of the Rocky Mountains), with particular emphasis on the Eastern United States and southeastern Canada. Eastern North America is a stable continental region, having sparse earthquake activity with rare occurrences of large earthquakes. While large earthquakes are of interest for assessing seismic hazard, little data exists from the region to empirically quantify their effects. Therefore, empirically based approaches that are used for other regions, such as Western North America, are not appropriate for Eastern North America. Moreover, recent advances in science and technology have now made it possible to combine theoretical and empirical methods to develop new procedures and models for estimating ground motion. The focus of the report is on the attributes of ground motion in Eastern North America that are of interest for the design of facilities such as nuclear power plants. Specifically considered are magnitudes M from 5 to 8, distances from 0 to 500 km, and frequencies from 1 to 35 Hz

  16. A Systematic Literature Review and Meta-Regression Analysis on Early-Life Energy Restriction and Cancer Risk in Humans.

    Science.gov (United States)

    Elands, Rachel J J; Simons, Colinda C J M; Dongen, Martien van; Schouten, Leo J; Verhage, Bas A J; van den Brandt, Piet A; Weijenberg, Matty P

    2016-01-01

    In animal models, long-term moderate energy restriction (ER) is reported to decelerate carcinogenesis, whereas the effect of severe ER is inconsistent. The impact of early-life ER on cancer risk has never been reviewed systematically and quantitatively based on observational studies in humans. We conducted a systematic review of observational studies and a meta-(regression) analysis on cohort studies to clarify the association between early-life ER and organ site-specific cancer risk. PubMed and EMBASE (1982 -August 2015) were searched for observational studies. Summary relative risks (RRs) were estimated using a random effects model when available ≥3 studies. Twenty-four studies were included. Eleven publications, emanating from seven prospective cohort studies and some reporting on multiple cancer endpoints, met the inclusion criteria for quantitative analysis. Women exposed to early-life ER (ranging from 220-1660 kcal/day) had a higher breast cancer risk than those not exposed (RRRE all ages = 1.28, 95% CI: 1.05-1.56; RRRE for 10-20 years of age = 1.21, 95% CI: 1.09-1.34). Men exposed to early-life ER (ranging from 220-800kcal/day) had a higher prostate cancer risk than those not exposed (RRRE = 1.16, 95% CI: 1.03-1.30). Summary relative risks were not computed for colorectal cancer, because of heterogeneity, and for stomach-, pancreas-, ovarian-, and respiratory cancer because there were <3 available studies. Longer duration of exposure to ER, after adjustment for severity, was positively associated with overall cancer risk in women (p = 0.02). Ecological studies suggest that less severe ER is generally associated with a reduced risk of cancer. Early-life transient severe ER seems to be associated with increased cancer risk in the breast (particularly ER exposure at adolescent age) and prostate. The duration, rather than severity of exposure to ER, seems to positively influence relative risk estimates. This result should be interpreted with caution due to the

  17. ONWI [Office of Nuclear Waste Isolation] 30% design review findings report for Exploratory Shaft Facility, Deaf Smith site

    International Nuclear Information System (INIS)

    1987-01-01

    This document describes a review of the standards for the design of the high-level radioactive waste facility at the Deaf Smith, Texas site. It includes public comments and the official responses to the designs produced to date

  18. Lawrence Livermore National Laboratory Experimental Test Site, Site 300, Biological Review, January 1, 2009 through December 31, 2012

    Energy Technology Data Exchange (ETDEWEB)

    Paterson, Lisa E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Woollett, Jim S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2014-01-01

    The Lawrence Livermore National Laboratory’s (LLNL’s) Environmental Restoration Department (ERD) is required to conduct an ecological review at least every five years to ensure that biological and contaminant conditions in areas undergoing remediation have not changed such that existing conditions pose an ecological hazard (Dibley et al. 2009a). This biological review is being prepared by the Natural Resources Team within LLNL’s Environmental Functional Area (EFA) to support the 2013 five-year ecological review.

  19. Social network sites as a mode to collect health data: a systematic review.

    Science.gov (United States)

    Alshaikh, Fahdah; Ramzan, Farzan; Rawaf, Salman; Majeed, Azeem

    2014-07-14

    To date, health research literature has focused on social network sites (SNS) either as tools to deliver health care, to study the effect of these networks on behavior, or to analyze Web health content. Less is known about the effectiveness of these sites as a method for collecting data for health research and the means to use such powerful tools in health research. The objective of this study was to systematically review the available literature and explore the use of SNS as a mode of collecting data for health research. The review aims to answer four questions: Does health research employ SNS as method for collecting data? Is data quality affected by the mode of data collection? What types of participants were reached by SNS? What are the strengths and limitations of SNS? The literature was reviewed systematically in March 2013 by searching the databases MEDLINE, Embase, and PsycINFO, using the Ovid and PubMed interface from 1996 to the third week of March 2013. The search results were examined by 2 reviewers, and exclusion, inclusion, and quality assessment were carried out based on a pre-set protocol. The inclusion criteria were met by 10 studies and results were analyzed descriptively to answer the review questions. There were four main results. (1) SNS have been used as a data collection tool by health researchers; all but 1 of the included studies were cross-sectional and quantitative. (2) Data quality indicators that were reported include response rate, cost, timeliness, missing data/completion rate, and validity. However, comparison was carried out only for response rate and cost as it was unclear how other reported indicators were measured. (3) The most targeted population were females and younger people. (4) All studies stated that SNS is an effective recruitment method but that it may introduce a sampling bias. SNS has a role in health research, but we need to ascertain how to use it effectively without affecting the quality of research. The field of

  20. Social media and rating sites as tools to understanding quality of care: a scoping review.

    Science.gov (United States)

    Verhoef, Lise M; Van de Belt, Tom H; Engelen, Lucien J L P G; Schoonhoven, Lisette; Kool, Rudolf B

    2014-02-20

    Insight into the quality of health care is important for any stakeholder including patients, professionals, and governments. In light of a patient-centered approach, it is essential to assess the quality of health care from a patient's perspective, which is commonly done with surveys or focus groups. Unfortunately, these "traditional" methods have significant limitations that include social desirability bias, a time lag between experience and measurement, and difficulty reaching large groups of people. Information on social media could be of value to overcoming these limitations, since these new media are easy to use and are used by the majority of the population. Furthermore, an increasing number of people share health care experiences online or rate the quality of their health care provider on physician rating sites. The question is whether this information is relevant to determining or predicting the quality of health care. The goal of our research was to systematically analyze the relation between information shared on social media and quality of care. We performed a scoping review with the following goals: (1) to map the literature on the association between social media and quality of care, (2) to identify different mechanisms of this relationship, and (3) to determine a more detailed agenda for this relatively new research area. A recognized scoping review methodology was used. We developed a search strategy based on four themes: social media, patient experience, quality, and health care. Four online scientific databases were searched, articles were screened, and data extracted. Results related to the research question were described and categorized according to type of social media. Furthermore, national and international stakeholders were consulted throughout the study, to discuss and interpret results. Twenty-nine articles were included, of which 21 were concerned with health care rating sites. Several studies indicate a relationship between information

  1. Implementation of Malaria Dynamic Models in Municipality Level Early Warning Systems in Colombia. Part I: Description of Study Sites

    Science.gov (United States)

    Ruiz, Daniel; Cerón, Viviana; Molina, Adriana M.; Quiñónes, Martha L.; Jiménez, Mónica M.; Ahumada, Martha; Gutiérrez, Patricia; Osorio, Salua; Mantilla, Gilma; Connor, Stephen J.; Thomson, Madeleine C.

    2014-01-01

    As part of the Integrated National Adaptation Pilot project and the Integrated Surveillance and Control System, the Colombian National Institute of Health is working on the design and implementation of a Malaria Early Warning System framework, supported by seasonal climate forecasting capabilities, weather and environmental monitoring, and malaria statistical and dynamic models. In this report, we provide an overview of the local ecoepidemiologic settings where four malaria process-based mathematical models are currently being implemented at a municipal level. The description includes general characteristics, malaria situation (predominant type of infection, malaria-positive cases data, malaria incidence, and seasonality), entomologic conditions (primary and secondary vectors, mosquito densities, and feeding frequencies), climatic conditions (climatology and long-term trends), key drivers of epidemic outbreaks, and non-climatic factors (populations at risk, control campaigns, and socioeconomic conditions). Selected pilot sites exhibit different ecoepidemiologic settings that must be taken into account in the development of the integrated surveillance and control system. PMID:24891460

  2. Regional-interstate site-review procedure: low-level radioactive waste disposal facility

    International Nuclear Information System (INIS)

    1983-09-01

    The attributes of the Southern States Energy Board (SSEB) enable it to view federal/state interface problem areas from a perspective that can be uniquely constructive. The board is sensitive to the interests of both federal and state levels of government since it is composed of member states with common regional interests and confirmed by federal legislative action. It has been most effective when exercising a leadership role in finding procedures and practices that use the resources of both levels of government that are mutually supportive and nonduplicative. SSEB began an NRC-funded effort in that direction related to nuclear power plant siting in June 1975, entitled Regional-Interstate Nuclear Facility Siting Procedure Demonstration Project. SSEB approached the problem by working with interested states to analyze various elements of the licensing process, in particular with NEPA review procedures for interstate coordination where potential impacts extend beyond a single state and where the facility serves an interstate or regional need. SSEB also served as a catalyst in the development of a region-wide nuclear facility siting procedure that could improve the effectiveness and timeliness of the regulatory process

  3. A Systematic Review of Early Warning Systems' Effects on Nurses' Clinical Performance and Adverse Events Among Deteriorating Ward Patients.

    Science.gov (United States)

    Lee, Ju-Ry; Kim, Eun-Mi; Kim, Sun-Aee; Oh, Eui Geum

    2018-04-25

    Early warning systems (EWSs) are an integral part of processes that aim to improve the early identification and management of deteriorating patients in general wards. However, the widespread implementation of these systems has not generated robust data regarding nurses' clinical performance and patients' adverse events. This review aimed to determine the ability of EWSs to improve nurses' clinical performance and prevent adverse events among deteriorating ward patients. The PubMed, CINAHL, EMBASE, and Cochrane Library databases were searched for relevant publications (January 1, 1997, to April 12, 2017). In addition, a grey literature search evaluated several guideline Web sites. The main outcome measures were nurses' clinical performance (vital sign monitoring and rapid response team notification) and patients' adverse events (in-hospital mortality, cardiac arrest, and unplanned intensive care unit [ICU] admission). The search identified 888 reports, although only five studies fulfilled the inclusion criteria. The findings of these studies revealed that EWSs implementation had a positive effect on nurses' clinical performance, based on their frequency of documenting vital signs that were related to the patient's clinical deterioration. In addition, postimplementation reductions were identified for cardiac arrest, unplanned ICU admission, and unexpected death. It seems that EWSs can improve nurses' clinical performance and prevent adverse events (e.g., in-hospital mortality, unplanned ICU admission, and cardiac arrest) among deteriorating ward patients. However, additional high-quality evidence is needed to more comprehensively evaluate the effects of EWSs on these outcomes.

  4. The uses of outcome measures within multidisciplinary early childhood intervention services: a systematic review.

    Science.gov (United States)

    Calder, Samuel; Ward, Roslyn; Jones, Megan; Johnston, Jenelle; Claessen, Mary

    2017-07-18

    Purpose of the article: To review the use of outcome measures, across the domains of activity, participation, and environment, within multidisciplinary early childhood intervention services. A systematic literature search was undertaken that included four electronic databases: Medline, CINAHL, EMBASE, and the Cochrane Library and Cochrane Database of Systematic Review. Inclusion criteria were age 0-24 months, having or at risk of a developmental disability, in receipt of multidisciplinary early childhood intervention services, and included outcome measures across all domains of the International Classification of Functioning-Child & Youth (ICF-CY). Only peer-reviewed journal articles were considered. Eligible studies were coded using the Oxford Levels of Evidence. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) Scale for randomised controlled trials and the QualSyst for non-randomised control trials. Of the total of 5764 records identified, 10 were considered to meet inclusion criteria. Fourteen outcome measures were identified, addressing the domains of activity, participation, and environment. Of these, eight have been recommended in the early intervention literature. While the methodological quality of the 10 studies varied, these papers make a contribution to the body of research that acknowledges the role of routine and enriched environments. Implications for Rehabilitation Core practice elements of multidisciplinary early childhood intervention services indicate it is necessary to select outcome measures framed within the International Classification of Functioning-Child & Youth to inform clinical decision-making for measuring intervention effectiveness across the domains of activity, participation and environment. Of the identified measures, three (Canadian Occupational Performance Measure, Pediatric Evaluation of Disability Inventory, and Goal Attainment Scaling) are well-established and identified in the literature as

  5. Review of present groundwater monitoring programs at the Nevada Test Site

    International Nuclear Information System (INIS)

    Hershey, R.L.; Gillespie, D.

    1993-09-01

    Groundwater monitoring at the Nevada Test Site (NTS) is conducted to detect the presence of radionuclides produced by underground nuclear testing and to verify the quality and safety of groundwater supplies as required by the State of Nevada and federal regulations, and by U.S. Department of Energy (DOE) Orders. Groundwater is monitored at water-supply wells and at other boreholes and wells not specifically designed or located for traditional groundwater monitoring objectives. Different groundwater monitoring programs at the NTS are conducted by several DOE Nevada Operations Office (DOE/NV) contractors. Presently, these individual groundwater monitoring programs have not been assessed or administered under a comprehensive planning approach. Redundancy exists among the programs in both the sampling locations and the constituents analyzed. Also, sampling for certain radionuclides is conducted more frequently than required. The purpose of this report is to review the existing NTS groundwater monitoring programs and make recommendations for modifying the programs so a coordinated, streamlined, and comprehensive monitoring effort may be achieved by DOE/NV. This review will be accomplished in several steps. These include: summarizing the present knowledge of the hydrogeology of the NTS and the potential radionuclide source areas for groundwater contamination; reviewing the existing groundwater monitoring programs at the NTS; examining the rationale for monitoring and the constituents analyzed; reviewing the analytical methods used to quantify tritium activity; discussing monitoring network design criteria; and synthesizing the information presented and making recommendations based on the synthesis. This scope of work was requested by the DOE/NV Hydrologic Resources Management Program (HRMP) and satisfies the 1993 (fiscal year) HRMP Groundwater Monitoring Program Review task

  6. Early Pleistocene human hand phalanx from the Sima del Elefante (TE) cave site in Sierra de Atapuerca (Spain).

    Science.gov (United States)

    Lorenzo, Carlos; Pablos, Adrián; Carretero, José Miguel; Huguet, Rosa; Valverdú, Josep; Martinón-Torres, María; Arsuaga, Juan Luis; Carbonell, Eudald; Bermúdez de Castro, José María

    2015-01-01

    In this study, a new Early Pleistocene proximal hand phalanx (ATE9-2) from the Sima del Elefante cave site (TE - Sierra de Atapuerca, Spain), ascribed to Homo sp., is presented and comparatively described in the context of the evolution of the genus Homo. The ATE9-2 specimen is especially important because of the paucity of hand bones in the human fossil record during the Early Pleistocene. The morphological and metrical analyses of the phalanx ATE9-2 indicate that there are no essential differences between it and comparator fossil specimens for the genus Homo after 1.3 Ma (millions of years ago). Similar to Sima de los Huesos and Neandertal specimens, ATE9-2 is a robust proximal hand phalanx, probably reflecting greater overall body robusticity in these populations or a higher gracility in modern humans. The age of level TE9 from Sima del Elefante and morphological and metrical studies of ATE9-2 suggest that the morphology of the proximal hand phalanges and, thus, the morphology of the hand could have remained stable over the last 1.2-1.3 Ma. Taking into account the evidence recently provided by a metacarpal from Kaitio (Kenya) from around 1.42 Ma, we argue that modern hand morphology is present in the genus Homo subsequent to Homo habilis. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Consequences of early extraction of compromised first permanent molar: a systematic review.

    Science.gov (United States)

    Saber, Afnan M; Altoukhi, Doua H; Horaib, Mariam F; El-Housseiny, Azza A; Alamoudi, Najlaa M; Sabbagh, Heba J

    2018-04-05

    The aim of this study was to systematically review the literature to determine the sequelae of early extraction of compromised first permanent molars (FPMs) with regard to the skeletal and dental development of 5- to 15-year-old children. Meta-analysis was conducted when applicable. Our research protocol included a search strategy, inclusion/exclusion criteria, and a data extraction plan. The search engines used were PubMed, Scopus, and Science Direct. Study selection was performed independently by three reviewers. Articles published from 1960 to 2017 were reviewed based on inclusion and exclusion criteria. Meta-analysis was performed to compare space closure between upper and lower arches. Eleven studies fulfilled the inclusion criteria. The consequences were decrease in post extraction space, accelerated development and eruption of second permanents molars (SPMs) and third molars, a decrease in caries and/or fillings on the proximal surfaces of adjacent teeth, lingual tipping and retrusion of incisors, and counter clockwise rotation of the occlusal plane. There were several consequences of early extraction of FPMs, which were related to skeletal and dental development. Our systematic review suggests that comprehensive evaluation of the compromised FPMs should be performed before planning an extraction. The ideal time for FPM extraction is when the SPM is at the early bifurcation stage in order to achieve complete closure of the extraction space by the SPM. Benefits should be weighed over the risks to decrease the risk of unfavorable outcomes as much as possible. However, due to the limited evidence on the outcomes and variables that influence them, high-quality prospective studies are needed.

  8. Current Microbiology of Surgical Site Infections in Patients with Cancer: A Retrospective Review.

    Science.gov (United States)

    Rolston, Kenneth V I; Nesher, Lior; Tarrand, Jeffrey T

    2014-12-01

    Patients with solid tumors frequently undergo surgical procedures and develop procedure-related infections. We sought to describe the current microbiologic spectrum of infections at various sites following common surgical procedures. This was a retrospective review of microbiologic data between January 2011 and February 2012. The sites studied were those associated with breast cancer surgery, thoracotomy, craniotomy, percutaneous endoscopic gastrostomy (PEG) tube insertion, and abdominal/pelvic surgery. Only patients with solid tumors were included. A total of 368 surgical site infections (SSIs) were identified (68 breast cancer related; 91 thoracotomy related; 45 craniotomy related; 75 PEG-tube insertion related; and 89 abdominal/pelvic surgery related). Of these, 58% were monomicrobial and 42% were polymicrobial. Overall, 85% of the 215 monomicrobial infections were caused by Gram-positive organisms and 13% by Gram-negative bacilli (GNB). Staphylococcus aureus was the predominant pathogen in monomicrobial infections (150 of 215, 70%). Sixty (40%) of these staphylococcal isolates were methicillin resistant (MRSA), and 65% had a vancomycin minimal inhibitory concentration (MIC) ≥1.0 µg/ml. Pseudomonas aeruginosa was the predominant GNB pathogen (19 of 27, 70%). Staphylococci were also the predominant pathogens in polymicrobial infections, while P. aeruginosa and Escherichia coli were the predominant GNB. Overall, 35% of isolates from polymicrobial infections were GNB. Cephalosporins (e.g., cefazolin) or amoxicillin/clavulanate was used most often for surgical prophylaxis, and 47% of organisms from monomicrobial infections (MRSA, P. aeruginosa) were resistant to them. A similar resistance pattern was observed in polymicrobial infections. Staphylococcus species were isolated most often from the sites studied. Polymicrobial infections (42%) and GNB monomicrobial infections (13%) were relatively frequent causes of SSIs. Many of these infections were caused by

  9. Operational readiness review of the Low Level Waste vaults at Savannah River Site: A case study

    International Nuclear Information System (INIS)

    Ahmad, M.; McVay, C.; Venkatesh, S.

    1994-01-01

    Low Level radioactive Waste (LLW) at the Savannah River Site at Aiken, South Carolina, has traditionally been disposed of using engineered trenches in accordance with the guidelines and technology existing at the time. Recently, subgrade concrete vaults known as E-Area Vaults (EAV) have been constructed at SRS. The EAV project is a comprehensive effort for upgrading LLW disposal at SRS based on meeting the requirements of current Department of Energy (DOE) Orders, and addressing more stringent federal and state regulations. The EAV is a first of its kind state-of-the-art facility designed and built in the United States to receive LLW. Westinghouse Savannah River Company (WSRC) conducted an Operational Readiness Review (ORR) of the vaults prior to startup. The objective of the EAV ORR was to perform a comprehensive review of the operational readiness of the facilities per DOE guidelines including Defense Nuclear Facilities Safety Board (DNFSB) recommendations. This review included assessing construction of the vaults as per design, adequate approved procedures, and training of all the personnel associated with the facility operations. EAV ORR incorporated the lessons learned from other DOE ORRs, included DNFSB recommendations, used a graded approach, and utilized subject matter experts for each functional area of assessment

  10. New ESR/U-series data for the early Middle Pleistocene site of Isernia la Pineta, Italy

    International Nuclear Information System (INIS)

    Shao Qingfeng; Bahain, Jean-Jacques; Falgueres, Christophe; Peretto, Carlo; Arzarello, Marta; Minelli, Antonella; Thun Hohenstein, Ursula; Dolo, Jean-Michel; Garcia, Tristan; Frank, Norbert; Douville, Eric

    2011-01-01

    Located in Southern Italy, the Early Palaeolithic site of Isernia la Pineta has provided numerous palaeontological remains and artefacts in well-defined fluvio-lacustrine sequence. The normal magnetization of the main archaeological layer t3a and 39 Ar/ 40 Ar date of 610 ± 10 (2σ) ka, obtained from the immediately overlaying geological level, put the Isernia assemblage in the first part of the Middle Pleistocene. Previous ESR/U-series analyses of Isernia fossil teeth have displayed both recent U-uptake and severe underestimation of the ESR/U-series dates in comparison with the 39 Ar/ 40 Ar age. In order to identify the cause of this age underestimation, new analyses were realized in the present study on four bovid teeth directly recovered from the archaeological surface t3a. The ESR/U-series dates obtained were once again strongly underestimated, with an error weighted mean age of 435 ± 24 (1σ) ka. These too young dates could be associated to a change of the environmental γ-dose rate during the geological history of the Isernia site, related to the revealed recent U-uptake into the palaeontological remains of the archaeological level. If we consider that this dose rate change was coeval with a wet interglacial period and taking the 39 Ar/ 40 Ar age as geochronological reference, simulations with two dose rate steps indicate that this change could be correlated with marine isotopic stage 7 (MIS 7).

  11. New ESR/U-series data for the early Middle Pleistocene site of Isernia la Pineta, Italy

    Energy Technology Data Exchange (ETDEWEB)

    Shao Qingfeng, E-mail: shao@mnhn.fr [Departement de Prehistoire du Museum National d' Histoire Naturelle, UMR 7194 CNRS, 1 rue Rene Panhard, F-75013 Paris (France); Bahain, Jean-Jacques; Falgueres, Christophe [Departement de Prehistoire du Museum National d' Histoire Naturelle, UMR 7194 CNRS, 1 rue Rene Panhard, F-75013 Paris (France); Peretto, Carlo; Arzarello, Marta; Minelli, Antonella; Thun Hohenstein, Ursula [Dipartimento di Biologia ed Evoluzione, Universita di Ferrara, C.so Ercole I d' Este 32, I-44121 Ferrara (Italy); Dolo, Jean-Michel; Garcia, Tristan [CEA, LIST, Laboratoire National Henri Becquerel, F-91191 Gif-sur-Yvette cedex (France); Frank, Norbert; Douville, Eric [Laboratoire des Sciences du Climat et de l' Environnement, LSCE/IPSL, UMR 8212 CNRS-CEA-UVSQ, Domaine du CNRS, F-91198 Gif/Yvette cedex (France)

    2011-09-15

    Located in Southern Italy, the Early Palaeolithic site of Isernia la Pineta has provided numerous palaeontological remains and artefacts in well-defined fluvio-lacustrine sequence. The normal magnetization of the main archaeological layer t3a and {sup 39}Ar/{sup 40}Ar date of 610 {+-} 10 (2{sigma}) ka, obtained from the immediately overlaying geological level, put the Isernia assemblage in the first part of the Middle Pleistocene. Previous ESR/U-series analyses of Isernia fossil teeth have displayed both recent U-uptake and severe underestimation of the ESR/U-series dates in comparison with the {sup 39}Ar/{sup 40}Ar age. In order to identify the cause of this age underestimation, new analyses were realized in the present study on four bovid teeth directly recovered from the archaeological surface t3a. The ESR/U-series dates obtained were once again strongly underestimated, with an error weighted mean age of 435 {+-} 24 (1{sigma}) ka. These too young dates could be associated to a change of the environmental {gamma}-dose rate during the geological history of the Isernia site, related to the revealed recent U-uptake into the palaeontological remains of the archaeological level. If we consider that this dose rate change was coeval with a wet interglacial period and taking the {sup 39}Ar/{sup 40}Ar age as geochronological reference, simulations with two dose rate steps indicate that this change could be correlated with marine isotopic stage 7 (MIS 7).

  12. Selection of adequate site location during early stages of construction project management: A multi-criteria decision analysis approach

    Science.gov (United States)

    Marović, Ivan; Hanak, Tomaš

    2017-10-01

    In the management of construction projects special attention should be given to the planning as the most important phase of decision-making process. Quality decision-making based on adequate and comprehensive collaboration of all involved stakeholders is crucial in project’s early stages. Fundamental reasons for existence of this problem arise from: specific conditions of construction industry (final products are inseparable from the location i.e. location has a strong influence of building design and its structural characteristics as well as technology which will be used during construction), investors’ desires and attitudes, and influence of socioeconomic and environment aspects. Considering all mentioned reasons one can conclude that selection of adequate construction site location for future investment is complex, low structured and multi-criteria problem. To take into account all the dimensions, the proposed model for selection of adequate site location is devised. The model is based on AHP (for designing the decision-making hierarchy) and PROMETHEE (for pairwise comparison of investment locations) methods. As a result of mixing basis feature of both methods, operational synergies can be achieved in multi-criteria decision analysis. Such gives the decision-maker a sense of assurance, knowing that if the procedure proposed by the presented model has been followed, it will lead to a rational decision, carefully and systematically thought out.

  13. Early and late HIV-1 membrane fusion events are impaired by sphinganine lipidated peptides that target the fusion site.

    Science.gov (United States)

    Klug, Yoel A; Ashkenazi, Avraham; Viard, Mathias; Porat, Ziv; Blumenthal, Robert; Shai, Yechiel

    2014-07-15

    Lipid-conjugated peptides have advanced the understanding of membrane protein functions and the roles of lipids in the membrane milieu. These lipopeptides modulate various biological systems such as viral fusion. A single function has been suggested for the lipid, binding to the membrane and thus elevating the local concentration of the peptide at the target site. In the present paper, we challenged this argument by exploring in-depth the antiviral mechanism of lipopeptides, which comprise sphinganine, the lipid backbone of DHSM (dihydrosphingomyelin), and an HIV-1 envelope-derived peptide. Surprisingly, we discovered a partnership between the lipid and the peptide that impaired early membrane fusion events by reducing CD4 receptor lateral diffusion and HIV-1 fusion peptide-mediated lipid mixing. Moreover, only the joint function of sphinganine and its conjugate peptide disrupted HIV-1 fusion protein assembly and folding at the later fusion steps. Via imaging techniques we revealed for the first time the direct localization of these lipopeptides to the virus-cell and cell-cell contact sites. Overall, the findings of the present study may suggest lipid-protein interactions in various biological systems and may help uncover a role for elevated DHSM in HIV-1 and its target cell membranes.

  14. Early social environment affects the endogenous oxytocin system: a review and future directions

    Directory of Open Access Journals (Sweden)

    Emily eAlves

    2015-03-01

    Full Text Available Endogenous oxytocin plays an important role in a wide range of human functions including birth, milk ejection during lactation and facilitation of social interaction. There is increasing evidence that both variations in the oxytocin receptor (OXTR and concentrations of oxytocin are associated with differences in these functions. The causes for the differences that have been observed in tonic and stimulated oxytocin release remain unclear. Previous reviews have suggested that across the life course, these differences may be due to individual factors, e.g. genetic variation (of the OXTR, age or sex, or be the result of early environmental influences such as social experiences, stress or trauma partly by inducing epigenetic changes. This review has three aims. First, we briefly discuss the endogenous oxytocin system, including physiology, development, individual differences and function. Secondly, current models describing the relationship between the early life environment and the development of the oxytocin system in humans and animals are discussed. Finally, we describe research designs that can be used to investigate the effects of the early environment on the oxytocin system, identifying specific areas of research that need further attention.

  15. Involved-Site Image-Guided Intensity Modulated Versus 3D Conformal Radiation Therapy in Early Stage Supradiaphragmatic Hodgkin Lymphoma

    Energy Technology Data Exchange (ETDEWEB)

    Filippi, Andrea Riccardo, E-mail: andreariccardo.filippi@unito.it [Department of Oncology, University of Torino, Torino (Italy); Ciammella, Patrizia [Radiation Therapy Unit, Department of Oncology and Advanced Technology, ASMN Hospital IRCCS, Reggio Emilia (Italy); Piva, Cristina; Ragona, Riccardo [Department of Oncology, University of Torino, Torino (Italy); Botto, Barbara [Hematology, Città della Salute e della Scienza, Torino (Italy); Gavarotti, Paolo [Hematology, University of Torino and Città della Salute e della Scienza, Torino (Italy); Merli, Francesco [Hematology Unit, ASMN Hospital IRCCS, Reggio Emilia (Italy); Vitolo, Umberto [Hematology, Città della Salute e della Scienza, Torino (Italy); Iotti, Cinzia [Radiation Therapy Unit, Department of Oncology and Advanced Technology, ASMN Hospital IRCCS, Reggio Emilia (Italy); Ricardi, Umberto [Department of Oncology, University of Torino, Torino (Italy)

    2014-06-01

    Purpose: Image-guided intensity modulated radiation therapy (IG-IMRT) allows for margin reduction and highly conformal dose distribution, with consistent advantages in sparing of normal tissues. The purpose of this retrospective study was to compare involved-site IG-IMRT with involved-site 3D conformal RT (3D-CRT) in the treatment of early stage Hodgkin lymphoma (HL) involving the mediastinum, with efficacy and toxicity as primary clinical endpoints. Methods and Materials: We analyzed 90 stage IIA HL patients treated with either involved-site 3D-CRT or IG-IMRT between 2005 and 2012 in 2 different institutions. Inclusion criteria were favorable or unfavorable disease (according to European Organization for Research and Treatment of Cancer criteria), complete response after 3 to 4 cycles of an adriamycin- bleomycin-vinblastine-dacarbazine (ABVD) regimen plus 30 Gy as total radiation dose. Exclusion criteria were chemotherapy other than ABVD, partial response after ABVD, total radiation dose other than 30 Gy. Clinical endpoints were relapse-free survival (RFS) and acute toxicity. Results: Forty-nine patients were treated with 3D-CRT (54.4%) and 41 with IG-IMRT (45.6%). Median follow-up time was 54.2 months for 3D-CRT and 24.1 months for IG-IMRT. No differences in RFS were observed between the 2 groups, with 1 relapse each. Three-year RFS was 98.7% for 3D-CRT and 100% for IG-IMRT. Grade 2 toxicity events, mainly mucositis, were recorded in 32.7% of 3D-CRT patients (16 of 49) and in 9.8% of IG-IMRT patients (4 of 41). IG-IMRT was significantly associated with a lower incidence of grade 2 acute toxicity (P=.043). Conclusions: RFS rates at 3 years were extremely high in both groups, albeit the median follow-up time is different. Acute tolerance profiles were better for IG-IMRT than for 3D-CRT. Our preliminary results support the clinical safety and efficacy of advanced RT planning and delivery techniques in patients affected with early stage HL, achieving complete

  16. Longitudinal changes in the antecedent and early manifest course of bipolar disorder-A narrative review of prospective studies.

    Science.gov (United States)

    Pfennig, Andrea; Leopold, Karolina; Ritter, Philipp; Böhme, Anne; Severus, Emanuel; Bauer, Michael

    2017-05-01

    Prospective study designs ideally allow patients to be followed from the first manifestations of the illness or even from an at-risk stage. It can thus provide data on the predictive value of changes in clinical symptomatology, cognition or further biological markers to broaden our understanding of the etiopathology and symptomatic trajectory of bipolar disorders. The scope of this narrative review is to summarize evidence from prospectively collected data on psychopathological and other clinical and biological changes in the early developmental course of bipolar disorders. The narrative review was based on a literature search conducted in February 2016 within the PubMed library for prospective study data of persons in antecedent and early manifest stages of manifest bipolar disorder published within the last 15 years. A total of 19 prospective studies were included. Regarding psychopathological features; personality, temperament and character traits as well as changes in sleep and circadian rhythm, the evidence suggests that risk factors for the development of bipolar disorder can already be described and should be studied further to understand their interaction, mediation with other factors and timing in the developmental process of bipolar disorder. Apart from the positive family history, childhood anxiety, sleep problems, subthreshold (hypo)manic symptoms and certain character traits/emotionality should be identified and monitored already in clinical practice as their presence likely increases risk of bipolar disorder. Up to date no substantiated evidence was found from prospective studies addressing cognitive features, life events, immunological parameters and morphological central nervous system changes as potential risk factors for bipolar disorder. For an improved understanding of episodic disorders, longitudinal data collection is essential. Since the etiology of bipolar disorders is complex, a number of potential risk factors have been proposed

  17. Glycemic control strategies and the occurrence of surgical site infection: a systematic review.

    Science.gov (United States)

    Domingos, Caroline Maria Herrero; Iida, Luciana Inaba Senyer; Poveda, Vanessa de Brito

    2016-01-01

    To analyze the evidence available in the scientific literature regarding the relationship between the glycemic control strategies used and the occurrence of surgical site infection in adult patients undergoing surgery. This is a systematic review performed through search on the databases of CINAHL, MEDLINE, LILACS, Cochrane Database of Systematic Reviews and EMBASE. Eight randomized controlled trials were selected. Despite the diversity of tested interventions, studies agree that glycemic control is essential to reduce rates of surgical site infection, and should be maintained between 80 and 120 mg/dL during the perioperative period. Compared to other strategies, insulin continuous infusion during surgery was the most tested and seems to get better results in reducing rates of surgical site infection and achieving success in glycemic control. Tight glycemic control during the perioperative period benefits the recovery of surgical patients, and the role of the nursing team is key for the successful implementation of the measure. Analisar as evidências disponíveis na literatura científica sobre a relação entre as estratégias de controle glicêmico efetuadas e a ocorrência de infecção do sítio cirúrgico em pacientes adultos submetidos à cirurgia. Trata-se de revisão sistemática, por meio das bases de dados CINAHL, MEDLINE, LILACS, Cochrane Database of Systematic Reviews e EMBASE. Foram selecionados oito ensaios clínicos randomizados. Apesar da diversidade de intervenções testadas, os estudos concordam que o controle glicêmico é essencial para a redução das taxas de infecção do sítio cirúrgico e deve ser mantido entre 80 e 120 mg/dL durante o perioperatório. A infusão contínua de insulina no transoperatório foi a mais testada e parece obter melhores resultados na redução das taxas de infecção do sítio cirúrgico e sucesso no controle glicêmico comparada às demais estratégias. O controle glicêmico rigoroso durante o perioperat

  18. Driving in Early-Stage Alzheimer's Disease: An Integrative Review of the Literature.

    Science.gov (United States)

    Davis, Rebecca L; Ohman, Jennifer M

    2017-03-01

    One of the most difficult decisions for individuals with Alzheimer's disease (AD) is when to stop driving. Because driving is a fundamental activity linked to socialization, independent functioning, and well-being, making the decision to stop driving is not easy. Cognitive decline in older adults can lead to getting lost while driving, difficulty detecting and avoiding hazards, as well as increased errors while driving due to compromised judgment and difficulty in making decisions. The purpose of the current literature review was to synthesize evidence regarding how individuals with early-stage AD, their families, and providers make determinations about driving safety, interventions to increase driving safety, and methods to assist cessation and coping for individuals with early-stage AD. The evidence shows that changes in driving ability start early and progress throughout the trajectory of AD. Some individuals with mild cognitive impairment or early-stage AD may be safe to drive for a period of time. Support groups aimed at helping with the transition have been shown to be helpful for individuals who stop driving. Research and practice must support interventions to help individuals maintain safety while driving, as well as cope with driving cessation. [Res Gerontol Nurs. 2017; 10(2):86-100.]. Copyright 2016, SLACK Incorporated.

  19. Simple Enough--Even for Web Virgins: Lisa Mitten's Access to Native American Web Sites. Web Site Review Essay.

    Science.gov (United States)

    Belgarde, Mary Jiron

    1998-01-01

    A mixed-blood Mohawk urban Indian and university librarian, Lisa Mitten provides access to Web sites with solid information about American Indians. Links are provided to 10 categories--Native nations, Native organizations, Indian education, Native media, powwows and festivals, Indian music, Native arts, Native businesses, and Indian-oriented home…

  20. The Use of Social Networking Sites for Public Health Practice and Research: A Systematic Review

    Science.gov (United States)

    Cole, Kate; Echavarría, Maria I; Joe, Jonathan; Neogi, Tina; Turner, Anne M

    2014-01-01

    Background Social networking sites (SNSs) have the potential to increase the reach and efficiency of essential public health services, such as surveillance, research, and communication. Objective The objective of this study was to conduct a systematic literature review to identify the use of SNSs for public health research and practice and to identify existing knowledge gaps. Methods We performed a systematic literature review of articles related to public health and SNSs using PubMed, EMBASE, and CINAHL to search for peer-reviewed publications describing the use of SNSs for public health research and practice. We also conducted manual searches of relevant publications. Each publication was independently reviewed by 2 researchers for inclusion and extracted relevant study data. Results A total of 73 articles met our inclusion criteria. Most articles (n=50) were published in the final 2 years covered by our search. In all, 58 articles were in the domain of public health research and 15 were in public health practice. Only 1 study was conducted in a low-income country. Most articles (63/73, 86%) described observational studies involving users or usages of SNSs; only 5 studies involved randomized controlled trials. A large proportion (43/73, 59%) of the identified studies included populations considered hard to reach, such as young individuals, adolescents, and individuals at risk of sexually transmitted diseases or alcohol and substance abuse. Few articles (2/73, 3%) described using the multidirectional communication potential of SNSs to engage study populations. Conclusions The number of publications about public health uses for SNSs has been steadily increasing in the past 5 years. With few exceptions, the literature largely consists of observational studies describing users and usages of SNSs regarding topics of public health interest. More studies that fully exploit the communication tools embedded in SNSs and study their potential to produce significant effects

  1. The use of social networking sites for public health practice and research: a systematic review.

    Science.gov (United States)

    Capurro, Daniel; Cole, Kate; Echavarría, Maria I; Joe, Jonathan; Neogi, Tina; Turner, Anne M

    2014-03-14

    Social networking sites (SNSs) have the potential to increase the reach and efficiency of essential public health services, such as surveillance, research, and communication. The objective of this study was to conduct a systematic literature review to identify the use of SNSs for public health research and practice and to identify existing knowledge gaps. We performed a systematic literature review of articles related to public health and SNSs using PubMed, EMBASE, and CINAHL to search for peer-reviewed publications describing the use of SNSs for public health research and practice. We also conducted manual searches of relevant publications. Each publication was independently reviewed by 2 researchers for inclusion and extracted relevant study data. A total of 73 articles met our inclusion criteria. Most articles (n=50) were published in the final 2 years covered by our search. In all, 58 articles were in the domain of public health research and 15 were in public health practice. Only 1 study was conducted in a low-income country. Most articles (63/73, 86%) described observational studies involving users or usages of SNSs; only 5 studies involved randomized controlled trials. A large proportion (43/73, 59%) of the identified studies included populations considered hard to reach, such as young individuals, adolescents, and individuals at risk of sexually transmitted diseases or alcohol and substance abuse. Few articles (2/73, 3%) described using the multidirectional communication potential of SNSs to engage study populations. The number of publications about public health uses for SNSs has been steadily increasing in the past 5 years. With few exceptions, the literature largely consists of observational studies describing users and usages of SNSs regarding topics of public health interest. More studies that fully exploit the communication tools embedded in SNSs and study their potential to produce significant effects in the overall population's health are needed.

  2. Understanding Factors that Shape Gender Attitudes in Early Adolescence Globally: A Mixed-Methods Systematic Review

    Science.gov (United States)

    Gibbs, Susannah; Blum, Robert Wm; Moreau, Caroline; Chandra-Mouli, Venkatraman; Herbert, Ann; Amin, Avni

    2016-01-01

    Background Early adolescence (ages 10–14) is a period of increased expectations for boys and girls to adhere to socially constructed and often stereotypical norms that perpetuate gender inequalities. The endorsement of such gender norms is closely linked to poor adolescent sexual and reproductive and other health-related outcomes yet little is known about the factors that influence young adolescents’ personal gender attitudes. Objectives To explore factors that shape gender attitudes in early adolescence across different cultural settings globally. Methods A mixed-methods systematic review was conducted of the peer-reviewed literature in 12 databases from 1984–2014. Four reviewers screened the titles and abstracts of articles and reviewed full text articles in duplicate. Data extraction and quality assessments were conducted using standardized templates by study design. Thematic analysis was used to synthesize quantitative and qualitative data organized by the social-ecological framework (individual, interpersonal and community/societal-level factors influencing gender attitudes). Results Eighty-two studies (46 quantitative, 31 qualitative, 5 mixed-methods) spanning 29 countries were included. Ninety percent of studies were from North America or Western Europe. The review findings indicate that young adolescents, across cultural settings, commonly express stereotypical or inequitable gender attitudes, and such attitudes appear to vary by individual sociodemographic characteristics (sex, race/ethnicity and immigration, social class, and age). Findings highlight that interpersonal influences (family and peers) are central influences on young adolescents’ construction of gender attitudes, and these gender socialization processes differ for boys and girls. The role of community factors (e.g. media) is less clear though there is some evidence that schools may reinforce stereotypical gender attitudes among young adolescents. Conclusions The findings from this

  3. Understanding Factors that Shape Gender Attitudes in Early Adolescence Globally: A Mixed-Methods Systematic Review.

    Science.gov (United States)

    Kågesten, Anna; Gibbs, Susannah; Blum, Robert Wm; Moreau, Caroline; Chandra-Mouli, Venkatraman; Herbert, Ann; Amin, Avni

    2016-01-01

    Early adolescence (ages 10-14) is a period of increased expectations for boys and girls to adhere to socially constructed and often stereotypical norms that perpetuate gender inequalities. The endorsement of such gender norms is closely linked to poor adolescent sexual and reproductive and other health-related outcomes yet little is known about the factors that influence young adolescents' personal gender attitudes. To explore factors that shape gender attitudes in early adolescence across different cultural settings globally. A mixed-methods systematic review was conducted of the peer-reviewed literature in 12 databases from 1984-2014. Four reviewers screened the titles and abstracts of articles and reviewed full text articles in duplicate. Data extraction and quality assessments were conducted using standardized templates by study design. Thematic analysis was used to synthesize quantitative and qualitative data organized by the social-ecological framework (individual, interpersonal and community/societal-level factors influencing gender attitudes). Eighty-two studies (46 quantitative, 31 qualitative, 5 mixed-methods) spanning 29 countries were included. Ninety percent of studies were from North America or Western Europe. The review findings indicate that young adolescents, across cultural settings, commonly express stereotypical or inequitable gender attitudes, and such attitudes appear to vary by individual sociodemographic characteristics (sex, race/ethnicity and immigration, social class, and age). Findings highlight that interpersonal influences (family and peers) are central influences on young adolescents' construction of gender attitudes, and these gender socialization processes differ for boys and girls. The role of community factors (e.g. media) is less clear though there is some evidence that schools may reinforce stereotypical gender attitudes among young adolescents. The findings from this review suggest that young adolescents in different cultural

  4. Understanding Factors that Shape Gender Attitudes in Early Adolescence Globally: A Mixed-Methods Systematic Review.

    Directory of Open Access Journals (Sweden)

    Anna Kågesten

    Full Text Available Early adolescence (ages 10-14 is a period of increased expectations for boys and girls to adhere to socially constructed and often stereotypical norms that perpetuate gender inequalities. The endorsement of such gender norms is closely linked to poor adolescent sexual and reproductive and other health-related outcomes yet little is known about the factors that influence young adolescents' personal gender attitudes.To explore factors that shape gender attitudes in early adolescence across different cultural settings globally.A mixed-methods systematic review was conducted of the peer-reviewed literature in 12 databases from 1984-2014. Four reviewers screened the titles and abstracts of articles and reviewed full text articles in duplicate. Data extraction and quality assessments were conducted using standardized templates by study design. Thematic analysis was used to synthesize quantitative and qualitative data organized by the social-ecological framework (individual, interpersonal and community/societal-level factors influencing gender attitudes.Eighty-two studies (46 quantitative, 31 qualitative, 5 mixed-methods spanning 29 countries were included. Ninety percent of studies were from North America or Western Europe. The review findings indicate that young adolescents, across cultural settings, commonly express stereotypical or inequitable gender attitudes, and such attitudes appear to vary by individual sociodemographic characteristics (sex, race/ethnicity and immigration, social class, and age. Findings highlight that interpersonal influences (family and peers are central influences on young adolescents' construction of gender attitudes, and these gender socialization processes differ for boys and girls. The role of community factors (e.g. media is less clear though there is some evidence that schools may reinforce stereotypical gender attitudes among young adolescents.The findings from this review suggest that young adolescents in different

  5. Use of Social Network Sites for Communication Among Health Professionals: Systematic Review.

    Science.gov (United States)

    Chan, Windy Sy; Leung, Angela Ym

    2018-03-28

    Although much research has been done investigating the roles of social network sites (SNSs) in linking patients and health professionals, there is a lack of information about their uses, benefits, and limitations in connecting health professions only for professional communication. This review aimed to examine the utilization of SNSs for communication among health professionals in (1) frontline clinical practice, (2) professional networks, and (3) education and training to identify areas for future health communication research. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. A systematic search of the literature published in the last 10 years (January 1, 2007, to March 1, 2017) was performed in March 2017, using the following electronic databases: MEDLINE via OvidSP, EMBASE, CINAHL Complete, and InfoSci-Journals. The searches were conducted using the following defined search terms: "social media" OR "social network" OR "social network site" OR "Facebook" OR "Twitter" OR "Linkedin" OR "Instagram" OR "Weibo" OR "Whatsapp" OR "Telegram" OR "WeChat" AND "health" OR "health profession." Of the 6977 papers retrieved, a total of 33 studies were included in this review. They were exploratory in nature, and the majority used surveys (n=25) and interviews (n=6). All retrieved studies stated that SNSs enhanced effective communication and information sharing. SNSs were used for supporting delivering of clinical services, making referrals, and sharing information. They were beneficial to network building and professional collaboration. SNSs were novel tools to enhance educational interactions among peers, students, instructors, and preceptors. The application of SNSs came with restraints in technical knowledge, concerns on data protection, privacy and liability, issues in professionalism, and data protection. SNSs provide platforms facilitating efficient communication, interactions, and connections among health

  6. Impact of early in-hospital medication review by clinical pharmacists on health services utilization.

    Directory of Open Access Journals (Sweden)

    Corinne M Hohl

    Full Text Available Adverse drug events are a leading cause of emergency department visits and unplanned admissions, and prolong hospital stays. Medication review interventions aim to identify adverse drug events and optimize medication use. Previous evaluations of in-hospital medication reviews have focused on interventions at discharge, with an unclear effect on health outcomes. We assessed the effect of early in-hospital pharmacist-led medication review on the health outcomes of high-risk patients.We used a quasi-randomized design to evaluate a quality improvement project in three hospitals in British Columbia, Canada. We incorporated a clinical decision rule into emergency department triage pathways, allowing nurses to identify patients at high-risk for adverse drug events. After randomly selecting the first eligible patient for participation, clinical pharmacists systematically allocated subsequent high-risk patients to medication review or usual care. Medication review included obtaining a best possible medication history and reviewing the patient's medications for appropriateness and adverse drug events. The primary outcome was the number of days spent in-hospital over 30 days, and was ascertained using administrative data. We used median and inverse propensity score weighted logistic regression modeling to determine the effect of pharmacist-led medication review on downstream health services use.Of 10,807 high-risk patients, 6,416 received early pharmacist-led medication review and 4,391 usual care. Their baseline characteristics were balanced. The median number of hospital days was reduced by 0.48 days (95% confidence intervals [CI] = 0.00 to 0.96; p = 0.058 in the medication review group compared to usual care, representing an 8% reduction in the median length of stay. Among patients under 80 years of age, the median number of hospital days was reduced by 0.60 days (95% CI = 0.06 to 1.17; p = 0.03, representing 11% reduction in the median length of stay

  7. A Review of On-Site Wastewater Treatment Systems in Western Australia from 1997 to 2011

    Science.gov (United States)

    Gunady, Maria; Shishkina, Natalia; Tan, Henry; Rodriguez, Clemencia

    2015-01-01

    On-site wastewater treatment systems (OWTS) are widely used in Western Australia (WA) to treat and dispose of household wastewater in areas where centralized sewerage systems are unavailable. Septic tanks, aerobic treatment units (ATUs), and composting toilets with greywater systems are among the most well established and commonly used OWTS. However, there are concerns that some OWTS installed in WA are either performing below expected standards or failing. Poorly performing OWTS are often attributed to inadequate installation, inadequate maintenance, poor public awareness, insufficient local authority resources, ongoing wastewater management issues, or inadequate adoption of standards, procedures, and guidelines. This paper is to review the installations and failures of OWTS in WA. Recommendations to the Department of Health Western Australia (DOHWA) and Local Government (LG) in regard to management strategies and institutional arrangements of OWTS are also highlighted. PMID:25960745

  8. Minimally invasive single-site surgery for the digestive system: A technological review

    Directory of Open Access Journals (Sweden)

    Dhumane Parag

    2011-01-01

    Full Text Available Minimally Invasive Single Site (MISS surgery is a better terminology to explain the novel concept of scarless surgery, which is increasingly making its way into clinical practice. But, there are some difficulties. We review the existing technologies for MISS surgery with regards to single-port devices, endoscope and camera, instruments, retractors and also the future perspectives for the evolution of MISS surgery. While we need to move ahead cautiously and wait for the development of appropriate technology, we believe that the "Ultimate form of Minimally Invasive Surgery" will be a hybrid form of MISS surgery and Natural Orifice Transluminal Endoscopic Surgery, complimented by technological innovations from the fields of robotics and computer-assisted surgery.

  9. ERG [Engineering Review Group] and GRG [Geologic Review Group] review of the horizontal versus vertical modes of waste emplacement at the Deaf Smith County site, Texas

    International Nuclear Information System (INIS)

    Chytrowski, B.R.

    1988-01-01

    The Engineering Review Group (ERG) and Geologic Review Group (GRG) were established by the Office of Nuclear Waste Isolation (ONWI) to help evaluate specific issues in the US Department of Energy's nuclear waste repository program. The December 1985 meeting and the February 1986 meeting dealt with the evaluation of the Fluor Technology, Inc., architect-engineer recommendation of the horizontal mode of waste package emplacement for the Site Characterization Plan Conceptual Design Report (SCP-CDR). The ONWI recommendation regarding horizontal and vertical modes of waste package emplacement and associated studies was reviewed. This report documents the ERG and GRG's comments and recommendations on this subject and ONWI responses to the specific points raised by these groups. The ERG and GRG joint review groups concurred with ONWI recommendations that additional studies are required in order to reach a decision on the method of emplacement to be used. In the opinion of these groups, both methods can be implemented; however, should the decision be reached today the vertical mode would be preferred

  10. How Well Prepared Are Pre-Service Teachers to Teach Early Reading? A Systematic Review of the Literature

    Science.gov (United States)

    Meeks, Linda; Stephenson, Jennifer; Kemp, Coral; Madelaine, Alison

    2016-01-01

    This review examined studies that had addressed opinions of pre-service teachers (PSTs) concerning their preparedness for teaching early reading skills to all students, the extent of their content knowledge, and their attitudes towards code-based and/or meaning-based approaches to early reading. From the limited amount of research available, it…

  11. Medieval and early modern approaches to fractures of the proximal humerus: an historical review

    DEFF Research Database (Denmark)

    Brorson, S.

    2010-01-01

    The diagnosis and management of complex fractures of the proximal humerus have challenged surgical practitioners and medical writers since the earliest recorded surgical texts. Current knowledge of fractures of the proximal humerus has been obtained through pathoanatomical and biomechanical studies...... within the last two centuries. However, the historical preconditions for this development have not been studied. This paper reviews written sources from the fall of the Roman Empire to the late eighteenth century. Medieval and early modern writers mainly rely on the Hippocratic writings De Fracturis...

  12. Influence of shift work on early reproductive outcomes: a systematic review and meta-analysis.

    Science.gov (United States)

    Stocker, Linden J; Macklon, Nicholas S; Cheong, Ying C; Bewley, Susan J

    2014-07-01

    To determine whether an association exists between shift work and early reproductive outcomes. MEDLINE, Embase, and Web of Science were searched. Additional sources included Google Scholar, the Cochrane Library, online publications of national colleges, the ClinicalTrials.gov, and references of retrieved papers. Included studies compared female shift workers (work outside 8:00 AM to 6:00 PM) with nonshift workers with menstrual disruption (cycles less than 25 days or greater than 31 days), infertility (time-to-pregnancy exceeding 12 months), or early spontaneous pregnancy loss (less than 25 weeks). Two reviewers extracted adjusted and raw data. Random effect models were used to pool data weighting for the inverse of variance. Assessments of heterogeneity, bias, and subgroup analyses were performed. Sixteen independent cohorts from 15 studies (123,403 women) were subject to analysis. Shift workers had increased rates of menstrual disruption (16.05% [2,207/13,749] compared with 13.05% [7,561/57,932] [n=71.681, odds ratio {OR} 1.22, 95% confidence interval {CI} 1.15-1.29, I 0%]) and infertility (11.3% [529/4,668] compared with 9.9% [2,354/23,811] [OR 1.80, 95% CI 1.01-3.20, I 94%]) but not early spontaneous pregnancy loss (11.84% [939/7,931] compared with 12.11% [1,898/15,673] [n=23,604, OR 0.96, 95% CI 0.88-1.05, I 0%]). Night shifts were associated with increased early spontaneous pregnancy loss (n=13,018, OR 1.29, 95% CI 1.11-1.50, I 0%). Confounder adjustment led to persistent relationships between shift work and menstrual disruption (adjusted OR 1.15, 95% CI 1.01-1.31, I 70%) but not infertility (adjusted OR 1.11 95% CI 0.86-1.44, I 61%). The association between night shifts and early spontaneous pregnancy loss remained (adjusted OR 1.41 95% CI 1.22-1.63, I 0%). This review provides evidence for an association between performing shift work and early reproductive outcomes, consistent with later pregnancy findings. However, there is currently insufficient evidence

  13. Review of conservative surgery in early breast cancer. British Columbia experience.

    Science.gov (United States)

    Holmvang, A M; Grafton, C; Sandy, J T

    1985-05-01

    Conservation mastectomy in combination with radiotherapy is becoming an accepted treatment for early breast cancer. No absolute guidelines exist as to appropriate patient selection or correct surgical technique, but certain unifying trends can be ascertained from the current literature. The purpose of this study was to review the literature and to identify areas of incongruence between present management of patients in British Columbia and suggestions in the current literature. One hundred patients were reviewed. Twenty-six percent of them did not receive preoperative mammograms, and tumor stage was inappropriate in 9 percent. Thirteen percent had excisional biopsies only. A quarter of the patients had tumor resection through unfavorably placed incisions. Eight percent did not have estrogen receptor determination. Thirty-nine percent of the pathology reports made no comment as to adequacy of resection margins. It is hoped that these areas that, with proper attention, can improve cosmetic results and decrease the incidence of local tumor recurrence.

  14. A Systematic Review of Early Prognostic Factors for Persistent Pain Following Acute Orthopedic Trauma

    Directory of Open Access Journals (Sweden)

    Fiona J Clay

    2012-01-01

    Full Text Available Persistent or chronic pain is prevalent in many developed countries, with estimates ranging from 10% to higher than 50%, and is a major economic burden to individuals and societies. However, the variation in pain outcomes after acute orthopedic trauma and treatment confronts treating physicians with uncertainty in providing prognostic advice regarding long-term recovery. Although several previous reviews have addressed the determinants of chronic pain outcomes secondary to acute trauma, they have primarily focused on specific injury samples and, furthermore, lack consistency with respect to the important prognostic factors, which limits the generalizability of findings. This review, however, aimed specifically to identify the early prognostic factors associated with variation in persistent pain outcomes following acute orthopedic trauma presenting with a spectrum of pathologies.

  15. The flora of Early Permian coal measures from the Parana Basin in Brazil: A review

    International Nuclear Information System (INIS)

    Iannuzzi, Roberto

    2010-01-01

    This paper presents an updated overview integrating both previous and newly published data on the most important floras found associated with Early Permian coal seams in the Parana Basin, Brazil. These floras occur within the Rio Bonito Formation and correspond to the Gondwana ''Glossopteris Flora.'' For this review, five floras are selected, in ascending stratigraphic order: the ''Sao Joao do Triunfo,'' ''Figueira,'' ''Quiteria,'' ''Morro do Papaleo'' and ''Irapua Bed'' floras. They are the best-known floras of the basin in terms of taxonomic composition, paleoecology and environments of deposition. An early-mid Sakmarian to earliest Artinskian age is indicated for the Rio Bonito Formation based on absolute radiometric and relative biostratigraphic ages. Integration of available information about the selected floras allows evaluation of taphonomic and paleoecological factors to provide a more comprehensive understanding of the Early Permian floral record in the Parana Basin. The variation observed in both the taxonomic composition of individual floras and in the frequency of occurrence of different plant groups is due to the broad range of environmental/edaphic conditions that prevailed in the many different depositional settings represented in the Rio Bonito Formation. A more precise age determination obtained for the plant-bearing deposits permits the establishment of a more confident correlation between the Early Permian floral succession in the Parana Basin and other Early Permian floral successions in other basins. The Sakmarian global warming favored the appearance of pecopterid and sphenopterid ferns amongst the spore-producing plants, and the glossopterids amongst the pollen-producing plants. (author)

  16. Parental and Child Characteristics Related to Early-Onset Disordered Eating: A Systematic Review.

    Science.gov (United States)

    Larsen, Pernille Stemann; Strandberg-Larsen, Katrine; Micali, Nadia; Andersen, Anne-Marie Nybo

    2015-01-01

    After participating in this activity, learners should be better able to: Evaluate the evidence regarding parental and child characteristics related to early-onset disordered eating. Eating disorders are rare in children, but disordered eating is common. Understanding the phenomenology of disordered eating in childhood can aid prevention of full-blown eating disorders. The purpose of this review is to systematically extract and synthesize the evidence on parental and child characteristics related to early-onset disordered eating. Systematic searches were conducted in PubMED/MEDLINE, EMBASE, and PsycInfo using the following search terms: eating disorder, disordered eating, problem eating, anorexia nervosa, bulimia nervosa, binge eating, child, preadolescent, and early onset. Studies published from 1990 to 2013 addressing parental and child characteristics of disordered eating in children aged 6 to 12 years were eligible for inclusion. The search was restricted to studies with cross-sectional, case-control, or longitudinal designs, studies in English, and with abstracts available. Forty-four studies fit these criteria. Most studies were based on community samples with a cross-sectional design. The included studies varied considerably in size, instruments used to assess early-onset disordered eating, and parental and child characteristics investigated. Important determinants included the following: higher body weight, previously reported disordered eating, body dissatisfaction, depression, parental disordered eating, and parental comments/concerns about child's weight and eating. The findings were inconsistent for sex, age, socioeconomic status, ethnicity, self-esteem/worth, and parental body weight. In conclusion, characteristics related to early-onset disordered eating have mainly been explored with a cross-sectional design. Full understanding of causal pathways will require good-quality longitudinal studies designed to address the influence of parental eating

  17. Diagnoses of Early and Late Readmissions after Hospitalization for Pneumonia. A Systematic Review

    Science.gov (United States)

    Sjoding, Michael W.; Iwashyna, Theodore J.

    2014-01-01

    Rationale: Pneumonia is a frequent cause of hospitalization, yet drivers of post-pneumonia morbidity remain poorly characterized. Causes of hospital readmissions may elucidate important sources of morbidity and are of particular interest given the U.S. Hospital Readmission Reductions Program. Objectives: To review the primary diagnoses of early (≤30 d) and late (≥31 d) readmissions after pneumonia hospitalization. Methods: Systematic review of MEDLINE, Embase, and CINAHL databases. We identified original research studies of adults aged 18 years or older, hospitalized for pneumonia, and for whom cause-specific readmission rates were reported. Two authors abstracted study results and assessed study quality. Measurements and Main Results: Of the 1,243 citations identified, 12 met eligibility criteria. Included studies were conducted in the United States, Spain, Canada, Croatia, and Sweden. All-cause 30-day readmission rates ranged from 16.8 to 20.1% across administrative studies; the weighted average for the studies using chart review was 11.6% (15.6% in United States–based studies). Pneumonia, heart failure/cardiovascular causes, and chronic obstructive pulmonary disease/pulmonary causes are the most common reasons for early readmission after pneumonia hospitalization. Although it was the single most common cause for readmission, pneumonia accounted for only 17.9 to 29.4% of all 30-day readmissions in administrative studies and a weighted average of 23.0% in chart review studies. After accounting for study population, there was no clear difference in findings between claims-based versus chart-review studies. Few studies assessed readmissions beyond 30 days, although the limited available data suggest similar primary diagnoses for early and late readmissions. No studies assessed whether reasons for readmission were similar to patients’ reasons for healthcare use before hospitalization. Conclusions: Pneumonia, heart failure/cardiovascular disease, and chronic

  18. Early Citability of Data vs Peer-Review like Data Publishing Procedures

    Science.gov (United States)

    Stockhause, Martina; Höck, Heinke; Toussaint, Frank; Lautenschlager, Michael

    2014-05-01

    The World Data Center for Climate (WDCC) hosted at the German Climate Computing Center (DKRZ) was one of the first data centers, which established a peer-review like data publication procedure resulting in DataCite DOIs. Data in the long-term archive (LTA) is diligently reviewed by data managers and data authors to grant high quality and widely reusability of the published data. This traditional data publication procedure for LTA data bearing DOIs is very time consuming especially for WDCC's high data volumes of climate model data in the order of multiple TBytes. Data is shared with project members and selected scientists months before the data is long-term archived. The scientific community analyses and thus reviews the data leading to data quality improvements. Scientists wish to cite these unstable data in scientific publications before the long-term archiving and the thorough data review process are finalized. A concept for early preprint DOIs for shared but not yet long-term archived data is presented. Requirements on data documentation, persistence and quality and use cases for preprint DOIs within the data life-cycle are discussed as well as questions of how to document the differences of the two DOI types and how to relate them to each other with the recommendation to use LTA DOIs in citations. WDCC wants to offer an additional user service for early citations of data of basic quality without compromising the LTA DOIs, i.e. WDCC's standard DOIs, as trustworthy indicator for high quality data. Referencing Links: World Data Center for Climate (WDCC): http://www.wdc-climate.de German Climate Computing Center (DKRZ): http://www.dkrz.de DataCite: http://datacite.org

  19. Review of the Scientific Understanding of Radioactive Waste at the U.S. DOE Hanford Site.

    Science.gov (United States)

    Peterson, Reid A; Buck, Edgar C; Chun, Jaehun; Daniel, Richard C; Herting, Daniel L; Ilton, Eugene S; Lumetta, Gregg J; Clark, Sue B

    2018-01-16

    This Critical Review reviews the origin and chemical and rheological complexity of radioactive waste at the U.S. Department of Energy Hanford Site. The waste, stored in underground tanks, was generated via three distinct processes over decades of plutonium extraction operations. Although close records were kept of original waste disposition, tank-to-tank transfers and conditions that impede equilibrium complicate our understanding of the chemistry, phase composition, and rheology of the waste. Tank waste slurries comprise particles and aggregates from nano to micro scales, with varying densities, morphologies, heterogeneous compositions, and complicated responses to flow regimes and process conditions. Further, remnant or changing radiation fields may affect the stability and rheology of the waste. These conditions pose challenges for transport through conduits or pipes to treatment plants for vitrification. Additionally, recalcitrant boehmite degrades glass quality and the high aluminum content must be reduced prior to vitrification for the manufacture of waste glass of acceptable durability. However, caustic leaching indicates that boehmite dissolves much more slowly than predicted given surface normalized rates. Existing empirical models based on ex situ experiments and observations generally only describe material balances and have not effectively predicted process performance. Recent advances in the areas of in situ microscopy, aberration-corrected transmission electron microscopy, theoretical modeling across scales, and experimental methods for probing the physics and chemistry at mineral-fluid and mineral-mineral interfaces are being implemented to build robustly predictive physics-based models.

  20. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review.

    Science.gov (United States)

    Cheng, Hang; Chen, Brian Po-Han; Soleas, Ireena M; Ferko, Nicole C; Cameron, Chris G; Hinoul, Piet

    The incidence of surgical site infection (SSI) across surgical procedures, specialties, and conditions is reported to vary from 0.1% to 50%. Operative duration is often cited as an independent and potentially modifiable risk factor for SSI. The objective of this systematic review was to provide an in-depth understanding of the relation between operating time and SSI. This review included 81 prospective and retrospective studies. Along with study design, likelihood of SSI, mean operative times, time thresholds, effect measures, confidence intervals, and p values were extracted. Three meta-analyses were conducted, whereby odds ratios were pooled by hourly operative time thresholds, increments of increasing operative time, and surgical specialty. Pooled analyses demonstrated that the association between extended operative time and SSI typically remained statistically significant, with close to twice the likelihood of SSI observed across various time thresholds. The likelihood of SSI increased with increasing time increments; for example, a 13%, 17%, and 37% increased likelihood for every 15 min, 30 min, and 60 min of surgery, respectively. On average, across various procedures, the mean operative time was approximately 30 min longer in patients with SSIs compared with those patients without. Prolonged operative time can increase the risk of SSI. Given the importance of SSIs on patient outcomes and health care economics, hospitals should focus efforts to reduce operative time.

  1. Early local differentiation of the cell wall matrix defines the contact sites in lobed mesophyll cells of Zea mays.

    Science.gov (United States)

    Giannoutsou, E; Sotiriou, P; Apostolakos, P; Galatis, B

    2013-10-01

    The morphogenesis of lobed mesophyll cells (MCs) is highly controlled and coupled with intercellular space formation. Cortical microtubule rings define the number and the position of MC isthmi. This work investigated early events of MC morphogenesis, especially the mechanism defining the position of contacts between MCs. The distributions of plasmodesmata, the hemicelluloses callose and (1 → 3,1 → 4)-β-d-glucans (MLGs) and the pectin epitopes recognized by the 2F4, JIM5, JIM7 and LM6 antibodies were studied in the cell walls of Zea mays MCs. Matrix cell wall polysaccharides were immunolocalized in hand-made sections and in sections of material embedded in LR White resin. Callose was also localized using aniline blue in hand-made sections. Plasmodesmata distribution was examined by transmission electron microscopy. Before reorganization of the dispersed cortical microtubules into microtubule rings, particular bands of the longitudinal MC walls, where the MC contacts will form, locally differentiate by selective (1) deposition of callose and the pectin epitopes recognized by the 2F4, LM6, JIM5 and JIM7 antibodies, (2) degradation of MLGs and (3) formation of secondary plasmodesmata clusterings. This cell wall matrix differentiation persists in cell contacts of mature MCs. Simultaneously, the wall bands between those of future cell contacts differentiate with (1) deposition of local cell wall thickenings including cellulose microfibrils, (2) preferential presence of MLGs, (3) absence of callose and (4) transient presence of the pectins identified by the JIM5 and JIM7 antibodies. The wall areas between cell contacts expand determinately to form the cell isthmi and the cell lobes. The morphogenesis of lobed MCs is characterized by the early patterned differentiation of two distinct cell wall subdomains, defining the sites of the future MC contacts and of the future MC isthmi respectively. This patterned cell wall differentiation precedes cortical microtubule

  2. Review of Factors Influencing Women's Choice of Mastectomy Versus Breast Conserving Therapy in Early Stage Breast Cancer: A Systematic Review.

    Science.gov (United States)

    Gu, Jeffrey; Groot, Gary; Boden, Catherine; Busch, Angela; Holtslander, Lorraine; Lim, Hyun

    2018-01-03

    We have performed a narrative synthesis. A literature search was conducted between January 2000 and June 2014 in 7 databases. The initial search identified 2717 articles; 319 underwent abstract screening, 67 underwent full-text screening, and 25 final articles were included. This review looked at early stage breast cancer in women only, excluding ductal carcinoma in situ and advanced breast cancer. A conceptual framework was created to organize the central constructs underlying women's choices: clinicopathologic factors, physician factors, and individual factors with subgroups of sociodemographic, geographic, and personal beliefs and preferences. This framework guided our review's synthesis and analysis. We found that larger tumor size and increasing stage was associated with increased rates of mastectomy. The results for age varied, but suggested that old and young extremes of diagnostic age were associated with an increased likelihood of mastectomy. Higher socioeconomic status was associated with higher breast conservation therapy (BCT) rates. Resident rural location and increasing distance from radiation treatment facilities were associated with lower rates of BCT. Individual belief factors influencing women's choice of mastectomy (mastectomy being reassuring, avoiding radiation, an expedient treatment) differed from factors influencing choice of BCT (body image and femininity, physician recommendation, survival equivalence, less surgery). Surgeon factors, including female gender, higher case numbers, and individual surgeon practice, were associated with increased BCT rates. The decision-making process for women with early stage breast cancer is complicated and affected by multiple factors. Organizing these factors into central constructs of clinicopathologic, individual, and physician factors may aid health-care professionals to better understand this process. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  3. Pre-operative and early post-operative factors associated with surgical site infection after laparoscopic sleeve gastrectomy.

    Science.gov (United States)

    Ruiz-Tovar, Jaime; Oller, Inmaculada; Llavero, Carolina; Arroyo, Antonio; Muñoz, Jose Luis; Calero, Alicia; Diez, María; Zubiaga, Lorea; Calpena, Rafael

    2013-08-01

    Surgical procedures on obese patients are expected to have a high incidence of surgical site infection (SSI). The identification of pre-operative or early post-operative risk factors for SSI may help the surgeon to identify subjects in risk and adequately optimize their status. We conducted a study of the association of comorbidities and pre- and post-operative analytical variables with SSI following laparoscopic sleeve gastrectomy for the treatment of morbid obesity. We performed a prospective study of all morbidly obese patients undergoing laparoscopic sleeve gastrectomy as a bariatric procedure between 2007 and 2011. An association of clinical and analytical variables with SSI was investigated. The study included 40 patients with a mean pre-operative body mass index (BMI) of 51.2±7.9 kg/m(2). Surgical site infections appeared in three patients (7.5%), of whom two had an intra-abdominal abscess located in the left hypochondrium and the third had a superficial incisional SSI. Pre-operatively, a BMI >45 kg/m(2) (OR 8.7; p=0.008), restrictive disorders identified by pulmonary function tests (OR 10.0; p=0.012), a serum total protein concentration 30 mcg/dL (OR 13.0; p=0.003), and a mean corpuscular volume (MCV) operative SSI. Post-operatively, a serum glucose >128 mg/dL (OR 4.7; p=0.012) and hemoglobin operative anemia and hyperglycemia as risk factors for SSI. In these situations, the surgeon must be aware of and seek to control these risk factors.

  4. Clozapine Titration for People in Early Psychosis: A Chart Review and Treatment Guideline.

    Science.gov (United States)

    Ballon, Jacob S; Ashfaq, Hera; Noordsy, Douglas L

    2018-06-01

    The use of clozapine, particularly in young people, is often limited by early treatment-emergent adverse effects including drowsiness and lethargy. Concerns about adverse effects, medication adherence, and the need for blood monitoring often impede the use of clozapine in this population, leading to repeated trials of less effective medications. Current clozapine dosing recommendations are based on people further in the course of their illness and thus reflect different responsiveness and sensitivities to antipsychotic medication. As such, there is a need for evidence-based guidelines for titration and dosing of clozapine among people in early psychosis. We performed a chart review of 14 people treated with clozapine within our early psychosis team. Data regarding dose titration, response, time to discontinuation, symptom severity, weight gain, and other adverse effects were gathered at clozapine initiation, 3 months, and last available visit on clozapine. People treated with slow titration within their first year of psychosis onset achieved sustained response at very low maintenance doses (mean dose = 81 mg/d, mean duration of treatment = 200 weeks) compared with slow titration with longer duration of illness (mean dose = 350 mg/d, mean duration of treatment = 68 weeks) or standard dose titration in early psychosis (mean dose = 112 mg/d, mean duration of treatment = 38 weeks). The most common adverse effects in all groups were weight gain and sedation, with the groups requiring higher mean doses reporting a broader range of adverse effects. There was no apparent difference in the clinical global impression for severity or improvement between the slow titration and standard titration groups in people with early psychosis. These observations are synthesized into a proposed treatment guideline for use of clozapine among people in early psychosis. We describe development of a slow titration approach to initiating clozapine among people in early psychosis. This

  5. Early career researchers and PhD students from the social sciences use of Social Networking Sites (SNS) for science communication: an affordances approach

    OpenAIRE

    Manco Vega, Alejandra

    2017-01-01

    This research aims to understand the different practices and strategies early career researchers and PhD students from the social sciences have in Social Networking Sites (SNSs) for science communication in one particular country: Brazil. Following this purpose, the central research question is which are the motives and rationale of the researchers for using social networking sites for science communication. Two sub-questions arise from this general research question: How do practices and str...

  6. A critical review: early life nutrition and prenatal programming for adult disease.

    Science.gov (United States)

    Carolan-Olah, Mary; Duarte-Gardea, Maria; Lechuga, Julia

    2015-12-01

    To present the evidence in relation to early life nutrition and foetal programming for adult disease. Epigenetics is a new and growing area of study investigating the impact of the intrauterine environment on the lifelong health of individuals. Discursive paper. Searches were conducted in a range of electronic health databases. Hand searches located additional articles for review. Maternal search terms included: pregnancy; nutrition; diet; obesity; over nutrition; under nutrition. Offspring related search terms included: macrosomia; intrauterine growth restriction; epigenetics; foetal programming; childhood obesity; adolescent obesity; adolescent type 2 diabetes. Results indicate that foetal programming for adult disease occurs in response to particular insults during vulnerable developmental periods. Four main areas of foetal exposure were identified in this review: (1) under nutrition; (2) over nutrition; (3) gestational diabetes mellitus; and (4) infant catch-up growth. Numerous studies also described the trans-generational nature of foetal programming. Overall, foetal exposure to excess or insufficient nutrition during vulnerable developmental periods appears to result in a lifelong predisposition to obesity and adult disease, such as type 2 diabetes and cardiac disease. For the infant who has been undernourished during early life, a predisposition to renal disease also occurs. Pregnancy is a time when women are engaged in health systems and are receptive to health messages. These factors suggest that pregnancy may be an optimal time for dietary education and intervention. There is a particular need for education on healthy diet and for interventions which aim to limit over consumption of calories. © 2015 John Wiley & Sons Ltd.

  7. Chemical methods and techniques to monitor early Maillard reaction in milk products; A review.

    Science.gov (United States)

    Aalaei, Kataneh; Rayner, Marilyn; Sjöholm, Ingegerd

    2018-01-23

    Maillard reaction is an extensively studied, yet unresolved chemical reaction that occurs as a result of application of the heat and during the storage of foods. The formation of advanced glycation end products (AGEs) has been the focus of several investigations recently. These molecules which are formed at the advanced stage of the Maillard reaction, are suspected to be involved in autoimmune diseases in humans. Therefore, understanding to which extent this reaction occurs in foods, is of vital significance. Because of their composition, milk products are ideal media for this reaction, especially when application of heat and prolonged storage are considered. Thus, in this work several chemical approaches to monitor this reaction in an early stage are reviewed. This is mostly done regarding available lysine blockage which takes place in the very beginning of the reaction. The most popular methods and their applications to various products are reviewed. The methods including their modifications are described in detail and their findings are discussed. The present paper provides an insight into the history of the most frequently-used methods and provides an overview on the indicators of the Maillard reaction in the early stage with its focus on milk products and especially milk powders.

  8. A literature review of the relationship between breastfeeding and early childhood caries

    Directory of Open Access Journals (Sweden)

    Narjes Amiri TehraniZadeh

    2012-01-01

    Full Text Available Background and Aims: Improper feeding is one of the most important etiologic factors in early childhood caries (ECC. In some clinical trials, breast feeding (BF is mentioned as a causing factor in ECC. Results in this topic are different or even controversial. It is vital that all general advices given out are consistent with general health education messages. The aim of this study was to conduct a systematic review on the relationship between breast feeding and early childhood caries. Materials and Methods: Articles, guidelines, related books, and specific databases such as SID, PubMed, Scirus, Elsevier, American Association of Pediatric Dentistry (AAPD, American Association of Pediatrics (AAP and American Dental Association (ADA were searched for related topics cited since 1990. Early childhood caries definition, breast feeding and other variables such as sample size, study location and study design were analyzed.Results: According to data analysis, there was a lack of methodological consistency and inconsistent definitions of ECC and BF in the literature making it difficult to draw conclusions. Results about relationship between prolonged BF and ECC were inconclusive. There was a positive relationship between nocturnal BF and ECC. A history of BF did not have any effect on the caries incidence.Conclusion: Because of the role of breast feeding in children's health, it is important to inform the parents about the possibility of dental caries due to nocturnal breast feeding.

  9. A Review of Early Sport Specialization in Relation to the Development of a Young Athlete

    Directory of Open Access Journals (Sweden)

    Jonathan Michael Normand

    2017-04-01

    Full Text Available Background: The overall physical and psychological development of a young athlete is crucial for the enjoyment of physical activity for a lifetime. Children, as well as parents, tend to focus on individual accomplishment in sport despite any other aspect of physical development or appropriate training. Objective: the pressure to excel in sport has all too often brought about negative consequences through specialization at an early age. Method: A review and commentary report on the impact of early sport specialization on the physical and psychological development of a young athlete. Conclusion: A long-term, activity and age-appropriate developmental model is essential to those involved in training young athletes. Sport specialization may be appropriate in unique situations but only after the development of specific skills, abilities, and psychological maturity. As sport professionals, parents and coaches should be educated the pros/cons of early sport specialization. Ultimately, the focus on sport participation should be to increase physical activity, psychological development, and appreciation for a lifetime.

  10. Early Child Development and Nutrition: A Review of the Benefits and Challenges of Implementing Integrated Interventions.

    Science.gov (United States)

    Hurley, Kristen M; Yousafzai, Aisha K; Lopez-Boo, Florencia

    2016-03-01

    Poor nutrition (substandard diet quantity and/or quality resulting in under- or overnutrition) and the lack of early learning opportunities contribute to the loss of developmental potential and life-long health and economic disparities among millions of children aged early child development (ECD) or nutrition have been linked to positive child development and/or nutritional status, and recommendations currently advocate for the development and testing of integrated interventions. We reviewed the theoretical and practical benefits and challenges of implementing integrated nutrition and ECD interventions along with the evidence for best practice and benefit-cost and concluded that the strong theoretical rationale for integration is more nuanced than the questions that the published empirical evidence have addressed. For example, further research is needed to 1) answer questions related to how integrated messaging influences caregiver characteristics such as well-being, knowledge, and behavior and how these influence early child nutrition and development outcomes; 2) understand population and nutritional contexts in which integrated interventions are beneficial; and 3) explore how varying implementation processes influence the efficacy, uptake, and cost-benefit of integrated nutrition and ECD interventions. © 2016 American Society for Nutrition.

  11. Early versus Late Decompression for Traumatic Spinal Cord Injuries; a Systematic Review and Meta-analysis

    Directory of Open Access Journals (Sweden)

    Mahmoud Yousefifard

    2017-01-01

    Full Text Available Introduction: Despite the vast number of surveys, no consensus has been reached on the optimum timing of spinal decompression surgery. This systematic review and meta-analysis aimed to compare the effects of early and late spinal decompression surgery on neurologic improvement and post-surgical complications in patients with traumatic spinal cord injuries.Methods: Two independent reviewers carried out an extended search in electronic databases. Data of neurological outcome and post-surgery complication were extracted. Finally, pooled relative risk (RR with a 95% confidence interval (CI was reported for comparing of efficacy of early and late surgical decompression.Results: Eventually 22 studies were included. The pooled RR was 0.77 (95% CI: 0.68-0.89 for at least one grade neurological improvement, and 0.84 (95% CI: 0.77-0.92 for at least two grade improvement. Pooled RR for surgical decompression performed within 12 hours after the injury was 0.26 (95% CI: 0.13-0.52; p<0.001, while it was 0.75 (95% CI: 0.63-0.90; p=0.002 when the procedure was performed within 24 hours, and 0.93 (95% CI: 0.76-1.14; p=0.48 when it was carried out in the first 72 hours after the injury. Surgical decompression performed within 24 hours after injury was found to be associated with significantly lower rates of post-surgical complications (RR=0.77; 95% CI: 0.68-0.86; p<0.001.Conclusion: The findings of this study indicate that early spinal decompression surgery can improve neurologic recovery and is associated with less post-surgical complications. The optimum efficacy is observed when the procedure is performed within 12 hours of the injury.

  12. Early infant male circumcision: Systematic review, risk-benefit analysis, and progress in policy.

    Science.gov (United States)

    Morris, Brian J; Kennedy, Sean E; Wodak, Alex D; Mindel, Adrian; Golovsky, David; Schrieber, Leslie; Lumbers, Eugenie R; Handelsman, David J; Ziegler, John B

    2017-02-08

    To determine whether recent evidence-based United States policies on male circumcision (MC) apply to comparable Anglophone countries, Australia and New Zealand. Articles in 2005 through 2015 were retrieved from PubMed using the keyword "circumcision" together with 36 relevant subtopics. A further PubMed search was performed for articles published in 2016. Searches of the EMBASE and Cochrane databases did not yield additional citable articles. Articles were assessed for quality and those rated 2+ and above according to the Scottish Intercollegiate Grading System were studied further. The most relevant and representative of the topic were included. Bibliographies were examined to retrieve further key references. Randomized controlled trials, recent high quality systematic reviews or meta-analyses (level 1++ or 1+ evidence) were prioritized for inclusion. A risk-benefit analysis of articles rated for quality was performed. For efficiency and reliability, recent randomized controlled trials, meta-analyses, high quality systematic reviews and large well-designed studies were used if available. Internet searches were conducted for other relevant information, including policies and Australian data on claims under Medicare for MC. Evidence-based policy statements by the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) support infant and later age male circumcision (MC) as a desirable public health measure. Our systematic review of relevant literature over the past decade yielded 140 journal articles that met our inclusion criteria. Together, these showed that early infant MC confers immediate and lifelong benefits by protecting against urinary tract infections having potential adverse long-term renal effects, phimosis that causes difficult and painful erections and "ballooning" during urination, inflammatory skin conditions, inferior penile hygiene, candidiasis, various sexually transmissible infections in both sexes, genital

  13. Efficacy of adjuvant chemotherapy in early stage uterine leiomyosarcoma: A systematic review and meta-analysis.

    Science.gov (United States)

    Bogani, Giorgio; Fucà, Giovanni; Maltese, Giuseppa; Ditto, Antonino; Martinelli, Fabio; Signorelli, Mauro; Chiappa, Valentina; Scaffa, Cono; Sabatucci, Ilaria; Lecce, Francesca; Raspagliesi, Francesco; Lorusso, Domenica

    2016-11-01

    We sought to review the current evidence in order to test the efficacy of adjuvant chemotherapy in improving disease-free survival in patients affected by early stage uterine leiomyosarcoma. On July 2016, literature was searched in order to identify trials comparing different postoperative adjuvant strategies for patients diagnosed with early stage uterine leiomyosarcoma. Our analysis included 360 patients: 145 (40%), 53 (15%), and 155 (43%) had chemotherapy (with or without radiotherapy), radiotherapy, and observation, respectively. Seven (2%) patients who had radiotherapy with or without chemotherapy were excluded from further analysis in order to reduce risk of biases. Administration of chemotherapy (with or without radiotherapy) did not improve outcomes in comparison to observation (OR: 0.79 (95%CI: 0.48, 1.29)), or radiotherapy (OR: 0.90 (95%CI: 0.42, 1.94)). Loco-regional recurrence rate was similar comparing patients undergoing chemotherapy (with or without radiotherapy) with having observation alone (OR: 0.84 (95%CI: 0.44, 1.60)). Similarly, pooled results suggested that chemotherapy administration did not affect distant recurrence rate in comparison to no chemotherapy (OR: 0.80 (95%CI: 0.50, 1.28)), and observation alone (OR: 0.99 (95%CI: 0.60, 1.64)). However, patients undergoing chemotherapy (with or without radiotherapy) experienced a trend towards lower risk of developing distant recurrences (OR: 0.49 (95%CI: 0.24, 1.03)) and a higher risk of developing loco-regional recurrences (OR: 3.45 (95%CI: 1.02, 11.73)) than patients undergoing radiotherapy. In early stage uterine leiomyosarcoma, the role of adjuvant chemotherapy remains unclear. Owing to the high recurrence rate, even in the early stage of disease, further innovative therapeutic strategies have to be tested. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Parents' early healthcare transition experiences with preterm and acutely ill infants: a scoping review.

    Science.gov (United States)

    Ballantyne, M; Orava, T; Bernardo, S; McPherson, A C; Church, P; Fehlings, D

    2017-11-01

    Parents undergo multiple transitions following the birth of an ill infant: their infant's illness-health trajectory, neonatal intensive care unit hospitalization and transfers from one healthcare setting to another, while also transitioning to parenthood. The objective of this review was to map and synthesize evidence on the experiences and needs of parents of preterm or ill infants as they transition within and between healthcare settings following birth. The scoping review followed Arskey and O'Malley's () framework, enhanced by Levac et al. (). Relevant studies were identified through a comprehensive search strategy of scientific and grey literature databases, online networks, Web of Science and citation lists of relevant articles. Inclusion criteria encompassed a focus on infants undergoing a healthcare transition, and the experiences and needs of parents during transition. Studies were appraised for design quality, and data relevant to parent experiences were extracted and underwent thematic analysis. A total of 7773 records were retrieved, 90 full texts reviewed and 11 articles synthesized that represented a total sample of 435 parents of preterm or ill infants. Parents reported on their experiences in response to their infant's transition within and between hospitals and across levels of neonatal intensive care unit, intermediate and community hospital care. Ten studies used qualitative research methods, while one employed quantitative survey methods. Four key themes were identified: that of parent distress throughout transition, parenting at a distance, sources of stress and sources of support. Parents' stress resulted from not being informed or involved in the transition decision, inadequate communication and perceived differences in cultures of care across healthcare settings. Opportunities to improve parents' early transition experiences include enhanced engagement, communication, information-sharing and shared decision-making between health care

  15. Review of the continued suitability of the dumping site for radioactive waste in the North-East Atlantic

    International Nuclear Information System (INIS)

    1980-04-01

    Under the terms of the Decision of the OECD Council establishing a Multilateral Consultation and Surveillance Mechanism for Sea Dumping of Radioactive Waste, NEA is requested to assess, in consultation with the Environment Committee, the suitability of dumping sites proposed by the national authorities of Participating countries and to keep under review those previously considered suitable. Since 1974 radioactive waste sea dumping operations have been carried out in a single site located in the North-East Atlantic region. To fulfil the objectives of the Council Decision, an international group of oceanographic and radiation protection experts was convened by NEA in November 1979 to undertake a review of the continued suitability of the dumping site, taking into account the relevant provisions of the London Dumping Convention and the IAEA Definition and Recommendations for the purposes of the Convention. The results of the review are contained in this Report. The Steering Committee for Nuclear Energy confirmed in April 1980 that, on the basis of the review, the existing site was suitable for continued dumping of radioactive waste for the next five years, under the conditions specified by the Group of Experts in their conclusions and recommendations. At the same time, the Steering Committee for Nuclear Energy agreed on the need for developing a co-ordinated site-specific scientific programme to increase current knowledge of the processes controlling the transfert of radionuclides in the marine environment, so that future assessments can be based on more accurate and comprehensive scientific data

  16. Radioactive waste isolation in salt: rationale and methodology for Argonne-conducted reviews of site characterization programs

    International Nuclear Information System (INIS)

    Harrison, W.; Ditmars, J.D.; Tisue, M.W.; Hambley, D.F.; Fenster, D.F.; Rote, D.M.

    1985-07-01

    Both regulatory and technical concerns must be addressed in Argonne-conducted peer reviews of site characterization programs for individual sites for a high-level radioactive waste repository in salt. This report describes the regulatory framework within which reviews must be conducted and presents background information on the structure and purpose of site characterization programs as found in US Nuclear Regulatory Commission (NRC) Regulatory Guide 4.17 and Title 10, Part 60, of the Code of Federal Regulations. It also presents a methodology to assist reviewers in addressing technical concerns relating to their respective areas of expertise. The methodology concentrates on elements of prime importance to the US Department of Energy's advocacy of a given salt repository system during the NRC licensing process. Instructions are given for reviewing 12 site characterization program elements, starting with performance objectives, performance issues, and levels of performance of repository subsystem components; progressing through performance assessment; and ending with plans for data acquisition and evaluation. The success of a site characterization program in resolving repository performance issues will be determined by judging the likelihood that the proposed data acquisition activities will reduce uncertainties in the performance predictions. 8 refs., 3 figs., 5 tabs

  17. Practice patterns and outcomes associated with early sedation depth in mechanically ventilated patients: a systematic review protocol.

    Science.gov (United States)

    Stephens, Robert J; Dettmer, Matthew R; Roberts, Brian W; Fowler, Susan A; Fuller, Brian M

    2017-06-09

    Mechanical ventilation is a commonly performed intervention in critically ill patients. Frequently, these patients experience deep sedation early in their clinical course. Emerging data suggest that the practice of early deep sedation may negatively impact patient outcomes. The purpose of this review is to assess the world's literature to describe and determine the impact of early deep sedation on the outcomes of mechanically ventilated patients. Randomised controlled trials and non-randomised studies will be eligible for inclusion in this systematic review. With the assistance of a medical librarian, we will comprehensively search MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews and Effects, and Cochrane Database of Systematic Reviews for peer-reviewed literature. Grey literature from appropriate professional society conferences, held from 2010 to 2017, will be reviewed manually. Two authors will independently review all search results, and disagreements will be resolved through arbitration by a third author. If appropriate, meta-analysis will be used for quantitative analysis of the data. Heterogeneity between studies will be assessed using the I 2 statistic. The proposed systematic review will not collect data that are associated with individual patients and does not require ethical approval. Results of this study will contribute to the understanding of early sedation, identify future research targets and guide early care in mechanically ventilated patients. This systematic review has been registered in the international prospective register of systematic reviews (PROSPERO #CRD42017057264). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  18. The immediate placement of dental implants into extraction sites with periapical lesions: a retrospective chart review.

    Science.gov (United States)

    Bell, Christopher Lincoln; Diehl, David; Bell, Brian Michael; Bell, Robert E

    2011-06-01

    The purpose of this study was to evaluate the success of dental implants placed immediately into extraction sites in the presence of chronic periapical pathology. The charts of 655 patients who had implants immediately placed into fresh extraction sites were reviewed for the presence or absence of periapical radiolucencies. A total of 922 implants were included. Of the 922 implants, 285 were immediately placed into sockets that had chronic periapical infections. The remaining 637 implants, without signs of periapical pathology, were used as the control group. Success of the implants was defined as successful osseointegration, successful restoration, and absence of evidence of bone loss or peri-implantitis. Other variables such as age, gender, smoking, diabetes, bisphosphonate use, lucencies of adjacent teeth, and implant stability at the time of placement were also evaluated. Of the 922 implants, 285 were placed into sockets with periapical radiolucencies. The success rate of implants placed in the study group was 97.5%, whereas the success rate of the control group was 98.7%. The difference was not found to be statistically significant. The mean follow-up was 19.75 months, with a maximum of 93 months and a minimum of 3 months. A statistically higher failure rate was found for implants placed adjacent to retained teeth with periapical pathology. The placement of implants in sockets affected by chronic periapical pathology can be considered a safe and viable treatment option. There is a risk of implant failure when placing implants adjacent to teeth with periapical radiolucencies. Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  19. Emerging Use of Early Health Technology Assessment in Medical Product Development: A Scoping Review of the Literature.

    Science.gov (United States)

    IJzerman, Maarten J; Koffijberg, Hendrik; Fenwick, Elisabeth; Krahn, Murray

    2017-07-01

    Early health technology assessment is increasingly being used to support health economic evidence development during early stages of clinical research. Such early models can be used to inform research and development about the design and management of new medical technologies to mitigate the risks, perceived by industry and the public sector, associated with market access and reimbursement. Over the past 25 years it has been suggested that health economic evaluation in the early stages may benefit the development and diffusion of medical products. Early health technology assessment has been suggested in the context of iterative economic evaluation alongside phase I and II clinical research to inform clinical trial design, market access, and pricing. In addition, performing early health technology assessment was also proposed at an even earlier stage for managing technology portfolios. This scoping review suggests a generally accepted definition of early health technology assessment to be "all methods used to inform industry and other stakeholders about the potential value of new medical products in development, including methods to quantify and manage uncertainty". The present review also aimed to identify recent published empirical studies employing an early-stage assessment of a medical product. With most included studies carried out to support a market launch, the dominant methodology was early health economic modeling. Further methodological development is required, in particular, by combining systems engineering and health economics to manage uncertainty in medical product portfolios.

  20. Early orthodontic treatment for Class III malocclusion: A systematic review and meta-analysis.

    Science.gov (United States)

    Woon, See Choong; Thiruvenkatachari, Badri

    2017-01-01

    Class III malocclusion affects between 5% and 15% of our population. The 2 most common dilemmas surrounding Class III treatment are the timing of treatment and the type of appliance. A number of appliances have been used to correct a Class III skeletal discrepancy, but there is little evidence available on their effectiveness in the long term. Similarly, early treatment of Class III malocclusion has been practiced with increasing interest. However, there has been no solid evidence on the benefits in the long term. The aim of this systematic review was to evaluate the effectiveness of orthodontic/orthopedic methods used in the early treatment of Class III malocclusion in the short and long terms. Several sources were used to identify all relevant studies independently of language. The Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase (Ovid), and MEDLINE (Ovid) were searched to June 2016. The selection criteria included randomized controlled trials (RCTs) and prospective controlled clinical trials (CCTs) of children between the ages of 7 and 12 years on early treatment with any type of orthodontic/orthopedic appliance compared with another appliance to correct Class III malocclusion or with an untreated control group. The primary outcome measure was correction of reverse overjet, and the secondary outcomes included skeletal changes, soft tissue changes, quality of life, patient compliance, adverse effect, Peer Assessment Rating score, and treatment time. The search results were screened for inclusion, and the data extracted by 2 independent authors. The data were analyzed using software (version 5.1, Review Manager; The Nordic Cochrane Centre, The Cochrane Collaboration; Copenhagen, Denmark). The mean differences with 95% confidence intervals were expressed for the continuous data. Random effects were carried out with high levels of clinical or statistical heterogeneity and fixed affects when the heterogeneity was low

  1. An early-stage epidemic: a systematic review of correlates of smoking among Chinese women.

    Science.gov (United States)

    Ding, Ding; Gebel, Klaus; Oldenburg, Brian F; Wan, Xia; Zhong, Xuefeng; Novotny, Thomas E

    2014-08-01

    Despite the historically low smoking prevalence among Chinese women, there is a trend of future increase. We systematically reviewed the correlates of smoking among Chinese girls and women. We conducted a systematic review of literature on correlates of smoking among Chinese women using Medline and China Academic Journals databases. Following the PRISMA statement, two investigators independently searched for literature, identified and reviewed papers, assessed the quality of the papers, and extracted information. The characteristics of studies and correlates of smoking were synthesized separately for youth and adults. A total of 15 articles (11 on adults, 4 on youth) met the inclusion criteria. Based on these studies, peer smoking was the most consistent correlate of smoking among Chinese girls. Among Chinese women, partner smoking, job-related stress, and exposure to cigarettes made for women were consistent correlates of smoking. Knowledge of harms and negative attitudes towards smoking were found to be negatively associated with smoking. Overall, the evidence base for smoking among Chinese women is limited. Although smoking among Chinese women is still at an early stage, it is becoming more prevalent among specific population subgroups, such as rural-to-urban migrant workers. Although further research is needed, findings from the current study provide a roadmap for research and policy on prevention of smoking among Chinese girls and women.

  2. Review of Structural Social Determinants of Health in Early Childhood Development

    Directory of Open Access Journals (Sweden)

    Firoozeh Sajedi

    2015-09-01

    Full Text Available Development is a dynamic and continuous phenomenon  that is under the influence of various factors forming a complicated multidimensional system together. Any impairment in these factors can lead to impaired development in children, which is one of the most common problems in children. Therefore, this study provides a brief overview of these factors and the way they affect early childhood development. A brief review was performed in databases including Google scholar, PUBMED, Proquest, SID, Magiran, Iranmedex, Irandoc with following keywords: child  development, income, occupation, education, employment, boy, girl,  gender, sex, social class, Race and Ethnicity. All of article was reviewed then categorized based on WHO model. Among the papers reviewed, most of the studies were about employment, education, and income and most of them investigated these risk factors in terms of socioeconomic status. Structural factors of social determinants of health had a close relationship with each other, and they  had affected development through each other. Given that, only few studies on structural factors, except for socioeconomic factors, have been conducted and little attention has been paid to the way these factors affect child development, further studies in this area are required to propose a model in order to better understand the interaction between these factors.

  3. Searching for the structure of early American psychology: Networking Psychological Review, 1909-1923.

    Science.gov (United States)

    Green, Christopher D; Feinerer, Ingo; Burman, Jeremy T

    2015-05-01

    This study continues a previous investigation of the intellectual structure of early American psychology by presenting and analyzing 3 networks that collectively include every substantive article published in Psychological Review during the 15-year period from 1909 to 1923. The networks were laid out such that articles (represented by the network's nodes) that possessed strongly correlated vocabularies were positioned closer to each other spatially than articles with weakly correlated vocabularies. We identified distinct research communities within the networks by locating and interpreting the clusters of lexically similar articles. We found that the Psychological Review was in some turmoil during this period compared with its first 15 years attributable, first, to Baldwin's unexpected departure in 1910; second, to the pressures placed on the discipline by United States entry into World War I; and, third, to the emergence of specialty psychology journals catering to research communities that had once published in the Review. The journal emerged from these challenges, however, with a better-defined mission: to serve as the chief repository of theoretical psychology in the United States. (c) 2015 APA, all rights reserved).

  4. SUPPLEMENTAL COLUMBIA RIVER PROTECTION ACTIVITIES AT THE DEPARTMENT OF ENERGY HANFORD SITE 2008 TECHNICAL REVIEW

    Energy Technology Data Exchange (ETDEWEB)

    Looney, B; Dawn S. Kaback, D; Eugene L. LeBoeuf, E; Joe Rossabi, J; Karen L. Skubal, K; David L. Cocke, D; Paul C. Deutsch, P

    2008-09-30

    Beginning in 2006, the US Department of Energy (DOE) supported nine applied research projects to improve the protection of the Columbia River and mitigate the impacts of Hanford Site groundwater. These projects were funded through a supplemental Congressional budget allocation, and are now in various stages of completion in accordance with the research plans. The DOE Office of Environmental Management Groundwater and Soil Cleanup Technologies (EM-22) sponsored a technical peer review meeting for these projects in Richland WA, July 28-31, 2008. The overall objective of the peer review is to provide information to support DOE decisions about the status and potential future application of the various technologies. The charge for the peer review panel was to develop recommendations for each of the nine 'technologies'. Team members for the July 2008 review were Brian Looney, Gene LeBoeuf, Dawn Kaback, Karen Skubal, Joe Rossabi, Paul Deutsch, and David Cocke. Previous project reviews were held in May 2007 and March-May of 2006. The team used the following four rating categories for projects: (a) Incorporate the technology/strategy in ongoing and future EM activities; (b) Finish existing scope of applied research and determine potential for EM activities when research program is finished; (c) Discontinue current development activities and do not incorporate technology/strategy into ongoing and future EM activities unless a significant and compelling change in potential viability is documented; and (d) Supplement original funded work to obtain the data needed to support a DOE decision to incorporate the technology into ongoing and future EM activities. The supplemental funding portfolio included two projects that addressed strontium, five projects that addressed chromium, one project that addressed uranium and one project that addressed carbon tetrachloride. The projects ranged from in situ treatment methods for immobilizing contaminants using chemical

  5. Prophylaxis of surgical site infection in adult spine surgery: A systematic review.

    Science.gov (United States)

    Yao, Reina; Tan, Terence; Tee, Jin Wee; Street, John

    2018-06-01

    Surgical site infection (SSI) remains a significant source of morbidity in spine surgery, with reported rates varying from 0.7 to 16%. To systematically review and evaluate the evidence for strategies for prophylaxis of SSI in adult spine surgery in the last twenty years. Two independent systematic searches were conducted, at two international spine centers, encompassing PubMed, ClinicalTrials.gov, Cochrane Database, EBSCO Medline, ScienceDirect, Ovid Medline, EMBASE (Ovid), and MEDLINE. References were combined and screened, then distilled to 69 independent studies for final review. 11 randomized controlled trials (RCTs), 51 case-controlled studies (CCS), and 7 case series were identified. Wide variation exists in surgical indications, approaches, procedures, and even definitions of SSI. Intra-wound vancomycin powder was the most widely studied intervention (19 studies, 1 RCT). Multiple studies examined perioperative antibiotic protocols, closed-suction drainage, povidone-iodine solution irrigation, and 2-octyl-cyanoacrylate skin closure. 18 interventions were examined by a single study only. There is limited evidence for the efficacy of intra-wound vancomycin. There is strong evidence that closed-suction drainage does not affect SSI rates, while there is moderate evidence for the efficacy of povidone-iodine irrigation and that single-dose preoperative antibiotics is as effective as multiple doses. Few conclusions can be drawn about other interventions given the paucity and poor quality of studies. While a small body of evidence underscores a select few interventions for SSI prophylaxis in adult spine surgery, most proposed measures have not been investigated beyond a single study. Further high level evidence is required to justify SSI preventative treatments. Copyright © 2018 Elsevier Ltd. All rights reserved.

  6. A reassessment of the early archaeological record at Leang Burung 2, a Late Pleistocene rock-shelter site on the Indonesian island of Sulawesi

    NARCIS (Netherlands)

    Brumm, Adam; Hakim, Budianto; Ramli, Muhammad; Aubert, Maxime; van den Bergh, Gerrit D.; Li, Bo; Burhan, Basran; Saiful, Andi Muhammad; Siagian, Linda; Sardi, Ratno; Jusdi, Andi; Said, Abdullah; Mubarak, Andi Pampang; Moore, Mark W.; Roberts, Richard G.; Zhao, Jian-xin; McGahan, David; Jones, Brian G.; Perston, Yinika; Szabó, Katherine; Mahmud, M. Irfan; Westaway, Kira; [Unknown], Jatmiko; Saptomo, E. Wahyu; van der Kaars, Sander; Grün, Rainer; Wood, Rachel; Dodson, John; Morwood, Michael J.

    2018-01-01

    This paper presents a reassessment of the archaeological record at Leang Burung 2, a key early human occupation site in the Late Pleistocene of Southeast Asia. Excavated originally by Ian Glover in 1975, this limestone rock-shelter in the Maros karsts of Sulawesi, Indonesia, has long held

  7. A study of a possible early reindeer domestication site on the Iamal peninsula (Russia) using geoarchaeological methods and lipid biomarkers.

    Science.gov (United States)

    Harrault, Loic; Milek, Karen; Dawson, Lorna; Anderson, David

    2016-04-01

    In past centuries, indigenous hunters in Northern Eurasia shifted from being hunters to being herders of reindeer. Even at low human population densities, large reindeer herds can alter the landscape and leave long-term biochemical signatures in the soil. Although indigenous social-ecological systems have been thought to be resilient in space and time, most are considered to be at risk due to climate and socio-economic changes related to anthropogenic activities. This situation calls for a long-term perspective to place human-animal relations in their respective contexts. As an ancient livelihood still practiced across vast areas of Northern Eurasia, reindeer herding is a nexus for feedbacks between humans, animals and environment. The Iarte site, on the Iuribei River in the central part of the Iamal peninsula is thought to be an important site of reindeer domestication dating back to the 12th century due to the enormous quantities of butchered reindeer bones found in recent excavations. The large amount of buried reindeer bones found at the settlement suggests that herds should have stood near the site despite the lack of any architectural remains of corrals or pens. The history of a possible early relation to domesticate reindeer can be described with geoarchaeological methods, including lipid biomarkers, which can indicate the presence of past human and animal activities. Among lipid biomarkers, faecal markers such as stanols and bile acids have already been used in archaeological contexts to identify and distinguish between different species because they are persistent over time and can have a species specific profile. Near the Iarte settlement, we conducted a soil survey and sampling programme and combined geoarchaeological measurements (including electrical conductivity, magnetic susceptibility and elemental analysis) with lipid analysis of soil samples, to identify the potential presence of standing reindeer herds. The different soil layers have been

  8. Operational readiness review for the TSCA incinerator start-up at the Oak Ridge K-25 site

    International Nuclear Information System (INIS)

    Jordan, Elizabeth A.; Murray, Alexander P.; Kiang, Peter M.

    1992-01-01

    The Department of Energy (DOE) Toxic Substances Control Act (TSCA) incinerator at Oak Ridge K-25 Site was designed in the early 1980's as a treatment alternative for the increasing quantities of radioactive mixed waste accumulating from gaseous diffusion plant (GDP) operations. The waste feed principally contains low assay uranium and PCBs, although listed solvents and heavy metal containing sludges have also be incinerated. Construction was completed in 1986 and the unit underwent an extensive series of tests and trial burns, because of the following unique characteristics: the incinerator treats radioactive mixed wastes; increased size of the incinerator for greater waste throughout and treatment capacity; expansion of the waste acceptance criteria to include materials and radionuclides from non-GDP operations, such as ORNL and Y-12; modifications and improvement to the Air Pollution Control (APC) system; treatment of large quantities and concentrations of PCB containing materials; projected longevity of operation (40 years); humid, Eastern location with a high, annual precipitation. The incinerator was initially fired in July, 1986. The full performance testing (with the APC) and DOE acceptance of the facility occurred a year later. The trial burn period lasted from 1988 through 1990. Numerous equipment problems were initially encountered, including excessive draft fan wear and failure. These problems have been overcome, the facility is fully permitted, DOE provided authorization for full operations in 1991, and, to date, over two million pounds of mixed waste have been incinerated, with an average volume reduction factor of approximately nine. This paper discusses the Office of Environmental Restoration and Waste Management Readiness Review for the incinerator. (author)

  9. Relationship between peripheral insertion site and catheter-related phlebitis in adult hospitalized patients: a systematic review.

    Science.gov (United States)

    Comparcini, Dania; Simonetti, Valentina; Blot, Stijn; Tomietto, Marco; Cicolini, Giancarlo

    2017-01-01

    To explore the relationship between the anatomical site of peripheral venous catheterization and risk of catheter-related phlebitis. Peripheral venous catheterization is frequently associated with phlebitis. Recent guidelines, recommend the use of an upper-extremity site for catheter insertion but no univocal consensus exists on the anatomical site with lower risk of phlebitis. Systematic review. We searched Medline (PubMed) and CINAHL (EBSCOhost) databases until the end of January 2017. We also reviewed the reference lists of retrieved articles and gray literature was excluded. Searches were limited to articles published in English with no restriction imposed to date of publication. The primary outcome was the incidence of phlebitis associated with anatomical site of peripheral catheterization. We included randomized controlled trials and observational studies on adult patients who required a peripheral catheter for the administration of medi- cation, intermittent or continuous fluid infusion. Antecubital fossa veins are associated with lower phlebitis rates, while hands veins are the most risky sites to develop phlebitis. There is no consensus regarding vein in forearm. Choosing the right anatomical site to insert a peripheral venous catheter is important to decrease phlebitis rate. Further studies should compare indwelling time in different anatomical sites with phlebitis rate. A more standardized approach in defining and assessing phlebitis among studies is recommended.

  10. DIAGNOSTIC CLASSIFICATION OF MENTAL HEALTH AND DEVELOPMENTAL DISORDERS OF INFANCY AND EARLY CHILDHOOD DC:0-5: SELECTIVE REVIEWS FROM A NEW NOSOLOGY FOR EARLY CHILDHOOD PSYCHOPATHOLOGY.

    Science.gov (United States)

    Zeanah, Charles H; Carter, Alice S; Cohen, Julie; Egger, Helen; Gleason, Mary Margaret; Keren, Miri; Lieberman, Alicia; Mulrooney, Kathleen; Oser, Cindy

    2016-09-01

    The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0-5; ZERO TO THREE) is scheduled to be published in 2016. The articles in this section are selective reviews that have been undertaken as part of the process of refining and updating the nosology. They provide the rationales for new disorders, for disorders that had not been included previously in the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0-3R; ZERO TO THREE, 2005), and for changes in how certain types of disorders are conceptualized. © 2016 Michigan Association for Infant Mental Health.

  11. Evaluating the 'Lapita Smoke Screen' : site SGO015 of Goro, and early Austronesian settlement of the south-east coast of New Caledonia's Grande Terre

    International Nuclear Information System (INIS)

    Sand, C.; Ouetcho, A.; Bole, J.; Baret, D.

    2000-01-01

    Preliminary archaeological data from the east coast of the Grande Terrre of New Caledonia have been interpreted for some time as indicating an early prehistoric settlement of the southernmost Melanesian Archipelago by two cultural groups. Absence of Lapita sites on this coast, as well as very early dates published for the appearance of paddle-impressed pottery of the Podtanean tradition, led to the proposal of a pre-Lapita, non-Austronesian, 'Melanesian' settlement of southern Melanesia. This paper presents data on the first early Lapita site from Grande Terre's east coast, and discusses the implications of these new archaeological data for the definition of the characteristics of first human settlement in this region of Remote Oceania. (author). 59 refs., 6 figs

  12. [Incidence of surgical site infections in sub-Saharan Africa: systematic review and meta-analysis].

    Science.gov (United States)

    Ngaroua; Ngah, Joseph Eloundou; Bénet, Thomas; Djibrilla, Yaouba

    2016-01-01

    Surgical Site Infections (SSI) cause morbi-mortality and additional healthcare expenditures. Developing countries are the most affected. The objective was to estimate the pooled incidence of SSI in Sub-Saharan Africa and describe its major risk factors. Systematic review and meta-analysis were conducted using the databases of the World Health Organization Regional Office for Africa, PubMed and standard search to select electronic articles published between 2006 and 2015. Only articles investigating SSI impact and risk factors in Sub-Saharan African countries were retained. Out of 95 articles found, 11 met the inclusion criteria. Only 9 countries out of 45 have contributed, with a huge amount of information coming from Nigeria (5 articles out of 11). The impact of SSI ranged from 6.8% to 26% with predominance in general surgery. The pooled incidence of SSI was 14.8% (95% CI: 15,5-16,2%) with significant heterogeneity according to the specialty and the method of monitoring. Most cited risk factors were long procedure length and categories 3 and 4 of Altemeier contamination class. Other factors included hospital environment, inadequate care practices and underlying pathologies. SSI incidence is high in Sub-Saharan Africa. Studies in this area could improve knowledge, prevention and control of these multiple risk factors.

  13. Review of the Scientific Understanding of Radioactive Waste at the U.S. DOE Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, Reid A.; Buck, Edgar C.; Chun, Jaehun; Daniel, Richard C.; Herting, Daniel L. [Washington River Protection Solutions, Richland, Washington 99354, United States; Ilton, Eugene S.; Lumetta, Gregg J.; Clark, Sue B. [Chemistry

    2018-01-02

    This paper reviews the origin and chemical and rheological complexity of radioactive waste at the U.S. Department of Energy’s Hanford Site. The waste, stored in underground tanks, was generated via three distinct processes over decades of plutonium extraction operations. Although close records were kept of original waste disposition, tank-to-tank transfers and conditions that impede equilibrium complicate our understanding of the chemistry, phase composition, and rheology of the waste. Tank waste slurries comprise particles and aggregates from nano to micron scales, with varying densities, morphologies, heterogeneous compositions, and complicated responses to flow regimes and process conditions. Further, remnant or changing radiation fields may affect the stability and rheology of the waste. These conditions pose challenges for transport through conduits or pipes to treatment plants for vitrification. Additionally, recalcitrant boehmite degrades glass quality and must be reduced prior to vitrification, but dissolves much more slowly than predicted given surface normalized rates. Existing empirical models based on ex situ experiments and observations lack true predictive capabilities. Recent advances in in situ microscopy, aberration corrected TEM, theoretical modeling across scales, and experimental methods for probing the physics and chemistry at mineral-fluid and mineral-mineral interfaces are being implemented to build robustly predictive physics-based models.

  14. Workshops for state review of site suitability criteria for high-level radioactive waste repositories: analysis and recommendations

    International Nuclear Information System (INIS)

    1978-02-01

    The purpose of this report is to present the views and recommendations of invited State officials and legislators participating in a workshop concerned with preliminary site suitability criteria for high level radioactive waste repositories. The workshops were open to the public and were conducted by the U. S. Nuclear Regulatory Commission (NRC) during September 1977 in three regional locations across the United States. This contractor report is the second of two reports and consolidates the discussion by State officials on the role of a State in siting a repository, NRC's waste management program, the transportation of high level wastes, the number and location of repositories and concerns with the socio-economic impacts of siting a repository in a community. The recommendations to the NRC can be categorized into four areas. These were: (1) general recommendations, (2) procedural recommendations, (3) recommendations for improving communications, and (4) specific recommendations on the preliminary siting criteria. The recommendations emphasized the need for early State involvement in the siting process, the need for an impacted State to assess repository operations, the need for early solution of waste transportation concerns, and the requirement that any repository developed insure the protection of the public health and safety as its most important characteristic. Other participant recommendations are included in the body of the report

  15. Sexuality (and Lack Thereof in Adolescence and Early Adulthood: A Review of the Literature

    Directory of Open Access Journals (Sweden)

    Marie-Aude Boislard

    2016-03-01

    Full Text Available Youth sexuality has been primarily studied with a focus on its potential public health issues, such as sexually transmitted infections and unwanted pregnancies, and its comorbidity with other risky behaviors. More recently, it has been studied as a normative step in romantic partnerships, either pre- or post-marital, as well as outside the context of romantic involvement. In this paper, we review the extensive literature on sexuality in adolescence and early adulthood both within and outside romantic relationships (i.e., casual sexual relationships and experiences; CSREs. Furthermore, the recent recognition of youth sexuality as a developmental task has led to a renewed interest from scholars in youth who abstain from sexual encounters, whether deliberately or not. A brief overview of the literature on cultural differences in sexuality, and sexual-minority youth sexual development is also provided. This paper concludes by suggesting future directions to bring the field of youth sexuality and romantic relationships forward.

  16. The early development of executive function and its relation to social interaction: A brief review

    Directory of Open Access Journals (Sweden)

    Yusuke eMoriguchi

    2014-04-01

    Full Text Available Executive function (EF refers to the ability to execute appropriate actions and to inhibit inappropriate actions for the attainment of a specific goal. Research has shown that this ability develops rapidly during the preschool years. Recently, it has been proposed that research on executive function should consider the importance of social interaction. In this article, recent evidence regarding the early development of executive function and its relation to social interaction has been reviewed. Research consistently showed that social interaction can influence executive function skills in young children. However, the development of executive function may facilitate the cognitive skills that are important for social interaction. Taken together, there might be functional dependency between the development of executive function and social interaction.

  17. The early development of executive function and its relation to social interaction: a brief review.

    Science.gov (United States)

    Moriguchi, Yusuke

    2014-01-01

    Executive function (EF) refers to the ability to execute appropriate actions and to inhibit inappropriate actions for the attainment of a specific goal. Research has shown that this ability develops rapidly during the preschool years. Recently, it has been proposed that research on EF should consider the importance of social interaction. In this article, recent evidence regarding the early development of EF and its relation to social interaction has been reviewed. Research consistently showed that social interaction can influence EF skills in young children. However, the development of EF may facilitate the cognitive skills that are important for social interaction. Taken together, there might be functional dependency between the development of EF and social interaction.

  18. Integrating Early Child Development and Violence Prevention Programs: A Systematic Review.

    Science.gov (United States)

    Efevbera, Yvette; McCoy, Dana C; Wuermli, Alice J; Betancourt, Theresa S

    2018-03-01

    Limited evidence describes promoting development and reducing violence in low- and middle-income countries (LMICs), a missed opportunity to protect children and promote development and human capital. This study presents a systematic literature review of integrated early childhood development plus violence prevention (ECD+VP) interventions in LMICs. The search yielded 5,244 unique records, of which N = 6 studies met inclusion criteria. Interventions were in Chile, Jamaica, Lebanon, Mexico, Mozambique, and Turkey. Five interventions were parent education programs, including center-based sessions (n = 3) and home visiting (n = 2), while one intervention was a teacher education program. All but one study reported improvements in both child development and maltreatment outcomes. The dearth of evidence on ECD+VP interventions suggests additional research is needed. Integrated ECD+VP interventions may improve multiple child outcome domains while leveraging limited resources in LMICs. © 2018 Wiley Periodicals, Inc.

  19. Insights into the Early to Late Oligocene Izu-Bonin Mariana Arc Magmatic History from Volcanic Minerals and Glass within Volcaniclastic Sediments of IODP Site U1438 and DSDP Site 296

    Science.gov (United States)

    Samajpati, E.; Hickey-Vargas, R.

    2017-12-01

    The Kyushu-Palau Ridge (KPR) is a remnant of the early Izu-Bonin-Mariana (IBM) island arc, separated by arc rifting and seafloor spreading. We examine and compare volcanic materials from two sites where the transition from IBM arc building to rifting is well sampled: DSDP Site 296 on the northern KPR crest, and recent IODP Site U1438 in the adjacent Amami-Sankaku basin to the west. The purpose of the study is to understand the origin and depositional regime of volcaniclastic sediments during the arc rifting stage. Site 1438 sedimentary Unit II and the upper part of Unit III (300 and 453 mbsf) correlate in time with sedimentary Units 1G and 2 of DSDP Site 296 (160 and 300 mbsf). The upper part of Site U1438 Unit III and Site 296 Unit 2 consist of early to late Oligocene coarse volcaniclastic sedimentary rocks. These are overlain by late Oligocene nannofossil chalks with volcanic sand and ash-rich layers at Site 296 Unit 1G, and tuffaceous silt, sand, siltstone and sandstone at Site 1438 Unit II. The chemical composition of volcanic glass shards, pyroxenes with melt inclusions and amphiboles separated from volcaniclastic sediments were analyzed by EPMA and LA-ICPMS. Glasses are found at Site 296 only, range from medium-K basalt to rhyolite and have trace element patterns typical of arc volcanics. Clinopyroxene and orthopyroxene are found as detrital grains in sediments from both sites. Mg-numbers range from 58 to 94. Interestingly, the alumina content of pyroxene grain populations from both sites increase and then decrease with decreasing Mg-number. This probably reflects control of Al contents in magma and pyroxene by suppressed plagioclase saturation, which apparently was a consistent feature of KPR volcanoes. Melt-inclusions within the pyroxenes are typically small (30-50 microns) and have similar chemical compositions within one grain. The melt inclusions range from basalt to rhyolite with moderate alkali content. Amphibole is more prevalent in late Oligocene

  20. 75 FR 26743 - Pacific Gas and Electric Company; Notice of Environmental Site Review and Technical Meetings To...

    Science.gov (United States)

    2010-05-12

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 12779-005] Pacific Gas and Electric Company; Notice of Environmental Site Review and Technical Meetings To Discuss Information and Monitoring Needs for a License Application for a Pilot Project May 5, 2010. a. Type of Application: Draft Pilot License Application. b. Project N...

  1. Review of reports associated with systems of the K, P and L reactors at the Savannah River Site

    International Nuclear Information System (INIS)

    Cowgill, M.G.

    1992-02-01

    Six reports associated with the structural integrity of several systems of the Savannah River Site reactors are reviewed. The focus is on the materials-related aspects of the reports and no attempt is made to address the stress analysis-related issues

  2. 78 FR 26664 - Submission for Review: CyberCorps®: Scholarship For Service (SFS) Registration Web Site

    Science.gov (United States)

    2013-05-07

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: CyberCorps[supreg]: Scholarship For Service (SFS) Registration Web Site AGENCY: U.S. Office of Personnel Management. ACTION: 60-Day Notice and..., Mid-Atlantic Services Branch, 200 Granby Street, Suite 500, Norfolk, VA 23510-1886, Attention: Kathy...

  3. 78 FR 68044 - Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site Review and...

    Science.gov (United States)

    2013-11-13

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7320-042] Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site Review and Soliciting Scoping Comments.... Date filed: July 1, 2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm...

  4. Arthroscopic coracoid transfer in the treatment of recurrent shoulder instability: a systematic review of early results.

    Science.gov (United States)

    Butt, Usman; Charalambous, Charalambos P

    2013-04-01

    Systematic review of the literature to characterize safety profile and complication rates associated with arthroscopic coracoid transfer procedures. We conducted a combined search of Medline, EMBASE, and the CINAHL databases from 1985 to November 2012. Articles were selected and data extracted according to standard criteria. Only 3 studies met the inclusion criteria, and these originated from the pioneers of this technique. These studies described the results of 172 arthroscopic coracoid transfer procedures with an overall complication rate of 19.8% ± 5.6%. Conversion to open surgery was necessary in 6/172 (3.5%) patients. Repeated surgery was described in 5/172 (2.9% ± 2.5%) cases, all for screw removal. The overall rate of recurrent instability was 3/172 cases (1.7% ± 2%). Hardware-related complications occurred in 4/172 patients (2.3% ± 2.3%). Coracoid grafts failed to unite in 14/172 patients (8.1% ± 4.1%); graft osteolysis was seen in 7/172 patients (4.1% ± 2.6%). The coracoid graft fractured in 2/172 cases (1.2% ± 1.6%); one of these occurred intraoperatively and one occurred early postoperatively. There was one transient nerve palsy (0.6% ± 1.1%). Results of arthroscopic coracoid transfer surgery for anterior shoulder instability are sparse, with the available studies originating from the pioneers of this technique. Early results suggest that arthroscopic coracoid transfer is a technically feasible procedure that is able to restore shoulder stability. However, this technique seems to be associated with a high complication rate and a steep learning curve. Results from the wider orthopaedic shoulder arthroscopic community are awaited. Extensive cadaveric training and experience with the open technique is recommended before performing the arthroscopic procedure. Systematic review of Level IV studies. Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  5. Epidemiology of early-onset dementia: a review of the literature

    Science.gov (United States)

    Vieira, Renata Teles; Caixeta, Leonardo; Machado, Sergio; Silva, Adriana Cardoso; Nardi, Antonio Egidio; Arias-Carrión, Oscar; Carta, Mauro Giovanni

    2013-01-01

    Presenile Dementia or Early Onset Dementia (EOD) is a public health problem, it differs from Senile Dementia, and encloses a significant number of cases; nevertheless, it is still poorly understood and underdiagnosed. This study aims to review the prevalence and etiology of EOD, comparing EOD with Senile Dementia, as well as to show the main causes of EOD and their prevalence in population and non-population based studies. The computer-supported search used the following databases: Pubmed/Medline, ISI Web of Knowledge and Scielo. The search terms were alcohol-associated dementia, Alzheimer’s disease, dementia, Creutzfeldt-jakob disease, dementia with lewy bodies, early onset dementia, frontotemporal lobar degeneration, Huntington’s disease, mixed dementia, neurodegenerative disorders, Parkinson’s disease dementia, presenile dementia, traumatic brain injury, vascular dementia. Only papers published in English and conducted from 1985 up to 2012 were preferentially reviewed. Neurodegenerative diseases are the most common etiologies seen in EOD. Among the general population, the prevalence of EOD was found to range between 0 to 700 per 100.000 habitants in groups of 25-64 years old, with an increasing incidence with age. The progression of EOD was found to range between 8.3 to 22.8 new cases per 100.000 in those aged under 65 years. Alzheimer's disease (AD) is the major etiology, followed by Vascular Dementia (VaD) and Frontotemporal Lobar Degeneration (FTLD). A larger number of epidemiological studies to elucidate how environmental issues contribute to EOD are necessary, thus, we can collaborate in the planning and prevention of services toward dementia patients. PMID:23878613

  6. Comprehensive geriatric assessment for older women with early breast cancer – a systematic review of literature

    Directory of Open Access Journals (Sweden)

    Parks Ruth M

    2012-05-01

    Full Text Available Abstract Background The Comprehensive Geriatric Assessment (CGA is an analytical tool increasingly implemented in clinical practice. Breast cancer is primarily a disease of older people; however, most evidence-based research is aimed at younger patients. Methods A systematic review of literature was carried out to assess the use of CGA in older breast cancer patients for clinical decision making. The PubMed, Embase and Cochrane databases were searched. Results A total of nine useful full text article results were found. Only five of these were exclusively concerned with early breast cancer; thus, studies involving a variety of cancer types, stages and treatments were accepted, as long as they included early breast cancer.The results comprised a series of low sources of evidence. However, all results shared a common theme: the CGA has a use in determining patient suitability for different types of cancer treatment and subsequently maximizing the patient’s quality of life. Conclusions There is not yet sufficient high level evidence to instate CGA guidelines as a mandatory practice in the management of breast cancer, due to the heterogeneity of available studies. More studies need to be conducted to cement current work on the benefits of the CGA. An area of particular interest is with regard to treatment options, especially surgery and chemotherapy, and identifying patients who may be suitable for these treatments.

  7. Mood and anxiety disorders as early manifestations of medical illness: a systematic review.

    Science.gov (United States)

    Cosci, Fiammetta; Fava, Giovanni A; Sonino, Nicoletta

    2015-01-01

    Affective disturbances involving alterations of mood, anxiety and irritability may be early symptoms of medical illnesses. The aim of this paper was to provide a systematic review of the literature with qualitative data synthesis. MEDLINE, PsycINFO, EMBASE, Cochrane, and ISI Web of Science were systematically searched from inception to February 2014. Search terms were 'prodrome/early symptom', combined using the Boolean 'AND' operator with 'anxiety/depression/mania/hypomania/irritability/irritable mood/hostility', combined with the Boolean 'AND' operator with 'medical illness/medical disorder'. PRISMA guidelines were followed. A total of 21 studies met the inclusion criteria and were analyzed. Depression was found to be the most common affective prodrome of medical disorders and was consistently reported in Cushing's syndrome, hypothyroidism, hyperparathyroidism, pancreatic and lung cancer, myocardial infarction, Wilson's disease, and AIDS. Mania, anxiety and irritability were less frequent. Physicians may not pursue medical workup of cases that appear to be psychiatric in nature. They should be alerted that disturbances in mood, anxiety and irritability may antedate the appearance of a medical disorder.

  8. Diet and body fat in adolescence and early adulthood: a systematic review of longitudinal studies

    Directory of Open Access Journals (Sweden)

    Bruna Celestino Schneider

    Full Text Available Abstract Adipose tissue is a vital component of the human body, but in excess, it represents a risk to health. According to the World Health Organization, one of the main factors determining excessive body adiposity is the dietary habit. This systematic review investigated longitudinal studies that assessed the association between diet and body fat in adolescents and young adults. Twenty-one relevant papers published between 2001 and 2015 were selected. The most used method for estimating body fat was the body mass index (15 studies. Diet was most commonly assessed by estimating the consumption of food groups (cereals, milk and dairy products and specific foods (sugar-sweetened beverages, soft drinks, fast foods, milk, etc.. Ten studies found a direct association between diet and quantity of body fat. During adolescence, adhering to a dietary pattern characterized by high consumption of energy-dense food, fast foods, sugar-sweetened beverages and soft drinks, as well as low fiber intake, appears to contribute to an increase in body fat in early adulthood. The findings of the present study suggest that the frequent consumption of unhealthy foods and food groups (higher energy density and lower nutrient content in adolescence is associated with higher quantity of body fat in early adulthood.

  9. Petroleum hydrocarbon contaminated sites: a review of investigation and remediation regulations and processes

    Energy Technology Data Exchange (ETDEWEB)

    Epelbaum, Michel; Claudio, Jair R. [Bureau Veritas do Brasil Sociedade Classificadora e Certificadora Ltda., Sao Paulo, SP (Brazil)

    1993-12-31

    This paper discusses alternatives on remediation of petroleum hydrocarbon contaminated sites which include groundwater remediation techniques and soil remediation techniques. Finally, the work points out some trends of sites remediation in Brazil and abroad. 6 refs., 1 fig., 7 tabs.

  10. Petroleum hydrocarbon contaminated sites: a review of investigation and remediation regulations and processes

    Energy Technology Data Exchange (ETDEWEB)

    Epelbaum, Michel; Claudio, Jair R [Bureau Veritas do Brasil Sociedade Classificadora e Certificadora Ltda., Sao Paulo, SP (Brazil)

    1994-12-31

    This paper discusses alternatives on remediation of petroleum hydrocarbon contaminated sites which include groundwater remediation techniques and soil remediation techniques. Finally, the work points out some trends of sites remediation in Brazil and abroad. 6 refs., 1 fig., 7 tabs.

  11. Optimization Review: French Gulch/Wellington-Oro Mine Site Water Treatment Plant, Breckenridge, Summit County, Colorado

    Science.gov (United States)

    The French Gulch/Wellington-Oro Mine Site is located near the town of Breckenridge in Summit County, Colorado. Environmental contamination of surface water, groundwater, soil and sediment at the site resulted from mining activities dating to the 1880s.

  12. Routine culture-based screening versus risk-based management for the prevention of early-onset group B streptococcus disease in the neonate: a systematic review.

    Science.gov (United States)

    Kurz, Ella; Davis, Deborah

    2015-04-17

    Early-onset group B streptococcus disease, recognized as the most common cause of early onset neonatal sepsis in developed countries, is transmitted vertically from the group B streptococcus carrier mother to the neonate in the peripartum. Accordingly, early-onset group B streptococcus disease is prevented by halting the transmission of the microorganism from the mother to the infant. Two main methods, routine culture-based screening and risk-based management, may be used in the identification of mothers requiring intrapartum antibiotic prophylaxis in labor. While there are advantages and disadvantages to each, there is limited high level evidence available as to which method is superior. To identify the effectiveness of risk-based management versus routine culture-based screening in the prevention of early-onset group B streptococcus disease in the neonate. This review considered studies which treated pregnant women with intrapartum antibiotic prophylaxis following risk- and culture-based protocols for the prevention of early-onset group B streptococcus disease in the neonate. Types of intervention: This review considered studies that evaluated risk-based management against routine culture-based screening for the prevention of early-onset group B streptococcus disease in the neonate. Types of studies: This review looked for highest evidence available which in this case consisted of one quasi experimental study and eight comparative cohort studies with historical or concurrent control groups. Types of outcomes: Incidence of early-onset group B streptococcus disease in neonates as measured by positive group B streptococcus culture from an otherwise sterile site. Secondary outcomes include neonatal death due to group B streptococcus sepsis and percentage of women who received intrapartum antibiotic prophylaxis. A multi-step search strategy was used to find studies which were limited to the English language and published between January 2000 and June 2013. The quality

  13. Drug-induced sleep endoscopy in the identification of obstruction sites in patients with obstructive sleep apnea: a systematic review.

    Science.gov (United States)

    Viana, Alonço da Cunha; Thuler, Luiz Claudio Santos; Araújo-Melo, Maria Helena de

    2015-01-01

    Obstructive sleep apnea syndrome has multifactorial causes. Although indications for surgery are evaluated by well-known diagnostic tests in the awake state, these do not always correlate with satisfactory surgical results. To undertake a systematic review on endoscopy during sleep, as one element of the diagnosis routine, aiming to identify upper airway obstruction sites in adult patients with OSAS. By means of electronic databases, a systematic review was performed of studies using drug-induced sleep endoscopy to identify obstruction sites in patients with OSAS. Ten articles were selected that demonstrated the importance of identifying multilevel obstruction, especially in relation to retrolingual and laryngeal collapse in OSAS. DISE is an additional method to reveal obstruction sites that have not been detected in awake patients. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  14. Dose-response relationship between cigarette smoking and site-specific cancer risk: protocol for a systematic review with an original design combining umbrella and traditional reviews.

    Science.gov (United States)

    Lugo, Alessandra; Bosetti, Cristina; Peveri, Giulia; Rota, Matteo; Bagnardi, Vincenzo; Gallus, Silvano

    2017-11-01

    Only a limited number of meta-analyses providing risk curve functions of dose-response relationships between various smoking-related variables and cancer-specific risk are available. To identify all relevant original publications on the issue, we will conduct a series of comprehensive systematic reviews based on three subsequent literature searches: (1) an umbrella review, to identify meta-analyses, pooled analyses and systematic reviews published before 28 April 2017 on the association between cigarette smoking and the risk of 28 (namely all) malignant neoplasms; (2) for each cancer site, an updated review of original publications on the association between cigarette smoking and cancer risk, starting from the last available comprehensive review identified through the umbrella review; and (3) a review of all original articles on the association between cigarette smoking and site-specific cancer risk included in the publications identified through the umbrella review and the updated reviews. The primary outcomes of interest will be (1) the excess incidence/mortality of various cancers for smokers compared with never smokers; and (2) the dose-response curves describing the association between smoking intensity, duration and time since stopping and incidence/mortality for various cancers. For each cancer site, we will perform a meta-analysis by pooling study-specific estimates for smoking status. We will also estimate the dose-response curves for other smoking-related variables through random-effects meta-regression models based on a non-linear dose-response relationship framework. Ethics approval is not required for this study. Main results will be published in peer-reviewed journals and will also be included in a publicly available website. We will provide therefore the most complete and updated estimates on the association between various measures of cigarette smoking and site-specific cancer risk. This will allow us to obtain precise estimates on the cancer burden

  15. The SKI SITE-94 Project: An International Peer Review Carried out by an OECD/NEA Team of Experts

    International Nuclear Information System (INIS)

    Sagar, Budhi; Devillers, C.; Smith, Paul; Laliuex, P.; Pescatore, C.

    1997-10-01

    The recently completed SITE-94 project is an SKI effort directed at building competence and capacity in the assessment of safety of a spent-fuel geologic repository. Emphasis is given to the assimilation of site-specific data, with its associated uncertainties, into the performance assessment. Specific attention is also given to improving the understanding of mechanisms that might compromise canister integrity. This report represents the common views of an International Review Team (IRT) established by the NEA Secretariat, at the request of SKI, to perform a peer review of SITE-94. The basis for the report is the understanding of SITE-94 and its background obtained by IRT in the course of several months of study of SITE-94 documentation, internal discussions and a meeting with SKI in Stockholm. The report is limited to the main findings of IRT. The intended audience of the report is the staff of SKI and, accordingly, the style of the report is suited to a technical audience familiar with the contents of the SITE-94 project

  16. 77 FR 52702 - Notice of Submission for OMB Review; Institute of Education Sciences; Early Childhood...

    Science.gov (United States)

    2012-08-30

    ... child development, early learning, and school progress, drawing together information from multiple... child development, early learning, and school progress, drawing together information from multiple... children's early school experiences beginning with kindergarten and continuing through the fifth grade. It...

  17. [Evaluation of quality of service in Early Intervention: A systematic review].

    Science.gov (United States)

    Jemes Campaña, Inmaculada Concepción; Romero-Galisteo, Rita Pilar; Labajos Manzanares, María Teresa; Moreno Morales, Noelia

    2018-06-07

    Early Intervention (EI), as a paediatric service, has the duty of quantifying the results and the quality of its services provided. The accessibility of valid and reliable tools allows professionals to evaluate the quality of these services. The aim of this study is to review the scientific literature on tools used to measure the methodological and service quality in EI. A search was made in different databases: Medline (from PubMed), Web of Science, PsycINFO, Cochrane, Scopus, ERIC and Scielo. The methodological quality of the studies was tested using the COSMIN scale. A total of 13 manuscripts met the criteria to be included in this review. Ten of them received a "good" or "reasonable" score based on the COSMIN scale. Despite its importance, there is no consensus among authors on the measurement of service quality in EI. It is often the family of the children attended in EI that are considered the target to study, although the opinion of professionals carries more weight and completes the information. Copyright © 2018. Publicado por Elsevier España, S.L.U.

  18. The use of telehealth in early autism training for parents: a scoping review

    Directory of Open Access Journals (Sweden)

    Boisvert M

    2014-03-01

    Full Text Available Michelle Boisvert,1 Nerissa Hall2 1WorldTide, Inc., Williamsburg, MA, USA; 2Communicare, LLC, Ludlow, MA, USA Abstract: Telehealth involves the application of technology to deliver services over a geographical distance. Studies in which telehealth procedures were used in the training or coaching of parents with young children (aged 6 years and under who were diagnosed with autism were reviewed. Scoping searches identified two studies that met the inclusion criteria. These studies were evaluated in terms of the: 1 characteristics of the participants; 2 technology utilized; 3 services delivered via telehealth; 4 research methodology; and 5 results and conclusions of the study. Telehealth was used by speech–language pathologists and university researchers to provide training to parents on specific intervention approaches to facilitate targeted communication initiations and responses by gestures, picture pointing, or verbalizations, as well as the delivery and evaluation of the Early Start Denver Model. While the available literature is limited on this topic, this review suggests that the use of telehealth is a viable means to provide training to parents with young children diagnosed with autism. Keywords: autism spectrum disorder, telehealth, training, education, caregivers, parents

  19. Economics of Early Warning Scores for identifying clinical deterioration-a systematic review.

    Science.gov (United States)

    Murphy, A; Cronin, J; Whelan, R; Drummond, F J; Savage, E; Hegarty, J

    2018-02-01

    In 2013, a National Early Warning System (EWS) was implemented in Ireland. Whilst evidence exists to support the clinical effectiveness of EWS in the acute health care setting, there is a paucity of information on their cost and cost effectiveness. The objective of this systematic literature review was to critically evaluate the economic literature on the use of EWS in adult patients in acute health care settings for the timely detection of physiological deterioration. A systematic literature review was conducted to accumulate the economic evidence on the use of EWS in adult patients in acute health care settings. The search yielded one health technology assessment, two budget impact analyses and two cost descriptions. Three of the studies were Irish, and considered the national EWS system. A Dutch study reported financial consequences of a single parameter EWS, as part of a rapid response system, in a surgical ward. The fifth study examined an advanced triage system in a medical emergency admission unit in Wales. The economic evidence on the use of EWS amongst adult patients in acute health care settings for the timely detection of physiological deterioration is limited. Further research is required to investigate the cost effectiveness of EWS, and the appropriateness of using standard methods to do so. The recent implementation of a national EWS in Ireland offers a unique opportunity to bridge this gap in the literature to examine the costs and cost effectiveness of a nationally implemented EWS system.

  20. Attitude and Practice Regarding Breast Cancer Early Detection among Iranian Women: A Systematic Review

    Science.gov (United States)

    Badakhsh, Mahin; Balouchi, Abbas; Taheri, Safiyeh; Bouya, Salehoddin; Ahmadidarehsima, Sudabeh; Aminifard, Mohammadnaem

    2018-01-01

    Objectives: To determining attitudes and practice regarding breast cancer early detection techniques (breast self-examination (BSE), clinical breast examination (CBE) and mammography) among Iranian woman. Methods: International (PubMed, ISI, and Google Scholar) and national (SID and Magiran) databases were reviewed up to September 2017 to identify articles related to the attitudes and practices of Iranian women concerning breast cancer screening behavior with reference to BSE , CBE and mammography. The screening steps, analysis of quality of the studies and extraction of the papers were performed by two reviewers. Results: Of the 532 studies included initially, 21 performed on 10,521 people were considered eligible. Subjects with a positive attitude toward BSE in various studies were 13.5% to 94.0% with an average of 47.6%. Positive attitudes to CBE and mammography were found in 21.0% and 26.4%, respectively. Participant performance of BSE ranged from 2.6% to 84.7%, with an average of 21.9%. The respective figures for CBE and mammography were 15.8% and 16.7%. Conclusion: Considering the poor performance and low rates for positive attitudes, it is suggested that educational programs should be conducted across the country. PMID:29373873

  1. An international peer review of the programme for evaluating sites for near surface disposal of radioactive waste in Lithuania. Report of the IAEA International Review Team

    International Nuclear Information System (INIS)

    2006-12-01

    Lithuania's national Radioactive Waste Management Agency (RATA) is mandated by national legislation to find a disposal solution for radioactive waste arising mainly from the operation and decommissioning of the Ignalina nuclear power plant. A key step in the process of obtaining a disposal solution is to identify potential sites for detailed consideration. The RATA has completed this first step and is now directing a programme for detailed investigation of these sites. In this context, the RATA requested that the IAEA, on the basis of its statutory mandate to establish safety standards and provide for their application, conduct a peer review of the safety of the proposed disposal concept. The objective of the peer review, carried out in December 2005, was to provide an independent assessment of the safety related aspects of the sites under consideration on the basis of international safety standards and applicable national standards. The review also considered the feasibility of the proposed reference design and its suitability for the local conditions. The peer review provides an independent opinion as to whether the RATA's siting and site characterization programme is consistent with international standards and agrees with good practice in other national disposal programmes. Peer reviews are increasingly being acknowledged as an important component in building broader stakeholder confidence in the safety of facilities. For this reason, an increase in their number and frequency is anticipated. The coming into force of the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management has also focused attention on the demonstration of the safety of waste management facilities. This report presents the consensus view of the international group of experts convened by the IAEA to carry out the review. The findings and recommendations of the Review Team were grouped under six topics considered to be of fundamental importance

  2. [System construction of early warning for ecological security at cultural and natural heritage mixed sites and its application: a case study of Wuyishan Scenery District].

    Science.gov (United States)

    You, Wei-Bin; He, Dong-Jin; Qin, De-Hua; Ji, Zhi-Rong; Wu, Li-Yun; Yu, Jian-An; Chen, Bing-Rong; Tan, Yong

    2014-05-01

    This paper proposed a new concept of ecological security for protection by a comprehensive analysis of the contents and standards of world heritage sites. A frame concept model named "Pressure-State-Control" for early warning of ecological security at world heritage mixed sites was constructed and evaluation indicators of this frame were also selected. Wuyishan Scenery District was chosen for a case study, which has been severely disturbed by natural and artificial factors. Based on the frame model of "Pressure-State-Control" and by employing extension analysis, the matter-element model was established to assess the ecological security status of this cultural and natural world heritage mixed site. The results showed that the accuracy of ecological security early warning reached 84%. Early warning rank was I level (no alert status) in 1997 and 2009, but that in 2009 had a higher possibility to convert into II level. Likewise, the early-warning indices of sensitive ranks were different between 1997 and 2009. Population density, population growth rate, area index for tea garden, cultivated land owned per capita, level of drought, and investment for ecological and environmental construction were the main limiting factors to hinder the development of ecological security from 2009 to future. In general, the status of Wuyishan Scenery District ecological security was relatively good and considered as no alert level, while risk conditions also existed in terms of a few early-warning indicators. We still need to pay more attention to serious alert indicators and adopt effective prevention and control measures to maintain a good ecological security status of this heritage site.

  3. Factors preventing early case detection for women affected by leprosy: a review of the literature

    Science.gov (United States)

    Price, Victoria Grace

    2017-01-01

    ABSTRACT Background: Although leprosy can affect both sexes equally, it is globally reported that men are affected, or simply report, more often than females at the average ratio of 2:1. If cases are simply not being reported, women may be suffering in silence more often than men, and, therefore, understanding the social reasons for this in a number of countries could support the prevention of long-term disabilities caused as a result of leprosy. Objectives: The objective of this review is to recognise the current academic literature surrounding the potential factors for late diagnosis of women affected by leprosy, giving possible explanations for the 2:1 gender disparity observed in case detection globally. It is hoped that health practitioners will become more equipped to recognise these barriers and ensure they are doing whatever possible to encourage women to report the early symptoms of leprosy. Methods: The review used a systematic search process in order to identify gender-related publications using robust research, useful for gleaning a cross-cultural perception of issues women may confront on the prospect of a diagnosis of leprosy. Results: Identifying 12 publications from just five countries, the review found there to be four overarching areas which may be considered barriers more often faced by women: societal stigma; women’s dependence and low status; self-stigmatising attitudes; and the gender insensitivity of leprosy services. Conclusion: Stigma surrounding leprosy experienced from these four overarching areas can all be attributed to the later diagnosis of women affected by leprosy, in relation to their male counterparts. The need for future research surrounding the specific experience of women affected by leprosy is pressing. PMID:28853325

  4. Thrombolysis in the age of Primary Percutaneous Coronary Intervention: Mini-Review and Meta-analysis of Early PCI.

    Science.gov (United States)

    Al Shammeri, O; Garcia, LA

    2013-01-01

    Primary Percutaneous Coronary Intervention (PCI) is the treatment of choice for ST-segment Elevation Myocardial Infarction (STEMI) if performed within 90 minutes from first medical contact. However, primary PCI is only available for less than 25% of patients with STEMI. Early PCI or Pharmaco-invasive strategy has evolved from facilitated PCI but with more delayed timing from thrombolysis to PCI. Assess the safety and effectiveness of Early PCI. We reviewed the data of the available therapy options for patients with STEMI. Then we performed a meta-analysis for all randomized controlled trials of early PCI versus standard therapy. Five studies fulfilled our inclusion criteria. Our meta-analysis showed improved cardiovascular events with early PCI compared to standard therapy (odd ratio of 0.54; 95% Confidence interval 0.47-0.7, pearly PCI 4 to 24 hours after successful thrombolysis. Early PCI should be done to all STEMI patients within 24 hours after successful thrombolysis.

  5. Impact of body size, nutrition and socioeconomic position in early life on the epigenome: a systematic review protocol.

    Science.gov (United States)

    Maddock, Jane; Wulaningsih, Wahyu; Hardy, Rebecca

    2017-07-05

    Body size, nutrition and socioeconomic position (SEP) in early life have been associated with a range of later life health outcomes. Epigenetic regulation is one mechanism through which these early life factors may impact later life health. The aim of this review protocol is to outline procedures to document the influence of body size, nutrition and SEP in early life on the epigenome. MEDLINE, Embase and BIOSIS will be systematically searched using pre-defined keywords. Additional studies will be identified through manual searching of reference lists. Two independent researchers will assess the eligibility and quality of each study, with disagreements being resolved through discussion or a third reviewer. Studies will be included if they have epigenetic markers measured either at the same time as, or after, the early life exposure and, have a measure of body size, nutrition or SEP in early life (up to 12 years), are in the English language and are from a sample of community-dwelling participants. This protocol will be used to collate the evidence for the effect of early life factors on the epigenome. Findings will form a component of a wider research study examining epigenetic responses to exposures in early life and over the life course and its impact on healthy ageing using data from population-based cohort studies. PROSPERO CRD42016050193.

  6. An international peer review of the biosphere modelling programme of the US Department of Energy's Yucca mountain site characterization project. Report of the IAEA International Review Team

    International Nuclear Information System (INIS)

    2001-04-01

    The United States Department of Energy (DOE) has a project for characterizing the site of a facility for disposing of radioactive waste located at Yucca Mountain Nevada, USA (the Yucca Mountain Site Characterization Project). This Project has developed an approach for assessing the future potential impact of any releases of radionuclides to the biosphere from a potential disposal facility sited at Yucca Mountain The DOE requested the International Atomic Energy Agency (IAEA) to organize an independent international expert review of the assessment methodology being used in its biosphere modelling programme. The IAEA accepted the request in the context of its statutory obligation to provide for the application of its established international standards of safety for the protection of health, at the request of a State, to any of that State's activities in the field of atomic energy. The terms of reference of the peer review were to review the biosphere assessment methodology being used for the total system performance assessment of the potential disposal facility. The main purpose was to analyze critically the proposed rationale and methodology and to identify consistencies and inconsistencies between methods being used in the frame of the Project and those established in international standards or in international programmes such as the IAEA's Biosphere Modelling and Assessment Programme (BIOMASS). This report presents the consensus view of the international experts convened by the IAEA for carrying out the review

  7. Regulatory requirements for nuclear power plant site selection in Malaysia-a review.

    Science.gov (United States)

    Basri, N A; Hashim, S; Ramli, A T; Bradley, D A; Hamzah, K

    2016-12-01

    Malaysia has initiated a range of pre-project activities in preparation for its planned nuclear power programme. Clearly one of the first steps is the selection of sites that are deemed suitable for the construction and operation of a nuclear power plant. Here we outline the Malaysian regulatory requirements for nuclear power plant site selection, emphasizing details of the selection procedures and site characteristics needed, with a clear focus on radiation safety and radiation protection in respect of the site surroundings. The Malaysia Atomic Energy Licensing Board (AELB) site selection guidelines are in accord with those provided in International Atomic Energy Agency (IAEA) and United Stated Nuclear Regulatory Commission (USNRC) documents. To enhance the suitability criteria during selection, as well as to assist in the final decision making process, possible assessments using the site selection characteristics and information are proposed.

  8. Review of selected 100-N waste sites related to N-Springs remediation projects

    International Nuclear Information System (INIS)

    DeFord, D.H.; Carpenter, R.W.

    1996-01-01

    This document has been prepared in support of the environmental restoration program at the US Department of Energy's Hanford Site near Richland, Washington, by the Bechtel Hanford, Inc. Facility and Waste Site Research Office. It provides historical information that documents and characterizes selected waste sites that are related to the N-Springs remediation projects. The N-Springs are a series of small, inconspicuous groundwater seepage springs located along the Columbia River shoreline near the 100-N Reactor. The spring site is hydrologically down-gradient from several 100-N Area liquid waste sites that are believed to have been the source(s) of the effluents being discharged by the springs. This report documents and characterizes these waste sites, including the 116-N-1 Crib and Trench, 116-N-3 Crib and Trench, unplanned releases, septic tariks, and a backwash pond

  9. Early Pregnancy Biomarkers in Pre-Eclampsia: A Systematic Review and Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Pensée Wu

    2015-09-01

    Full Text Available Pre-eclampsia (PE complicates 2%–8% of all pregnancies and is an important cause of perinatal morbidity and mortality worldwide. In order to reduce these complications and to develop possible treatment modalities, it is important to identify women at risk of developing PE. The use of biomarkers in early pregnancy would allow appropriate stratification into high and low risk pregnancies for the purpose of defining surveillance in pregnancy and to administer interventions. We used formal methods for a systematic review and meta-analyses to assess the accuracy of all biomarkers that have been evaluated so far during the first and early second trimester of pregnancy to predict PE. We found low predictive values using individual biomarkers which included a disintegrin and metalloprotease 12 (ADAM-12, inhibin-A, pregnancy associated plasma protein A (PAPP-A, placental growth factor (PlGF and placental protein 13 (PP-13. The pooled sensitivity of all single biomarkers was 0.40 (95% CI 0.39–0.41 at a false positive rate of 10%. The area under the Summary of Receiver Operating Characteristics Curve (SROC was 0.786 (SE 0.02. When a combination model was used, the predictive value improved to an area under the SROC of 0.893 (SE 0.03. In conclusion, although there are multiple potential biomarkers for PE their efficacy has been inconsistent and comparisons are difficult because of heterogeneity between different studies. Therefore, there is an urgent need for high quality, large-scale multicentre research in biomarkers for PE so that the best predictive marker(s can be identified in order to improve the management of women destined to develop PE.

  10. Causes of mortality in early infantile epileptic encephalopathy: A systematic review.

    Science.gov (United States)

    Radaelli, Graciane; de Souza Santos, Francisco; Borelli, Wyllians Vendramini; Pisani, Leonardo; Nunes, Magda Lahorgue; Scorza, Fulvio Alexandre; da Costa, Jaderson Costa

    2018-06-12

    Early infantile epileptic encephalopathy syndrome (EIEE), also known as Ohtahara syndrome, is an age-dependent epileptic encephalopathy syndrome defined by clinical features and electroencephalographic findings. Epileptic disorders with refractory seizures beginning in the neonatal period and/or early infancy have a potential risk of premature mortality, including sudden death. We aimed to identify the causes of death in EIEE and conducted a literature survey of fatal outcomes. We performed a literature search in MEDLINE, EMBASE, and Web of Science for data from inception until September 2017. The terms "death sudden," "unexplained death," "SUDEP," "lethal," and "fatal" and the medical subject heading terms "epileptic encephalopathy," "mortality," "death," "sudden infant death syndrome," and "human" were used in the search strategy. The EIEE case report studies reporting mortality were included. The search yielded 1360 articles. After screening for titles and abstracts and removing duplicate entries, full texts of 15 articles were reviewed. After reading full texts, 11 articles met the inclusion criteria (9 articles in English and 2 in Japanese, dated from 1976 to 2015). The review comprised 38 unique cases of EIEE, 17 of which had death as an outcome. In all cases, the suppression-burst pattern on electroencephalographies (EEGs) was common. Most cases (55%) involved male infants. The mean (standard deviation [SD]) age at onset of seizure was 19.6 ± 33 days. The mean (SD) age at death was 12.9 ± 14.1 months. Most infants (58.8%) survived less than one year. The cause of death was described only in eight (47%) patients; the cause was pneumonia/respiratory illness or sudden unexpected death in epilepsy (SUDEP). The results show EIEE as a severe disease associated with a premature mortality, evidenced by a very young age at death. Increasing interest in the detection of new molecular bases of EIEE is leading us to a better understanding of this severe

  11. Early post-operative psychosocial and weight predictors of later outcome in bariatric surgery: a systematic literature review.

    Science.gov (United States)

    Hindle, A; de la Piedad Garcia, X; Brennan, L

    2017-03-01

    This is the first systematic review to synthesize the evidence concerning early post-operative variables predictive of later weight and psychosocial outcomes in bariatric surgery. Eight electronic databases for empirical studies were searched (1954 to 2016). Most of the 39 included studies reported solely on weight outcomes; eating and psychosocial outcomes were less common. A better early weight loss trajectory was the most consistent predictor of more successful medium-term weight outcome (≤24 months); however, its relationship to longer term weight loss maintenance is less certain. Early eating adaptation may be associated with later weight loss, but further research is needed. Evidence is lacking for associations between early adherence or early psychosocial variables and later outcome. In particular, the relationship between early post-operative depression and later weight remains unclear. Little research has considered early prediction of later eating or psychosocial outcomes. Consideration of mediating or moderating relationships is lacking. The body of evidence is limited, and synthesis is hampered by heterogeneity in the type and time at which predictors and outcomes are measured and quality of statistical reporting. Further research on prospective prediction of bariatric surgery outcome is needed to guide early post-operative intervention for those at greatest risk of poor outcomes. © 2017 World Obesity Federation.

  12. Site-Based Management: Teachers' Attitudes and Administrative Style. A Literary Review and Recommendations.

    Science.gov (United States)

    Blanchard, Charles Patrick; Karr-Kidwell, PJ

    Many kinds of educational reform, especially site-based management, have contributed to teacher empowerment. The success of these reforms, however, is contingent upon administrative leadership that is willing to share power. This paper describes the attitudes of teachers toward site-based management (SBM), with a focus on the effects of…

  13. Fostering and Sustaining Diverse Literacy Practices in the Early Childhood Classroom: Reviewing the Literature in Three Areas

    Science.gov (United States)

    Machado, Emily

    2017-01-01

    In this article, I synthesize extant research that documents how teachers foster and sustain children's diverse literacy practices within the early childhood classroom. Framing this review with Bakhtin's heteroglossia, I draw on theoretical and empirical scholarship in the fields of biliteracy, translanguaging, and culturally sustaining pedagogy.…

  14. Early Botulinum Toxin Injections in Infants With Musculoskeletal Disorders: A Systematic Review of Safety and Effectiveness.

    Science.gov (United States)

    Bourseul, Jean-Sébastien; Molina, Anais; Lintanf, Mael; Houx, Laetitia; Chaléat-Valayer, Emmanuelle; Pons, Christelle; Brochard, Sylvain

    2018-06-01

    To report current evidence regarding the safety of intramuscular botulinum toxin injection (BTI) in children with orthopedic- and neurologic-related musculoskeletal disorders >2 years of age. PubMed, Cochrane Library, and ScienceDirect, Google Scholar, and Web of Science. Two reviewers independently selected studies based on predetermined inclusion criteria. Data relating to the aim were extracted. Methodologic quality was graded independently by 2 reviewers using the Physiotherapy Evidence Database scale for randomized controlled trials (RCTs) and the Downs and Black evaluation tool for non-RCTs. Level of evidence was determined using the modified Sackett scale. Data of 473 infants were analyzed. Fifty-five infants had cerebral palsy, 112 had obstetric brachial plexus palsy, 257 had clubfoot, and 44 had congenital torticollis. No studies reported any severe adverse event that could be attributed to the BTI. The rate of mild to moderate adverse events reported varied from 5% to 25%. Results regarding efficacy were preliminary, dependent on the pathology, and limited by the small number of studies and their low levels of evidence. BTI is already widely used as an early treatment for this age group. The safety profile of BTI in infants appears similar to that of older children and risks appear more related to the severity of the pathology and the location of the injections than to the toxin itself. Regarding effectiveness, other studies with higher levels of evidence should be carried out for each specific pathology. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  15. Parental Factors Influencing the Development of Early Childhood Caries in Developing Nations: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Nayanjot Kaur Rai

    2018-03-01

    Full Text Available BackgroundEarly childhood caries (ECC is one of the most prevalent and chronic conditions of childhood. Various factors including biological and dietary factors along with an overlay of parental social factors have been found to be associated with the progression of ECC. The objective of this systematic review is to synthesize available literature and to identify parent-level proximal and distal risk factors associated with the development of ECC in developing nations.MethodsStudies conducted in developing nations, published between 2005 and 2017 in English, that included children younger than 6 years and examined ECC were included. The outcome of interest were parental risk factors, which included parental knowledge, behavior, attitudes, sense of coherence (SOC, stress, socioeconomic status (SES, education, and breastfeeding duration. The studies were retrieved from MEDLINE, Ovid Medline, and PubMed.ResultsThe search yielded 325 studies, of which 18 were considered eligible for inclusion in this review. Ten studies found maternal education, and seven studies found parental education to be significantly associated with ECC. SES was significantly associated with ECC in 13 studies in the form of annual household income and occupation level. Four studies observed the significant association between oral health knowledge and attitudes with ECC, whereas only two studies found maternal attitude to be associated with ECC. Breastfeeding duration was a significant risk factor in four studies. One study each found significant associations of SOC, parental distress, and secondary smoke with ECC.ConclusionTo date, most of the researches done in developing countries have reported distal parental factors such as income and education being significant risk factors in caries development compared to proximal risk factors in low-income groups. Only a few studies analyzed the psychosocial and behavioral factors. Interventions could be designed to improve

  16. Antibiotic exposure in neonates and early adverse outcomes: a systematic review and meta-analysis.

    Science.gov (United States)

    Esaiassen, Eirin; Fjalstad, Jon Widding; Juvet, Lene Kristine; van den Anker, John N; Klingenberg, Claus

    2017-07-01

    To systematically review and meta-analyse the relationship between antibiotic exposure in neonates and the following early adverse outcomes: necrotizing enterocolitis (NEC), invasive fungal infections (IFIs) and/or death. Data sources were PubMed, Embase, Medline and the Cochrane Database (to December 2016), supplemented by manual searches of reference lists. Randomized controlled trials (RCTs) and observational studies were included if they provided data on different categories of antibiotic exposures (yes versus no, long versus short duration, and/or broad- versus narrow-spectrum regimens) and the risk of developing NEC, IFI and/or death in the neonatal period. Two reviewers extracted data and evaluated the risk of bias using the Cochrane Handbook, adapted to include observational studies. When appropriate, meta-analyses were conducted using the random-effect model. We identified 9 RCTs and 38 observational studies. The quality of the majority of studies was poor to moderate. There was a significant association between prolonged antibiotic exposure and an increased risk of NEC in five observational studies (5003 participants) and/or risk of death in five observational studies (13 534 participants). Eleven of 15 studies with data on broad- versus narrow-spectrum regimens reported an increased risk of IFI after broad-spectrum antibiotic exposure, in particular with third-generation cephalosporins and carbapenems. Meta-analysis was limited by few and old RCTs, insufficient sample sizes and diversity of antibiotic exposure and outcomes reported. Prolonged antibiotic exposure in uninfected preterm infants is associated with an increased risk of NEC and/or death, and broad-spectrum antibiotic exposure is associated with an increased risk of IFI. © The Author 2017. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. Recurrent surgical site infection of the spine diagnosed by dual 18F-NaF-bone PET/CT with early-phase scan

    International Nuclear Information System (INIS)

    Shim, Jai-Joon; Lee, Jeong Won; Jeon, Min Hyok; Lee, Sang Mi

    2016-01-01

    We report a case of a 31-year-old man who showed recurrently elevated level of the serum inflammatory marker C-reactive protein (CRP) after spinal operation. He underwent 18 F-flurodeoxyglucose ( 18 F-FDG) positron emission tomography/computed tomography (PET/CT) and dual 18 F-sodium-fluoride ( 18 F-NaF) PET/CT with an additional early-phase scan to find a hidden inflammation focus. Only mildly increased 18 F-FDG was found at the surgical site of T11 spine on 18 F-FDG PET/CT. In contrast, dual 18 F-NaF bone PET/CT with early-phase scan demonstrated focal active inflammation at the surgical site of T11 spine. After a revision operation of the T11 spine, serum CRP level decreased to the normal range without any symptom or sign of inflammation. Inflammatory focus in the surgical site of the spine can be detected with using dual 18 F-NaF bone PET/CT scan with early-phase scan. (orig.)

  18. A systematic review evaluating the role of nurses and processes for delivering early mobility interventions in the intensive care unit.

    Science.gov (United States)

    Krupp, Anna; Steege, Linsey; King, Barbara

    2018-04-19

    To investigate processes for delivering early mobility interventions in adult intensive care unit patients used in research and quality improvement studies and the role of nurses in early mobility interventions. A systematic review was conducted. Electronic databases PubMED, CINAHL, PEDro, and Cochrane were searched for studies published from 2000 to June 2017 that implemented an early mobility intervention in adult intensive care units. Included studies involved progression to ambulation as a component of the intervention, included the role of the nurse in preparing for or delivering the intervention, and reported at least one patient or organisational outcome measure. The System Engineering Initiative for Patient Safety (SEIPS) model, a framework for understanding structure, processes, and healthcare outcomes, was used to evaluate studies. 25 studies were included in the final review. Studies consisted of randomised control trials, prospective, retrospective, or mixed designs. A range of processes to support the delivery of early mobility were found. These processes include forming interdisciplinary teams, increasing mobility staff, mobility protocols, interdisciplinary education, champions, communication, and feedback. Variation exists in the process of delivering early mobility in the intensive care unit. In particular, further rigorous studies are needed to better understand the role of nurses in implementing early mobility to maintain a patient's functional status. Copyright © 2018 Elsevier Ltd. All rights reserved.

  19. The challenge of dating Early Pleistocene fossil teeth by the combined uranium series-electron spin resonance method: the Venta Micena palaeontological site (Orce, Spain)

    International Nuclear Information System (INIS)

    Duval, M.; Falgueres, Ch.; Bahain, J.J.; Shao, Q.; Grun, R.; Aubert, M.; Hellstrom, J.; Dolo, J.M.; Agusti, J.; Martinez-Navarro, B.; Palmqvist, P.; Toro-Moyano, I.

    2011-01-01

    The palaeontological site of Venta Micena (Orce, Andalusia, Spain) lies in the eastern sector of the Guadix-Baza basin, one of the best documented areas in Europe for Plio-Pleistocene bio-stratigraphy. The combination of bio-chronological and palaeo-magnetic results, combined with the radiometric data obtained for Atapuerca Sima del Elefante, indicated that the Venta Micena stratum was formed between the Jaramillo and Olduvai palaeo-magnetic events, most likely between 1.22 and 1.77 Ma. Five fossil teeth from two outcrops (sites A and B) were selected to assess the potential of combined uranium series-electron spin resonance (US-ESR) dating of Early Pleistocene sites. Although the US-ESR results of the first outcrop showed a large scatter between the three teeth, the mean age of 1.37 ± 0.24 Ma can be considered a reasonable age estimate for Venta Micena. The mean ESR age of 0.62 ± 0.03 Ma obtained for site B seems to be a severe underestimation when compared with the independent age control. This underestimation is attributed to a relative recent U-mobilization event that led to some U-leaching. The results show that any ESR age calculations of old samples are extremely sensitive to variations in the measured 230 Th/ 234 U ratios in dental tissues. Although the results demonstrate that ESR can in principle be applied to Early Pleistocene sites, they also reveal the complexity of dating such old teeth. It is necessary to continue research in several directions, such as study of the behaviour of ESR signals in old teeth and understanding recent U-mobilization processes, to improve the reliability of the combined US-ESR dating method applied to Early Pleistocene times, a period for which the number of available numerical dating techniques is very limited. (authors)

  20. Dietary traits of the late Early Pleistocene Bison menneri (Bovidae, Mammalia) from its type site Untermassfeld (Central Germany) and the problem of Pleistocene 'wood bison'

    Science.gov (United States)

    van Asperen, Eline N.; Kahlke, Ralf-Dietrich

    2017-12-01

    Over the course of the Early and early Middle Pleistocene, a climatic cooling trend led to the partial opening up of landscapes in the western Palaearctic. This led to a gradual replacement of browsers by grazers, whilst some herbivore species shifted their diet towards including more grass. Wear patterns of herbivore cheek teeth can inform our understanding of the timing and extent of this change and indicate levels of dietary plasticity. One of the indicator species of the faunal turnover is the first large-sized form of bison in the Palaearctic, Bison menneri. The dental mesowear of the palaeopopulation from the species' late Early Pleistocene type site of Untermassfeld in Central Germany and the Late Pleistocene B. priscus from Taubach, both from habitat mosaics of forested habitats and more open landscapes, have a mixed feeder profile similar to that of North American wood bison, which has a distinct preference for open habitats but occasionally consumes a high amount of browse as a fall-back food. In contrast, the grazer mesowear signature of early Middle Pleistocene B. schoetensacki voigtstedtensis from Voigtstedt indicates these animals likely did not regularly feed in the densely forested area around the site. The mesowear of B. schoetensacki from Süssenborn, in a more open environment, is similar to that of extant European bison. Both Pleistocene and extant bison are grazers to mixed feeders with relatively high tolerance of a suboptimal browsing diet. None of these species can be regarded as true 'wood bison'.

  1. Research on Social Networking Sites and Social Support from 2004 to 2015: A Narrative Review and Directions for Future Research.

    Science.gov (United States)

    Meng, Jingbo; Martinez, Lourdes; Holmstrom, Amanda; Chung, Minwoong; Cox, Jeff

    2017-01-01

    The article presents a narrative review of scholarship on social support through social networking sites (SNSs) published from 2004 to 2015. By searching keywords related to social support and SNSs in major databases for social sciences, we identified and content analyzed directly relevant articles (N = 88). The article summarizes the prevalence of theory usage; the function of theory usage (e.g., testing a theory, developing a theory); major theories referenced; and methodologies, including research designs, measurement, and the roles of social support and SNS examined in this literature. It also reports four themes identified across the studies, indicating the trends in the current research. Based on the review, the article presents a discussion about study sites, conceptualization of social support, theoretical coherence, the role of social networks, and the dynamic relationships between SNS use and social support, which points out potential avenues for shaping a future research agenda.

  2. A Review of Salivary Biomarker: A Tool for Early Oral Cancer Diagnosis

    Directory of Open Access Journals (Sweden)

    Shikha Saxena

    2017-01-01

    Full Text Available The oral squamous cell carcinoma (OSCC is one of the most common epithelial malignancies with significant morbidity and mortality. Recent observations indicate that the clinical and histological appearance of oral mucosa may not truly depict the damage occurring at the genetic level. This phenotypic and genotypic disparity may account in part for the failure to establish effective screening and surveillance protocols, based on the traditional clinical and microscopic examination. The tumor markers are playing an increasingly important role in cancer detection and management. These laboratory-based tests are potentially useful in screening for early malignancy, aiding in cancer diagnosis, determining prognosis, surveillance following curative surgery for cancer, up-front predicting drug response or resistance, and monitoring therapy in advanced disease. A systematic review of the literature was performed based on the English titles listed in the PubMed, EBSCO, Cochrane, Science Direct, ISI web Science, and SciELO databases using the keywords. Abstracts and full-text articles were assessed. This article may help to identify the potential biomarkers for screening and the molecular pathology analysis in the high-risk patients with the OSCC.

  3. Need for Early Interventions in the Prevention of Pediatric Overweight: A Review and Upcoming Directions

    Directory of Open Access Journals (Sweden)

    Anne M. Dattilo

    2012-01-01

    Full Text Available Childhood obesity is currently one of the most prevailing and challenging public health issues among industrialized countries and of international priority. The global prevalence of obesity poses such a serious concern that the World Health Organization (WHO has described it as a “global epidemic.” Recent literature suggests that the genesis of the problem occurs in the first years of life as feeding patterns, dietary habits, and parental feeding practices are established. Obesity prevention evidence points to specific dietary factors, such as the promotion of breastfeeding and appropriate introduction of nutritious complementary foods, but also calls for attention to parental feeding practices, awareness of appropriate responses to infant hunger and satiety cues, physical activity/inactivity behaviors, infant sleep duration, and family meals. Interventions that begin at birth, targeting multiple factors related to healthy growth, have not been adequately studied. Due to the overwhelming importance and global significance of excess weight within pediatric populations, this narrative review was undertaken to summarize factors associated with overweight and obesity among infants and toddlers, with focus on potentially modifiable risk factors beginning at birth, and to address the need for early intervention prevention.

  4. Need for early interventions in the prevention of pediatric overweight: a review and upcoming directions.

    Science.gov (United States)

    Dattilo, Anne M; Birch, Leann; Krebs, Nancy F; Lake, Alan; Taveras, Elsie M; Saavedra, Jose M

    2012-01-01

    Childhood obesity is currently one of the most prevailing and challenging public health issues among industrialized countries and of international priority. The global prevalence of obesity poses such a serious concern that the World Health Organization (WHO) has described it as a "global epidemic." Recent literature suggests that the genesis of the problem occurs in the first years of life as feeding patterns, dietary habits, and parental feeding practices are established. Obesity prevention evidence points to specific dietary factors, such as the promotion of breastfeeding and appropriate introduction of nutritious complementary foods, but also calls for attention to parental feeding practices, awareness of appropriate responses to infant hunger and satiety cues, physical activity/inactivity behaviors, infant sleep duration, and family meals. Interventions that begin at birth, targeting multiple factors related to healthy growth, have not been adequately studied. Due to the overwhelming importance and global significance of excess weight within pediatric populations, this narrative review was undertaken to summarize factors associated with overweight and obesity among infants and toddlers, with focus on potentially modifiable risk factors beginning at birth, and to address the need for early intervention prevention.

  5. Late Jurassic–Early Cretaceous oysters from Siberia: A systematic review

    Directory of Open Access Journals (Sweden)

    Igor N. Kosenko

    2017-11-01

    Full Text Available The present study reviews the taxonomy of Late Jurassic–Early Cretaceous oysters from the Northern and the Subpolar Urals (Western Siberia and northern East Siberia. Previous studies have documented 10 species from the genus Liostrea (L. delta, L. cucurbita, L. praeanabarensis, L. anabarensis, L. plastica, L. gibberosa, L. planoconvexa, L. siberica, L. uralensis, L. lyapinensis, and 3 species from the genus Gryphaea (G. borealis and 2 species in open nomenclature. Liostrea gibberosa, L. planoconvexa, L. uralensis, and L. cucurbita are transferred in this study to the genus Pernostrea. Furthermore, two new species of Pernostrea are described: P. mesezhnikovi sp. nov. and P.? robusta sp. nov. Liostrea siberica is transferred to the genus Praeexogyra. Liostrea praeanabarensis and L. anabarensis are attributed to the subgenus Boreiodeltoideum (genus Deltoideum as well as L. delta sensu Zakharov (1966 which is described here as new species Deltoideum (Boreiodeltoideum borealis sp. nov. The similar shell morphology of the genera Deltoideum and Pernostrea provides a basis to establish the new tribe Pernostreini trib. nov. in the subfamily Gryphaeinae. Three species are recorded for the first time from Siberia: Nanogyra? cf. thurmanni, “Ostrea” cf. moreana and Gryphaea (Gryphaea curva.

  6. Communication Concepts for Prevention and Early Intervention in Aesthetic Medicine: Consensus and Literature Review.

    Science.gov (United States)

    Gout, Uliana; Anand, Chytra V; Braz, Andre; Chao, Yates Yen Yu; Fabi, Sabrina Guillen; Kerscher, Martina; Landau, Marina; Pavicic, Tatjana; Peng, Peter Hsien Li; Rzany, Berthold; Sattler, Gerhard; Tiryaki, Tunk; Waldorf, Heidi A; Besins, Thierry

    2017-09-01

    Communication concepts relating to prevention and early intervention (P&E) within aesthetic medicine are poorly understood and highly underexplored. However, effective communication is a key criterion for successful outcomes. To introduce the framework for P&E communication strategies within a younger population and explore the barriers that may be encountered. A literature review on P&E communication strategies in aesthetic medicine and related topics of interest was conducted and used to construct a working framework that may be applied in clinical practice. Examination of existing literature revealed a need for a more structured communication framework for P&E encompassing up-to-date evidence-based learning and educational marketing that is tailored to individual needs and target populations. Message framing-the way in which a message is presented-is an important consideration in the dissemination of information to promote changes in health behaviour. A structured consultation is key to optimising patient engagement and ensures a tailored approach to understanding and catering to the specific needs of each patient. This is the first paper to discuss the communication concepts behind P&E within aesthetic medicine and paves the way for further research and focus in this significant field. J Drugs Dermatol. 2017;16(9):859-864..

  7. Effects of Physical Activity on Motor Skills and Cognitive Development in Early Childhood: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Nan Zeng

    2017-01-01

    Full Text Available Objective. This study synthesized literature concerning casual evidence of effects of various physical activity programs on motor skills and cognitive development in typically developed preschool children. Methods. Electronic databases were searched through July 2017. Peer-reviewed randomized controlled trials (RCTs examining the effectiveness of physical activity on motor skills and cognitive development in healthy young children (4–6 years were screened. Results. A total of 15 RCTs were included. Of the 10 studies assessing the effects of physical activity on motor skills, eight (80% reported significant improvements in motor performance and one observed mixed findings, but one failed to promote any beneficial outcomes. Of the five studies investigating the influence of physical activity on cognitive development, four (80% showed significant and positive changes in language learning, academic achievement, attention, and working memory. Notably, one indicated no significant improvements were observed after the intervention. Conclusions. Findings support causal evidence of effects of physical activity on both motor skills and cognitive development in preschool children. Given the shortage of available studies, future research with large representative samples is warranted to explore the relationships between physical activity and cognitive domains as well as strengthen and confirm the dose-response evidence in early childhood.

  8. Effects of Physical Activity on Motor Skills and Cognitive Development in Early Childhood: A Systematic Review.

    Science.gov (United States)

    Zeng, Nan; Ayyub, Mohammad; Sun, Haichun; Wen, Xu; Xiang, Ping; Gao, Zan

    2017-01-01

    This study synthesized literature concerning casual evidence of effects of various physical activity programs on motor skills and cognitive development in typically developed preschool children. Electronic databases were searched through July 2017. Peer-reviewed randomized controlled trials (RCTs) examining the effectiveness of physical activity on motor skills and cognitive development in healthy young children (4-6 years) were screened. A total of 15 RCTs were included. Of the 10 studies assessing the effects of physical activity on motor skills, eight (80%) reported significant improvements in motor performance and one observed mixed findings, but one failed to promote any beneficial outcomes. Of the five studies investigating the influence of physical activity on cognitive development, four (80%) showed significant and positive changes in language learning, academic achievement, attention, and working memory. Notably, one indicated no significant improvements were observed after the intervention. Findings support causal evidence of effects of physical activity on both motor skills and cognitive development in preschool children. Given the shortage of available studies, future research with large representative samples is warranted to explore the relationships between physical activity and cognitive domains as well as strengthen and confirm the dose-response evidence in early childhood.

  9. Maltreatment in early childhood: a scoping review of prevention, detection and treatment

    Directory of Open Access Journals (Sweden)

    Luis Lefio Celedón

    2013-08-01

    Full Text Available Purpose. To identify and synthesize the best available evidence on the effectiveness of interventions for universal prevention, detection and treatment of early childhood maltreatment (0-4 years. Design. Scoping Review. Data sources. MEDLINE, LILACS, PsycINFO, Psyclist, SciELO, ISI Web of Knowledge, Science Direct, EBSCO, EMBASE, Cochrane Library, DARE, Google Scholar and UNICEF Base. Methods. A variety of keywords were used to identify quantitative experimental and observational studies on detection, prevention and treatment strategies in different situations of child maltreatment. Sexual abuse was excluded. The search spanned from 2002 to 2012, in English and Spanish. Results. Of 105 articles, 36 met the selection criteria. In prevention, the best evaluated strategies were parenting programs based on cognitive or cognitive-behavioral approach and interactive learning strategies. In detection, only two instruments were identified with optimum specificity and positive predictive value. In treatment, a variety of treatment strategies were identified with favorable effects on behavioral, functional and psycho affective indicators. The population relevance of these interventions is unclear, as the differential effectiveness of these therapeutic approaches. Conclusions. There are many child maltreatment prevention strategies at the individual and family level. The instruments used for detection are not reliable for use at the collective level. Insofar as therapy, not enough evidence was found both in quality and quantity to favor one intervention over another. It is recommended to understand the problem from the public health perspective and to generate multisectoral and interdisciplinary approaches.

  10. Documentation of Hanford Site independent review of the Hanford Waste Vitrification Plant Preliminary Safety Analysis Report

    International Nuclear Information System (INIS)

    Herborn, D.I.

    1991-10-01

    The requirements for Westinghouse Hanford independent review of the Preliminary Safety Analysis Report (PSAR) are contained in Section 1.0, Subsection 4.3 of WCH-CM-4-46. Specifically, this manual requires the following: (1) Formal functional reviews of the HWVP PSAR by the future operating organization (HWVP Operations), and the independent review organizations (HWVP and Environmental Safety Assurance, Environmental Assurance, and Quality Assurance); and (2) Review and approval of the HWVP PSAR by the Tank Waste Disposal (TWD) Subcouncil of the Safety and Environmental Advisory Council (SEAC), which provides independent advice to the Westinghouse Hanford President and executives on matters of safety and environmental protection. 7 refs

  11. The influence of the neighborhood physical environment on early child health and development: A review and call for research.

    Science.gov (United States)

    Christian, Hayley; Zubrick, Stephen R; Foster, Sarah; Giles-Corti, Billie; Bull, Fiona; Wood, Lisa; Knuiman, Matthew; Brinkman, Sally; Houghton, Stephen; Boruff, Bryan

    2015-05-01

    This review examines evidence of the association between the neighborhood built environment, green spaces and outdoor home area, and early (0-7 years) child health and development. There was evidence that the presence of child relevant neighborhood destinations and services were positively associated with early child development domains of physical health and wellbeing and social competence. Parents׳ perceptions of neighborhood safety were positively associated with children׳s social-emotional development and general health. Population representative studies using objective measures of the built environment and valid measures of early child development are warranted to understand the impact of the built environment on early child health and development. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Utilization of a Technical Peer Review to Support the Mission of the Nevada Test Site Community Advisory Board

    International Nuclear Information System (INIS)

    Dixon, Earle C.; Peterson, Kathleen

    2003-01-01

    The U. S. Department of Energy's (DOE) National Nuclear Security Administration Nevada Operations Office (NNSA/NV) Environmental Management (EM) Underground Test Area (UGTA) project addresses the characterization and needs for long-term monitoring of the subsurface contamination resulting from 828 underground nuclear weapon tests at the Nevada Test Site (NTS). EM promotes, and is required, to include stakeholders in its program. However, UGTA is a very complex program not easily understood by members of the public. The NTS Community Advisory Board (CAB), a federally chartered Site Specific Advisory Board (SSAB), has studied the UGTA project since 1996, and has found it a challenge to completely comprehend and provide NNSA/NV meaningful citizen input. The CAB realized the benefit of a technical peer review and in 2000 recommended to NNSA/NV that a peer review of the UGTA strategy would provide valuable feedback to the program to address underground contamination at the NTS. N NSA agreed to the CAB's recommendation, and moved forward with a scope of work to have the American Society of Mechanical Engineers (ASME) perform the peer review of the UGTA strategy. The ASME began the peer review in June 2001, and their final report was published in November 2001. In January 2002, the CAB devoted their monthly meeting in Las Vegas, Nevada to reporting the results of the peer review of the UGTA strategy to the public. Two public workshops were later held in the community of Amargosa, Nevada during the month of January to help educate and build interest in the CAB February 2002 monthly meeting which was also held in Amargosa. The CAB recommendation to NNSA to utilize a technical peer review has provided valuable information to NNSA, the State of Nevada, and the CAB. At other DOE sites SSABs are challenged by a number of complex, technical programs requiring considerable time and resources for the board to comprehend. It is worth considering the utilization of an independent

  13. Methicillin-Resistant Staphylococcus aureus Infections: A Comprehensive Review and a Plastic Surgeon's Approach to the Occult Sites.

    Science.gov (United States)

    Hunter, Cedric; Rosenfield, Lorne; Silverstein, Elena; Petrou-Zeniou, Panayiota

    2016-08-01

    Up to 20 percent of the general population is persistently colonized with Staphylococcus aureus, and 1 to 3 percent of the population is colonized with community-acquired methicillin-resistant S. aureus. Currently, the knowledge of methicillin-resistant Staphylococcus aureus carriage sites other than the nose, and their effect on surgical site infections in cosmetic surgery, is lacking. A comprehensive literature review using the PubMed database to analyze prevalence, anatomical carrier sites, current screening and decontamination protocols and guidelines, and methicillin-resistant S. aureus in cosmetic surgery was performed. The senior author's (L.R.) methicillin-resistant S. aureus infection experience and prevention protocols were also reviewed. Nasal swabs detect only 50.5 percent of methicillin-resistant S. aureus colonization, and broad screening has noted the presence of methicillin-resistant S. aureus in the ear canal and umbilicus. Decolonization protocols within the orthopedic and cardiothoracic surgery literature have reduced rates of methicillin-resistant S. aureus surgical-site infections. There are no decolonization guidelines for plastic surgeons. Since instituting their decolonization protocol, the authors have had no cases of methicillin-resistant S. aureus infection in nearly 1000 cosmetic surgery procedures. There are very limited, if any, Level I or II data regarding methicillin-resistant S. aureus screening and decolonization. As the sequelae of a surgical-site infection can be disastrous, expert opinions recommend that plastic surgeons vigorously address methicillin-resistant S. aureus colonization and infection. The authors have developed and recommend a simple decolonization protocol that includes treatment of the umbilicus, ear canal, and nares to limit surgical-site infection and improve surgical outcomes.

  14. Early wound site seeding in a patient with CNS high-grade neuroepithelial tumor with BCOR alteration: A case report.

    Science.gov (United States)

    Kirkman, Matthew A; Pickles, Jessica C; Fairchild, Amy R; Avery, Aimee; Pietsch, Torsten; Jacques, Thomas S; Aquilina, Kristian

    2018-05-30

    Advances in molecular profiling have facilitated the emergence of newly defined entities of central nervous system tumor, including CNS high-grade neuroepithelial tumor with BCOR alteration (CNS HGNET-BCOR). Relatively little is known about the clinical behaviour of these newly-characterized tumors. We describe a pediatric male patient with CNS HGNET-BCOR who developed seeding of the tumor into the site of the surgical wound within months of surgery for resection of a residual posterior fossa tumor. This case emphasises three important points. First, CNS HGNET-BCOR can be aggressive tumors that necessitate close clinical and radiological surveillance. Second, surveillance imaging in such cases should incorporate the surgical incision site into the field of view, and this should be closely scrutinised to ensure the timely detection of wound site seeding. Third, wound site seeding may still occur despite the use of meticulous surgical techniques. Copyright © 2018. Published by Elsevier Inc.

  15. Fort Hood Land Management System (LMS) Military Field Application Site FY99 In-progress Review

    National Research Council Canada - National Science Library

    Anderson, Alan

    1999-01-01

    .... LMS demonstration efforts provide opportunities to test, evaluate, modify, and document how LMS capabilities help to address specific user problems and how LMS capabilities fit into decision processes at user sites...

  16. 77 FR 52704 - Notice of Submission for OMB Review; Institute of Education Sciences; Early Childhood...

    Science.gov (United States)

    2012-08-30

    ...:2011 is exceptionally broad in its scope and coverage of child development, early learning, and school... exceptionally broad in its scope and coverage of child development, early learning, and school progress, drawing.... Department of Education (ED), is a survey that focuses on children's early school experiences beginning with...

  17. Nutrition Program Quality Assurance through a Formalized Process of On-Site Program Review

    Science.gov (United States)

    Paddock, Joan Doyle; Dollahite, Jamie

    2012-01-01

    A protocol for a systematic onsite review of the Expanded Food and Nutrition Education Program and Supplemental Nutrition Assistance Program-Education was developed to support quality programming and ensure compliance with state guidelines and federal regulations. Onsite review of local nutrition program operations is one strategy to meet this…

  18. Coastline Mapping and Cultural Review to Predict Sea Level Rise Impact on Hawaiian Archeological Sites

    Science.gov (United States)

    Clinton, J.

    2017-12-01

    Much of Hawaii's history is recorded in archeological sites. Researchers and cultural practitioners have been studying and reconstructing significant archeological sites for generations. Climate change, and more specifically, sea level rise may threaten these sites. Our research records current sea levels and then projects possible consequences to these cultural monuments due to sea level rise. In this mixed methods study, research scientists, cultural practitioners, and secondary students use plane-table mapping techniques to create maps of coastlines and historic sites. Students compare historical records to these maps, analyze current sea level rise trends, and calculate future sea levels. They also gather data through interviews with community experts and kupuna (elders). If climate change continues at projected rates, some historic sites will be in danger of negative impact due to sea level rise. Knowing projected sea levels at specific sites allows for preventative action and contributes to raised awareness of the impacts of climate change to the Hawaiian Islands. Students will share results with the community and governmental agencies in hopes of inspiring action to minimize climate change. It will take collaboration between scientists and cultural communities to inspire future action on climate change.

  19. Radiotherapy in fascial fibromatosis: a case series, literature review and considerations for treatment of early-stage disease

    International Nuclear Information System (INIS)

    Grenfell, Solveig; Borg, Martin

    2014-01-01

    Palmar and plantar fascial fibromatoses are benign hyperproliferative disorders of the deep fascia of the palm and sole. This study seeks to examine the role of radiotherapy in the management of fascial fibromatosis. Six consecutive cases of early-stage fascial fibromatosis treated with radiotherapy at the Adelaide Radiotherapy Centre between July 2008 and May 2011 were analysed. The results of the case series were compared with a systematic review of the literature. All six cases regressed or showed a reduction of symptoms following radiotherapy. Treatment was well tolerated with minor toxicities. Median follow-up for the case series was 38.5 months. The systematic review identified seven studies describing the use of radiotherapy as primary treatment for fascial fibromatosis between 1946 and 2013. The literature indicates that radiotherapy can prevent disease progression and improve symptoms for early-stage disease, with low likelihood of significant toxicities. Early results from our case series are consistent with the literature, showing that radiotherapy can provide an effective management option for patients with early-stage fascial fibromatosis, and justify consideration of radiotherapy as a primary treatment for early-stage disease.

  20. Surgical site infection following hernia repair in the day care setting of a developing country: a retrospective review

    International Nuclear Information System (INIS)

    Pardhan, A.; Mazahir, S.; Alvi, A.R.; Murtaza, G.

    2013-01-01

    Objective: To determine the incidence proportion of surgical site infection following hernia repair in a daycare setting at a tertiary care hospital of a low-income country. Methods: The retrospective audit was done at the Aga Khan University Hospital, Karachi, from June 1, 2008 to May 30, 2009. Patients with age >15 years who underwent Lichenstein's open mesh repair in daycare were included. Surgical Site Infection was labelled if the records revealed any of the following: opening of the wound by the primary surgeon; pain, tenderness and raised temperature of skin; purulent discharge from the wound; if the surgeon had documented it as a surgical site infection. SPSS 16 was used for data analysis. Results: After reviewing the retrieved files, 104 patients were found eligible. Of them, 102 (98%) were males. Overall wound-related complications were found in 13 (12.5%), whereas surgical site infection was found in 8 (7.7%) patients. The mean age of those with infections was 38.7+-18 year, while that of those with no surgical site infection was 47.8+-18 years. Smoking was found significantly associated with surgical site infection with 5.8 times higher incidence as compared to the non-smokers (OR with 95% CI: 5.6 (1.2, 25.3)). Conclusions: The incidence of surgical site infection after hernia repair with mesh in a daycare setting at a tertiary care hospital of a low-income country was higher than internationally reported incidence. Smoking was found to be a significant risk factor. (author)

  1. Clinical and public health implications of acute and early HIV detection and treatment: a scoping review.

    Science.gov (United States)

    Rutstein, Sarah E; Ananworanich, Jintanat; Fidler, Sarah; Johnson, Cheryl; Sanders, Eduard J; Sued, Omar; Saez-Cirion, Asier; Pilcher, Christopher D; Fraser, Christophe; Cohen, Myron S; Vitoria, Marco; Doherty, Meg; Tucker, Joseph D

    2017-06-28

    The unchanged global HIV incidence may be related to ignoring acute HIV infection (AHI). This scoping review examines diagnostic, clinical, and public health implications of identifying and treating persons with AHI. We searched PubMed, in addition to hand-review of key journals identifying research pertaining to AHI detection and treatment. We focused on the relative contribution of AHI to transmission and the diagnostic, clinical, and public health implications. We prioritized research from low- and middle-income countries (LMICs) published in the last fifteen years. Extensive AHI research and limited routine AHI detection and treatment have begun in LMIC. Diagnostic challenges include ease-of-use, suitability for application and distribution in LMIC, and throughput for high-volume testing. Risk score algorithms have been used in LMIC to screen for AHI among individuals with behavioural and clinical characteristics more often associated with AHI. However, algorithms have not been implemented outside research settings. From a clinical perspective, there are substantial immunological and virological benefits to identifying and treating persons with AHI - evading the irreversible damage to host immune systems and seeding of viral reservoirs that occurs during untreated acute infection. The therapeutic benefits require rapid initiation of antiretrovirals, a logistical challenge in the absence of point-of-care testing. From a public health perspective, AHI diagnosis and treatment is critical to: decrease transmission via viral load reduction and behavioural interventions; improve pre-exposure prophylaxis outcomes by avoiding treatment initiation for HIV-seronegative persons with AHI; and, enhance partner services via notification for persons recently exposed or likely transmitting. There are undeniable clinical and public health benefits to AHI detection and treatment, but also substantial diagnostic and logistical barriers to implementation and scale-up. Effective

  2. 10 CFR 51.105 - Public hearings in proceedings for issuance of construction permits or early site permits...

    Science.gov (United States)

    2010-01-01

    ... Commission has previously prepared an environmental impact statement for the construction and operation of a... the limited work authorization, new and significant information on the environmental impacts of those... Utilization Facilities § 51.105 Public hearings in proceedings for issuance of construction permits or early...

  3. Modulation of early stress-induced neurobiological changes: a review of behavioural and pharmacological interventions in animal models.

    Science.gov (United States)

    Harrison, E L; Baune, B T

    2014-05-13

    Childhood adversity alters the predisposition to psychiatric disorders later in life. Those with psychiatric conditions and a history of early adversity exhibit a higher incidence of treatment resistance compared with individuals with no such history. Modulation of the influence early stress exerts over neurobiology may help to prevent the development of psychiatric disorders in some cases, while attenuating the extent of treatment resistance in those with established psychiatric disorders. This review aims to critically evaluate the ability of behavioural, environmental and pharmacologic interventions to modulate neurobiological changes induced by early stress in animal models. Databases were systematically searched to locate literature relevant to this review. Early adversity was defined as stress that resulted from manipulation of the mother-infant relationship. Analysis was restricted to animal models to enable characterisation of how a given intervention altered specific neurobiological changes induced by early stress. A wide variety of changes in neurobiology due to early stress are amenable to intervention. Behavioural interventions in childhood, exercise in adolescence and administration of epigenetic-modifying drugs throughout life appear to best modulate cellar and behavioural alterations induced by childhood adversity. Other pharmacotherapies, such as endocannabinoid system modulators, anti-inflammatories and antidepressants can also influence these neurobiological and behavioural changes that result from early stress, although findings are less consistent at present and require further investigation. Further work is required to examine the influence that behavioural interventions, exercise and epigenetic-modifying drugs exert over alterations that occur following childhood stress in human studies, before possible translational into clinical practice is possible.

  4. SUPPLEMENTAL COLUMBIA RIVER PROTECTION ACTIVITIES AT THE DEPARTMENT OF ENERGY HANFORD SITE: 2006 TECHNICAL PEER REVIEW

    International Nuclear Information System (INIS)

    Looney, B; Dawn Kaback; Gene Leboeuf; Jason Mulvihill-Kuntz; Lynn Lefkoff

    2006-01-01

    Prompted by a $10 million Congressional allocation to identify supplemental actions to protect the Columbia River from groundwater contamination beneath the Hanford Reservation, the U. S. Department of Energy (DOE) Environmental Management (EM) Office of Clean-up Technology identified twenty-three potential technical projects and then down-selected ten of these for further evaluation. An independent expert peer review was conducted for the ten down-selected proposals. The review panel consisted of twenty-three recognized subject matter experts that broadly represented academia, industry, and federal laboratories. Of the initial ten proposals reviewed, one was given unconditional support, six were given conditional support, and three were not supported as proposed. Three additional proposals were then submitted by DOE for review--these proposals were structured, in part, to respond to the initial round of technical peer review comments. Peer reviews of these additional proposals provided conditional support. For those proposals that received conditional support, DOE requested specific implementation and work plans and assessed whether the plans adequately addressed the technical conditions identified by the review panel. The final list of technology proposals receiving support, or conditional support, primarily focused on understanding and reducing the potential impacts of uranium, chromium, and strontium from facilities adjacent to the Columbia River, with a secondary focus on understanding and limiting the future Columbia River impacts from the large carbon tetrachloride groundwater plume underlying and downgradient of the Hanford Central Plateau facilities. The results and recommendations of the peer reviews informed the final DOE project selections and supported implementation of the selected projects to protect the Columbia River and address groundwater contamination at Hanford

  5. SUPPLEMENTAL COLUMBIA RIVER PROTECTION ACTIVITIES AT THE DEPARTMENT OF ENERGY HANFORD SITE: 2006 TECHNICAL PEER REVIEW

    Energy Technology Data Exchange (ETDEWEB)

    Looney, B; Dawn Kaback; Gene Leboeuf; Jason Mulvihill-Kuntz; Lynn Lefkoff

    2006-12-20

    Prompted by a $10 million Congressional allocation to identify supplemental actions to protect the Columbia River from groundwater contamination beneath the Hanford Reservation, the U. S. Department of Energy (DOE) Environmental Management (EM) Office of Clean-up Technology identified twenty-three potential technical projects and then down-selected ten of these for further evaluation. An independent expert peer review was conducted for the ten down-selected proposals. The review panel consisted of twenty-three recognized subject matter experts that broadly represented academia, industry, and federal laboratories. Of the initial ten proposals reviewed, one was given unconditional support, six were given conditional support, and three were not supported as proposed. Three additional proposals were then submitted by DOE for review--these proposals were structured, in part, to respond to the initial round of technical peer review comments. Peer reviews of these additional proposals provided conditional support. For those proposals that received conditional support, DOE requested specific implementation and work plans and assessed whether the plans adequately addressed the technical conditions identified by the review panel. The final list of technology proposals receiving support, or conditional support, primarily focused on understanding and reducing the potential impacts of uranium, chromium, and strontium from facilities adjacent to the Columbia River, with a secondary focus on understanding and limiting the future Columbia River impacts from the large carbon tetrachloride groundwater plume underlying and downgradient of the Hanford Central Plateau facilities. The results and recommendations of the peer reviews informed the final DOE project selections and supported implementation of the selected projects to protect the Columbia River and address groundwater contamination at Hanford.

  6. Review

    DEFF Research Database (Denmark)

    Van Den Hazel, H B; Kielland-Brandt, Morten; Winther, Jakob R.

    1996-01-01

    The yeast vacuole, which is equivalent to the lysosome of higher eukaryotes, is one of the best characterized degradative organelles. This review describes the biosynthesis and function of yeast vacuolar proteases. Most of these enzymes are delivered to the vacuole via the early compartments...

  7. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events.

    Science.gov (United States)

    Hempel, Susanne; Maggard-Gibbons, Melinda; Nguyen, David K; Dawes, Aaron J; Miake-Lye, Isomi; Beroes, Jessica M; Booth, Marika J; Miles, Jeremy N V; Shanman, Roberta; Shekelle, Paul G

    2015-08-01

    Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts. To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004. We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts. Two independent reviewers identified relevant publications in June 2014. One reviewer used a standardized form to extract data and a second reviewer checked the data. Strength of evidence was established by the review team. Data extraction was completed in January 2015. Incidence of wrong-site surgery, retained surgical items, and surgical fires. We found 138 empirical studies that met our inclusion criteria. Incidence estimates for wrong-site surgery in US settings varied by data source and procedure (median estimate, 0.09 events per 10,000 surgical procedures). The median estimate for retained surgical items was 1.32 events per 10,000 procedures, but estimates varied by item and procedure. The per-procedure surgical fire incidence is unknown. A frequently reported root cause was inadequate communication. Methodologic challenges associated with investigating changes in rare events limit the conclusions of 78 intervention evaluations. Limited evidence supported the Universal Protocol (5 studies), education (4 studies), and team training (4 studies) interventions to prevent wrong-site surgery. Limited evidence exists to prevent retained surgical items by using data-matrix-coded sponge-counting systems (5 pertinent studies). Evidence for preventing surgical fires was insufficient, and intervention effects were not estimable. Current estimates for wrong-site surgery and retained surgical items are 1 event per 100,000 and 1 event per 10,000 procedures, respectively, but the precision is uncertain, and the per

  8. Report of the Department of Energy (DOE) Office of Energy Research Review Committee on the site-specific conceptual design of the Superconducting Super Collider

    International Nuclear Information System (INIS)

    1990-09-01

    After it was established in early 1989, the Superconducting Super Collider Laboratory (SSCL) began to prepare a detailed site-specific SSC conceptual design, including cost and schedule estimates. As detailed in the SSC Site-Specific Conceptual Design Report (SCDR), this design builds upon the design in the March 1986 SSC Conceptual Design Report (CDR) and takes into account characteristics of the SSC site, results of continuing magnet R ampersand D, and advances in accelerator design

  9. Screening and Treatment for Early-Onset Gestational Diabetes Mellitus: a Systematic Review and Meta-analysis.

    Science.gov (United States)

    Immanuel, Jincy; Simmons, David

    2017-10-02

    We conducted a systematic review to evaluate the current evidence for screening and treatment for early-onset gestational diabetes mellitus (GDM) RECENT FINDINGS: Many of the women with early GDM in the first trimester do not have evidence of hyperglycemia at 24-28 weeks' gestation. A high proportion (15-70%) of women with GDM can be detected early in pregnancy depending on the setting, criteria used and screening strategy. However, there remains no good evidence for any of the diagnostic criteria for early-onset GDM. In a meta-analysis of 13 cohort studies, perinatal mortality (relative risk (RR) 3.58 [1.91, 6.71]), neonatal hypoglycemia (RR 1.61 [1.02, 2.55]), and insulin use (RR 1.71 [1.45, 2.03]) were greater among early-onset GDM women compared to late-onset GDM women, despite treatment. Considering the high likelihood of benefit from treatment, there is an urgent need for randomized controlled trials that investigate any benefits and possible harms of treatment of early-onset GDM.

  10. Ecosystem change during MIS4 and early MIS 3: Evidence from Middle Stone Age sites in South Africa

    CSIR Research Space (South Africa)

    Hall, G

    2010-11-01

    Full Text Available Several Middle Stone Age (MSA) site in southern Africa present evidence of environmental changes during Marine Isotope Stages (MIS) 4 and 3 between 70ka and 50ka. Of these, Sibudu Cave, KwaZulu-Natal, has yielded a detailed record of how globalscale...

  11. Da Vinci single site© surgical platform in clinical practice: a systematic review.

    Science.gov (United States)

    Morelli, Luca; Guadagni, Simone; Di Franco, Gregorio; Palmeri, Matteo; Di Candio, Giulio; Mosca, Franco

    2016-12-01

    The Da Vinci single-site© surgical platform (DVSSP) is a set of single-site instruments and accessories specifically dedicated to robot-assisted single-site surgery. The PubMed database from inception to June 2015 was searched for English literature on the clinical use of DVSSP in general surgery, urology and gynecology. Twenty-nine articles involving the clinical application of DVSSP were identified; 15 articles on general surgery (561 procedures), four articles on urology (48 procedures) and 10 articles on gynecology (212 procedures). All studies have proven the safety and feasibility of the use of DVSSP. The principal reported advantage is the restoration of intra-abdominal triangulation, while the main reported limitation is the lack of the endowrist. Da Vinci systems have proven to be valuable assets in single-site surgery, owing to the combination of robot use with the dedicated single-incision platform. However, case-control or prospective trials are warranted to draw more definitive conc lusions. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  12. Application of the maximal covering location problem to habitat reserve site selection: a review

    Science.gov (United States)

    Stephanie A. Snyder; Robert G. Haight

    2016-01-01

    The Maximal Covering Location Problem (MCLP) is a classic model from the location science literature which has found wide application. One important application is to a fundamental problem in conservation biology, the Maximum Covering Species Problem (MCSP), which identifies land parcels to protect to maximize the number of species represented in the selected sites. We...

  13. Services for Graduate Students: A Review of Academic Library Web Sites

    Science.gov (United States)

    Rempel, Hannah Gascho

    2010-01-01

    A library's Web site is well recognized as the gateway to the library for the vast majority of users. Choosing the most user-friendly Web architecture to reflect the many services libraries offer is a complex process, and librarians are still experimenting to find what works best for their users. As part of a redesign of the Oregon State…

  14. A systematic review of laparoscopic port site hernias in gastrointestinal surgery.

    LENUS (Irish Health Repository)

    Owens, M

    2011-08-01

    Port site hernia is an important yet under-recognised complication of laparoscopic surgery, which carries a high risk of strangulation due to the small size of the defect involved. The purpose of this study was to examine the incidence, classification, and pathogenesis of this complication, and to evaluate strategies to prevent and treat it.

  15. Breast as an unusual site of metastasis- series of 3 cases and review of literature.

    Science.gov (United States)

    Hebbar, Ashwin K; Shashidhar, K; S, Krishna Murthy; Kumar, Veerendra; Arjunan, Ravi

    2014-09-01

    Background and objectives Metastasis to the breast from extra mammary sites is uncommon with an incidence ranging from 1.2 to 2 % in clinical reports. Approximately 300 cases of breast metastasis from extra mammary sites have been reported, mostly in small series or as a single case report. Gastrointestinal adenocarcinoma metastasising to the breast is also very rare and only 30 cases have been reported in the literature. Metastatic deposits within the breast may be difficult to distinguish from primary breast carcinoma. Radiological features and immunohistochemistry especially for steroid hormone receptors (ER/PR) and expression of gross cystic disease fluid protein (GCDFP) and presence of other immunohistochemistry protein factors in breast metastasis which are specific to primary site may be helpful in differentiating these two conditions. Materials and methods In this series of 3 cases of breast as an unusual site of metastasis, we present different cases of adenocarcinoma of stomach, sigmoid colon and kidney with metastasis to the breast and discuss the differential diagnosis and management plans. Conclusion In conclusion, secondary tumors to the breast are rare and thus differentiating primary tumors from metastatic breast carcinoma is important for rational and optimum therapy and avoidance of unnecessary radical surgery. Palpable breast lump without typical radiological signs of primary breast carcinoma in patients with known primary should be suspected of representing metastasis.

  16. A systematic review of social networking sites: innovative platforms for health research targeting adolescents and young adults.

    Science.gov (United States)

    Park, Bu Kyung; Calamaro, Christina

    2013-09-01

    To review the evidence to determine if social networking sites (SNS) are effective tools for health research in the adolescent and young adult populations. Systematic review of published research articles focused on use of SNS for youth health research. Seventeen articles were selected that met the following criteria: used SNS at any stage of study, participants between 13 and 25 years of age, English language, and both international and national studies. Reviewers categorized selected studies based on the way SNS were used. Utilization of SNS for effectively implementing research with adolescents and young adults include (a) recruitment, (b) intervention, and (c) measurement. Four findings about advantages of using SNS apparent in this review are (a) ease of access to youth, (b) cost effectiveness in recruitment, (c) ease of intervention, and (d) reliable screening venue of mental status and high-risk behaviors. Although this literature review showed relatively minimal research to date on the use of SNS for research targeting adolescents and young adults, the impact of using SNS for health research is of considerable importance for researchers as well as participants. With careful focus, SNS can become a valuable platform to access, recruit, and deliver health interventions in a cost-effective manner to youth populations as well as hard-to-reach minority or underserved populations. The evidence demonstrates the usefulness of SNS as innovative platforms for health promotion among adolescents and young adults. © 2013 Sigma Theta Tau International.

  17. Underground Test Area Activity Preemptive Review Guidance Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Farnham, Irene [Navarro, Las Vegas, NV (United States); Rehfeldt, Kenneth [Navarro, Las Vegas, NV (United States)

    2016-10-01

    Preemptive reviews (PERs) of Underground Test Area (UGTA) Activity corrective action unit (CAU) studies are an important and long-maintained quality improvement process. The CAU-specific PER committees provide internal technical review of ongoing work throughout the CAU lifecycle. The reviews, identified in the UGTA Quality Assurance Plan (QAP) (Sections 1.3.5.1 and 3.2), assure work is comprehensive, accurate, in keeping with the state of the art, and consistent with CAU goals. PER committees review various products, including data, documents, software/codes, analyses, and models. PER committees may also review technical briefings including Federal Facility Agreement and Consent Order (FFACO)-required presentations to the Nevada Division of Environmental Protection (NDEP) and presentations supporting key technical decisions (e.g., investigation plans and approaches). PER committees provide technical recommendations to support regulatory decisions that are the responsibility of the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office (NNSA/NFO) and NDEP.

  18. Assessment of the World Health Organization's HIV Drug Resistance Early Warning Indicators in Main and Decentralized Outreach Antiretroviral Therapy Sites in Namibia.

    Directory of Open Access Journals (Sweden)

    Nicholus Mutenda

    Full Text Available The World Health Organization (WHO early warning indicators (EWIs of HIV drug resistance (HIVDR assess factors at individual ART sites that are known to create situations favourable to the emergence of HIVDR.In 2014, the Namibia HIV care and treatment program abstracted the following adult and pediatric EWIs from all public ART sites (50 main sites and 143 outreach sites: On-time pill pick-up, Retention in care, Pharmacy stock-outs, Dispensing practices, and Viral load suppression. Comparisons were made between main and outreach sites and between 2014 and 2012 using the Wilcoxon signed-rank test in a matched analysis.The national estimates were: On-time pill pick-up 81.9% (95% CI 81.1-82.8 for adults and 82.4% (81.3-83.4 for pediatrics, Retention in care 79% retained on ART after 12 months for adults and 82% for pediatrics, Pharmacy stock-outs 94% of months without a stock-out for adults and 88% for pediatrics, and Dispensing practices 0.01% (0.001-0.056 dispensed mono- or dual-therapy for adults and 0.01% (0.001-0.069 for pediatrics. Viral load suppression was significantly affected by low rates of Viral load completion. Main sites had higher On-time pill pick-up than outreach sites for adults (p<0.001 and pediatrics (p<0.001, and no difference between main and outreach sites for Retention in care for adults (p = 0.761 or pediatrics (p = 0.214. From 2012 to 2014 in adult sites, On-time pill pick-up (p = 0.001, Retention in care (p<0.001, and Pharmacy stock-outs (p = 0.002 worsened. In pediatric sites, On-time pill pick-up (p<0.001 and Pharmacy stock-outs (p = 0.012 worsened.Results of EWIs monitoring in Namibia provide evidence about ART programmatic functioning and contextualize results from national surveys of HIVDR. These results are worrisome as they show a decline in program performance over time. The national ART program is taking steps to minimize the emergence of HIVDR by strengthening adherence and retention of patients on ART

  19. A reassessment of the early archaeological record at Leang Burung 2, a Late Pleistocene rock-shelter site on the Indonesian island of Sulawesi

    Science.gov (United States)

    Hakim, Budianto; Ramli, Muhammad; Aubert, Maxime; van den Bergh, Gerrit D.; Li, Bo; Burhan, Basran; Saiful, Andi Muhammad; Siagian, Linda; Sardi, Ratno; Jusdi, Andi; Abdullah; Mubarak, Andi Pampang; Moore, Mark W.; Roberts, Richard G.; Zhao, Jian-xin; McGahan, David; Jones, Brian G.; Perston, Yinika; Szabó, Katherine; Mahmud, M. Irfan; Westaway, Kira; Jatmiko; Saptomo, E. Wahyu; van der Kaars, Sander; Grün, Rainer; Wood, Rachel; Dodson, John

    2018-01-01

    This paper presents a reassessment of the archaeological record at Leang Burung 2, a key early human occupation site in the Late Pleistocene of Southeast Asia. Excavated originally by Ian Glover in 1975, this limestone rock-shelter in the Maros karsts of Sulawesi, Indonesia, has long held significance in our understanding of early human dispersals into ‘Wallacea’, the vast zone of oceanic islands between continental Asia and Australia. We present new stratigraphic information and dating evidence from Leang Burung 2 collected during the course of our excavations at this site in 2007 and 2011–13. Our findings suggest that the classic Late Pleistocene modern human occupation sequence identified previously at Leang Burung 2, and proposed to span around 31,000 to 19,000 conventional 14C years BP (~35–24 ka cal BP), may actually represent an amalgam of reworked archaeological materials. Sources for cultural materials of mixed ages comprise breccias from the rear wall of the rock-shelter–remnants of older, eroded deposits dated to 35–23 ka cal BP–and cultural remains of early Holocene antiquity. Below the upper levels affected by the mass loss of Late Pleistocene deposits, our deep-trench excavations uncovered evidence for an earlier hominin presence at the site. These findings include fossils of now-extinct proboscideans and other ‘megafauna’ in stratified context, as well as a cobble-based stone artifact technology comparable to that produced by late Middle Pleistocene hominins elsewhere on Sulawesi. PMID:29641524

  20. PECULIARITIES OF THE TRANSITION OF EARLY STURGEON (ACIPENSERIDAE FRY TO ARTIFICIAL FORMULATED FEEDS IN RAS (A REVIEW

    Directory of Open Access Journals (Sweden)

    M. Simon

    2016-03-01

    Full Text Available Purpose. To review scientific sources on the morphological and ecophysiological peculiarities of the transition of early sturgeon fry (Acipenseridae to artificial formulated feeds. To summarize the biotechnological fundamentals of the use of artificial formulated feeds in the conditions of recirculating aquaculture systems (RAS. Findings. The transition of early sturgeon fry to artificial formulated feeds is one of the most difficult stages of their rearing, even under controlled conditions of RAS. The review contains the description of the peculiarities of sturgeon embryogenesis, their behavior and morpho-physiological changes at this stage of their development. It contains main requirements for the rearing of sturgeon larvae in RAS. We showed that the ultimate refuse from natural (live or frozen forage organisms is not advisable; the optimum is their combination with artificial feeds with gradual predominance of the latters. We provided the schemes of their feeding based on the combination of natural and artificial feeds. We reviewed the most common biologically active supplements, which contributed to better feed digestion during the periods of the transition to exogenous feeding. We highlighted the effect of feeding with brine shrimp nauplii enriched with polyunsaturated fatty acids on the growth and development of early sturgeon fry. Practical value. The array of the summarized information will be important for scientists who study the peculiarities of the transition of early sturgeon fry to artificial formulated feeds in RAS. The data on the biotechnologies of rational feeding of early sturgeon fry in RAS in this period are important in the conditions of continuous search for the most effective replacement of live forage organisms and reduction of fish fry mortality in postembryogenesis.

  1. A review of neighborhood effects and early child development: How, where, and for whom, do neighborhoods matter?

    Science.gov (United States)

    Minh, Anita; Muhajarine, Nazeem; Janus, Magdalena; Brownell, Marni; Guhn, Martin

    2017-07-01

    This paper describes a scoping review of 42 studies of neighborhood effects on developmental health for children ages 0-6, published between 2009 and 2014. It focuses on three themes: (1) theoretical mechanisms that drive early childhood development, i.e. how neighborhoods matter for early childhood development; (2) dependence of such mechanisms on place-based characteristics i.e. where neighborhood effects occur; (3) dependence of such mechanisms on child characteristics, i.e. for whom is development most affected. Given that ecological systems theories postulate diverse mechanisms via which neighborhood characteristics affect early child development, we specifically examine evidence on mediation and/or moderation effects. We conclude by discussing future challenges, and proposing recommendations for analyses that utilize ecological longitudinal population-based databases. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  2. Trust and Product/Sellers Reviews as Factors Influencing Online Product Comparison Sites Usage by Young Consumers

    Directory of Open Access Journals (Sweden)

    Radoslaw Macik

    2016-06-01

    Full Text Available Paper describes young consumers’ behaviour connected with online product comparison sites usage as an example of online decision shopping aids. Authors’ main goal is to check whether or not such factors as: previous experience in such sites usage, personal innovativeness in domain of information technology – PIIT, and particularly cognitive trust (in several subdimensions, as well as affective trust toward online product comparison site, influence purchase intention via mentioned sites (acting as intermediaries in online sales channel, and anticipated satisfaction from choice made by consumer. Also indirect influence of users’ opinions about product and sellers on mentioned constructs has been researched. Study on effective sample of 456 young consumers with data collected through CAWI questionnaire confirmed reliability and validity of measurement scales. Path model estimated via PLS-SEM confirmed most hypotheses settled, particularly confirming strong positive relationships between cognitive trust (mostly in competence on affective trust, and later on purchase intention and choice satisfaction. Product and sellers reviews were partially mediating some of those relationships.

  3. A review of fire effects on vegetation and soils in the Great Basin region: response and ecological site characteristics

    Science.gov (United States)

    Miller, Richard F.; Chambers, Jeanne C.; Pyke, David A.; Pierson, Fred B.; Williams, C. Jason

    2013-01-01

    This review synthesizes the state of knowledge on fire effects on vegetation and soils in semi-arid ecosystems in the Great Basin Region, including the central and northern Great Basin and Range, Columbia River Basin, and the Snake River Plain. We summarize available literature related to: (1) the effects of environmental gradients, ecological site, and vegetation characteristics on resilience to disturbance and resistance to invasive species; (2) the effects of fire on individual plant species and communities, biological soil crusts, seed banks, soil nutrients, and hydrology; and (3) the role of fire severity, fire versus fire surrogate treatments, and post-fire grazing in determining ecosystem response. From this, we identify knowledge gaps and present a framework for predicting plant successional trajectories following wild and prescribed fires and fire surrogate treatments. Possibly the three most important ecological site characteristics that influence a site’s resilience (ability of the ecological site to recover from disturbance) and resistance to invasive species are soil temperature/moisture regimes and the composition and structure of vegetation on the ecological site just prior to the disturbance event.

  4. A Review and Analysis of the Current Policy on Early Childhood Education in Mainland China

    Science.gov (United States)

    Liu, Yan; Pan, Yue-Juan

    2013-01-01

    Compared with the former policies on early childhood education, the policies recently issued in mainland China clearly defined early childhood education as an integral part of education and social public welfare and stipulated the responsibilities of the government in its development, shifting the developmental orientation to promoting social…

  5. Definition of technology development missions for early space stations. Large space structures, phase 2, midterm review

    Science.gov (United States)

    1984-01-01

    The large space structures technology development missions to be performed on an early manned space station was studied and defined and the resources needed and the design implications to an early space station to carry out these large space structures technology development missions were determined. Emphasis is being placed on more detail in mission designs and space station resource requirements.

  6. Early Child Disaster Mental Health Interventions: A Review of the Empirical Evidence

    Science.gov (United States)

    Pfefferbaum, Betty; Nitiéma, Pascal; Tucker, Phebe; Newman, Elana

    2017-01-01

    Background: The need to establish an evidence base for early child disaster interventions has been long recognized. Objective: This paper presents a descriptive analysis of the empirical research on early disaster mental health interventions delivered to children within the first 3 months post event. Methods: Characteristics and findings of the…

  7. Findings and recommendations of the ONWI peer review of the SocioEconomic Analysis of Repository Siting (SEARS) modeling system

    International Nuclear Information System (INIS)

    Cluett, C.; Bjornstad, D.; DeVeny, G.; Ellis, C.B.; Goldstone, S.E.; Ritchey, P.N.; Winter, R.

    1985-12-01

    A Peer Review Group was convened by the Office of Nuclear Waste Isolation (ONWI) of the Battelle Project Management Division (BPMD) to provide an outside professional assessment of the SocioEconomic Analysis of Repository Siting (SEARS) modeling system. The SEARS model is intended to provide detailed, site-specific projections by jurisdiction and political subdivision of the economic, demographic, infrastructure, and fiscal effects of constructing, operating, and decommissioning a geologic repository for the isolation of nuclear waste in one or more locations. In addition, it is expected to aid in the indentification of appropriate local correction actions and to aid in monitoring socioeconomic changes. The SEARS model will address program-related issues, local concerns, and statutory requirements relating to economic-demographic impacts; employ technically defensible methods and procedures; be adequately and appropriately documented, verified, and validated; and provide results that are consistent and replicable

  8. Use of multiple-site performance-contingent SEMG reward programming in pediatric rehabilitation: a retrospective review.

    Science.gov (United States)

    Bolek, Jeffrey E

    2006-09-01

    We completed a retrospective review of the effectiveness of multi-site, performance-contingent reward programming on functional change in motor performance of 16 treatment resistant children. Patients were previously treated in physical or occupational therapy for head control, standing balance training, sitting and upper extremity use (brachial plexus injury). They then participated in a program that utilized multiple surface electromyography sites the use of which was rewarded with videos for performing the correct constellation of recruitment pattern (e.g., contracting some muscles while relaxing others). Onset of reward was calibrated for each patient and transfer of skill to outside the clinic was encouraged by linking a verbal cue to the correct motor plan. Fourteen of the 16 patients improved. The implications of the use of this technique in the treatment of motor dysfunction is discussed.

  9. 2008 Annual Summary Report for the Area 3 and Area 5 Radioactive Waste Management Sites at the Nevada Test Site, Nye County, Nevada: Review of the Performance Assessments and Composite Analyses

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Management

    2009-03-30

    The Maintenance Plan for the Performance Assessments and Composite Analyses for the Area 3 and Area 5 Radioactive Waste Management Sites at the Nevada Test Site requires an annual review to assess the adequacy of the Performance Assessments (PAs) and Composite Analyses (CAs) for each of the facilities, with the results submitted annually to U.S. Department of Energy (DOE) Headquarters. The Disposal Authorization Statements for the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) also require that such reviews be made and that secondary or minor unresolved issues be tracked and addressed as part of the maintenance plan. The U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO) performed an annual review in fiscal year (FY) 2008 by evaluating operational factors and research results that impact the continuing validity of the PAs and CAs. This annual summary report presents data and conclusions from the FY 2008 review, and determines the adequacy of the PAs and CAs. Operational factors (e.g., waste forms and containers, facility design, and waste receipts), closure plans, monitoring results, and research and development (R&D) activities were reviewed to determine the adequacy of the PAs. Likewise, the environmental restoration activities at the Nevada Test Site relevant to the sources of residual radioactive material that are considered in the CAs, the land-use planning, and the results of the environmental monitoring and R&D activities were reviewed to determine the adequacy of the CAs.

  10. 2008 Annual Summary Report for the Area 3 and Area 5 Radioactive Waste Management Sites at the Nevada Test Site, Nye County, Nevada: Review of the Performance Assessments and Composite Analyses

    International Nuclear Information System (INIS)

    2009-01-01

    The Maintenance Plan for the Performance Assessments and Composite Analyses for the Area 3 and Area 5 Radioactive Waste Management Sites at the Nevada Test Site requires an annual review to assess the adequacy of the Performance Assessments (PAs) and Composite Analyses (CAs) for each of the facilities, with the results submitted annually to U.S. Department of Energy (DOE) Headquarters. The Disposal Authorization Statements for the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) also require that such reviews be made and that secondary or minor unresolved issues be tracked and addressed as part of the maintenance plan. The U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO) performed an annual review in fiscal year (FY) 2008 by evaluating operational factors and research results that impact the continuing validity of the PAs and CAs. This annual summary report presents data and conclusions from the FY 2008 review, and determines the adequacy of the PAs and CAs. Operational factors (e.g., waste forms and containers, facility design, and waste receipts), closure plans, monitoring results, and research and development (R and D) activities were reviewed to determine the adequacy of the PAs. Likewise, the environmental restoration activities at the Nevada Test Site relevant to the sources of residual radioactive material that are considered in the CAs, the land-use planning, and the results of the environmental monitoring and R and D activities were reviewed to determine the adequacy of the CAs.

  11. Review of the Ethical Issues of a Biomarker-Based Diagnoses in the Early Stage of Alzheimer's Disease.

    Science.gov (United States)

    Vanderschaeghe, Gwendolien; Dierickx, Kris; Vandenberghe, Rik

    2018-03-12

    Today, many healthcare or dementia organizations, clinicians, and companies emphasize the importance of detection of Alzheimer's disease in an early phase. This idea has gained considerable momentum due to the development of biomarkers, the recent FDA and EMA approval of three amyloid tracers, and the failure of a number of recent therapeutic trials conducted in the early dementia phase. On the one hand, an early etiological diagnosis can lead to early and more efficacious intervention. On the other hand, it is questioned how early an etiological diagnosis is beneficial to the patient. Here we consider ethical issues related to the process of biomarker testing and the impact on the diagnostic disclosure to patients with mild cognitive impairment due to prodromal Alzheimer's disease. A systematic review of the theoretical bioethics literature was performed by using electronic databases. The review was limited to articles published in English between 2003 and 2016. A total of twenty articles were included in our effort to make an analysis of the ethical challenges. One of the biggest challenges was the uncertainty and the predictive value of the biomarker-based diagnosis where patients can be amyloid positive without full certainty whether or when they will develop symptomatic decline due to Alzheimer's disease. Another challenge was the tension between the right to know versus the wish not to know, the limited efficacy of currently available treatment options, and the opportunities and consequences after receiving such an early diagnosis. Based on the results and the additional comments in the discussion, several unanswered questions emerged. Therefore, careful consideration of all these ethical issues is required before the disclosure of a biomarker-based diagnosis to the patient with mild cognitive impairment due to Alzheimer's disease.

  12. Social marketing approaches to nutrition and physical activity interventions in early care and education centres: a systematic review.

    Science.gov (United States)

    Luecking, C T; Hennink-Kaminski, H; Ihekweazu, C; Vaughn, A; Mazzucca, S; Ward, D S

    2017-12-01

    Social marketing is a promising planning approach for influencing voluntary lifestyle behaviours, but its application to nutrition and physical activity interventions in the early care and education setting remains unknown. PubMed, ISI Web of Science, PsycInfo and the Cumulative Index of Nursing and Allied Health were systematically searched to identify interventions targeting nutrition and/or physical activity behaviours of children enrolled in early care centres between 1994 and 2016. Content analysis methods were used to capture information reflecting eight social marketing benchmark criteria. The review included 135 articles representing 77 interventions. Two interventions incorporated all eight benchmark criteria, but the majority included fewer than four. Each intervention included behaviour and methods mix criteria, and more than half identified audience segments. Only one-third of interventions incorporated customer orientation, theory, exchange and insight. Only six interventions addressed competing behaviours. We did not find statistical significance for the effectiveness of interventions on child-level diet, physical activity or anthropometric outcomes based on the number of benchmark criteria used. This review highlights opportunities to apply social marketing to obesity prevention interventions in early care centres. Social marketing could be an important strategy for early childhood obesity prevention efforts, and future research investigations into its effects are warranted. © 2017 World Obesity Federation.

  13. Assessing the potentialities of integrated modelling during early phases of siting and design of a geological repository: the REGIME exercise

    Energy Technology Data Exchange (ETDEWEB)

    Genty, A.; Certes, C.; Serres, C.; Besnus, F. [Institut de Radioprotection et de Surete Nucleaire IRSN, 92 - Fontenay aux Roses (France); Fischer-Appelt, K.; Baltes, B.; Rohlig, J. [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (GRS), Koeln (Germany)

    2003-01-01

    This paper presents the safety assessment exercise 'REGIME' (Repository Evaluation performed by GRS and IRSN through a Modelling Exercise) performed jointly by GRS and IRSN. The main objective of the project is to test the ability of integrated modelling to contribute to site selection and repository conception in the context of high-level radioactive waste disposal. The project is divided in two parts. Phase 1 consisted in studying different flow patterns in a given geological context. The selected hydrogeological contexts and three site locations potentially favourable for hosting a repository are described. Phase 2, under progress, aims at evaluating the rote of limitation of releases played by the different components of the disposal system taking into account possible dysfunctions. The main issues to be addressed in phase 2, the modelling outline and the scenarios to be studied are presented. (authors)

  14. Documentation information for peer group review report site suitability criteria study

    International Nuclear Information System (INIS)

    1977-10-01

    This report presents documentation of the geotechnical input data provided by Golder Associates, Inc. (GAI) for the Cycle II repository model analysis. Information relating to the proposed uncertainty analysis and several appropriate comments pertinent to the overall site suitability study are also included. GAI was responsible for developing descriptors and coefficients for the TASC model hydrologic analog; permeability and porosity values for the geologic formations (excepting salt); occurrence and properties of the bore hole seals, backfill, and mine fracture zones; and properties of fracture zones associated with faults. All data are presented with a preferred value and maximum credible range. These values relate to a generic repository in a sedimentary basin and not a specific site. 13 figures, 6 tables

  15. Off-Site Radiation Exposure Review Project: Phase 2 soils program

    Energy Technology Data Exchange (ETDEWEB)

    McArthur, R.D.; Miller, F.L. Jr.

    1989-12-01

    To help estimate population doses of radiation from fallout originating at the Nevada Test Site, soil samples were collected throughout the western United States. Each sample was prepared by drying and ball-milling, then analyzed by gamma-spectrometry to determine the amount of {sup 137}Cs it contained. Most samples were also analyzed by chemical separation and alpha-spectrometry to determine {sup 239 + 240}Pu and by isotope mass spectroscopy to determine the ratios of {sup 240}Pu to {sup 239}Pu and {sup 241}Pu to {sup 239}Pu. The total inventories of cesium and plutonium at 171 sites were computed from the results. This report describes the sample collection, processing, and analysis, presents the analytical results, and assesses the quality of the data. 10 refs., 9 figs., 12 tabs.

  16. Review of Tank Lay-Up Status at US Department of Energy Radioactive Waste Tank Sites

    International Nuclear Information System (INIS)

    Elmore, Monte R.; Henderson, Colin

    2002-01-01

    During fiscal year (FY) 2001 as part of a Tanks Focus Area strategic initiative, tank lay-up options were developed and evaluated for the two high-level waste (HLW) storage tanks at the West Valley Demonstration Project. As follow-on task, a list of key waste tank contacts throughout the US Department of Energy complex was developed. Visits were then made to the primary DOE sites with radioactive waste storage tanks to discuss the concept and applicability of tank lay-up. This report documents the results of individual discussions with tank closure staff at the four DOE Sites concerning tank closure status and plans as well as lay-up options and activities

  17. Remote Sensing and Geospatial Technological Applications for Site-specific Management of Fruit and Nut Crops: A Review

    Directory of Open Access Journals (Sweden)

    Joel O. Paz

    2010-08-01

    Full Text Available Site-specific crop management (SSCM is one facet of precision agriculture which is helping increase production with minimal input. It has enhanced the cost-benefit scenario in crop production. Even though the SSCM is very widely used in row crop agriculture like corn, wheat, rice, soybean, etc. it has very little application in cash crops like fruit and nut. The main goal of this review paper was to conduct a comprehensive review of advanced technologies, including geospatial technologies, used in site-specific management of fruit and nut crops. The review explores various remote sensing data from different platforms like satellite, LIDAR, aerial, and field imaging. The study analyzes the use of satellite sensors, such as Quickbird, Landsat, SPOT, and IRS imagery as well as hyperspectral narrow-band remote sensing data in study of fruit and nut crops in blueberry, citrus, peach, apple, etc. The study also explores other geospatial technologies such as GPS, GIS spatial modeling, advanced image processing techniques, and information technology for suitability study, orchard delineation, and classification accuracy assessment. The study also provides an example of a geospatial model developed in ArcGIS ModelBuilder to automate the blueberry production suitability analysis. The GIS spatial model is developed using various crop characteristics such as chilling hours, soil permeability, drainage, and pH, and land cover to determine the best sites for growing blueberry in Georgia, U.S. The study also provides a list of spectral reflectance curves developed for some fruit and nut crops, blueberry, crowberry, redblush citrus, orange, prickly pear, and peach. The study also explains these curves in detail to help researchers choose the image platform, sensor, and spectrum wavelength for various fruit and nut crops SSCM.

  18. Effects of healthcare professional delivered early feeding interventions on feeding practices and dietary intake: A systematic review.

    Science.gov (United States)

    Matvienko-Sikar, Karen; Toomey, Elaine; Delaney, Lisa; Harrington, Janas; Byrne, Molly; Kearney, Patricia M

    2018-04-01

    Childhood obesity is a global public health challenge. Parental feeding practices, such as responsive feeding, are implicated in the etiology of childhood obesity. This systematic review aimed to examine of effects of healthcare professional-delivered early feeding interventions, on parental feeding practices, dietary intake, and weight outcomes for children up to 2 years. The role of responsive feeding interventions was also specifically examined. Databases searched included: CINAHL, the Cochrane Library, EMBASE, Medline, PubMed, PsycINFO, and Maternity and Infant Care. participants are parents of children ≤2 years; intervention includes focus on early child feeding to prevent overweight and obesity; intervention delivered by healthcare professionals. Sixteen papers, representing 10 trials, met inclusion criteria for review. Six interventions included responsive feeding components. Interventions demonstrated inconsistent effects on feeding practices, dietary intake, and weight outcomes. Findings suggest some reductions in pressure to eat and infant consumption of non-core beverages. Responsive feeding based interventions demonstrate greater improvements in feeding approaches, and weight outcomes. The findings of this review highlight the importance of incorporating responsive feeding in healthcare professional delivered early feeding interventions to prevent childhood obesity. Observed inconsistencies across trials may be explained by methodological limitations. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Limited site review for the San Joaquin Nuclear Project. Project No. 499

    International Nuclear Information System (INIS)

    1977-06-01

    This report is the Nuclear Regulatory Commission's (Commission) safety evaluation of a proposed site near Bakersfield, California, on which the Los Angeles Department of Water and Power (applicant) in association with a number of other organizations proposes to build a nuclear facility at a future date. A construction permit application has not been filed but the applicant has informed us of its intention to submit an Environmental Report during February 1980 and a Preliminary Safety Analysis Report during May 1980

  20. Review of institutional and socioeconomic issues for radioactive waste repository siting

    International Nuclear Information System (INIS)

    Copenhaver, E.D.; Carnes, S.A.; Soderstrom, E.J.; Sorensen, J.H.; Peelle, E.; Bjornstad, D.J.

    1982-01-01

    In recent years, the importance of social and institutional issues in the siting of radioactive waste management repositories has been recognized. This study deals with the possibility of using incentives to assist in siting repositories and outlines some of their uses, limitations, and preconditions. Limited survey data and other studies indicate that incentives may help encourage people to formulate positive positions on radioactive waste repositories. In an overall siting strategy, incentives are just one part of a structured process involving the creation of a mutually acceptable set of arrangements that make certain guarantees and confer certain benefits in exchange for the acceptance of the proposed facility. Because the range of needs to be fulfilled is varied, a package of incentives is likely to be more acceptable than any one single incentive. The purpose of incentives is to encourage local approval by minimizing and redressing costs and providing missing benefits. Most previous discussions of incentives have emphasized mitigation mechanisms only. This paper also identifies compensation, incentives, and criteria by which compensation or an incentive system can be evaluated. The study provides the means by which incentives can be identified, assessed, negotiated, and implemented by affected parties and attempts to show where incentives fit into an overall siting strategy by developing a classification scheme and an analytical framework that capture: (1) the preconditions that must exist before any incentive system can be considered; (2) the objective features of an incentive; such as adequacy and ease of administration; (3) community perceptions of an incentive, such as interpretability and relevance; and (4) the consequences of implementing an incentive, such as distributional effects and conflict and consensus. 38 references, 1 figure, 2 tables

  1. Interaction of mining activities and aquatic environment: A review from Greek mine sites.

    Science.gov (United States)

    Vasileiou, Eleni; Kallioras, Andreas

    2016-04-01

    In Greece a significant amount of mineral and ore deposits have been recorded accompanied by large industrial interest and a long mining history. Today many active and/or abandoned mine sites are scattered within the country; while mining activities take place in different sites for exploiting various deposits (clay, limestone, slate, gypsum, kaolin, mixed sulphide ores (lead, zinc, olivine, pozzolan, quartz lignite, nickel, magnesite, aluminum, bauxite, gold, marbles etc). The most prominent recent ones are: (i) the lignite exploitation that is extended in the area of Ptolemais (Western Macedonia) and Megalopolis (Central Peloponnese); and (ii) the major bauxite deposits located in central Greece within the Parnassos-Ghiona geotectonic zone and on Euboea Island. In the latter area, significant ores of magnesite were exploited and mixed sulphide ores. Centuries of intensive mining exploitation and metallurgical treatment of lead-silver deposits in Greece, have also resulted in significant abandoned sites, such as the one in Lavrion. Mining activities in Lavrio, were initiated in ancient times and continued until the 1980s, resulting in the production of significant waste stockpiles deposited in the area, crucial for the local water resources. Ιn many mining sites, environmental pressures are also recorded after the mine closure to the aquatic environment, as the surface waters flow through waste dump areas and contaminated soils. This paper aims to the geospatial visualization of the mining activities in Greece, in connection to their negative (surface- and/or ground-water pollution; overpumping due to extensive dewatering practices) or positive (enhanced groundwater recharge; pit lakes, improvement of water budget in the catchment scale) impacts on local water resources.

  2. How to get started with a systematic review in epidemiology: an introductory guide for early career researchers.

    Science.gov (United States)

    Denison, Hayley J; Dodds, Richard M; Ntani, Georgia; Cooper, Rachel; Cooper, Cyrus; Sayer, Avan Aihie; Baird, Janis

    2013-08-07

    Systematic review is a powerful research tool which aims to identify and synthesize all evidence relevant to a research question. The approach taken is much like that used in a scientific experiment, with high priority given to the transparency and reproducibility of the methods used and to handling all evidence in a consistent manner.Early career researchers may find themselves in a position where they decide to undertake a systematic review, for example it may form part or all of a PhD thesis. Those with no prior experience of systematic review may need considerable support and direction getting started with such a project. Here we set out in simple terms how to get started with a systematic review. Advice is given on matters such as developing a review protocol, searching using databases and other methods, data extraction, risk of bias assessment and data synthesis including meta-analysis. Signposts to further information and useful resources are also given. A well-conducted systematic review benefits the scientific field by providing a summary of existing evidence and highlighting unanswered questions. For the individual, undertaking a systematic review is also a great opportunity to improve skills in critical appraisal and in synthesising evidence.

  3. 2009 Annual Summary Report for the Area 3 and Area 5 Radioactive Waste Management Sites at the Nevada Test Site, Nye County, Nevada: Review of the Performance Assessments and Composite Analysis

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Management

    2010-03-15

    The U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office performed an annual review of the Area 3 and Area 5 Radioactive Wate Management Site (RWMS) Performance Assessments (PAs) and Composite Analyses (CAs) in fiscal year (FY) 2009. This annual summary report presents data and conclusions from the FY 2009 review, and determines the adequacy of the PAs and CAs. Operational factors (e.g., waste forms and containers, facility design, and waste receipts), closure plans, monitoring results, and research and development (R&D) activities were reviewed to determine the adequacy of the PAs. Likewise, the environmental restoration activities at the Nevada Test Site relevant to the sources of residual radioactive material that are considered in the CAs, the land-use planning, and the results of the environmental monitoring and R&D activities were reviewed to determine the adequacy of the CAs.

  4. 2009 Annual Summary Report for the Area 3 and Area 5 Radioactive Waste Management Sites at the Nevada Test Site, Nye County, Nevada: Review of the Performance Assessments and Composite Analysis

    International Nuclear Information System (INIS)

    2010-01-01

    The U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office performed an annual review of the Area 3 and Area 5 Radioactive Waste Management Site (RWMS) Performance Assessments (PAs) and Composite Analyses (CAs) in fiscal year (FY) 2009. This annual summary report presents data and conclusions from the FY 2009 review, and determines the adequacy of the PAs and CAs. Operational factors (e.g., waste forms and containers, facility design, and waste receipts), closure plans, monitoring results, and research and development (R and D) activities were reviewed to determine the adequacy of the PAs. Likewise, the environmental restoration activities at the Nevada Test Site relevant to the sources of residual radioactive material that are considered in the CAs, the land-use planning, and the results of the environmental monitoring and R and D activities were reviewed to determine the adequacy of the CAs.

  5. Efficacy of port-site and intraperitoneal application of bupivacaine in reducing early post-laparoscopic cholecystectomy pain

    International Nuclear Information System (INIS)

    Ahmad, J.; Khan, Z.A.; Khan, A.

    2015-01-01

    The aim of this study was to assess the analgesic efficacy of Bupivacaine application at port-site and intraperitoneal infiltration in patients with laparoscopic cholecystectomy. Study Design: Randomized Controlled Clinical Trial. Place and Duration: The study was conducted at Rehman Medical Institute (RMI) Peshawar, Pakistan from June 2009 to June 2012. Materials and Methods: Patients who underwent elective laparoscopic cholecystectomy during the study period were included in the study. Eighty patients were randomized into two groups, study group and control group. The study group received 40 ml of 0.25% bupivacaine intraoperatively as intraperitoneal infiltration and local infiltration at the port sites. Pain assessment was done using visual analogue pain score (VAS) of 0-10 at fixed intervals during the first 24 hours post surgery. Results: The mean VAS score in the study group was less as compared to the control group throughout the 24 hours assessment period, however this difference was statistically significant (p<0.001) only during the first three assessments at 1 hour, 4 hours and 8 hours post surgery. The analgesia requirement was also significantly (p<0.001) decreased in the study group. Conclusion: Port site and intraperitoneal application of local anesthetic bupivacaine significantly reduced pain during the first 8 hours post surgery and total analgesia requirement was also significantly reduced. It is a simple and easily applicable technique which increases patient comfort and can be safely used to decrease post operative pain in patients undergoing laparoscopic cholecystectomy. (author)

  6. Off-site training of laparoscopic skills, a scoping review using a thematic analysis

    DEFF Research Database (Denmark)

    Thinggaard, Ebbe; Kleif, Jakob; Bjerrum, Flemming

    2016-01-01

    in MEDLINE, EMBASE, ERIC, Scopus, and PsychINFO, following a scoping review methodology. The included literature was analyzed iteratively using a thematic analysis approach. The study was reported in accordance with the STructured apprOach to the Reporting In healthcare education of Evidence Synthesis...

  7. Report on the workshop to review waste inventory, waste characteristics and reference site candidates

    International Nuclear Information System (INIS)

    1997-07-01

    There is a need of co-operation among Regional Co-operative Agreement (RCA) Member States in the field of low and intermediate level waste (LILW) disposal. An integrated approach is essential for successful establishment of LILW disposal facilities in RCA Member States. This would include: a) identification of waste inventory and characteristics; b) guidelines for implementation of LILW disposal; c) regulatory guidelines; d) safety assessment; e) quality assurance; and f) public acceptance. This project will focus on technical issues. The overall objective of the project, established in the project formulation meeting, is to assist RCA Member States in establishing national disposal activities for radioactive waste from nuclear applications by providing expert advice and training on techniques and methodology associated with planning and establishment of disposal facilities and to obtain improved knowledge of key staff members for the implementation of LILW disposal. The purpose of this workshop was to identify waste inventories, waste characteristics, site characteristics (generic or site specific) for disposal of LILW in RCA Member States of the project and identify conceptual reference site conditions and consider reference repository concepts preliminarily. Also the workshop was to establish an action plan of the next step. The workshop was held in Shanghai, China from 7 to 9 July 1997 and attended by 7 countries, i.e. Australia, China, Indonesia, Japan, Republic of Korea, Sri Lanka and Thailand. Refs, figs, tabs

  8. Review and comment on the US Department of Energy Site Characterization Plan Conceptual Design report

    International Nuclear Information System (INIS)

    1988-10-01

    The ''Site Characterization Plan Conceptual Design Report,'' as prepared by the United States Department of Energy and its contractors, depicts the conceptual designs being proposed for the Yucca Mountain, Nevada High-Level Waste Repository. Much of the report is comprised of designs based on large assumptions that lead to inconclusiveness in terms of technical integrity and reasonableness. As a result, the likely success of the designs proposed within the report is highly questionable from a technical and even constructibility standpoint. Grave deficiencies have been found throughout the report ranging from the over-simplification of the geologic and geohydrologic setting to the incorrect determination of the repository horizon's host rock strength. All of these deficiencies found within the report relate directly to the probable outcome of the site characterization of Yucca Mountain and the possible design and construction of a high-level waste repository at the site. It does not appear that a concerted effort has been put forth to develop many of the concepts within the report to a reasonable level of engineering and scientific integrity that would be suitable to meet the needs of and provide the results to the Nation's High-Level Waste Program

  9. CREB, NF-Y and MEIS1 conserved binding sites are essential to balance Myostatin promoter/enhancer activity during early myogenesis.

    Science.gov (United States)

    Grade, Carla Vermeulen Carvalho; Mantovani, Carolina Stefano; Fontoura, Marina Alves; Yusuf, Faisal; Brand-Saberi, Beate; Alvares, Lúcia Elvira

    2017-10-01

    Myostatin (MSTN) is a strong inhibitor of skeletal muscle growth in human and other vertebrates. Its transcription is controlled by a proximal promoter/enhancer (Mstn P/E) containing a TATA box besides CREB, NF-Y, MEIS1 and FXR transcription factor binding sites (TFBSs), which are conserved throughout evolution. The aim of this work was to investigate the role of these TFBSs on Mstn P/E activity and evaluate the potential of their putative ligands as Mstn trans regulators. Mstn P/E mutant constructs were used to establish the role of conserved TFBSs using dual-luciferase assays. Expression analyses were performed by RT-PCR and in situ hybridization in C2C12 myoblasts and E10.5 mouse embryos, respectively. Our results revealed that CREB, NF-Y and MEIS1 sites are required to balance Mstn P/E activity, keeping Mstn transcription within basal levels during myoblast proliferation. Furthermore, our data showed that NF-Y site is essential, although not sufficient, to mediate Mstn P/E transcriptional activity. In turn, CREB and MEIS1 binding sites seem to depend on the presence of NF-Y site to induce Mstn P/E. FXR appears not to confer any effect on Mstn P/E activity, except in the absence of all other conserved TFBS. Accordingly, expression studies pointed to CREB, NF-Y and MEIS1 but not to FXR factors as possible regulators of Mstn transcription in the myogenic context. Altogether, our findings indicated that CREB, NF-Y and MEIS1 conserved sites are essential to control basal Mstn transcription during early myogenesis, possibly by interacting with these or other related factors.

  10. Limestone percussion tools from the late Early Pleistocene sites of Barranco León and Fuente Nueva 3 (Orce, Spain).

    Science.gov (United States)

    Barsky, Deborah; Vergès, Josep-María; Sala, Robert; Menéndez, Leticia; Toro-Moyano, Isidro

    2015-11-19

    In recent years, there is growing interest in the study of percussion scars and breakage patterns on hammerstones, cores and tools from Oldowan African and Eurasian lithic assemblages. Oldowan stone toolkits generally contain abundant small-sized flakes and their corresponding cores, and are characterized by their structural dichotomy of heavy- and light-duty tools. This paper explores the significance of the lesser known heavy-duty tool component, providing data from the late Lower Pleistocene sites of Barranco León and Fuente Nueva 3 (Orce, Spain), dated 1.4-1.2 Myr. Using quantitative and qualitative data from the large-sized limestone industries from these two major sites, we present a new methodology highlighting their morpho-technological features. In the light of the results, we discuss the shortfalls of extant classificatory methods for interpreting the role of percussive technology in early toolkits. This work is rooted in an experimental program designed to reproduce the wide range of percussion marks observed on the limestone artefacts from these two sites. A visual and descriptive reference is provided as an interpretative aid for future comparative research. Further experiments using a variety of materials and gestures are still needed before the elusive traces yield the secrets of the kinds of percussive activities carried out by hominins at these, and other, Oldowan sites. © 2015 The Author(s).

  11. Isolated colostomy site recurrence in rectal cancer-two cases with review of literature

    Science.gov (United States)

    Chintamani; Singhal, Vinay; Bansal, Anju; Bhatnagar, Dinesh; Saxena, Sunita

    2007-01-01

    Background Colostomy site carcinomas are rare with only eight cases reported in the world literature. Various etiological factors like adenoma-cancer sequence, bile acids, recurrent and persistent physical damage at the colostomy site by faecal matter due to associated stomal stenosis have been considered responsible. Two such cases are being reported and in both cases there was no evidence of any local recurrence in the pelvis or liver and distant metastasis. Both patients had received adjuvant chemotherapy following surgery. Case presentation First case was a 30-year-old male that had reported with large bowel obstruction due to an obstructing ulcero-proliferative growth (poorly differentiated adenocarcinoma) at the colostomy site after abdomino-perineal resection, performed for low rectal cancer six years previously. Wide local excision with microscopically free margins was performed with a satisfactory outcome. Four years later he presented with massive malignant ascites, cachexia and multiple liver metastasis and succumbed to his disease. Second case was a 47-year-old male that presented with acute large bowel obstruction due to an annular growth (well differentiated adenocarcinoma) in the upper rectum. He was managed by Hartmann's operation and the sigmoid colostomy was closed six months later. Five years following closure of colostomy, he presented with two parietal masses at the previous colostomy site scar, which, on fine needle aspiration cytology were found to be well-differentiated adenocarcinomas of colorectal type. Surgery in the form of wide local resection with free margins was performed. He presented again after five years with recurrence along the previous surgery scar and an incisional hernia and was managed by wide local excision along with hernioplasty. Follow-up of nine years following first surgery is satisfactory. Conclusion Colostomy site/scar recurrence of rectal carcinoma is rare and could be due to various etiological factors, although

  12. Department of Energy's High Flux Beam Reactor (HFBR), September 15--19, 1980: An independent on-site safety review

    International Nuclear Information System (INIS)

    1981-02-01

    The intent of this on-site safety review was to make a broad management assessment of HFBR operations, rather than conduct a detailed in-depth audit. The result of the review should only be considered as having identified trends or indications. The Team's observations and recommendations for the most part are based upon licensed reactor facility practices used to meet industry standards. These standards form the basis for many of the comments in this report. The Team believes that a uniform minimum standard of performance should be achieved in the operation of DOE reactors. In order to assure that this is accomplished, clear standards are necessary. Consistent with the past AEC and ERDA policy, the team has used the standards of the commercial nuclear power industry. It is recognized that this approach is conservative in that the HFBR reactor has a significantly greater degree of inherent safety (low pressure, temperature, power, etc.) than a licensed reactor

  13. A Review of HIV Prevention Studies that Use Social Networking Sites: Implications for Recruitment, Health Promotion Campaigns, and Efficacy Trials.

    Science.gov (United States)

    Jones, Jamal; Salazar, Laura F

    2016-11-01

    This review describes the use of social networking sites (SNS) in the context of primary prevention of HIV. A review was conducted to assess the published literature for HIV interventions using SNS. Sixteen articles describing twelve interventions were included. SNS were instrumental in recruiting hard-to-reach populations within a short amount of time; were able to reach wide audiences beyond the targeted population for HIV prevention campaigns; and helped to significantly reduce sexual risk behaviors and increase HIV testing. SNS are a viable option to recruit hidden populations, engage the target audience, and disseminate HIV prevention messages. Researchers should use SNS to generate sampling frames that can be used to select participants. Practitioners should use SNS to post images of preventive behavior within health promotion campaigns. Researchers should use multiple SNS platforms to engage participants. As more studies are published using SNS for HIV prevention, meta-analyses will be needed.

  14. Early years interventions to improve child health and wellbeing: what works, for whom and in what circumstances? Protocol for a realist review.

    Science.gov (United States)

    Coles, Emma; Cheyne, Helen; Daniel, Brigid

    2015-06-06

    Child health and wellbeing is influenced by multiple factors, all of which can impact on early childhood development. Adverse early life experiences can have lasting effects across the life course, sustaining inequalities and resulting in negative consequences for the health and wellbeing of individuals and society. The potential to influence future outcomes via early intervention is widely accepted; there are numerous policy initiatives, programmes and interventions clustered around the early years theme, resulting in a broad and disparate evidence base. Existing reviews have addressed the effectiveness of early years interventions, yet there is a knowledge gap regarding the mechanisms underlying why interventions work in given contexts. This realist review seeks to address the question 'what works, for whom and in what circumstances?' in terms of early years interventions to improve child health and wellbeing. The review will be conducted following Pawson's five-stage iterative realist methodology: (1) clarify scope, (2) search for evidence, (3) appraise primary studies and extract data, (4) synthesise evidence and draw conclusions and (5) disseminate findings. The reviewers will work with stakeholders in the early stages to refine the focus of the review, create a review framework and build programme theory. Searches for primary evidence will be conducted iteratively. Data will be extracted and tested against the programme theory. A review collaboration group will oversee the review process. The review will demonstrate how early years interventions do or do not work in different contexts and with what outcomes and effects. Review findings will be written up following the RAMESES guidelines and will be disseminated via a report, presentations and peer-reviewed publications. PROSPERO CRD42015017832.

  15. Thrombolysis in the age of Primary Percutaneous Coronary Intervention: Mini-Review and Meta-analysis of Early PCI

    Science.gov (United States)

    Al Shammeri, O; Garcia, LA

    2013-01-01

    Objective Primary Percutaneous Coronary Intervention (PCI) is the treatment of choice for ST-segment Elevation Myocardial Infarction (STEMI) if performed within 90 minutes from first medical contact. However, primary PCI is only available for less than 25% of patients with STEMI. Early PCI or Pharmaco-invasive strategy has evolved from facilitated PCI but with more delayed timing from thrombolysis to PCI. Aim Assess the safety and effectiveness of Early PCI. Patients and Method We reviewed the data of the available therapy options for patients with STEMI. Then we performed a meta-analysis for all randomized controlled trials of early PCI versus standard therapy Results Five studies fulfilled our inclusion criteria. Our meta-analysis showed improved cardiovascular events with early PCI compared to standard therapy (odd ratio of 0.54; 95% Confidence interval 0.47-0.7, pPCI 4 to 24 hours after successful thrombolysis Conclusion Early PCI should be done to all STEMI patients within 24 hours after successful thrombolysis. PMID:23559909

  16. Romano-British wall paintings: Raman spectroscopic analysis of fragments from two urban sites of early military colonisation

    Science.gov (United States)

    Edwards, H. G. M.; Middleton, P. S.; Hargreaves, M. D.

    2009-08-01

    Raman spectroscopic analyses of 1st century AD Romano-British villa wall-painting fragments from two important military and early urban centres at Colchester and Lincoln have demonstrated some interesting contrasts in technique and palette usage. Colchester, the earliest fortified settlement, developed a sophisticated painting and craft industry compared with Lincoln in the assimilation of novel substrate preparation ideas and pigment adoption. The earliest use of the rather rare purple mineral pigment, caput mortuum, hitherto reported in only a few Roman villas elsewhere in mainland Europe, is in evidence in this early phase settlement and the use of gypsum as a special ground preparation agent as an additive to the more common limewash putty to enhance the effect of the use of lazurite as a pigment is worthy of note in this context. Otherwise, the pigments are seen to be those that are quite normally encountered in Roman villas, namely, haematite, goethite, terre verte, and carbon. The results of this study indicate that at Colchester there was a continued development in technique into the colonial phase compared with a stagnation in Lincoln; these scientific results have created a stimulus for further historical research into pigment and techniques development for wall paintings at the fringe of the Roman Empire in the 1st-3rd Centuries AD.

  17. Applications of Augmented Reality in Informal Science Learning Sites: a Review

    Science.gov (United States)

    Goff, Eric E.; Mulvey, Kelly Lynn; Irvin, Matthew J.; Hartstone-Rose, Adam

    2018-05-01

    The importance of increasing interest in the STEM disciplines has been noted in a number of recent national reports. While many previous studies have focused on such efforts inside of the formal classroom, comparatively few have looked closely at informal learning environments. We investigate the innovative use of technology in informal learning by reviewing research on the incorporation of augmented reality (AR) at exhibit-based informal science education (ISE) settings in the literature. We report on the common STEM-focused topics that are covered by current AR applications for ISE learning, as well as the different devices used to support these applications. Additionally, we report on the prevalence of positive learning outcomes and engagement factors commonly associated with the use AR applications in informal environments. This review aims to foster continued development and implementation of AR technology in exhibit-based ISE settings by informing the community of recent findings and promoting additional rigorous research for the future.

  18. Community gardens as sites of solace and end-of-life support: a literature review.

    Science.gov (United States)

    Marsh, Pauline; Spinaze, Anna

    2016-05-01

    In a pilot project, members of a community garden explored how they might provide better end-of-life support for their regional community. As part of the project, a literature review was undertaken to investigate the nexus between community gardens and end-of-life experiences (including grief and bereavement) in academic research. This article documents the findings of that review. The authors discovered there is little academic material that focuses specifically on community gardens and end-of-life experiences, but nonetheless the two subjects were seen to intersect. The authors found three points of commonality: both share a need and capacity for a) social/informal support, b) therapeutic space, and c) opportunities for solace.

  19. Sediment quality criteria: A review with recommendations for developing criteria for the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Driver, C.J.

    1994-05-01

    Criteria for determining the quality of liver sediment are necessary to ensure that concentrations of contaminants in aquatic systems are within acceptable limits for the protection of aquatic and human life. Such criteria should facilitate decision-making about remediation, handling, and disposal of contaminants. Several approaches to the development of sediment quality criteria (SQC) have been described and include both descriptive and numerical methods. However, no single method measures all impacts at all times to all organisms (U.S. EPA 1992b). The U.S. EPA`s interest is primarily in establishing chemically based, numerical SQC that are applicable nation-wide (Shea 1988). Of the approaches proposed for SQC development, only three are being considered for numerical SQC on a national level. These approaches include an Equilibrium Partitioning Approach, a site-specific method using bioassays (the Apparent Effects Threshold Approach), and an approach similar to EPA`s water quality criteria (Pavlou and Weston 1984). Although national (or even regional) criteria address a number of political, litigative, and engineering needs, some researchers feel that protection of benthic communities require site-specific, biologically based criteria (Baudo et al. 1990). This is particularly true for areas where complex mixtures of contaminants are present in sediments. Other scientifically valid and accepted procedures for freshwater SQC include a background concentration approach, methods using field or spiked bioassays, a screening level concentration approach, the Apparent Effects Threshold Approach, the Sediment Quality Triad, the International Joint Commission Sediment Assessment Strategy, and the National Status and Trends Program Approach. The various sediment assessment approaches are evaluated for application to the Hanford Reach and recommendations for Hanford Site sediment quality criteria are discussed.

  20. Review of Savannah River Site K Reactor inservice inspection and testing restart program

    International Nuclear Information System (INIS)

    Anderson, M.T.; Hartley, R.S.; Kido, C.

    1992-09-01

    Inservice inspection (ISI) and inservice testing (IST) programs are used at commercial nuclear power plants to monitor the pressure boundary integrity and operability of components in important safety-related systems. The Department of Energy (DOE) - Office of Defense Programs (DP) operates a Category A (> 20 MW thermal) production reactor at the Savannah River Site (SRS). This report represents an evaluation of the ISI and IST practices proposed for restart of SRS K Reactor as compared, where applicable, to current ISI/IST activities of commercial nuclear power facilities

  1. Review of soil moisture flux studies at the Nevada Test Site, Nye County, Nevada

    International Nuclear Information System (INIS)

    Tyler, S.W.

    1987-04-01

    This report documents almost 30 years of research on soil moisture movement and recharge at the Department of Energy, Nevada Test Site. Although data is scarce, three distinct topographic zones are represented: alluvial valleys, inundated terrains,