WorldWideScience

Sample records for faces multiple challenges

  1. Challenges facing production grids

    Energy Technology Data Exchange (ETDEWEB)

    Pordes, Ruth; /Fermilab

    2007-06-01

    Today's global communities of users expect quality of service from distributed Grid systems equivalent to that their local data centers. This must be coupled to ubiquitous access to the ensemble of processing and storage resources across multiple Grid infrastructures. We are still facing significant challenges in meeting these expectations, especially in the underlying security, a sustainable and successful economic model, and smoothing the boundaries between administrative and technical domains. Using the Open Science Grid as an example, I examine the status and challenges of Grids operating in production today.

  2. Facing the Challenges

    DEFF Research Database (Denmark)

    He, Kai

    2014-01-01

    China's rise signifies a gradual transformation of the international system from unipolarity to a non-unipolar world. ,4s an organization of small and middle powers, ASEAN faces strategic uncertainties brought about by the power transition in the system. Deepening economic interdependence between...... ASEAN and China has amplified the economic cost for the ASEAN states to use traditional military means to deal with China s rise. Applying institutional balancing theory, this paper examines how ASEAN has adopted various institutional instruments, such as the ASEAN Regional Forum (ARF), the East Asia...... Summit (EAS), the Regional Comprehensive Economic Partnership (RCEP), and the ASEAN Community, to constrain and shape China's behaviour in the region in the post-Cold War era. It argues that due to globalization and economic interdependence, the power transition in the 21st century is different from...

  3. Multiple Face Location Using Motion Information

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Face location is a difficult problem for face recognition and multiple face location is more challenging. In this paper, two new methods are presented for multiple face location via motion analysis techniques. The first method is based on motion segmentation. The authors introduce a new segmentation method by computing optical flow only on the Motion Zero-Crossing Boundary (MZCB) followed by a simple clustering method to segment each person. Then an intuitive but effective location algorithm is applied to locate each face. The second method is derived from the Hough Transform (HT). After modeling a head outline as a curve consisting of circle segments, a modified HT is used to find the center of each face. Finally, the two methods are compared and the future research directions are given.

  4. Facing Tomorrow's Challenges - An Overview

    Science.gov (United States)

    ,

    2008-01-01

    In 2007, the U.S. Geological Survey (USGS) developed a science strategy outlining the major natural-science issues facing the Nation in the next decade. The science strategy consists of six science directions of critical importance, focusing on areas where natural science can make a substantial contribution to the well-being of the Nation and the world. This fact sheet is an overview of the science strategy and describes how USGS research can strengthen the Nation with information needed to meet the challenges of the 21st century.

  5. CHALLENGES FACING THE ESP PRACTITIONER

    Directory of Open Access Journals (Sweden)

    SIMION MINODORA OTILIA

    2015-12-01

    Full Text Available The ESP teacher has to face certain challenges in his profession: One of the biggest challenges of the ESP teacher is the fact that he/she lacks the necessary knowledge of the subject to teach Business English, for instance, some researchers believing that such courses should be taught by subject teachers. The task of teaching ESP by ESL teachers is not an easy one. Dudley- Evans and St. John pointed out its complexity, identifying five key roles of the ESP practitioner: teacher, course designer and materials provider, collaborator, researcher and evaluator and this is probably the biggest challenge of the profession. The ESP practitioner has also to be aware of the fact that using a foreign language for workplace or study purposes requires not only linguistic proficiency and knowledge but also knowledge of work –related and disciplinary concepts.Last but not least, another challenge for the ESP practitioner is the use of technology in class, a valuable tool for helping with traditional forms of teaching and for creating new forms of communicating.Thus, the ESP practitioner has many things in common with the teacher of general English: he has to be familiar with linguistic development and teaching theories ,he has to be aware of contemporary ideas related to his position and role and he has to become familiar with the new technologies which can be used to improve his methodology.However,his role is more complex than that of a General English teacher.

  6. Facing the challenge of multimorbidity

    Directory of Open Access Journals (Sweden)

    Boris Azaïs

    2016-02-01

    Full Text Available Abstract Multimorbidity is a major public health challenge that is rising up the political and health agenda at an accelerated rate. Although the prevalence of multimorbidity increases with age, more than half of the population with multimorbidity are under the age of 65 years [1], with social deprivation a key determinant of multimorbidity in young and middle-aged adults [2,3]. From an individual’s perspective, multimorbidity reduces life expectancy [4–6], decreases physical functioning and quality of life [7], and increases the risk of depression and other mental health disorders [3]. From a healthcare provider’s perspective, multimorbidity is associated with increased health service use, a high risk of emergency and other hospital admissions, high rates of polypharmacy, and spiralling costs [8]. Current health systems, which are typically built around a single-disease framework, are poorly adapted to cope with patients with multimorbidity, who typically experience fragmented healthcare services, leading to potentially inefficient and ineffective care. It is increasingly clear that we need to change our perspective on multimorbidity in order to address it as a specific condition that requires tailored solutions and approaches. The urgent need to tackle multimorbidity in a more strategic, holistic, and cost-effective manner was evident at the 18th European Health Forum Gastein, a leading annual health policy event in the European Union (EU, held in the autumn of 2015. This Forum attracted policymakers, clinicians, health service managers, patients, and a broad range of other stakeholders, all of whom were invited to attend a session entitled “Facing the Challenge of Multimorbidity”. Journal of Comorbidity 2016;6(1:1–3

  7. The challenges facing sustainable and adaptive groundwater ...

    African Journals Online (AJOL)

    The challenges facing sustainable and adaptive groundwater management ... provide the capacity to assure effective and sustainable resource regulation and allocation. ... of alternative strategies needed to achieve sustainable management.

  8. Challenges Facing Group Work Online

    Science.gov (United States)

    Chang, Bo; Kang, Haijun

    2016-01-01

    Online group work can be complicated because of its asynchronous characteristics and lack of physical presence, and its requirements for skills in handling technology, human relationships, and content-related tasks. This study focuses on the administrative, logistical and relationship-related challenges in online group work. Challenges in areas…

  9. Interpretative challenges in face analysis

    DEFF Research Database (Denmark)

    de Oliveira, Sandi Michele; Hernández-Flores, Nieves

    2015-01-01

    In current research on face analysis questions of who and what should be interpreted, as well as how, are of central interest. In English language research, this question has led to a debate on the concepts of P1 (laypersons, representing the “emic” perspective) and P2 (researchers, representing ...

  10. Interpretative challenges in face analysis

    DEFF Research Database (Denmark)

    de Oliveira, Sandi Michele; Hernández-Flores, Nieves

    2015-01-01

    In current research on face analysis questions of who and what should be interpreted, as well as how, are of central interest. In English language research, this question has led to a debate on the concepts of P1 (laypersons, representing the “emic” perspective) and P2 (researchers, representing ...

  11. Gender-Specific Health Challenges Facing Women

    Science.gov (United States)

    ... with twitter share with linkedin Gender-Specific Health Challenges Facing Women Global Research Global Research NIAID's Role ... Career Stage Postdocs' Guide to Gaining Independence Small Business Programs Compare NIAID’s Small Business Programs High-Priority ...

  12. Exploring the challenges faced by polytechnic students

    Science.gov (United States)

    Matore, Mohd Effendi @ Ewan Mohd; Khairani, Ahmad Zamri

    2015-02-01

    This study aims to identify other challenges besides those already faced by students, in seven polytechnics in Malaysia as a continuation to the previous research that had identified 52 main challenges faced by students using the Rasch Model. The explorative study focuses on the challenges that are not included in the Mooney Problem Checklist (MPCL). A total of 121 polytechnic students submitted 183 written responses through the open questions provided. Two hundred fifty two students had responded from a students' perspective on the dichotomous questions regarding their view on the challenges faced. The data was analysed qualitatively using the NVivo 8.0. The findings showed that students from Politeknik Seberang Perai (PSP) gave the highest response, which was 56 (30.6%) and Politeknik Metro Kuala Lumpur (PMKL) had the lowest response of 2 (1.09%). Five dominant challenges were identified, which were the English language (32, 17.5%), learning (14, 7.7%), vehicles (13, 7.1%), information technology and communication (ICT) (13, 7.1%), and peers (11, 6.0%). This article, however, focus on three apparent challenges, namely, English language, vehicles, as well as computer and ICT, as the challenges of learning and peers had been analysed in the previous MPCL. The challenge of English language that had been raised was regarding the weakness in commanding the aspects of speech and fluency. The computer and ICT challenge covered the weakness in mastering ICT and computers, as well as computer breakdowns and low-performance computers. The challenge of vehicles emphasized the unavailability of vehicles to attend lectures and go elsewhere, lack of transportation service in the polytechnic and not having a valid driving license. These challenges are very relevant and need to be discussed in an effort to prepare polytechnics in facing the transformational process of polytechnics.

  13. Anatomy Education Faces Challenges in Pakistan

    Science.gov (United States)

    Memon, Ismail K.

    2009-01-01

    Anatomy education in Pakistan is facing many of the same challenges as in other parts of the world. Roughly, a decade ago, all medical and dental colleges in Pakistan emphasized anatomy as a core basic discipline within a traditional medical science curriculum. Now institutions are adopting problem based learning (PBL) teaching philosophies, and…

  14. Cultural Challenges Faced by Mexican Immigrant Students

    Science.gov (United States)

    Zugel, Kevin

    2012-01-01

    This purpose of this investigation is to explore the cultural challenges faced by Mexican immigrant students through the study of current literature. Four themes emerged as a result of the investigation: dominant pedagogy, educational skills, deficit model, and student identities. The themes are discussed and suggestions are made as to how these…

  15. Supreme Court rejects challenge to FACE.

    Science.gov (United States)

    1996-10-25

    On October 7, the US Supreme Court declined to hear Skott vs. US, a case challenging the Freedom of Access to Clinic Entrances Act (FACE). The 1994 law makes it a federal crime to use or attempt to use force, threat of force, or physical obstruction to injure, intimidate, or interfere with reproductive health care providers and their patients. The case came to the High Court after the US Court of Appeals for the Seventh Circuit overturned an earlier district court ruling and upheld the constitutionality of the federal statute in December 1995. Six Wisconsin anti-choice protestors, who had been arrested in September 1994 after participating in a blockade of a Milwaukee women's health facility, had successfully petitioned the US District Court for the Eastern District of Wisconsin to dismiss criminal charges based on FACE. While the district court held that Congress had no authority under the Commerce Clause or under the Fourteenth Amendment of the US Constitution to enact FACE, the appellate panel found that the lower court had not given sufficient consideration to congressional findings that the activities restricted by FACE substantially affect interstate commerce and are subject to the regulatory power of Congress. FACE has been upheld by the US Courts of Appeal for the Fourth, Eighth, and Eleventh Circuits and eleven federal district courts. Two district courts have found the law invalid. This marks the third time the High Court has refused to hear a challenge to the law.

  16. Challenges and opportunities facing contractors in Ghana

    OpenAIRE

    Laryea, Samuel Amartei

    2010-01-01

    The main aim of this study was to ascertain and discuss the current challenges and opportunities facing construction contractors in Ghana. This involved a review of the economic, legal and political environments in which contractors in Ghana operate; a review of published studies on construction in developing countries generally and Ghana specifically; and in-depth interviews and discussions with seven building and civil engineering contractors in Ghana in 2009 and 2010. Six road contractors ...

  17. Realistic face modeling based on multiple deformations

    Institute of Scientific and Technical Information of China (English)

    GONG Xun; WANG Guo-yin

    2007-01-01

    On the basis of the assumption that the human face belongs to a linear class, a multiple-deformation model is proposed to recover face shape from a few points on a single 2D image. Compared to the conventional methods, this study has the following advantages. First, the proposed modified 3D sparse deforming model is a noniterative approach that can compute global translation efficiently and accurately. Subsequently, the overfitting problem can be alleviated based on the proposed multiple deformation model. Finally, by keeping the main features, the texture generated is realistic. The comparison results show that this novel method outperforms the existing methods by using ground truth data and that realistic 3D faces can be recovered efficiently from a single photograph.

  18. The Face Management Challenges of Sport Celebrity

    Directory of Open Access Journals (Sweden)

    Diana-Luiza DUMITRIU

    2015-03-01

    Full Text Available While gaining centrality within the sport field, media accelerated its commodification process and facilitated sport actors becoming competitive on the celebrity market. The aim of this paper is to discuss the reconfiguration that the celebrity logic brought in terms of the mere condition of the sport actor and the face management challenges and remedial strategies that he has to cope with. I will thus focus on two main dimensions that I find to be constitutive for the celebrity status: one related to the augmented media exposure that sport stars are subject to and to the corollary symbolic reconfiguration of the boundaries between his public and his private life, and the second one related to the vulnerability that comes along with the new visibility of the complex repertoire of identities and social roles performed by the sport actors. Within this last dimension of the sport-related celebrity cycle of promotion, I will lay stress not only on the face threatening aspects for the sport stars, but also on the vulnerability transfer within the affinal branding network and the challenges it could bring for the brands that chose to associate their image with a sport celebrity. Thus, I argue that the kaleidoscopic public figures of sport celebrities requires high impression management involvement on their part, as well as more caution on the marketeers part.

  19. Challenges facing young African scientists in their research careers ...

    African Journals Online (AJOL)

    Challenges facing young African scientists in their research careers: A qualitative exploratory study. ... This study aimed at identifying the challenges that young African scientists face in their career development. Methods: This ... Article Metrics.

  20. Four Challenges That Global Health Networks Face

    Directory of Open Access Journals (Sweden)

    Jeremy Shiffman

    2017-04-01

    Full Text Available Global health networks, webs of individuals and organizations with a shared concern for a particular condition, have proliferated over the past quarter century. They differ in their effectiveness, a factor that may help explain why resource allocations vary across health conditions and do not correspond closely with disease burden. Drawing on findings from recently concluded studies of eight global health networks—addressing alcohol harm, early childhood development (ECD, maternal mortality, neonatal mortality, pneumonia, surgically-treatable conditions, tobacco use, and tuberculosis—I identify four challenges that networks face in generating attention and resources for the conditions that concern them. The first is problem definition: generating consensus on what the problem is and how it should be addressed. The second is positioning: portraying the issue in ways that inspire external audiences to act. The third is coalition-building: forging alliances with these external actors, particularly ones outside the health sector. The fourth is governance: establishing institutions to facilitate collective action. Research indicates that global health networks that effectively tackle these challenges are more likely to garner support to address the conditions that concern them. In addition to the effectiveness of networks, I also consider their legitimacy, identifying reasons both to affirm and to question their right to exert power.

  1. Compulsive exercise: links, risks and challenges faced

    Directory of Open Access Journals (Sweden)

    Lichtenstein MB

    2017-03-01

    Full Text Available Mia Beck Lichtenstein,1 Cecilie Juul Hinze,2 Bolette Emborg,3 Freja Thomsen,2 Simone Daugaard Hemmingsen4 1Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, 2Research Unit for Telepsychiatry and E-mental Health, Mental Health Services in the Region of Southern Denmark, Odense, 3Department of Public Health, Aarhus University, Aarhus, 4Research Unit, Child and Adolescent Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark Abstract: Compulsive exercise is a condition described since 1970s. It is characterized by a craving for physical training, resulting in uncontrollable excessive exercise behavior with harmful consequences, such as injuries and impaired social relations. It has not been accepted as a mental disorder in either International Classification of Diseases or Diagnostic and Statistical Manual of Mental Disorders. The aim of this literature review was to critically examine the research on links (comorbidity, risks (negative consequences, and challenges faced (problems in a treatment context. This review found that compulsive exercise is associated with eating disorder pathology, perfectionism, neuroticism, narcissism, and obsessive compulsive traits. The most prominent negative consequences were injuries, social impairment, and depression, but more research is needed to uncover the potential dysfunction resulting from compulsive exercise. As the condition is not recognized as a psychiatric disorder, studies on treatment interventions are sparse. Problems with compliance have been reported; therefore, motivational interviewing has been proposed as a treatment approach, in combination with cognitive behavioral therapy. This review summarizes and discusses findings on links/comorbidity, risks/negative consequences, and treatment challenges. We suggest that future studies should pay attention to both prevention and counseling in sports settings, where compulsive exercise

  2. Rural teachers' views: What are gender-based challenges facing ...

    African Journals Online (AJOL)

    conjoin to exacerbate the difficulties facing girls and women (Molapo, 2005), and in .... based challenges facing Free Primary Education in Lesotho schools. ..... think that, indeed, females are weak, they cannot be leaders which is untrue.

  3. Droughts and water scarcity: facing challenges

    Science.gov (United States)

    Pereira, Luis S.

    2014-05-01

    Water scarcity characterizes large portions of the world, particularly the Mediterranean area. It is due to natural causes - climate aridity, which is permanent, and droughts, that are temporary - and to human causes - long term desertification and short term water shortages. Droughts aggravate water scarcity. Knowledge has well developed relative to all processes but management tools still are insufficient as well as the tools required to support appropriate planning and management. Particularly, new approaches on tools for assessing related impacts in agriculture and other economic and social activities are required. Droughts occur in all climates but their characteristics largely differ among regions both in terms frequency, duration and intensity. Research has already produced a large number of tools that allow appropriate monitoring of droughts occurrence and intensity, including dynamics of drought occurrence and time evolution. Advances in drought prediction already are available but we still are far from knowing when a drought will start, how it will evolve and when it dissipates. New developments using teleconnections and GCM are being considered. Climate change is a fact. Are droughts occurrence and severity changing with global change? Opinions are divided about this subject since driving factors and processes are varied and tools for the corresponding analysis are also various. Particularly, weather data series are often too short for obtaining appropriate answers. In a domain where research is producing improved knowledge and innovative approaches, research faces however a variety of challenges. The main ones, dealt in this keynote, refer to concepts and definitions, use of monitoring indices, prediction of drought initiation and evolution, improved assessment of drought impacts, and possible influence of climate change on drought occurrence and severity.

  4. The art museum facing the memory challenge

    Directory of Open Access Journals (Sweden)

    Maria Isabel Rocha Roque

    2012-04-01

    Full Text Available Museums have emerged as a representative synthesis of a reality, so a question rises about the preservation of the memories inherent to the functional and symbolic objects. In the particular case of art museums, the goal was to build a heritage repository which would contribute to the creation of a cultural identity. So, the objects were mainly evaluated in terms of aesthetic excellence of its parameters, to the detriment of other meanings. On the other hand, also the historiography of art favored formal aspects, establishing authorities and styles. These circumstances determined the decontextualization of the object in the museum. In return, from mid-twentieth century onwards, the studies of the public, as a plural and diversified entity, and the theoretical debates around the meaning of the object, contributed to a redefinition of the museological speech. The museum had to offset losses due to the musealisation through a set of procedures and tools that recontextualize the meanings of the object in their multiple valences. Between the two vectors, decontextualization and recontextualization, the museum challenges our personal and collective memory.

  5. What are the challenges facing our industry

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-01

    This presentation relates to the changing business climate of the petroleum industry worldwide. The author gives a touch on the changes of what the industry is facing and the response together with the keys to long-term shareholder value

  6. SUSTAINABLE DEVELOPMENT FACING CHALLENGES IN 21ST CENTURY

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The 21st Century is the time for human seeking harmonizing with environment and carrying out sustainable development strategy. But sustainable development is facing many challenges. They may mainly include the follows: challenge comes from the contradiction between human and the earth, challenge of local benefit conflict to human common goal, challenge of competition to fairness, challenge of unbalanced development in regions and countries, challenge of diversity and challenge of calamity. Challenges are not only pressure, but also the motive force. Challenge exists, the motive force would never stop. Sustainable development was born in challenges, is developing in contradiction and will sustain in conflict.

  7. Scholarly publishing : The challenges facing the African university press

    NARCIS (Netherlands)

    Ngobeni, S.

    2012-01-01

    This paper seeks to examine the challenges that face the university press in Africa in general and South Africa in particular. It will start by examining the state of the university press in Africa, the state of the university press in South Africa, the challenges that face university presses, such

  8. Rehabilitation challenges in multiple sclerosis.

    Science.gov (United States)

    Burks, Jack S; Bigley, George Kim; Hill, Harry Haydon

    2009-10-01

    While current immunomodulating drugs aim to reduce multiple sclerosis (MS) exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL) such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an 'extra' service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers.

  9. Rehabilitation challenges in multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Burks Jack

    2009-01-01

    Full Text Available While current immunomodulating drugs aim to reduce multiple sclerosis (MS exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an ′extra′ service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers.

  10. Facing Multiculturalism's Challenges in Korean Education and Society

    Science.gov (United States)

    Olneck, Michael R.

    2011-01-01

    Multicultural policy in South Korea faces variants of challenges endemic to multiculturalism. These challenges are "dilemmas of difference," "variable terms of inclusion," and "legitimacy." In Korea, these challenges arise in a setting in which ethnic diversity is of relatively recent origin, an ideology of ethnic homogeneity is prevalent, and…

  11. Facing Multiculturalism's Challenges in Korean Education and Society

    Science.gov (United States)

    Olneck, Michael R.

    2011-01-01

    Multicultural policy in South Korea faces variants of challenges endemic to multiculturalism. These challenges are "dilemmas of difference," "variable terms of inclusion," and "legitimacy." In Korea, these challenges arise in a setting in which ethnic diversity is of relatively recent origin, an ideology of ethnic…

  12. Chinese Oil Industry Faces New Challenges

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Chinese petrochemical companies should gird for new challenges in three years, triggered by cost-competitive products flooding in from overseas, especially the Middle East countries.This advice was highlighted by company executives and association leaders during a discussion on the sidelines of a petrochemical conference organized by the China Petroleum and Chemical Industry Association in early April.

  13. Apparel Trade: The Challenge Facing Developing Economies and ...

    African Journals Online (AJOL)

    Apparel Trade: The Challenge Facing Developing Economies and Mauritius. ... after the complete phasing out of the Multi-Fibre Agreement (MFA), that the quantitative ... The post MFA era is thus expected to allow for free competition between ...

  14. Challenges Facing Early Infant Diagnosis of HIV among Infants in ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    health authority. The health systems also face a lot of challenges while implementing these programmes that would promptly .... unknown, the antiretroviral exposure history of the mother and .... era of National Health Insurance Scheme40, it is.

  15. Challenges Faced by Parents of Children with Congenital Heart Disease

    Science.gov (United States)

    ... Challenges Faced by Parents of Children with Congenital Heart Disease Page Content ​​​The first thing most parents want ... common and expected. About Congenital Heart Defects Congenital Heart Disease (CHD) is the most common type of birth ...

  16. Challenges Faced by Adult Learners Enrolled in Blended Distance ...

    African Journals Online (AJOL)

    Challenges Faced by Adult Learners Enrolled in Blended Distance Learning ... B Kapinga, M Mtani ... Data were collected in the form of interviews, email correspondences, and documents from participants - both learners and facilitators.

  17. The Challenges Faced by New Science Teachers in Saudi Arabia

    Science.gov (United States)

    Alsharari, Salman

    Growing demand for science teachers in the Kingdom of Saudi Arabia, fed by increasing numbers of public school students, is forcing the Saudi government to attract, recruit and retain well-qualified science teachers. Beginning science teachers enter the educational profession with a massive fullfilment and satisfaction in their roles and positions as teachers to educating children in a science classroom. Nevertheless, teachers, over their early years of practice, encounter numerous challenges to provide the most effective science instruction. Therefore, the current study was aimed to identify academic and behavioral classroom challenges faced by science teachers in their first three years of teaching in the Kingdom of Saudi Arabia. In addition, new science teacher gender, school level and years of teaching experience differences in perceptions of the challenges that they encountered at work were analyzed. The present study also investigated various types of support that new science teachers may need to overcome academic and behavioral classroom challenges. In order to gain insights about ways to adequately support novice science teachers, it was important to examine new science teachers' beliefs, ideas and perceptions about effective science teaching. Three survey questionnaires were developed and distributed to teachers of both sexes who have been teaching science subjects, for less than three years, to elementary, middle and high school students in Al Jouf public schools. A total of 49 novice science teachers responded to the survey and 9 of them agreed to participate voluntarily in a face-to-face interview. Different statistical procedures and multiple qualitative methodologies were used to analyze the collected data. Findings suggested that the top three academic challenges faced by new science teachers were: poor quality of teacher preparation programs, absence of appropriate school equipment and facilities and lack of classroom materials and instructional

  18. Facing Global Challenges with Materials Innovation

    Science.gov (United States)

    Rizzo, Fernando

    2017-08-01

    The path of society evolution has long been associated with a growing demand for natural resources and continuous environmental degradation. During the last decades, this pace has accelerated considerably, despite the general concern with the legacy being left for the next generations. Looking ahead, the predicted growth of the world population, and the improvement of life conditions in most regions, point to an increasing demand for energy generation, resulting in additional pressure on the Earth's sustainability. Materials have had a key role in decreasing the use of natural resources, by either improving efficiency of existing technologies or enabling the development of radical new ones. The greenhouse effect (CO2 emissions) and the energy crisis are global challenges that can benefit from the development of new materials for the successful implementation of promising technologies and for the imperative replacement of fossil fuels by renewable sources.

  19. Facing Global Challenges with Materials Innovation

    Science.gov (United States)

    Rizzo, Fernando

    2017-10-01

    The path of society evolution has long been associated with a growing demand for natural resources and continuous environmental degradation. During the last decades, this pace has accelerated considerably, despite the general concern with the legacy being left for the next generations. Looking ahead, the predicted growth of the world population, and the improvement of life conditions in most regions, point to an increasing demand for energy generation, resulting in additional pressure on the Earth's sustainability. Materials have had a key role in decreasing the use of natural resources, by either improving efficiency of existing technologies or enabling the development of radical new ones. The greenhouse effect (CO2 emissions) and the energy crisis are global challenges that can benefit from the development of new materials for the successful implementation of promising technologies and for the imperative replacement of fossil fuels by renewable sources.

  20. Challenges Faced in Modern Quality Inspection

    Directory of Open Access Journals (Sweden)

    Borkowski Stanisław

    2016-09-01

    Full Text Available Point of view, preferences and priorities of quality inspection in modern production systems have changed. Quality inspection in its activities is no longer limited only to the documentation of the past, nor is it seen solely as a tool for the detection of nonconformity. Nowadays, the most important quality inspection function is prevention, whose most important goal is to make it before nonconformity. What is expected from modern quality inspection is that it actively improves the production and quality as well as reduces the costs. The aim of the article is to present requirements, guidelines and challenges in the organization of modern quality inspection in a manufacturing company. The role of quality inspection in the classical model and modern model of quality improvement was presented. Determinants of effective quality inspection were presented, as well. The quality inspection methods that best fit into the paradigm of modern quality inspection, that is source inspection, together with visual management were pointed out.

  1. Challenges Faced by Project Competition Participants and Recommended Solutions

    Science.gov (United States)

    Demirel, Turgay; Baydas, Ozlem; Yilmaz, Rabia M.; Goktas, Yuksel

    2013-01-01

    The numbers of project competitions and interest in this kind of competition have been steadily increasing in Turkey. Accordingly, it is important to determine what challenges teachers and students may face while preparing themselves for project competitions, so that recommendations may be made to overcome these challenges. This study investigated…

  2. Challenges facing the development of cancer vaccines.

    Science.gov (United States)

    Fishman, Mayer

    2014-01-01

    Just like any other effective immunization in medicine, cancer vaccines need to have antigens with particular specificity and immunostimulatory features, the immune responses to be elicited in the body, and therapeutic effect-regression or prevention of the cancer-must be meaningful and clinically observable. There are many choices for cancer antigens, such as tissue-specific proteins, cancer-specific proteins, class I- or class II-restricted peptides derived from those, or in situ and whole-cell-derived products are some examples. Another translational issue is that cancer patients are heterogeneous with respect to the extent to which the immune system is already activated with potential to impact the tumor growth or, conversely, the extent to which the immune system has been impaired through a prior and ongoing interaction with the tumor. Conventional or immunologic tests have potential to define a subset of patients with better chance or response, so that particular vaccines can be tested. Treatment of cancer patients is expensive, and trials are slow. To meet these challenges in practical terms will require not only careful scientific technical work for product development, coordination with clinicians to define patient subsets with diseases that can show responses, but also a comprehensive, practical implementation so that we can unlock the full potential of anticancer vaccines.

  3. Challenges facing the marketing of scientific and research institutes

    OpenAIRE

    Bogdan Sojkin

    2015-01-01

    This article presents the challenges that scientific research institutions face in terms of their marketing, which have been divided into two groups of those associated with internal marketing and those linked to external marketing. The most significant and important determinants that constitute challenges to both internal and external marketing were described. The key aspects of each of the identified challenges were indicated, as was their impact on the implementation of the marketing polic...

  4. Challenges facing the marketing of scientific and research institutes

    Directory of Open Access Journals (Sweden)

    Bogdan Sojkin

    2015-12-01

    Full Text Available This article presents the challenges that scientific research institutions face in terms of their marketing, which have been divided into two groups of those associated with internal marketing and those linked to external marketing. The most significant and important determinants that constitute challenges to both internal and external marketing were described. The key aspects of each of the identified challenges were indicated, as was their impact on the implementation of the marketing policy at institutions.

  5. [Future challenges in multiple sclerosis].

    Science.gov (United States)

    Fernández, Óscar

    2014-12-01

    Multiple sclerosis occurs in genetically susceptible individuals, in whom an unknown environmental factor triggers an immune response, giving rise to a chronic and disabling autoimmune disease. Currently, significant progress is being made in our knowledge of the frequency and distribution of multiple sclerosis and its risk factors, genetics, pathology, pathogenesis, diagnostic and prognostic markers, and treatment. This has radically changed patients' and clinicians' expectations of multiple sclerosis and has raised hope that there will soon be a way to control the disease. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  6. Janus faces of microglia in multiple sclerosis

    NARCIS (Netherlands)

    Sanders, Patricia; De Keyser, Jacques

    2007-01-01

    Multiple sclerosis (MS) is the most common cause of neurological disability in young adults. The disease is characterized by inflammatory reactions, demyelination and axonal loss in the brain, spinal cord and optic nerves. Microglia seem to play an important role in the inflammatory processes in MS,

  7. NEW CHALLENGES FACED BY EUROPEAN COMPANIES AND THEIR STAKEHOLDERS

    Directory of Open Access Journals (Sweden)

    BOBE Claudia-Maria

    2010-07-01

    Full Text Available The European Union is currently affected by the financial crisis that spread internationally. The member states face difficulties such as price volatility, uncertainties, liquidity issues, cases of bankruptcy, increased unemployment rate, and decreasing GDP. The present paper analyses the challenges faced under these new circumstances by the European companies and their stakeholders. By taking into consideration the threats and weaknesses faced by firms and other interested parties, we emphasize the importance that transparency and communication among companies and their stakeholder have in overcoming financial difficulties.

  8. Beyond survival: Challenges facing South African automotive component exporters

    Directory of Open Access Journals (Sweden)

    M. J. Naude

    2006-12-01

    Full Text Available Purpose and Objective: The South African automotive component industry faces huge challenges in a very competitive global market. The primary focus of this research article is to determine the challenges facing exporters within this industry with special reference to selected sub-sectors. The challenges are approached from a supply chain perspective only. Problem Investigated: The research problem of this study was to identify these unique challenges and ascertain whether the implementation of a 'philosophy of continuous improvement' could be used as a strategic tool to address the challenges they face in the market. Methodology: This study included a combination of literature review, interviews with managers in the selected sub-groups and questionnaires sent out to determine the challenges facing automotive component exporters. In order to test the content validity and the reliability of the questionnaire, a pilot study was conducted at two organisations that are the main suppliers of automotive filters for passenger vehicles. The non-probability convenience sample technique was used to select the sample and consisted of selected sub-sectors that contribute 64,1% of the total value of automotive component exports in South Africa. Out of twenty-seven questionnaires sent out, twenty (74% response rate were duly completed by the respondents and returned to the researcher. Findings: South Africa faces unique challenges and these are listed and ranked according to priority from most to least important as follows: 1. The reduction of production costs; 2. R/US$ exchange rate effect on the respondent's export sales and profit margin; 3. Exchange rate fluctuations; 4. Threats to the local automotive component market; and 5. Increased competition by way of manufactured imports being sold in the South African market. Value of Research: The study provides recommendations that can be used within the automotive component industry.

  9. The Multiple Faces of Reflexive Research Designs

    Directory of Open Access Journals (Sweden)

    Karl H. Müller

    2015-10-01

    Full Text Available Reflexive research can be grouped into five clusters with circular relations between two elements x ↔ x, namely circular relations between observers, between scientific building blocks like concepts, theories or models, between systemic levels, between rules and rule systems or as circular relations or x ↔ y between these four components. By far the most important cluster is the second cluster which becomes reflexive through a re-entry operation RE into a scientific element x and which establishes its circular formation as x(x. Many of the research problems in these five clusters in reflexivity research are still unexplored and pose grand challenges for future research.

  10. The Challenges of Designing Digital Services for Multiple Mobile Platforms

    DEFF Research Database (Denmark)

    Ghazawneh, Ahmad

    2016-01-01

    to tap into and join the digital ecosystem. However, while there is an emerging literature on designing digital services, little empirical evidence exists about challenges faced by third-party developers while designing digital services, and in particular for multiple mobile platforms. Drawing......The value of digital services is increasingly recognized by owners of digital platforms. These services have central role in building and sustaining the business of the digital platform. In order to sustain the design of digital services, owners of digital platforms encourage third-party developers...... on a multiple case study of three mobile application development firms from Sweden, Denmark and Norway, we synthesize the digital service design taxonomy to understand the challenges faced by third-party developers. Our study identifies a set of challenges in four different levels: user level, platform level...

  11. Face detection based on multiple kernel learning algorithm

    Science.gov (United States)

    Sun, Bo; Cao, Siming; He, Jun; Yu, Lejun

    2016-09-01

    Face detection is important for face localization in face or facial expression recognition, etc. The basic idea is to determine whether there is a face in an image or not, and also its location, size. It can be seen as a binary classification problem, which can be well solved by support vector machine (SVM). Though SVM has strong model generalization ability, it has some limitations, which will be deeply analyzed in the paper. To access them, we study the principle and characteristics of the Multiple Kernel Learning (MKL) and propose a MKL-based face detection algorithm. In the paper, we describe the proposed algorithm in the interdisciplinary research perspective of machine learning and image processing. After analyzing the limitation of describing a face with a single feature, we apply several ones. To fuse them well, we try different kernel functions on different feature. By MKL method, the weight of each single function is determined. Thus, we obtain the face detection model, which is the kernel of the proposed method. Experiments on the public data set and real life face images are performed. We compare the performance of the proposed algorithm with the single kernel-single feature based algorithm and multiple kernels-single feature based algorithm. The effectiveness of the proposed algorithm is illustrated. Keywords: face detection, feature fusion, SVM, MKL

  12. Challenges facing eTextbook provision to South African schools

    CSIR Research Space (South Africa)

    Dlodlo, N

    2012-10-01

    Full Text Available One of the mandates of the Department of Basic Education (DBE) in South Africa is to distribute textbooks to both urban and remote rural schools. The challenge that the DBE faces in this regard is that the distribution machinery has not been...

  13. The Challenges Facing Catholic Education in France Today

    Science.gov (United States)

    Moog, François

    2016-01-01

    The effects of secularisation on society demand a rethinking of the identity and mission of Catholic schools in France. In 2013, the French bishops published a new directory which offers new approaches, described here, based on the three challenges facing Catholic education in France: linking social responsibility and evangelisation, setting up…

  14. Challenges and Opportunities Facing Technology Education in Taiwan

    Science.gov (United States)

    Lee, Lung-Sheng Steven

    2009-01-01

    The technology education in Taiwan is prescribed in the national curriculum and provided to all students in grades 1-12. However, it faces the following challenges: (1) Lack of worthy image, (2) Inadequate teachers in elementary schools, (3) Deficient teaching vitality in secondary schools, and (4) Diluted technology teacher education programs. In…

  15. Challenges Facing Principals in the First Year at Their Schools

    Science.gov (United States)

    Bayar, Adem

    2016-01-01

    The aim of this study is to identify key challenges of practice that principals face. In line with this purpose, the researcher has employed a qualitative research methodology, interviewing principals working in Amasya district, over and above doing document analysis to collect detailed information concerning leadership and administration…

  16. Accommodating Extension Clients Who Face Language, Vision, or Hearing Challenges

    Science.gov (United States)

    Angima, Sam; Etuk, Lena; Maddy, Deborah

    2016-01-01

    A survey-based study explored approaches used by one land-grant university to meet the needs of Extension clients who face language, vision, or hearing challenges. In attempts to serve such clients, the greatest gaps existed for clients whose main language was Spanish, followed by those who had vision impairments and then those who had hearing…

  17. The multiple faces of leukocyte interstitial migration

    Science.gov (United States)

    Lämmermann, Tim; Germain, Ronald N.

    2014-01-01

    Spatiotemporal control of leukocyte dynamics within tissues is critical for successful innate and adaptive immune responses. Homeostatic trafficking and coordinated infiltration into and within sites of inflammation and infection rely on signaling in response to extracellular cues that in turn controls a variety of intracellular protein networks regulating leukocyte motility, migration, chemotaxis, positioning, and cell–cell interaction. In contrast to mesenchymal cells, leukocytes migrate in an amoeboid fashion by rapid cycles of actin polymerization and actomyosin contraction, and their migration in tissues is generally referred to as low adhesive and nonproteolytic. The interplay of actin network expansion, contraction, and adhesion shapes the exact mode of amoeboid migration, and in this review, we explore how leukocyte subsets potentially harness the same basic biomechanical mechanisms in a cell-type-specific manner. Most of our detailed understanding of these processes derives from in vitro migration studies in three-dimensional gels and confined spaces that mimic geometrical aspects of physiological tissues. We summarize these in vitro results and then critically compare them to data from intravital imaging of leukocyte interstitial migration in mouse tissues. We outline the technical challenges of obtaining conclusive mechanistic results from intravital studies, discuss leukocyte migration strategies in vivo, and present examples of mode switching during physiological interstitial migration. These findings are also placed in the context of leukocyte migration defects in primary immunodeficiencies. This overview of both in vitro and in vivo studies highlights recent progress in understanding the molecular and biophysical mechanisms that shape robust leukocyte migration responses in physiologically complex and heterogeneous environments. PMID:24573488

  18. Unified framework of face hallucination across multiple modalities

    Science.gov (United States)

    Ma, Xiang; Liu, Junhui; Li, Wenmin

    2015-02-01

    Face hallucination in a single modality environment has been heavily studied, in real-world environments under multiple modalities is still in its early stage. This paper presents a unified framework to solve face hallucination problem across multiple modalities i.e. different expressions, poses, illuminations. Almost all of the state-of-the-art face superresolution methods only generate a single output with the same modality of the low-resolution input. Our proposed framework is able to generate multiple outputs of different new modalities from only a single low-resolution input. It includes a global transformation with diagonal loading for modeling the mappings among different new facial modalities, and a local position-patch based method with weights compensation for incorporating image details. Experimental results illustrate the superiority of our framework.

  19. A color based face detection system using multiple templates

    Institute of Scientific and Technical Information of China (English)

    王涛; 卜佳俊; 陈纯

    2003-01-01

    A color based system using multiple templates was developed and implemented for detecting human faces in color images. The algorithm consists of three image processing steps. The first step is human skin color statistics. Then it separates skin regions from non-skin regions. After that, it locates the frontal human face(s) within the skin regions. In the first step, 250 skin samples from persons of different ethnicities are used to determine the color distribution of human skin in chromatic color space in order to get a chroma chart showing likelihoods of skin colors. This chroma chart is used to generate, from the original color image, a gray scale image whose gray value at a pixel shows its likelihood of representing the skin. The algorithm uses an adaptive thresholding process to achieve the optimal threshold value for dividing the gray scale image into separate skin regions from non skin regions. Finally, multiple face templates matching is used to determine if a given skin region represents a frontal human face or not. Test of the system with more than 400 color images showed that the resulting detection rate was 83%, which is better than most color-based face detection systems. The average speed for face detection is 0.8 second/image (400×300 pixels) on a Pentium 3 (800MHz) PC.

  20. A color based face detection system using multiple templates

    Institute of Scientific and Technical Information of China (English)

    王涛; 卜佳酸; 陈纯

    2003-01-01

    A color based system using multiple templates was developed and implemented for detecting hu-man faces in color images.The algorithm comsists of three image processing steps.The first step is human skin color statistics.Then it separates skin regions from non-skin regions.After that,it locates the frontal human face(s) within the skin regions.In the first step,250 skin samples from persons of different ethnicities are used to determine the color distribution of human skin in chromatic color space in order to get a chroma chart showing likelihoods of skin colors.This chroma chart is used to generate,from the original color image,a gray scale image whose gray value at a pixel shows its likelihood of representing the shin,The algorithm uses an adaptive thresholding process to achieve the optimal threshold value for dividing the gray scale image into sep-arate skin regions from non skin regions.Finally,multiple face templates matching is used to determine if a given skin region represents a frontal human face or not.Test of the system with more than 400 color images showed that the resulting detection rate was 83%,which is better than most colou-based face detection sys-tems.The average speed for face detection is 0.8 second/image(400×300pixels) on a Pentium 3(800MHz) PC.

  1. Challenges Facing Chinese Refineries and Demand Forecast for 2015

    Institute of Scientific and Technical Information of China (English)

    Sun Yongsheng

    2003-01-01

    @@ After several decades of development the processing capac ity of Chinese refineries has reached 276 million tons per year,ranking the fourth in the world. The refining industry has made great contribution to the growth of national economy in China. With changing times, especially after China's accession to the WTO, significant changes have occurred in economy, politics and petroleum market both at home and abroad. The survival and growth of Chinese refineries has faced new challenges.

  2. E-learning challenges faced by academics in higher education

    OpenAIRE

    Islam, Nurul; Beer, Martin; Slack, Frances

    2015-01-01

    E-learning has become a necessity in higher education institutions and is being deployed in educational establishments throughout the world. Researchers have made much emphasis on its benefits but not much is discussed on the disadvantages of e-learning technology. This paper references some of the research work on the limitations of e-learning technology, categorises it in five challenges that teachers are faced with and suggestions for a successful e-learning outcome. This paper also discus...

  3. Multiple pyogenic granulomas on the face after landmine injury.

    Science.gov (United States)

    Bakan, Vedat; Aliagaoglu, Cihangir; Yildiz, Abdullah; Emsen, Murat

    2008-01-01

    In this report, we present a 13-year-old male patient with multiple pyogenic granulomas (PG) on the face after landmine injury. To the best of our knowledge, PG after landmine injury has not been reported previously. The case has been reported in view of its rarity and its etiology.

  4. Solutions to challenges facing a university digital library and press.

    Science.gov (United States)

    D'Alessandro, M P; Galvin, J R; Colbert, S I; D'Alessandro, D M; Choi, T A; Aker, B D; Carlson, W S; Pelzer, G D

    2000-01-01

    During the creation of a university digital library and press intended to serve as a medical reference and education tool for health care providers and their patients, six distinct and complex digital publishing challenges were encountered. Over nine years, through a multidisciplinary approach, solutions were devised to the challenges of digital content ownership, management, mirroring, translation, interactions with users, and archiving. The result is a unique, author-owned, internationally mirrored, university digital library and press that serves as an authoritative medical reference and education tool for users around the world. The purpose of this paper is to share the valuable digital publishing lessons learned and outline the challenges facing university digital libraries and presses.

  5. Higher education in the face of social challenges

    Directory of Open Access Journals (Sweden)

    Adrián Cuevas Jiménez

    2016-08-01

    Full Text Available Higher education refers to the subsequent training to high school education; that is undergraduate and graduate; whose mission is to preserve; develop and disseminate culture. Throughout the history of higher education it has undergone a process of transformation; mainly due to the development of knowledge and the transformation of society. In the process they highlighted two great moments; in the first; which culminated in the mid-twentieth century; it conceived the higher education institution encompassing all knowledge of society; and who graduated was ready to perform professionally throughout life; the second time; after those dates; it is conceivable that knowledge is no longer exclusive to the institution of higher education; and there can be no efficient performance without continuous training and continuous updating of knowledge. The objective of this work is to point out the general goals and some strategies of the students’ formation of superior education; to confront the big challenges that it faces today the society. To define this goals and strategies four challenge levels are considered: a physical; structural and politicalideological challenges; b challenges around the scientifictechnician and of the knowledge advances; c challenges of the internal structure of the formative process and the access to the superior education; and d challenges in the formation of values in the students. 

  6. A Variety of Diversity: Facing Higher Education's Educational Challenges

    Science.gov (United States)

    Dey, Eric L.

    2008-10-01

    First among the many important challenges facing American higher education is the need to improve the effectiveness of our educational programs. Public concern has heightened the sense of urgency for colleges and universities to make progress on improving and measuring educational outcomes, which is made more challenging by the varieties of diversity facing us. Diversity is not just an issue related to student recruitment or experience, but rather it is one that also relates to institutions and their faculties. New educational methods must address such diversity to be effective, and one possible example can be found in ongoing research at the University of Michigan that explores the educational implications of implementing a web-based lecture capture system in large lecture courses. Student use of and reactions to such systems is important, as is the potential to influence course performance for students in general, but also for underrepresented and at-risk student subpopulations. In addition to helping bring our current landscape into focus, this paper will identify effective practices as well as continuing challenges to improving educational practice for undergraduate students.

  7. Educational challenges faced by international medical graduates in the UK

    Directory of Open Access Journals (Sweden)

    Hashim A

    2017-06-01

    Full Text Available Ahmed Hashim Gastroenterology Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK Introduction: International medical graduates (IMGs in the UK constitute approximately one-quarter of the total number of doctors registered in the General Medical Council (GMC. The transition of IMGs into the health care system in the UK is accompanied by significant sociocultural and educational challenges. This study aims to explore the views of IMGs in medical training on the educational challenges they face.Methods: This study was conducted in the Kent, Surrey and Sussex region in 2015. All IMGs who work in medical (physicianly training programs were included. Data were collected through a questionnaire and semi-structured interviews. Thematic approach was used to analyze the qualitative data.Results: Of the total 61 IMGs included, 17 responded to the survey and 3 were interviewed. The common educational barriers faced by IMGs were related to lack of appreciation of the values and structure of the National Health Service (NHS, ethical and medicolegal issues, receiving feedback from colleagues and the different learning strategies in the UK. IMGs suggested introduction of a mandatory dedicated induction program in the form of formal teaching sessions. They also believed that a supervised shadowing period prior in the first job in the UK would be beneficial. Further assessment areas should be incorporated into the prequalifying examinations to address specific educational needs such as NHS structure and hospital policies. Other measures such as buddying schemes with senior IMGs and educating NHS staff on different needs of IMGs should also be considered.Conclusion: This study highlighted important educational challenges faced by IMGs and generated relevant solutions. However, the opinions of the supervisors and other health care professionals need to be explored. Keywords: international medical graduates, IMG, educational barriers

  8. Exploring manifold structure of face images via multiple graphs

    KAUST Repository

    Alghamdi, Masheal

    2013-12-24

    Geometric structure in the data provides important information for face image recognition and classification tasks. Graph regularized non-negative matrix factorization (GrNMF) performs well in this task. However, it is sensitive to the parameters selection. Wang et al. proposed multiple graph regularized non-negative matrix factorization (MultiGrNMF) to solve the parameter selection problem by testing it on medical images. In this paper, we introduce the MultiGrNMF algorithm in the context of still face Image classification, and conduct a comparative study of NMF, GrNMF, and MultiGrNMF using two well-known face databases. Experimental results show that MultiGrNMF outperforms NMF and GrNMF for most cases.

  9. The Effect of Fearful Expressions on Multiple Face Tracking

    Directory of Open Access Journals (Sweden)

    Hongjun Jin

    2015-07-01

    Full Text Available How does the visual system realize dynamic tracking? This topic has become popular within cognitive science in recent years. The classical theory argues that multiple object tracking is accomplished via pre-attention visual indexes as part of a cognitively impenetrable low-level visual system. The present research aimed to investigate whether and how tracking processes are influenced by facial expressions that convey abundant social information about one’s mental state and situated environment. The results showed that participants tracked fearful faces more effectively than neutral faces. However, this advantage was only present under the low-attentional load condition, and distractor face emotion did not impact tracking performance. These findings imply that visual tracking is not driven entirely by low-level vision and encapsulated by high-level representations; rather, that facial expressions, a kind of social information, are able to influence dynamic tracking. Furthermore, the effect of fearful expressions on multiple face tracking is mediated by the availability of attentional resources.

  10. Multiple Kernel Learning in Fisher Discriminant Analysis for Face Recognition

    Directory of Open Access Journals (Sweden)

    Xiao-Zhang Liu

    2013-02-01

    Full Text Available Recent applications and developments based on support vector machines (SVMs have shown that using multiple kernels instead of a single one can enhance classifier performance. However, there are few reports on performance of the kernel‐based Fisher discriminant analysis (kernel‐based FDA method with multiple kernels. This paper proposes a multiple kernel construction method for kernel‐based FDA. The constructed kernel is a linear combination of several base kernels with a constraint on their weights. By maximizing the margin maximization criterion (MMC, we present an iterative scheme for weight optimization. The experiments on the FERET and CMU PIE face databases show that, our multiple kernel Fisher discriminant analysis (MKFD achieves high recognition performance, compared with single‐kernel‐based FDA. The experiments also show that the constructed kernel relaxes parameter selection for kernel‐based FDA to some extent.

  11. Challenges Faced by Refugee New Parents from Africa in Canada.

    Science.gov (United States)

    Stewart, M; Dennis, C L; Kariwo, M; Kushner, K E; Letourneau, N; Makumbe, K; Makwarimba, E; Shizha, E

    2015-08-01

    This study examines challenges faced by refugee new parents from Africa in Canada. Refugee new parents from Zimbabwe (n = 36) and Sudan (n = 36) were interviewed individually about challenges of coping concurrently with migration and new parenthood and completed loneliness and trauma/stress measures. Four group interviews with refugee new parents (n = 30) were subsequently conducted. Participants reported isolation, loneliness, and stress linked to migration and new parenthood. New gender roles evoked marital discord. Barriers to health-related services included language. Compounding challenges included discrimination, time restrictions for financial support, prolonged immigration and family reunification processes, uncoordinated government services, and culturally insensitive policies. The results reinforce the need for research on influences of refugees' stressful experiences on parenting and potential role of social support in mitigating effects of stress among refugee new parents. Language services should be integrated within health systems to facilitate provision of information, affirmation, and emotional support to refugee new parents. Our study reinforces the need for culturally appropriate services that mobilize and sustain support in health and health related (e.g., education, employment, immigration) policies.

  12. The challenges that parents of children with epilepsy face

    DEFF Research Database (Denmark)

    Kampra, Matina; Tzerakis, Nikolas; Thomsen, Louise Lund Holm

    2017-01-01

    with the child found that parent–child communication improved. Conclusion This study provides valuable insight into the impact of epilepsy on parents of CwE, which might help hospital and school staff support families with greater understanding, sensitivity, and skill. The findings suggest that Greek authorities......Objective This qualitative study explored the challenges that Greek parents/caregivers of children with controlled epilepsy (CwE) face regarding the disorder. Methods Interviews were conducted based on open-ended questions guided by a review of the literature. A total of 91 parents/caregivers were......E: the disclosure of epilepsy and the absence of adequate information about coping with epilepsy. Parents in Greece were hesitant to reveal their child's epilepsy to school staff and their wider social milieu. Also, although satisfied with the patient-centered approach they experienced with their hospital doctor...

  13. The challenges that parents of children with epilepsy face

    DEFF Research Database (Denmark)

    Kampra, Matina; Tzerakis, Nikolas; Thomsen, Louise Lund Holm

    2017-01-01

    Objective This qualitative study explored the challenges that Greek parents/caregivers of children with controlled epilepsy (CwE) face regarding the disorder. Methods Interviews were conducted based on open-ended questions guided by a review of the literature. A total of 91 parents/caregivers were......E: the disclosure of epilepsy and the absence of adequate information about coping with epilepsy. Parents in Greece were hesitant to reveal their child's epilepsy to school staff and their wider social milieu. Also, although satisfied with the patient-centered approach they experienced with their hospital doctor......, parents/caregivers found that they needed more education about the existing sources of psychosocial and emotional support to cope with their child's epilepsy personally and as a family. Finally, the parents/caregivers who let their child know about the epilepsy and discussed the implications...

  14. Challenges facing PBL tutors: 12 tips for successful group facilitation.

    Science.gov (United States)

    Azer, Samy A

    2005-12-01

    One of the main tasks of a problem-based learning (PBL) tutor is to facilitate group discussion. Group facilitation is about process rather than content. In this process, a tutor helps the group increase their skills and progress in their discussion. Several studies have highlighted strategies and training used in preparing PBL tutors. However, PBL tutors usually feel that it is not that easy to change their teaching style to the PBL format. They are sometimes unsure about their role or what strategy they might use to facilitate their students' discussion. This article in the '12 Tips' series is a detailed description of, and provides answers to, common challenges faced by PBL tutors. The tips provided in this manuscript should help tutors with practical answers. The article may be useful to PBL tutors, medical and health educators and those responsible for PBL training workshops.

  15. The Central Asian Armies Facing the Challenge of Formation

    Directory of Open Access Journals (Sweden)

    Sébastien Peyrouse

    2011-03-01

    Full Text Available This article focuses on one of the main challenges that Central Asian armies face, that is, the problem of training and formation. Having rapidly increased since 2007, Central Asian military budgets have been able to multiply the purchases of equipment and weapons from foreign partners (Russia, western countries, Israel, China, South Korea, etc.. Money is not enough, however, to get the military institution back on its feet in its most human aspect, that of formation. In fact, the teaching institutions and the training possibilities provided to conscripts and professional soldiers on contract are generally of inadequate quality and impede the overall military capacities of the Central Asian states. This article will examine the main problems of the Central Asian military institutions and will discuss the means that have been implemented by Central Asian governments to reduce the negative impact of difficulties in promoting human capital.

  16. Challenges faced by Pakistani pharmaceutical industry: An intellectual capital perspective

    Directory of Open Access Journals (Sweden)

    Khalique, Muhammad

    2012-04-01

    Full Text Available Intellectual capital is recognized as one of the most critical factors for the success of organizations in a knowledge-based economy. In a knowledge-based economy high tech organizations are facing tremendous challenges to gain competitive advantage. The main objective of this study is to introduce the concept and applications of intellectual capital in Pakistani pharmaceutical industry. Pakistani pharmaceutical industry is one of the major industries and it has 70% of share to fulfill the demand of finished pharmaceutical products. This industry also contributes in economic growth and development. This study is a preliminary in nature and it will also be a milestone for future research on this topic.

  17. Next-generation proteomics faces new challenges in environmental biotechnology.

    Science.gov (United States)

    Armengaud, Jean

    2016-04-01

    Environmental biotechnology relies on the exploration of novel biological systems and a thorough understanding of the underlying molecular mechanisms. Next-generation proteomics based on the latest generation of mass analyzers currently allows the recording of complete proteomes from any microorganism. Interpreting these data can be straightforward if the genome of the organism is established, or relatively easy to perform through proteogenomics approaches if a draft sequence can be obtained. However, next-generation proteomics faces new, interesting challenges when the organism is distantly related to previously characterized organisms or when mixtures of organisms have to be analyzed. New mass spectrometers and innovative bioinformatics tools are reshaping the possibilities of homology-based proteomics, proteogenomics, and metaproteomics for the characterization of biological systems. Novel time- and cost-effective screening strategies are also possible with this methodology, as exemplified by whole proteome thermal profiling and subpopulation proteomics. The complexity of environmental samples allows for unique developments of approaches and concepts.

  18. Challenges faced by former child soldiers in the aftermath of war in Uganda.

    Science.gov (United States)

    Vindevogel, Sofie; De Schryver, Maarten; Broekaert, Eric; Derluyn, Ilse

    2013-06-01

    Warfare takes a profound toll of all layers of society, creating multiple and multilevel challenges that impinge on the psychosocial well-being of affected individuals. This study aims to assess the scope and salience of challenges confronting former child soldiers and at identifying additional challenges they face compared to non-recruited young people in war-affected northern Uganda. The study was carried out with a stratified random sample of northern Ugandan adolescents (n = 1,008), of whom a third had formerly been recruited (n = 330). The mixed-method comparison design consisted of a constrained free listing task to determine the challenges; a free sorting task to categorize them into clusters; and statistical analysis of their prevalence among formerly recruited youth and of how they compare with those of nonrecruited youth. Altogether, 237 challenges were identified and clustered into 15 categories, showing that formerly recruited participants mainly identified "emotional" and "training and skills"-related challenges. Compared with nonrecruited counterparts, they reported significantly more "emotional" and fewer "social and relational" challenges, with the exception of stigmatization. Overall, there was similarity between the challenges reported by both groups. The challenges confronting formerly recruited youths reach well beyond the effects of direct war exposure and emerge mainly from multiple influence spheres surrounding them. These challenges are largely shared in common with nonrecruited youths. This multidimensional and collective character of challenges calls for comprehensive psychosocial interventions through which healing the psychological wounds of war is complemented by mending the war-affected surroundings at all levels and in all life areas. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  19. Facing up to the challenges of advancing Craniofacial Research.

    Science.gov (United States)

    Trainor, Paul A; Richtsmeier, Joan T

    2015-07-01

    Craniofacial anomalies are among the most common human birth defects and have considerable functional, aesthetic, and social consequences. The early developmental origin as well as the anatomical complexity of the head and face render these tissues prone to genetic and environmental insult. The establishment of craniofacial clinics offering comprehensive care for craniofacial patients at a single site together with international research networks focused on the origins and treatment of craniofacial disorders has led to tremendous advances in our understanding of the etiology and pathogenesis of congenital craniofacial anomalies. However, the genetic, environmental, and developmental sources of many craniofacial disorders remain unknown. To overcome this problem and further advance craniofacial research, we must recognize current challenges in the field and establish priority areas for study. We still need (i) a deeper understanding of variation during normal development and within the context of any disorder, (ii) improved genotyping and phenotyping and understanding of the impact of epigenetics, (iii) continued development of animal models and functional analyses of genes and variants, and (iv) integration of patient derived cells and tissues together with 3D printing and quantitative assessment of surgical outcomes for improved practice. Only with fundamental advances in each of these areas will we be able to meet the challenge of translating potential therapeutic and preventative approaches into clinical solutions and reduce the financial and emotional burden of craniofacial anomalies.

  20. 3D face recognition based on multiple keypoint descriptors and sparse representation.

    Directory of Open Access Journals (Sweden)

    Lin Zhang

    Full Text Available Recent years have witnessed a growing interest in developing methods for 3D face recognition. However, 3D scans often suffer from the problems of missing parts, large facial expressions, and occlusions. To be useful in real-world applications, a 3D face recognition approach should be able to handle these challenges. In this paper, we propose a novel general approach to deal with the 3D face recognition problem by making use of multiple keypoint descriptors (MKD and the sparse representation-based classification (SRC. We call the proposed method 3DMKDSRC for short. Specifically, with 3DMKDSRC, each 3D face scan is represented as a set of descriptor vectors extracted from keypoints by meshSIFT. Descriptor vectors of gallery samples form the gallery dictionary. Given a probe 3D face scan, its descriptors are extracted at first and then its identity can be determined by using a multitask SRC. The proposed 3DMKDSRC approach does not require the pre-alignment between two face scans and is quite robust to the problems of missing data, occlusions and expressions. Its superiority over the other leading 3D face recognition schemes has been corroborated by extensive experiments conducted on three benchmark databases, Bosphorus, GavabDB, and FRGC2.0. The Matlab source code for 3DMKDSRC and the related evaluation results are publicly available at http://sse.tongji.edu.cn/linzhang/3dmkdsrcface/3dmkdsrc.htm.

  1. Multiple vasculogenic disabilities : a challenge in rehabilitation.

    Directory of Open Access Journals (Sweden)

    Handa G

    2001-01-01

    Full Text Available A 37 year old male presented with left hemiplegia, left below knee amputation, right partial foot amputation and claudication pain. The limitations in the rehabilitation management in such a high-risk patient are multiplied. The appreciable benefits from supervised rehabilitation and judicious goal setting can help in improving the functional status and retard the disease progression in such patients. This study highlights that coexisting cerebrovascular, coronary and peripheral vascular diseases can pose a real challenge and can result in multiple disabilities.

  2. Transparent face recognition in an unconstrained environment using a Sparse representation from multiple still images

    NARCIS (Netherlands)

    B.A.M. Ben Schouten; Dr. Johan Tangelder

    2006-01-01

    In a real-world environment a face detector can be applied to extract multiple face images from multiple video streams without constraints on pose and illumination. The extracted face images will have varying image quality and resolution. Moreover, also the detected faces will not be precisely

  3. Transparent face recognition in an unconstrained environment using a Sparse representation from multiple still images

    NARCIS (Netherlands)

    Tangelder, Johan; Schouten, Ben

    2006-01-01

    In a real-world environment a face detector can be applied to extract multiple face images from multiple video streams without constraints on pose and illumination. The extracted face images will have varying image quality and resolution. Moreover, also the detected faces will not be precisely align

  4. Study of Different Face Recognition Algorithms and Challenges

    Directory of Open Access Journals (Sweden)

    Uma Shankar Kurmi

    2014-03-01

    Full Text Available At present face recognition has wide area of applications such as security, law enforcement. Imaging conditions, Orientation, Pose and presence of occlusion are huge problems associated with face recognition. The performance of face recognition systems decreases due to these problems. Discriminant Analysis (LDA or Principal Components Analysis (PCA is used to get better recognition results. Human face contains relevant information that can extracted from face model developed by PCA technique. Principal Components Analysis method uses eigenface approach to describe face image variation. A face recognition technique that is robust to all situations is not available. Some techniques are better in case of illumination, some for pose problem and some for occlusion problem. This paper presents some algorithms for face recognition.

  5. Who governs energy? The challenges facing global energy governance

    Energy Technology Data Exchange (ETDEWEB)

    Florini, Ann; Sovacool, Benjamin K. [Centre on Asia and Globalisation, Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore 259772 (Singapore)

    2009-12-15

    This article conceptualizes the energy problems facing society from a global governance perspective. It argues that a notion of 'global energy governance,' taken to mean international collective action efforts undertaken to manage and distribute energy resources and provide energy services, offers a meaningful and useful framework for assessing energy-related challenges. The article begins by exploring the concepts of governance, global governance, and global energy governance. It then examines some of the existing institutions in place to establish and carry out rules and norms governing global energy problems and describes the range of institutional design options available to policymakers. It briefly traces the role of a selection of these institutions, from inter-governmental organizations to summit processes to multilateral development banks to global action networks, in responding to energy issues, and points out their strengths and weaknesses. The article concludes by analyzing how the various approaches to global governance differ in their applicability to addressing the conundrums of global energy problems. (author)

  6. Challenges facing academic urology training programs: an impending crisis.

    Science.gov (United States)

    Gonzalez, Chris M; McKenna, Patrick

    2013-03-01

    To determine the most pressing issues facing academic urology training centers. The supply of urologists per capita in the United States continues to decrease. Stricter resident requirements, restriction of resident duty hours, and a Graduate Medical Education (GME) funding cap on resident education has led to significant challenges for academic centers. A 32-question survey was sent to Society of University Urologists members. Respondents defined themselves as academic faculty tenure track, program director, academic chair, program director and academic chair, clinical faculty nontenure track, and community faculty member. A total of 143 of 446 members(32%) responded. A lack of funding was indicated as an obstacle to adding new residency positions (65% respondents) and recruiting new faculty (60% respondents). Residency positions not funded by GME (40% respondents) required either clinical or hospital dollars to support these slots. Most respondents (51%) indicated resident research rotations are funded with clinical dollars. Surgical skills laboratories are commonly used (85% respondents) and are supported mostly with hospital or clinical dollars. The majority of respondents (84%) indicated they would expand simulation laboratories if they had better funding. Other than urodynamics and ultrasound, urology residency training programs reported little income from ancillary dollars. There is a significant workforce shortage within urology training programs. Clinical revenue and hospital funding seem to be the main financial support engines to supplement the GME funding shortage, proficiency training, and faculty salary support for teaching. The current system of GME funding for urology residency programs is not sustainable. Published by Elsevier Inc.

  7. Challenges facing air management for fuel cell systems

    Energy Technology Data Exchange (ETDEWEB)

    Davis, P.B. [Department of Energy (United States); Sutton, R. [Argonne National Lab. (United States); Wagner, F.W. [Energetics Incorporated (United States)

    2000-07-01

    The U.S. Department of Energy (DOE) and the U.S. automotive industry are working cooperatively under the auspices of the Partnership for a New Generation of Vehicles (PNGV) to develop a six-passenger automobile that can achieve up to 80 mpg. while meeting customer needs and all safety and emission requirements. These partners are continuing to invest heavily in the research and development of polymer electrolyte membrane (PEM) fuel cells as a clean and efficient energy conversion system for the PNGV. A critical challenge facing fuel cell systems for the PNGV is the development of efficient, compact, cost-effective air management systems. The U.S. Department of Energy has been exploring several compressor/expander options for pressurized fuel cell systems, including scroll, toroidal intersecting vane, turbine, twin screw, and piston technologies. Each of these technologies has strengths and weaknesses regarding efficiency, pressure ratio over turndown, size and weight, and cost. This paper will present data from the U.S. Department of Energy's research and development efforts on air management systems and will discusses recent program developments resulting from an independent peer review evaluation. (author)

  8. ASF: Facing the Challenges for 15 Years and Counting

    Science.gov (United States)

    La Belle-Hamer, N.; Nicoll, J.; Atwood, D.; Arko, S.

    2006-12-01

    The Alaska Satellite Facility (ASF) of the Geophysical Institute, University of Alaska Fairbanks, has just celebrated its 15th year of experience in satellite remote sensing. ASF is involved in a wide range of activities - - from downlinking satellite data to developing data analysis tools, value-added products, and training for Synthetic Aperture Radar (SAR) users. Satellite remote sensing data are acquired, processed, analyzed, and archived by ASF from several satellites; ASF has built expertise in handling and manipulating the data, SAR in particular. SAR is the only satellite imagery in the world today that can be acquired at any time of the day or night and during adverse weather conditions. It can be used to develop value-added products to aid in global climate change research. Examples include the SAR-derived coastal winds in the Gulf of Alaska and Bering Sea; monitoring of the major ice shelves in the Arctic and Antarctic; and examining the impact on sea level from the Greenland ice sheets and glaciers. The challenges facing the use of remote-sensing data in climate change research can be divided into three major categories: economical, political, and technical. The expense of designing, building, and launching a satellite is substantial. The costs of the ground segment including data management can be substantial and should not be neglected. The US agency funding climate often has the research community pushing for new missions against declining federal budgets in direct competition with ongoing missions. On the political front, data policy, data ownership, and cost recovery are issues often perceived as insurmountable by the user community. The technical issues, while challenging, are often the easiest to solve. The Japan Aerospace Exploration Agency, with the successful launch of the Advanced Land Observing System (ALOS), has embarked on a new way of handling the ground segment with the introduction of international data nodes. ASF will serve with NOAA

  9. A personal perspective on challenges that face women scientists

    Science.gov (United States)

    Cashman, Katharine

    2016-04-01

    Gender equality has been a topic of discussion throughout my long (now three decade) career. This alone illustrates the complex nature of the issue, and the lack of a simple solution, particularly as many of the daily challenges that women face are institution or discipline-specific. For this reason, I will summarize some of the issues that appear to me to be more general, and therefore ones that may have general solutions. The first and foremost relates to demands on women's time. One way that academic institutions have sought to overcome gender bias has been to require that every university committee have a female member; in departments, schools and faculties where women represent a minority, this necessarily means that women shoulder an inequitable share of the service duties. I have experienced this myself, seen it in promotion files at all levels, and observed it with regard to my female colleagues. Clearly time spent doing service is time not spent doing science. There is also an easy solution to this problem, which is to re-think the underlying assumption that men are necessarily gender-biased if they don't have a woman sitting in the room! Additional time demands can come from informal mentoring of both students and younger colleagues, particularly in cases where senior male colleagues are viewed as too important, or too intimidating, to be consulted on personal issues. Although I suspect that this problem may also be widespread, it is more difficult to quantify, and is therefore more difficult to factor into time allotments of departmental duties. A final thought relates to hiring practices. I have now worked in both the US and UK educational systems, which have very different interview and hiring protocols. I will review both, highlighting components that I think are most likely to promote equitable hiring practices.

  10. Challenges Faced By Small, Medium And Micro Enterprises In The Nkonkobe Municipality

    National Research Council Canada - National Science Library

    Tendai Chimucheka; Fortunate Mandipaka

    2015-01-01

    This study investigated the challenges that are faced by entrepreneurs in the Nkonkobe Municipality in Eastern Cape Province of South Africa and the objectives were to identify and suggest solutions for the challenges...

  11. The Forgotten Tribe in ODL Systems: Challenges Faced by Visually ...

    African Journals Online (AJOL)

    ... Faced by Visually Impaired Students in Institutions of Higher Learning. ... CH Tichauya, CR Alexander, M Paul, D Emanuel ... Data was collected through student interviews and questionnaires for lecturers and thematically analysed.

  12. Tolerance for distorted faces: challenges to a configural processing account of familiar face recognition.

    Science.gov (United States)

    Sandford, Adam; Burton, A Mike

    2014-09-01

    Face recognition is widely held to rely on 'configural processing', an analysis of spatial relations between facial features. We present three experiments in which viewers were shown distorted faces, and asked to resize these to their correct shape. Based on configural theories appealing to metric distances between features, we reason that this should be an easier task for familiar than unfamiliar faces (whose subtle arrangements of features are unknown). In fact, participants were inaccurate at this task, making between 8% and 13% errors across experiments. Importantly, we observed no advantage for familiar faces: in one experiment participants were more accurate with unfamiliars, and in two experiments there was no difference. These findings were not due to general task difficulty - participants were able to resize blocks of colour to target shapes (squares) more accurately. We also found an advantage of familiarity for resizing other stimuli (brand logos). If configural processing does underlie face recognition, these results place constraints on the definition of 'configural'. Alternatively, familiar face recognition might rely on more complex criteria - based on tolerance to within-person variation rather than highly specific measurement.

  13. Facing and Overcoming Sensitivity Challenges in Biomolecular NMR Spectroscopy

    DEFF Research Database (Denmark)

    Ardenkjær-Larsen, Jan Henrik; Boebinger, Gregory S.; Comment, Arnaud

    2015-01-01

    enhance the sensitivity of solid‐ and liquid‐state experiments. While substantial advances have been made in all these areas, numerous challenges remain in the quest of endowing NMR spectroscopy with the sensitivity that has characterized forms of spectroscopies based on electrical or optical measurements....... These challenges, and the ways by which scientists and engineers are striving to solve them, are also addressed....

  14. Standing by Their Principles: Two Librarians Who Faced Challenges

    Science.gov (United States)

    Adams, Helen; Leu, DaNae; Venuto, Dee Ann

    2015-01-01

    What do school librarians fear most? Hands down, their biggest fear is a formal challenge to a resource in the school library. There are no accurate statistics about the number of challenges to school library resources. The staff of ALA's Office for Intellectual Freedom estimates that only about 20 percent are reported to ALA annually. For the…

  15. Combination of multiple measurement cues for visual face tracking

    DEFF Research Database (Denmark)

    Katsarakis, Nikolaos; Pnevmatikakis, Aristodemos; Tan, Zheng-Hua

    2014-01-01

    Visual face tracking is an important building block for all intelligent living and working spaces, as it is able to locate persons without any human intervention or the need for the users to carry sensors on themselves. In this paper we present a novel face tracking system built on a particle...

  16. Principal Challenges Facing Electronic Records Management in Federal Agencies Today.

    Science.gov (United States)

    Patterson, Giovanna; Sprehe, J. Timothy

    2002-01-01

    Discusses electronic records management in the federal government. Highlights include managing electronic mail; information technology planning, systems design, and architecture; updating conventional records management; integrating electronic records management with other information technology systems; challenges of end-user training; business…

  17. A Challenging Giant Dermatofibrosarcoma Protuberans on the Face

    OpenAIRE

    Gimena Castro Pérez; Cintia Arias; Paula Luna; Irene Sorín; Luis Daniel Mazzuoccolo

    2016-01-01

    Dermatofibrosarcoma protuberans (DFSP) is a malignant fibrohistiocytic tumor that appears exclusively on the skin. It is a low-grade malignant soft tissue tumor of subcutaneous tissues that has a propensity for local recurrence but seldom metastasizes. It may rarely occur on the head and neck accounting for less than one percent of total head and neck malignancies. We present a man with a giant DFSP on the face. Oncological, functional, and aesthetic aspects are set forth.

  18. A Challenging Giant Dermatofibrosarcoma Protuberans on the Face

    Directory of Open Access Journals (Sweden)

    Gimena Castro Pérez

    2016-01-01

    Full Text Available Dermatofibrosarcoma protuberans (DFSP is a malignant fibrohistiocytic tumor that appears exclusively on the skin. It is a low-grade malignant soft tissue tumor of subcutaneous tissues that has a propensity for local recurrence but seldom metastasizes. It may rarely occur on the head and neck accounting for less than one percent of total head and neck malignancies. We present a man with a giant DFSP on the face. Oncological, functional, and aesthetic aspects are set forth.

  19. Rural teachers' views: What are gender-based challenges facing Free Primary Education in Lesotho?

    Directory of Open Access Journals (Sweden)

    Pholoho Morojele

    2013-01-01

    Full Text Available This paper gives prominence to rural teachers' accounts of gender-based challenges facing Free Primary Education in Lesotho. It draws on feminist interpretations of social constructionism to discuss factors within the Basotho communities that affect gender equality in the schools. The inductive analysis offered makes use of the data generated from semi-structured interviews with 12 teachers in three primary schools. Basotho culture, superstitious symbolism, and family dynamics are found to be some of the factors that reinforce inequitable gender relations. The findings indicate how teachers exploited these factors to promote the polarisation of gender qualities, and to exalt masculinities at the expense of femininities. The paper argues for the promotion of counter-hegemonic discourses of gender, with an emphasis on conceptions of gender as multiple and fluid human qualities. It explains how paying attention to the cultural architecture of gender formations in localised contexts could become an effective strategy in promoting gender equality in schools.

  20. Cultural Challenges Faced by American Mission Control Personnel Working with International Partners

    Science.gov (United States)

    Clement, J. L.; Ritsher, J. B.

    2006-01-01

    Operating the International Space Station (ISS) involves an indefinite, continuous series of long-duration international missions, and this requires an unprecedented degree of cooperation across multiple sites, organizations, and nations. Both junior and senior mission control personnel have had to find ways to address the cultural challenges inherent in such work, but neither have had systematic training in how to do so. The goals of this study were to identify and evaluate the major cultural challenges faced by ISS mission control personnel and to highlight the approaches that they have found most effective to surmount these challenges. We pay particular attention to the approaches successfully employed by the senior personnel and the training needs identified by the junior personnel. We also evaluate the extent to which the identified approaches and needs are consistent across the two samples. METHODS: Participants included a sample of 14 senior ISS flight controllers and a contrasting sample of 12 more junior controllers. All participants were mission operations specialists chosen on the basis of having worked extensively with international partners. Data were collected using a semi-structured qualitative interview and content analyzed using an iterative process with multiple coders and consensus meetings to resolve discrepancies. RESULTS: The senior respondents had substantial consensus on several cultural challenges and on key strategies for dealing with them, and they offered a wide range of specific tactics for implementing these strategies. Data from the junior respondents will be presented for the first time at the meeting. DISCUSSION: Although specific to American ISS personnel, our results are consistent with recent management, cultural, and aerospace research on other populations. We aim to use our results to improve training for current and future mission control personnel working in international or multicultural mission operations teams.

  1. Challenges facing the development of the Arabic chatbot

    Science.gov (United States)

    AlHagbani, Eman Saad; Khan, Muhammad Badruddin

    2016-07-01

    The future information systems are expected to be more intelligent and will take human queries in natural language as input and answer them promptly. To develop a chatbot or a computer program that can chat with humans in realistic manner to extent that human get impressions that he/she is talking with other human is a challenging task. To make such chatbots, different technologies will work together ranging from artificial intelligence to development of semantic resources. Sophisticated chatbots are developed to perform conversation in number of languages. Arabic chatbots can be helpful in automating many operations and serve people who only know Arabic language. However, the technology for Arabic language is still in its infancy stage due to some challenges surrounding the Arabic language. This paper offers an overview of the chatbot application and the several obstacles and challenges that need to be resolved to develop an effective Arabic chatbot.

  2. China Facing Five Major Challenges for Energy Development

    Institute of Scientific and Technical Information of China (English)

    Ma Cuijie

    2004-01-01

    @@ China's energy development will be confronted with five major challenges in the coming decades, experts said at the International Partnership for the Hydrogen Economy (IPHE)Steering Committee in Beijing in late May. The five major challenges include high oil import dependency which threatens the nation's energy security, using coal as the main energy generator, which leads to severe pollution, gigantic energy demands due to growing economic development,global climate change resulting from greenhouse gas emissions, and energy supply and consumption problems in rural areas.

  3. Challenges Facing the Arab American Community from a Legal Perspective

    Directory of Open Access Journals (Sweden)

    Ghada Quaisi Audi

    2008-12-01

    Full Text Available This paper focuses on contemporary issues facing the Arab population vis-à-vis the American legal system. While Arab Americans enjoy the same basic rights enshrined in the federal and various state Constitutions, some of them have been subjected to various forms of discrimination that have infringed upon these basic rights. I will survey these areas as follows: racial discrimination, hate crimes, civil rights (including racial profiling and immigration, and employment. The paper concludes with a discussion on various means to prevent discriminatory practices with specific recommendations for the classroom.

  4. Facing the Issues: Challenges, Censorship, and Reflection through Dialogue

    Science.gov (United States)

    Lent, ReLeah Cossett

    2008-01-01

    ReLeah Cossett Lent provides practical advice for ensuring that books are kept on shelves and in classrooms for students to read. She outlines steps for creating professional learning communities that engage with censorship issues and prepare schools to deal with book challenges in thoughtful, supportive ways. (Contains 4 figures.)

  5. Wise reasoning in the face of everyday life challenges

    NARCIS (Netherlands)

    Grossmann, Igor; Gerlach, Tanja M.; Denissen, J.J.A.

    2016-01-01

    How stable vs. dynamic is wisdom in daily life? We conducted a daily diary study of wise reasoning (WR) by recording people's reflections on daily challenges in terms of three facets: intellectual humility, self-transcendence, and consideration of others' perspectives/compromise. We observed

  6. Challenges Facing Chinese International Students Studying in the United States

    Science.gov (United States)

    Ching, Yuerong; Renes, Susan L.; McMurrow, Samantha; Simpson, Joni; Strange, Anthony T.

    2017-01-01

    Chinese international students often find it challenging to adjust to attending college in the United States (US). There is limited research addressing Chinese international college students' adjustment in the US. Drawing on what literature exists combined with research addressing Chinese immigrants' transition and international students'…

  7. Challenges Faced by Korean Transnational Students in the United States

    Science.gov (United States)

    Jung, Adrian; Nam, Sang; Han, Shini

    2015-01-01

    The purpose of this study was to help parents, educators, and policymakers understand how to help transnational children adjust to their psychological challenges at school in the United States. A total of 109 Korean transnational adolescents aged 11 to 19 participated in this study. They had been staying in the country alone or with one of their…

  8. Facing the Issues: Challenges, Censorship, and Reflection through Dialogue

    Science.gov (United States)

    Lent, ReLeah Cossett

    2008-01-01

    ReLeah Cossett Lent provides practical advice for ensuring that books are kept on shelves and in classrooms for students to read. She outlines steps for creating professional learning communities that engage with censorship issues and prepare schools to deal with book challenges in thoughtful, supportive ways. (Contains 4 figures.)

  9. China's Oil Industry Facing Challenge & Opportunity from WTO Entry

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ With ups and downs in the past 15 years, China was officially admitted into World Trade Organization in November 2001. China's entry into WTO inevitably poses a severe challenge to the country's domestic petroleum and petrochemical industry, which has been protected by means of tariff hurdles and other administrative measures for a long time.

  10. THE CHALLENGES POLITICAL LEADERSHIP FACES IN THE MODERN WORLD

    Directory of Open Access Journals (Sweden)

    T. N. Samsonova

    2016-01-01

    Full Text Available Political leadership is a concept central to understanding political processes and outcomes, yet its definition is elusive. The study of political leadership has a long history. Many disciplines have contributed to this study, including history, philosophy, political theory, psychology etc. Leadership is a process in which leaders and followers interact dynamically in a particular situation or context. Leaders must be able to connect with followers to understand their mood and their initiative. There are essential and operational differences between a leader and a manager. Managerial effectiveness is related to an emphasis on rationality and organizational structure. Leadership effectiveness is linked to symbols and culture. The interactive nature of leader-followers-situation can help us better understand the changing nature of the leaderfollower relationship and the increasingly greater complexity of situations leaders and followers face in contemporary world. Good leadership makes a difference, and it can be enhanced through greater awareness of the important factors influencing the leadership process. The changes we are facing in today’s world demand a new breed of political leaders, new forms and mechanisms of leader-follower interaction that provide effective leadership. 

  11. Finding Home: Challenges Faced by Geographically Mobile Families

    Science.gov (United States)

    Allen, Sarah

    2008-01-01

    This qualitative study explores the dialectical dimensions of home as experienced by geographically mobile couples. Informants (N = 48) defined home as having multiple meanings and locations, with 4 dialectical tensions embedded within their experience. Home was situated between (a) geographic spaces that were here and there, (b) geographic spaces…

  12. Challenges faced by young persons living with HIV: The case of ...

    African Journals Online (AJOL)

    Challenges faced by young persons living with HIV: The case of children on the ... improvement in the supply of pediatric antiretroviral therapy (ART) regimens, ... Keywords: HIV and AIDS, orphaned child, antiretroviral therapy, stigma, ...

  13. IT Project Portfolio Management; Challenges faced by Danish municipalities

    DEFF Research Database (Denmark)

    Hansen, Lars; Pedersen, Keld

    2010-01-01

    Abstract. Increasing the organizational benefits from IT projects is a key concern in most organizations. The use of Project Portfolio Management (PPM) is generally recommended by consultants (e.g. Kaplan 2005) and researchers (e.g. De Reyck et al 2005) as one way of increasing the organizational...... benefits from IT investments. This article reports from an action research project aiming at understanding and improving IT PPM practices in Danish municipalities, thereby contributing to the general body of knowledge concerning PPM of IT projects. Our findings suggest that the participating organizations...... might benefit from a structured approach as suggested by the literature (e.g. Kaplan 2005), but also that the prescriptive PPM literature in some areas is too simplistic when compared to the reality faced by the participating practitioners. Especially, our research suggests that different PPM elements...

  14. Facing the educational challenges in South Africa: an educophilosophical reflection

    Directory of Open Access Journals (Sweden)

    C.T. Viljoen

    1998-03-01

    Full Text Available The educational challenge in South Africa is currently demonstrated by the fact that education is seen as a priority on all agendas, be they national, provincial or local. Developments in society compel educational thinkers to rethink the role and status of education in a democratic society. In this article an educo-philosophical perspective is applied in an attempt to analyse some of the developments that might have an influence on educational thought and practice.

  15. Defense Weather Satellites: DOD Faces Acquisition Challenges for Addressing Capability Needs

    Science.gov (United States)

    2016-07-07

    design . Our work on the NPOESS program has shown that without clear lines of authority, conflicts between satellite users hampered decisions, such as for...DEFENSE WEATHER SATELLITES DOD Faces Acquisition Challenges for Addressing Capability Needs Statement of Cristina T...Environment, Committee on Science, Space, and Technology, House of Representatives July 2016 DEFENSE WEATHER SATELLITES DOD Faces Acquisition

  16. Myth 15: High-Ability Students Don't Face Problems and Challenges

    Science.gov (United States)

    Moon, Sidney M.

    2009-01-01

    One rationale for failure to address the needs of high-ability students in schools is that high-ability students do not need special services because they do not face any special problems or challenges. A more extreme corollary of this attitude is the notion that high ability is so protective that students with high ability do not face problems or…

  17. Organ shortage: the greatest challenge facing transplant medicine.

    Science.gov (United States)

    Shafran, David; Kodish, Eric; Tzakis, Andreas

    2014-07-01

    The success of organ transplantation as a treatment for end-stage organ disease has yielded a series of ethical quandaries originating from the issue of organ shortage. Scarcity of organs for transplantation necessitates formulation of just and fair allocation policies as well as ethically viable solutions to bridging the vast gap between organ supply and demand. The concept of "triage" provides a useful paradigm in which to contextualize the organ shortage issue. This entails subjugating the welfare of the individual patient for the benefit of the wider community as an ethically justified response to the challenge of scarcity.

  18. Multiple taurodontism: the challenge of endodontic treatment.

    Science.gov (United States)

    Marques-da-Silva, Bruno; Baratto-Filho, Flares; Abuabara, Allan; Moura, Paula; Losso, Estela M; Moro, Alexandre

    2010-12-01

    This article describe a rare case of multiple taurodontism involving all molars in a 17-year-old male. Volumetric cone-beam computed tomography was used to investigate internal and external root morphology, including that of a maxillary first molar which required endodontic treatment and retreatment. Medical history was not contributory; however, Klinefelter syndrome was the diagnostic hypothesis in this case.

  19. Nurses and challenges faced as clinical educators: a survey of a group of nurses in Cameroon

    Directory of Open Access Journals (Sweden)

    Vivian E A Eta

    2011-03-01

    Full Text Available BACKGROUND: Clinical teaching is an important component of clinical education. In nursing, clinical teaching is ensured by clinical nurse educators (CNEs. This study aimed at describing the major challenges faced by CNEs in Cameroon. METHODS: In a qualitative study, supplemented with quantitative methods, CNEs were enrolled from three health districts to represent their frequency in Cameroon’s health delivery system. RESULTS: A total of 56 CNEs participated in the study, of whom, as many as 58.9% acknowledged always facing challenges in clinical teaching and supervision. The major challenges identified were the lack of opportunities to update knowledge and skills, students’ lack of preparedness and the CNEs not being prepared for clinical teaching. CNEs attributed these challenges in major part to the lack of incentives and poor health policies. CONCLUSION: CNEs in Cameroon do indeed face major challenges which are of diverse origins and could adversely affect teaching in clinical settings

  20. THE EUROPEAN UNION FACING THE CHALLENGES OF MIGRATION

    Directory of Open Access Journals (Sweden)

    Elena Simona Vrânceanu

    2015-11-01

    Full Text Available The project of the European construction has been subject to constant contradictions since the time of its first steps of implementation. Beyond the ideal of economic and political unification, the European Union has to manage more and more cultural, social, and economic challenges, which aren’t at all negligible, and all the more pressing in the context of recent years marked by the global financial crisis and the assault of asylum seekers from Africa and Middle East. Therefore we can launch a series of interrogations: What is the citizens’ level of trust in the European construction project? How does the European Union proceed in order to integrate immigrants? What is the link between good immigrant integration and consolidation of the European construction project? These three interrogations represent the axes of analysis of this article, which aims to highlight some theoretical aspects of the effects of current migration on the structuring or restructuration of the European Union. As a conclusion, we may say that the current challenges of migration have opened the path to a new phase of the European construction project, and the consensus of state actors and the direct involvement of the Community institutions can be decisive in shaping the medium and long term evolution of the European Union.

  1. Education to Face the Wicked Challenges of Sustainability

    Directory of Open Access Journals (Sweden)

    Bland Tomkinson

    2011-01-01

    Full Text Available Problem statement: The nature of sustainable development requires new paradigms for education. Issues of sustainability are ‘wicked problems’ that do not lend themselves to conventional didactic approaches. The challenge for higher education is to examine interdisciplinary approaches to global societal responsibility and, within this, issues of education for sustainable development. Approach: A project, sponsored by the Royal Academy of Engineering, developed a course unit in sustainable development across several disciplines. The approach was initially pedagogic in nature, with a strong evaluative theme. At the same time, a Delphi study was undertaken by the same team and this inter-relates with the main project. The focus of the action research was a series of ‘wicked’ problems that would provide real-world challenges with no simple answers. Results: The project was evaluated in a number of ways, not least the pre-and post-testing of students’ attitudes and approaches, but also using nominal group techniques. The project demonstrated that an interdisciplinary PBL approach succeeded in deepening the learning of the students as well as developing key skills. Conclusion: The use of collaborative, group-based approaches, notably PBL, offers a key way of approaching the design of curricula for sustainable development and other areas of global societal responsibility that hinge on ‘wicked problems’.

  2. Generation Y facing the challenge of employability: facts against stereotypes

    Directory of Open Access Journals (Sweden)

    Alberto Vallejo Peña

    2017-07-01

    Full Text Available Young people Spain classed as belonging Generation Y are facing the transition to employment under even more adverse conditions than the previous generation (X, as a result of the economic crisis (2008-2015 prevailing as they reach working age. This paper aims to address the generational traits that are attributed to these young people in Spain, and contrast them with the data offered (Labour Force Survey, LFS, and Organization for Economic Co-operation and Development, OECD, mainly. This aims to achieve a better understanding of the phenomenon to distinguish their true features and generational experiences from the testimony of somewhat unreliable sources. To this end, we analyse the main social types attributed to this generation (Not in Education, Employment, or Training, NEETs, mileuristas and boomerangs, technological changes that determine their profile (digital society, new migration trends, the influence of social stratification and the contribution of the family. The conclusions look in particular at the influence of certain factors (education, social class to improve their employability, and the prevalence of the family as a key institution in supporting these young people, given the lack of other social actors.

  3. Multiple deep convolutional neural networks averaging for face alignment

    Science.gov (United States)

    Zhang, Shaohua; Yang, Hua; Yin, Zhouping

    2015-05-01

    Face alignment is critical for face recognition, and the deep learning-based method shows promise for solving such issues, given that competitive results are achieved on benchmarks with additional benefits, such as dispensing with handcrafted features and initial shape. However, most existing deep learning-based approaches are complicated and quite time-consuming during training. We propose a compact face alignment method for fast training without decreasing its accuracy. Rectified linear unit is employed, which allows all networks approximately five times faster convergence than a tanh neuron. An eight learnable layer deep convolutional neural network (DCNN) based on local response normalization and a padding convolutional layer (PCL) is designed to provide reliable initial values during prediction. A model combination scheme is presented to further reduce errors, while showing that only two network architectures and hyperparameter selection procedures are required in our approach. A three-level cascaded system is ultimately built based on the DCNNs and model combination mode. Extensive experiments validate the effectiveness of our method and demonstrate comparable accuracy with state-of-the-art methods on BioID, labeled face parts in the wild, and Helen datasets.

  4. Challenges newly-arrived migrant women in Montreal face when needing maternity care: Health care professionals' perspectives.

    Science.gov (United States)

    Peláez, Sandra; Hendricks, Kristin N; Merry, Lisa A; Gagnon, Anita J

    2017-01-25

    People who leave their country of origin, or the country of habitual residence, to establish themselves permanently in another country are usually referred to as migrants. Over half of all births in Montreal, Canada are to migrant women. To understand healthcare professionals' attitudes towards migrants that could influence their delivery of care, our objective was to explore their perspectives of challenges newly-arrived migrant women from non-Western countries face when needing maternity care. In this qualitative multiple case study, we conducted face-to-face interviews with 63 health care professionals from four teaching hospitals in Montreal, known for providing maternity care to a high volume of migrant women. Interviews were transcribed and thematically analysed. Physicians, nurses, social workers, and therapists participated; 90% were female; and 17% were themselves migrants from non-Western countries. According to participants, newly-arrived migrant women face challenges at two levels: (a) direct care (e.g., understanding Canadian health care professionals' expectations, communicating effectively with health care professionals), and (b) organizational (e.g., access to appropriate health care). Challenges women face are strongly influenced by the migrant woman's background as well as social position (e.g., general education, health literacy, socio-cultural integration) and by how health care professionals balance women's needs with perceived requirement to adhere to standard procedures and regulations. Health care professionals across institutions agreed that maternity care-related challenges faced by newly-arrived migrant women often are complex in that they are simultaneously driven by conflicting values: those based on migrant women's sociocultural backgrounds versus those related to the implementation of Canadian guidelines for maternity care in which consideration of migrant women's particular needs are not priority.

  5. [China faces a challenge of breast cancer prevention and control].

    Science.gov (United States)

    Zhang, B N; Chen, W Q; Zhang, X; Qiao, Y L

    2016-10-23

    The incidence and mortality of breast cancer is in an increasing trend. In contrast to the global breast cancer situation, the prevention and control is challenging in China. Some suggestions are presented to the project of breast cancer prevention and control in China. Combining the global screening experiences with the epidemiological features of Chinese female breast cancer, aims to improve the population screening and early detection rate. Standardizing clinical diagnosis and treatment practice, aims to increase the efficacy and decrease the mortality. Intervening lifestyle and dietary behaviors, and intends to reduce risk exposure and incidence. Building national breast cancer registry provides preventive strategies. Great efforts should be made to carry out large sample multicenter clinical trails and translational research on the prevention and cotrol of breast cancer coordiated by health care service and science and technology administrations. Breast cancer prevention and control has a long way to go in China.

  6. Challenges to ethics and professionalism facing the contemporary neurologist.

    Science.gov (United States)

    Bernat, James L

    2014-09-30

    Challenges to ethics and professionalism that can harm neurologists and their patients include the commercialization of medicine, poorly designed Medicare regulations, conflicts of interest, physician employment by hospitals, faulty measurement of medical quality care, electronic health records, electronic communications with patients, and the demotion of the role of physician beneficence. These threats can lead to inaccurate medical record-keeping, unnecessary medical care, a decline in the primacy of patients' interests, and damage to the sanctity of the patient-physician relationship. The increasing frequency of physician burnout can be attributed at least partially to unmitigated stresses on practicing physicians, particularly the growing time pressures for patient visits, the mounting daily requirements of documentation, and the increasing burden of time-consuming but unproductive tasks. Recommended correctives include reforming billing documentation regulations, improving electronic health records, designing proper quality indicators integrating physician wellness, and incorporating reasonable physician workflows in the design of accountable care organizations.

  7. Facing technological challenges of Solar Updraft Power Plants

    Science.gov (United States)

    Lupi, F.; Borri, C.; Harte, R.; Krätzig, W. B.; Niemann, H.-J.

    2015-01-01

    The Solar Updraft Power Plant technology addresses a very challenging idea of combining two kinds of renewable energy: wind and solar. The working principle is simple: a Solar Updraft Power Plant (SUPP) consists of a collector area to heat the air due to the wide-banded ultra-violet solar radiation, the high-rise solar tower to updraft the heated air to the atmosphere, and in between the power conversion unit, where a system of coupled turbines and generators transforms the stream of heated air into electric power. A good efficiency of the power plant can only be reached with extra-large dimensions of the tower and/or the collector area. The paper presents an up-to-date review of the SUPP technology, focusing on the multi-physics modeling of the power plant, on the structural behavior of the tower and, last but not least, on the modeling of the stochastic wind loading process.

  8. [Multiple challenges of teenage pregnancy and maternity].

    Science.gov (United States)

    Halonen, Miila; Apter, Dan

    2010-01-01

    Getting pregnant in one's teens is seldom a planned or desired event. How to concretely and psychologically combine growing up and becoming a mother? There is plenty of research data on the impact of teenage pregnancy. Underlying the associated problems are often the same factors that led to the pregnancy: lack of knowledge and skills, drug abuse and scarcity of social support. A young mother presents a great challenge to health professionals. Regardless of the outcome of the pregnancy, the young mother will need a strong supportive network around her.

  9. Sustainable Digital Environments: What Major Challenges Is Humankind Facing?

    Directory of Open Access Journals (Sweden)

    Roland W. Scholz

    2016-07-01

    Full Text Available This paper identifies and discusses the benefits, threats, and vulnerabilities related to the digital revolution. It aims to motivate research and its funding regarding digital threats and vulnerabilities related, in particular, to anticipating unintended, undesirable rebound effects, tipping points, critically fast evolutionary change rates, trade-offs, etc. A brief analysis of the history of the mind and technology reveals slow technological development over tens of thousands of years (including the invention of a place-value digital number system. Then, a small series of groundbreaking ideas (e.g., binary logic, Shannon’s symbolic analysis of relay and switching circuits, architectures of computing enabled the industry-driven invention of programmable computing machines. Ultimately, the mastery of electron and semiconductor physics allowed for economical and seemingly unlimited storage capacity that made digital tools available to all domains of society. Based on the historical analysis, a coupled human-environment systems perspective (that includes a hierarchy assumption ranging from the human cell to the human species enables the identification of several potential challenges to society and science. First, digital nano-engineering promotes genetic modifications (i.e., directed evolution, and synthetic biology enables a new level of the appropriation of nature. The understanding of cell-based biocomputers may call for new forms of logic. These and other challenges require thorough sustainability research in order to anticipate major changes on all levels of human systems. Second, the human individual is exposed to new forms of vulnerability. In particular, the potential epigenetic effects resulting from the excessive use of digital information of historically unknown speed, density, and contents and the loss of (the Western common-law right to privacy resulting from big data (whose ownership is often unknown should become subjects of

  10. Facing the challenges in human resources for humanitarian health.

    Science.gov (United States)

    Mowafi, Hani; Nowak, Kristin; Hein, Karen

    2007-01-01

    The human resources crisis in humanitarian health care parallels that seen in the broader area of health care. This crisis is exacerbated by the lack of resources in areas in which humanitarian action is needed--difficult environments that often are remote and insecure--and the requirement of specific skill sets is not routinely gained during traditional medical training. While there is ample data to suggest that health outcomes improve when worker density is increased, this remains an area of critical under-investment in humanitarian health care. In addition to under-investment, other factors limit the availability of human resources for health (HRH) in humanitarian work including: (1) over-reliance on degrees as surrogates for specific competencies; (2) under-development and under-utilization of national staff and beneficiaries as humanitarian health workers; (3) lack of standardized training modules to ensure adequate preparation for work in complex emergencies; (4) and the draining of limited available HRH from countries with low prevalence and high need to wealthier, developed nations also facing HRH shortages. A working group of humanitarian health experts from implementing agencies, United Nations agencies, private and governmental financiers, and members of academia gathered at Hanover, New Hampshire for a conference to discuss elements of the HRH problem in humanitarian health care and how to solve them. Several key elements of successful solutions were highlighted, including: (1) the need to develop a set of standards of what would constitute "adequate training" for humanitarian health work; (2) increasing the utilization and professional development of national staff; (3) "training with a purpose" specific to humanitarian health work (not simply relying on professional degrees as surrogates); (4) and developing specific health task-based competencies thereby increasing the pool of potential workers. Such steps would accomplish several key goals, such as

  11. Challenges for Novice School Leaders: Facing Today's Issues in School Administration

    Science.gov (United States)

    Beam, Andrea P.; Claxton, Russell L.; Smith, Samuel J.

    2016-01-01

    Challenges for novice school leaders evolve as information is managed differently and as societal and regulatory expectations change. This study addresses unique challenges faced by practicing school administrators (n = 159) during their first three years in a school leadership position. It focuses on their perceptions, how perceptions of present…

  12. Towards Lead-Free Piezoceramics: Facing a Synthesis Challenge

    Directory of Open Access Journals (Sweden)

    María Elena Villafuerte-Castrejón

    2016-01-01

    Full Text Available The search for electroceramic materials with enhanced ferro-pyro-piezoelectric properties and revealing the perovskite type structure has been the objective of a significant number of manuscripts reported in the literature. This has been usually carried out by proposing the synthesis and processing of new compounds and solid solution series. In this work, several methods to obtain ferro-pyro-piezoelectric families of materials featuring the well-known ABO3 perovskite structure (or related such as BaTiO3, Ba1–xCaxTi1–yZryO3, (Bi0.5Na0.5TiO3, (K0.5Na0.5NbO3 and their solid solutions with different cations either in the A or B positions, are presented. For this kind of materials, the challenge for obtaining a single phase compound with a specific grain size and morphology and, most importantly, with the adequate stoichiometry, will also be discussed. The results reviewed herein will be discussed in terms of the tendency of working with softer conditions, i.e., lower temperature and shorter reaction times, also referred to as soft-chemistry.

  13. Inflammatory bowel disease and anxiety: links, risks, and challenges faced

    Directory of Open Access Journals (Sweden)

    Bannaga AS

    2015-03-01

    Full Text Available Ayman S Bannaga,1 Christian P Selinger2 1Department of Gastroenterology, Doncaster Royal Infirmary, Doncaster, UK; 2Department of Gastroenterology, St James University Hospital, Leeds, UK Abstract: Inflammatory bowel disease (IBD causes severe physical symptoms and is also associated with psychological comorbidities. Abnormal anxiety levels are found in up to 40% of patients with IBD. Anxiety symptoms are often related to flares of IBD but may persist in times of remission. Detection of anxiety disorder (AD in patients with IBD can be challenging. Patients with anxiety may also exhibit symptoms in keeping with functional gastrointestinal disorders (FGID. Evidence for the effectiveness of pharmacological and psychological therapies for anxiety stems from patients without IBD. Studies in patients with IBD have either been small or shown negative results. In light of this, a combined approach involving IBD physicians to improve disease control and psychologists or psychiatrists to treat anxiety is advised. This review examines the evidence of anxiety issues in IBD with a focus on extent of the problem, risk factors for anxiety, and the effectiveness of interventions. Keywords: inflammatory bowel disease, Crohn's disease, ulcerative colitis, anxiety

  14. Cyber Bullying: Challenges and Strategies Faced by Juvenile Police Officers

    Directory of Open Access Journals (Sweden)

    Ken Thaxter

    2010-01-01

    Full Text Available One of the challenges of teaching pre-teens about the internet is their varying degrees and levels of involvement. The juvenile police officer brings a solid understanding of the laws as well as a strong knowledge of safety issues to the classroom, making them an excellent educational resource. Officers can utilize an educational approach with parents and students in which they define what cyber bullying is and, importantly, demonstrate that definition by describing real cases that I and other officers have addressed. This approach focused both on the effect that cyber bullying has on the victims and the impact of the online behavior on the atmosphere and climate at the school. Students and parents also need to learn about the potential consequences for the perpetrator. Finally, an important method for bridging varying degrees of involvement in bullying is to emphasize that all students play a role in cyber bullying prevention-not merely those who perpetrate it or are victimized by it. That lesson is accomplished through discussions about strategies that bystanders can use to intervene."

  15. Representative Delay Measurements (RDM: Facing the Challenge of Modern Networks

    Directory of Open Access Journals (Sweden)

    Joachim Fabini

    2015-02-01

    Full Text Available Network access technologies have evolved significantly in the last years. They deploy novel mechanisms like reactive capacity allocation and time-slotted operation to optimize overall network capacity. From a single node's perspective, such optimizations decrease network determinism and measurement repeatability. Evolving application fields like machine to machine (M2M communications or real-time gaming often have strict real-time requirements to operate correctly. Highly accurate delay measurements are necessary to monitor network compliance with application demands or to detect deviations of normal network behavior, which may be caused by network failures, misconfigurations or attacks. This paper analyzes factors that challenge active delay measurements in modern networks. It introduces the Representative Delay Measurement tool (RDM that addresses these factors and proposes solutions that conform to requirements of the recently published RFC7312. Delay measurement results acquired using RDM in live networks confirm that advanced measurement methods can significantly improve the quality of measurement samples by isolating systematic network behavior. The resulting high-quality samples are one prerequisite for accurate statistics that support proper operation of subsequent algorithms and applications.

  16. Multiple pterygium syndrome: Challenge for anesthesiologist

    Directory of Open Access Journals (Sweden)

    P Sethi

    2016-01-01

    Full Text Available Multiple pterygium syndrome (MPS is a very rare autosomal recessive disorder characterized by flexion of joint and digit contractures, skin webbing, cleft palate, deformity of the spine, and cervical spine fusion. Difficult airway is associated mainly due to micrognathia, retrognathia, webbing of the neck, and limitation of the mouth opening and neck extension. We are reporting a case of a 5-year-old female diagnosed with MPS and exhibiting a bilateral club foot and congenital vertical talus. The patient was posted for manipulation and above the knee casting under general anesthesia.

  17. Challenges and Needs Faced by Female Combat Veterans.

    Science.gov (United States)

    Krajewski-Jaime, Elvia R; Whitehead, Markus; Kellman-Fritz, Jennifer

    This article presents findings of a study conducted to identify stressors that may contribute to mental health issues of military female veterans. Female members in the U.S. Armed Forces currently occupy more non-traditional roles; therefore deployment to combat zones, commonly reserved for males, is being taken on by females. While at the present time females serving in the military are not allowed to serve in combat occupations, the reality is that many are being placed in combat roles or environments. Consequently, many are now confronted with stressors related to combat and multiple deployments. This study was based on a descriptive, non-probability, snowball design. In cases where participants displayed a reluctance to share some information in front of counterparts who may have been at a higher or lower rank level; subsequent semi-structured, one-to-one interviews were conducted. The latter approach proved more effective in gathering important information, such as issues of military sexual trauma (MST) and issues of intimacy upon re-entering the home environment. This study was conducted before January 2013, when Defense Secretary Leon Panetta announced the lift of the ban on women serving in combat. Therefore, future studies will need to be conducted to discern how these stressors will affect them in their new role as active combatants.

  18. UK community health visiting: challenges faced during lean implementation

    Directory of Open Access Journals (Sweden)

    Carr SM

    2012-01-01

    Full Text Available Susan M Carr1,2, Pauline Pearson1, Lesley Young-Murphy3, Barbara Cleghorn41Centre for Community Health & Education Studies Research & Enterprise, Northumbria University, Newcastle upon Tyne, UK; 2School of Health, University of New England, Armidale, New South Wales, Australia; 3NHS North of Tyne, Newcastle upon Tyne, UK, 4Newcastle PCT, Newcastle upon Tyne, UKAbstract: This paper presents an overview of the challenges and potential of lean implementation for the health visiting service in England and examines the rhetoric and the reality of the situation. It is coauthored by academic researchers and senior service providers so as to embrace the multidimensional issues impacting on this subject. If lean thinking is to be implemented in relation to health visiting, it is important to understand how it is likely to be viewed by practitioners and line managers in settings where it is used. In order to contextualize the discussion, an introduction to the roles, systems, and structures of health visiting are provided. The literature on what lean implementation is, what it means, and in particular the application and potential of the approach to primary care and public health services is reviewed. The process and findings from a focus group convened within a large primary care organization in the National Health Service during their lean implementation is reported. The paper concludes that it is important for staff at all levels to see a clear link between strategic aims and objectives and the planning processes operated by providers and commissioners. It appears that the successful introduction of lean thinking should focus more on productive working and thereby reducing waste. This has the potential to refresh workforce models to ensure that health visiting and other practitioners liberate the use of their specialist knowledge and skills. In a context of enhanced partnership working, the stage is then set for providers to add value to the whole

  19. A face recognition algorithm based on multiple individual discriminative models

    DEFF Research Database (Denmark)

    Fagertun, Jens; Gomez, David Delgado; Ersbøll, Bjarne Kjær

    2005-01-01

    Abstract—In this paper, a novel algorithm for facial recognition is proposed. The technique combines the color texture and geometrical configuration provided by face images. Landmarks and pixel intensities are used by Principal Component Analysis and Fisher Linear Discriminant Analysis to associate...... facial image corresponds to a person in the database. Each projection is also able to visualizing the most discriminative facial features of the person associated to the projection. The performance of the proposed method is tested in two experiments. Results point out the proposed technique...... as an accurate and robust tool for facial identification and unknown detection....

  20. Face image analysis using a multiple features fitting strategy

    OpenAIRE

    Romdhani, Sami

    2005-01-01

    The main contribution of this thesis is a novel algorithm for fitting a Three-Dimensional Morphable Model of faces to a 2D input image. This fitting algorithm enables the estimation of the 3D shape, the texture, the 3D pose and the light direction from a single input image. Generally, the algorithms tackling the problem of 3D shape estimation from image data use only the pixels intensity as input to drive the estimation process. This was previously achieved using either a simple model, such as ...

  1. Romanian spatial planning research facing the challenges of globalizing sciences

    Directory of Open Access Journals (Sweden)

    Alexandru-Ionuţ Petrişor

    2018-03-01

    competitiveness, measured in terms of scientific yield and citations, primarily affects fields where articles and citations are not the traditional outputs, such as the humanities and social sciences in general and planning-related disciplines in particular. When discussing planning, it has to be stressed out that research has a merely societal value and is not aimed at developing products that can foster economic growth or delivering scientific articles that profoundly change the theoretical perspectives. Simply put, research in planning aims at increasing the safety and welfare of people. As a consequence, planning research topics have shifted from providing scientific grounds to regional development policies, to addressing research quality and social responsibility or producing research guidelines. This article looks at the particular case of Romanian planning research based on SCImago data, in an attempt to assess whether this field is able to meet these global challenges, especially after the consistent, albeit uneven, in terms of goal and pace, application of new research policies designed after joining the European Union, which were aimed at increasing its article output and its international visibility. The findings indicate that the numerical growth of articles and publications is spectacular in Romania for most fields, and even more so within the humanities, the social sciences and planning. However, the question remains whether this impressive growth is supported by an increase in quality. We have therefore left aside matters such as the globalization of authors, topics or citations. These aspects require a more in-depth research effort.

  2. Challenges facing primary care practices aiming to implement patient-centered medical homes.

    Science.gov (United States)

    Farmer, Melissa M; Rose, Danielle E; Rubenstein, Lisa V; Canelo, Ismelda A; Schectman, Gordon; Stark, Richard; Yano, Elizabeth M

    2014-07-01

    While the potential of patient-centered medical homes (PCMH) is promising, little is known empirically about the frontline challenges that primary care (PC) leaders face before making the decision to implement PCMH, let alone in making it a reality. Prior to the design and implementation of the Veterans Health Administration's (VA) national PCMH model--Patient Aligned Care Teams (PACT)--we identified the top challenges faced by PC directors and examined the organizational and area level factors that influenced those challenges. A national cross-sectional key informant organizational survey was fielded to the census of PC directors at VA medical centers and large community-based outpatient clinics (final sample n = 229 sites). PC directors were asked to rate the degree to which they faced 48 management challenges in eight PCMH-related domains (access, preventive care, chronic diseases requiring care in PC, challenging medical conditions, mental health/substance abuse, special populations, PC coordination of care, and clinical informatics). Responses were dichotomized as moderately-to-extremely challenging versus somewhat-slightly-not at all challenging. Items were rank ordered; chi square or regression techniques were used to examine variations in facility size, type, urban/rural location, and region. On average, VA PC directors reported 16 moderate-to-extreme challenges, and the top 20 challenges spanned all eight PCMH domains. Four of the top 20 challenges, including the top two challenges, were from the clinical informatics domain. Management of chronic non-malignant pain requiring opiate therapy was the third most reported challenge nationwide. Significant organizational and area level variations in reported challenges were found especially for care coordination. Better understanding of PC challenges ahead of PCMH implementation provides important context for strategic planning and redesign efforts. As a national healthcare system, the VA provides a unique

  3. Beauty is better pursued: effects of attractiveness in multiple-face tracking.

    Science.gov (United States)

    Liu, Chang Hong; Chen, Wenfeng

    2012-01-01

    Using the multiple-object tracking paradigm, this study examines how spontaneous appraisal for facial beauty affects distributed attention to multiple faces in dynamic displays. Observers tracked attractive faces more effectively than unattractive faces in this task. Tracking performance was only affected by target attractiveness, suggesting an absence of appraisal for distractor attractiveness. Attractive male faces also produced stronger binding of face identity and location for female participants. Together, the results suggest that facial attractiveness was appraised during tracking even though this was task irrelevant. Contrary to the theory that multiple-object tracking is driven by encapsulated low-level vision, our results show that the content of target representation is not only penetrable by social cognition but also modulates the course of tracking operations.

  4. Challenging Multiple-Choice Questions to Engage Critical Thinking

    Science.gov (United States)

    Kerkman, Dennis D.; Johnson, Andrew T.

    2014-01-01

    This article examines a technique for engaging critical thinking on multiple-choice exams. University students were encouraged to "challenge" the validity of any exam question they believed to be unfair (e.g., more than one equally correct answer, ambiguous wording, etc.). The number of valid challenges a student wrote was a better…

  5. Learning a sparse representation from multiple still images for on-line face recognition in an unconstrained environment

    NARCIS (Netherlands)

    Tangelder, Johan; Schouten, Ben

    2006-01-01

    In a real-world environment a face detector can be applied to extract multiple face images from multiple video streams without constraints on pose and illumination. The extracted face images will have varying image quality and resolution. Moreover, also the detected faces will not be precisely align

  6. Local basic food producer facing the challenge of working with multinational supermarket chains

    Directory of Open Access Journals (Sweden)

    Lóránt BUCS

    2015-12-01

    Full Text Available This article wants to outline the challenges faced by a local basic food producer in his battle to stay on the market. We will reveal the challenges he’s facing in his own production lines and also the way he has to adapt to the changing world of the multinational companies. We will present a short history of the founding and evolution of the company on the Romanian pastry food market pointing out the relevant events which have marked the company life during the years. We will also make a short review of the competition on the market of the pastry food products and we will present the marketing strategy and policies the company is using to be able to face the new challenges.

  7. Top 10 health care ethics challenges facing the public: views of Toronto bioethicists

    Directory of Open Access Journals (Sweden)

    Bell Jennifer

    2005-06-01

    Full Text Available Abstract Background There are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics. The panel was asked the question, what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process and consensus was reached after three rounds. Discussion The top challenge ranked by the group was disagreement between patients/families and health care professionals about treatment decisions. The second highest ranked challenge was waiting lists. The third ranked challenge was access to needed resources for the aged, chronically ill, and mentally ill. Summary Although many of the challenges listed by the panel have received significant public attention, there has been very little attention paid to the top ranked challenge. We propose several steps that can be taken to help address this key challenge.

  8. Challenges faced by dental undergraduates during clinical training: A qualitative study

    Directory of Open Access Journals (Sweden)

    Vaibhav Gupta

    2016-01-01

    Full Text Available Introduction: Dental health-care professionals are expected to provide a wide range of dental care contributing to the quality of their patient's day-to-day lives, for which they are trained clinically during undergraduate (UG course. Owing to scarcity of literature pertaining to challenges faced by dental UGs during their clinical training, research was conducted. Aim: The aim of this study was to assess challenges faced by dental UGs during the first patient encounter with patients in clinical posting. Materials and Methods: Four focused group discussions (FGDs were conducted among 34 dental UGs using an FGD guide to facilitate the discussion process. A phenomenological approach was used to explore the lived experience of UGs. The recorded data were transcribed, translated, anonymized, and coded using Qualitative Data Analysis Miner software. Results: UGs were facing challenges related to communication, professionalism, and ethics every other day while treating patients. FGD conducted was able to explore the challenges faced by UGs during clinical posting such as language barrier, optimum utilization of material, and uphold confidentiality. Conclusions: Improving current state of UGs by taking care of all the mentioned challenges will help them become professionals with good communication skills.

  9. AMPA workshop on challenges faced by investigators conducting Alzheimer's disease clinical trials.

    Science.gov (United States)

    Vellas, Bruno; Pesce, Alain; Robert, Philippe H; Aisen, Paul S; Ancoli-Israel, Sonia; Andrieu, Sandrine; Cedarbaum, Jesse; Dubois, Bruno; Siemers, Eric; Spire, Jean-Paul; Weiner, Michael W; May, Thomas S

    2011-07-01

    The recruitment and retention of patients are among the greatest challenges currently being faced by researchers who conduct Alzheimer's disease (AD) clinical trials. To discuss these challenges and other major issues associated with clinical research in AD, an international workshop was organized by the Association Monégasque pour la recherche sur la Maladie d'Alzheimer at Monte Carlo, Monaco, in February 2010, with the participation of leading research experts in the field of Alzheimer's. Key topics discussed were as follows: (1) the selection, recruitment, and retention of clinical trial subjects; (2) international co-operation among researchers; and (3) patient rights and informed consent for participants in clinical trials. This article highlights some of the challenges faced by investigators when conducting clinical trials in AD, and it also offers some recommendations aimed at overcoming these challenges.

  10. Challenges that face Kiswahili Usage in ICT in NEPAD Secondary Schools in Kenya

    Directory of Open Access Journals (Sweden)

    Jagero Juliet Akinyi

    2011-10-01

    Full Text Available Despite the various efforts to enable Kiswahili usage in Information and Communication Technologies (ICT, users of Kiswahili language in ICT have continued to face various challenges. This paper discusses the various challenges that face Kiswahili usage in ICT in two New Partnership for Africa’s Development (NEPAD sponsored schools in Kenya that use Microsoft software’s: Chavakali and Maranda Boy’s secondary schools. This study is guided by a model developed from a combination of two theories: Use and Gratification theory and Symbolic Interaction theory. Data from the two schools are analyzed using qualitative and quantitative analysis. The Data for this work came from 120 students selected through random sampling and 8 teachers of Kiswahili selected through saturated sampling technique. From the analysis of the responses from the study it is evident that Kiswahili usage in ICT is faced by various challenges. Major challenges included negative attitude towards Kiswahili language, difficult technological terms, limited number of those using Kiswahili in ICT, wrong usage of Kiswahili in ICT, English preference and limited research work written in Kiswahili in the internet. Others were limited Kiswahili programs, being forced to use correct Kiswahili, and Kiswahili not being accepted by English programs. The study notes that these challenges need to be addressed. Therefore, recommendations are made on how to overcome the challenges.

  11. Examining the Challenging Hindrances facing in the Construction Projects: South India’s Perspective

    Science.gov (United States)

    Subramanyam, K.; Haridharan, M. K.

    2017-07-01

    Developing countries like India require a huge infrastructure to facilitate needs of the people. Construction industry provides several opportunities to the individuals. Construction manager work is to supervise and organize the construction activities in construction projects. Now a day construction manager facing challenges. This paper aimed to study the challenges facing by the construction manager in the perception of construction professionals. 39 variables were taken from the literature review which found to be severe impact on construction managers’ performance. Construction manager, project manager and site engineers are the respondents for this survey. Using SPSS, regression analysis was done and recognized significant challenges. These challenges were classified into 5 domains. In management challenges, resource availability and allocation, risks and uncertainties existing in the project onsite, top management support and cost constraints are the most significant variables. In skills requirement of a construction manager challenges, technical skills required to learn and adapt new technology in the project, decision making and planning according to the situation in site are the most significant variables. In performance challenges, implementation of tasks according to the plan is the important variable whereas in onsite challenges, manage project risks, develop project policies and procedures are the most important.

  12. Ethical challenges facing veterinary professionals in Ireland: results from Policy Delphi with vignette methodology.

    Science.gov (United States)

    Magalhães-Sant'Ana, M; More, S J; Morton, D B; Hanlon, A

    2016-10-29

    Ethics is key to the integrity of the veterinary profession. Despite its importance, there is a lack of applied research on the range of ethical challenges faced by veterinarians. A three round Policy Delphi with vignette methodology was used to record the diversity of views on ethical challenges faced by veterinary professionals in Ireland. Forty experts, comprising veterinary practitioners, inspectors and nurses, accepted to participate. In round 1, twenty vignettes describing a variety of ethically challenging veterinary scenarios were ranked in terms of ethical acceptability, reputational risk and perceived standards of practice. Round 2 aimed at characterising challenges where future policy development or professional guidance was deemed to be needed. In round 3, possible solutions to key challenges were explored. Results suggest that current rules and regulations are insufficient to ensure best veterinary practices and that a collective approach is needed to harness workable solutions for the identified ethical challenges. Challenges pertaining mostly to the food chain seem to require enforcement measures whereas softer measures that promote professional discretion were preferred to address challenges dealing with veterinary clinical services. These findings can support veterinary representative bodies, advisory committees and regulatory authorities in their decision making, policy and regulation. British Veterinary Association.

  13. Challenges Faced by Teachers Implementing Socio-Scientific Issues as Core Elements in Their Classroom Practices

    Science.gov (United States)

    Bossér, Ulrika; Lundin, Mattias; Lindahl, Mats; Linder, Cedric

    2015-01-01

    Teachers may face considerable challenges when implementing socio-scientific issues (SSI) in their classroom practices, such as incorporating student-centred teaching practices and exploring knowledge and values in the context of socioscientific issues. This year-long study explores teachers' reflections on the process of developing their…

  14. "Accounting Education at a Crossroad in 2010" and "Challenges Facing Accounting Education in Australia"

    Science.gov (United States)

    de Lange, Paul; Watty, Kim

    2011-01-01

    Of the various reports released in 2010, two purport to examine the state of accounting education in Australia. These are "Accounting Education at a Crossroad in 2010" and "Challenges Facing Accounting Education in Australia". Both were released as collaborations of the leading academic organisation, the Accounting and Finance…

  15. Quality Assurance Challenges and Opportunities Faced by Private Universities in Zimbabwe

    Science.gov (United States)

    Garwe, Evelyn Chiyevo

    2014-01-01

    The study sought to provide an understanding of the quality assurance challenges and opportunities faced by private universities in Zimbabwe. The study analyzed the factors determining provision of quality higher education in private universities and the resultant effects of failing to achieve the minimum acceptable standards. The author employed…

  16. Oral Academic Discourse Socialisation: Challenges Faced by International Undergraduate Students in a Malaysian Public University

    Science.gov (United States)

    Mahfoodh, Omer Hassan Ali

    2014-01-01

    This paper reports a qualitative study which examines the challenges faced by six international undergraduate students in their socialisation of oral academic discourse in a Malaysian public university. Data were collected employing interviews. Students' presentations were also collected. Semi-structured interviews were transcribed verbatim and…

  17. Challenges Facing Women Academic Leadership in Secondary Schools of Irbid Educational Area

    Science.gov (United States)

    Al-Jaradat, Mahmoud Khaled Mohammad

    2014-01-01

    This study aimed at identifying the challenges facing women academic leadership in secondary schools of Irbid Educational Area. A random sample of 187 female leaders were chosen. They responded to a 49-item questionnaire prepared by the researcher. The items were distributed into four domains: organizational, personal, social and physical…

  18. New Challenges Facing Universities in the Internet-Driven Global Environment

    Science.gov (United States)

    Rajasingham, Lalita

    2011-01-01

    This paper explores some new challenges facing universities in a global multimediated Internet-based environment, as they seek alternative paradigms and options to remain true to their core business. At a time of rapid technological change, and contested, complex concepts associated with globalisation, knowledge is becoming a primary factor of…

  19. "Accounting Education at a Crossroad in 2010" and "Challenges Facing Accounting Education in Australia"

    Science.gov (United States)

    de Lange, Paul; Watty, Kim

    2011-01-01

    Of the various reports released in 2010, two purport to examine the state of accounting education in Australia. These are "Accounting Education at a Crossroad in 2010" and "Challenges Facing Accounting Education in Australia". Both were released as collaborations of the leading academic organisation, the Accounting and Finance…

  20. Challenges Facing the 2007-08 California State Budget. Commission Report 06-16

    Science.gov (United States)

    California Postsecondary Education Commission, 2006

    2006-01-01

    This report discusses the State of California's fiscal condition and guides the reader through numerous factors that will influence State spending on higher education in the coming fiscal year. It also offers insight and observations on challenging policy decisions the Governor, the Legislature, and higher education leaders face in the coming…

  1. [Brazilian Army nurses and transportation of the wounded: a challenge faced during World War II].

    Science.gov (United States)

    Bernardes, Margarida Maria Rocha; Lopes, Gertrudes Teixeira

    2007-01-01

    This historic-sociologic study aims to analyse the challenges faced by the Brazilian Expeditionary Force's Air Transportation Nurses of the Army with the Theatre of Operations on the course of World War II. The primary source was comprised of a photograph from this time period and oral testimonies of those who participated in the conflict. Ideas by sociologist Pierre Bourdieu support the discussion. Results suggest that Brazilian nurses were challenged to transport the wounded without medical advice. We conclude that the challenge to fulfill the task imposed, which led to independent decision-making, gave confidence and autonomy to the ones already responsible for the transportation of the wounded.

  2. Poverty and the Multiple Stakeholder Challenge for Global Leaders

    Science.gov (United States)

    Reade, Carol; Todd, Anne Marie; Osland, Asbjorn; Osland, Joyce

    2008-01-01

    The article presents a case study in which business leaders deal with challenging problems related to poverty, involving multiple stakeholders. This emphasizes the importance of training prospective global leaders to manage stakeholder relationships and engage in stakeholder dialogue. The authors highlight the stakeholder role played by…

  3. Challenges faced by caregivers of children on antiretroviral therapy at Mutale Municipality selected healthcare facilities, Vhembe District, Limpopo Province

    National Research Council Canada - National Science Library

    Rhudzani V Mafune; Rachel T Lebese; Livhuwani H Nemathaga

    2017-01-01

    ...), which might pose any number of challenges. Purpose: The purpose of this study was to explore and describe the challenges faced by caregivers of children on ART at Mutale Municipality, Vhembe District, Limpopo Province...

  4. From print to screen: changes and challenges facing the Brazilian publishing industry

    Directory of Open Access Journals (Sweden)

    Marco Aurélio de Souza Rodrigues

    2014-09-01

    Full Text Available The publishing industry is at a turning point. Facing the first major disruptive innovation in five centuries, its long-established structure and business model are at stake. Building on literature based on the pitfalls for incumbents, we interviewed key executives from the major publishers in Brazil to understand their perspective. We find that not only are they facing those pitfalls, but we also propose a new one, The Industry View Trap, concerning challenges created by convergence, the difficulty to deal with changes in the ecosystem and the fact that the very definition of the industry you're part of might have changed.

  5. Challenges and Specifications for Robust Face and Gait Recognition Systems for Surveillance Application

    Directory of Open Access Journals (Sweden)

    BUCIU Ioan

    2014-05-01

    Full Text Available Automated person recognition (APR based on biometric signals addresses the process of automatically recognize a person according to his physiological traits (face, voice, iris, fingerprint, ear shape, body odor, electroencephalogram – EEG, electrocardiogram, or hand geometry, or behavioural patterns (gait, signature, hand-grip, lip movement. The paper aims at briefly presenting the current challenges for two specific non-cooperative biometric approaches, namely face and gait biometrics as well as approaches that consider combination of the two in the attempt of a more robust system for accurate APR, in the context of surveillance application. Open problems from both sides are also pointed out.

  6. Challenges facing procurement professionals in developing economies: Unlocking value through professional international purchasing

    Directory of Open Access Journals (Sweden)

    Marian Tukuta

    2015-02-01

    Full Text Available Background: Until recently, procurement was seen as a necessity only. In fact, in many developing economies the profession is still being treated as a ‘back-office’ function. However, not much has been done to explore and address challenges facing procurement professionals in developing economies.Objectives: The purpose of this article was to examine the critical role played by the procurement function in business and to reveal the challenges faced by procurement professionals in developing economies as well as to suggest solutions to these challenges.Method: A sequential literary analysis was used, complemented by cross-country qualitative data gathered from one hundred diverse procurement practitioners from Botswana, Namibia and Zimbabwe. These were primarily participants in a series of procurement workshops run by the researchers from January to June 2014.Results: Findings suggested that limited recognition, increasing unethical behaviour, poor supplier service delivery, poor regulatory environment, varying supplier standards and poor corporate governance are the main challenges faced by the procurement profession in these countries.Conclusion: The study’s findings imply that there is limited understanding regarding the role procurement plays in both government and non-government institutions in developing economies. The article suggests solutions which procurement professionals and organisations can implement in order to unlock the potential value in the procurement function.

  7. Challenges faced by parents of children with learning disabilities in Opuwo, Namibia

    Directory of Open Access Journals (Sweden)

    Clever Taderera

    2017-01-01

    Full Text Available Background: Parenting children with learning disabilities requires a high level of knowledge and access to resources, information and services. In developing countries, however, these resources and services are not always available. Parents in Namibia, a developing country, therefore face challenges addressing children’s learning and other developmental disabilities, including challenges related to preventative and supportive interventions.Objective: This research focuses on challenges faced by parents as they parent children with learning disabilities in Opuwo, Namibia.Method: In-depth interviews were conducted with eight parents regarding the challenges they face in parenting their children with learning disabilities. Thematic analysis enabled the researchers to identify, analyse and report on themes that emerged from the qualitative interview data.Results: Analysis of the interviews indicated that some participants had only a vague understanding of learning disabilities, as they did not have access to essential knowledge about this phenomenon. They also lacked an awareness of the availability of programmes, services and policies meant to benefit their children with learning disabilities. Participants voiced that they, their children with learning disabilities and community members have stereotypes and prejudices regarding learning disabilities. In this study, most of the children with learning disabilities were raised by single, unemployed parents who seemed to have access to less support from external sources than married couples parenting children with learning disabilities. These single parents are usually not married and because of lack of financial support from the other parent, the majority of them indicated that they struggle to meet the financial and material needs of their children.Conclusion: The researchers concluded that the participants in this study experience a range of challenges in parenting their children with learning

  8. But I Don't Understand You: One Faculty's Observations of the Challenges Facing International Healthcare Students

    Science.gov (United States)

    DuBose, Cheryl O.

    2017-01-01

    International students face many challenges when pursuing a degree in higher education. Communication and cultural differences are typically cited as the most challenging aspects of any study abroad program. Students attempting to complete a healthcare program face sometimes insurmountable issues, as communication, cultural differences, and…

  9. Addressing mental health challenges facing the "Next America": A call for culture change.

    Science.gov (United States)

    McLeigh, Jill D; Melton, Gary B

    2015-09-01

    Provides an editorial addressing future mental health challenges. The articles in this issue highlight the need to create environments conducive to promoting the well-being of future generations. The articles build on symposia held by the American Orthopsychiatric Association in 2015, which focused on the effects on well-being of changing sociodemographics and labor market trends. Included in these pages are articles that lay out some of the challenges young people today face and strategies for helping them transition to adulthood successfully. (c) 2015 APA, all rights reserved).

  10. Facing Challenges in Differential Classical Conditioning Research: Benefits of a Hybrid Design for Simultaneous Electrodermal and Electroencephalographic Recording.

    Science.gov (United States)

    Pastor, M Carmen; Rehbein, Maimu Alissa; Junghöfer, Markus; Poy, Rosario; López, Raul; Moltó, Javier

    2015-01-01

    Several challenges make it difficult to simultaneously investigate central and autonomous nervous system correlates of conditioned stimulus (CS) processing in classical conditioning paradigms. Such challenges include, for example, the discrepant requirements of electroencephalography (EEG) and electrodermal activity (EDA) recordings with regard to multiple repetitions of conditions and sufficient trial duration. Here, we propose a MultiCS conditioning set-up, in which we increased the number of CSs, decreased the number of learning trials, and used trials of short and long durations for meeting requirements of simultaneous EEG-EDA recording in a differential aversive conditioning task. Forty-eight participants underwent MultiCS conditioning, in which four neutral faces (CS+) were paired four times each with aversive electric stimulation (unconditioned stimulus) during acquisition, while four different neutral faces (CS-) remained unpaired. When comparing after relative to before learning measurements, EEG revealed an enhanced centro-posterior positivity to CS+ vs. CS- during 368-600 ms, and subjective ratings indicated CS+ to be less pleasant and more arousing than CS-. Furthermore, changes in CS valence and arousal were strong enough to bias subjective ratings when faces of CS+/CS- identity were displayed with different emotional expression (happy, angry) in a post-experimental behavioral task. In contrast to a persistent neural and evaluative CS+/CS- differentiation that sustained multiple unreinforced CS presentations, electrodermal differentiation was rapidly extinguished. Current results suggest that MultiCS conditioning provides a promising paradigm for investigating pre-post-learning changes under minimal influences of extinction and overlearning of simple stimulus features. Our data also revealed methodological pitfalls, such as the possibility of occurring artifacts when combining different acquisition systems for central and peripheral

  11. Federal Government Funding Reforms: Issues and Challenges Facing Malaysian Public Universities

    OpenAIRE

    Abd Rahman Ahmad; Alan Farley

    2013-01-01

    The purpose of this paper is to explore the shift in funding reforms currently facing at Malaysian public universities focusing on issues and challenges experienced by the Focused Universities in particular. Previous research has shown that shifts in funding mechanisms to public universities are more likely to result in behavioural changes at such institutions. Under the National Higher Education Strategic Plan beyond 2020, the Federal Government has launched a strategic plan of government ob...

  12. Sustainable agriculture: a review of challenges facing the South African agricultural sector

    OpenAIRE

    Middelberg, S.L.

    2013-01-01

    This review paper considers the various challenges facing the South African agricultural sector against the background that agricultural sectors globally are pressurised to provide food security for the estimated nine billion people in 2050, while simultaneously addressing climate change. The use of agricultural land to produce crops for the production of biofuels and the impact of land redistribution in South Africa on food security are contemplated. It is recommended that the So...

  13. Challenging Multiple-Choice Questions to Engage Critical Thinking

    Directory of Open Access Journals (Sweden)

    Dennis D. Kerkman, PhD

    2014-08-01

    Full Text Available This article examines a technique for engaging critical thinking on multiple-choice exams. University students were encouraged to “challenge” the validity of any exam question they believed to be unfair (e.g., more than one equally correct answer, ambiguous wording, etc.. The number of valid challenges a student wrote was a better predictor of exam scores than the number of invalid challenges or GPA. The technique also allows instructors to gain insight into the sources of students’ errors that may be useful in improving instruction.

  14. The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Abdulaziz F Alkabba

    2012-01-01

    Full Text Available Background: Despite the relatively high expenditure on healthcare in Saudi Arabia, its health system remains highly centralized in the main cities with its primary focus on secondary and tertiary care rather than primary care. This has led to numerous ethical challenges for the healthcare providers. This article reports the results of a study conducted with a panel of practitioners, and non-clinicians, in Saudi Arabia, in order to identify the top ten ethical challenges for healthcare providers, patients, and their families. Materials and Methods: The study design was a cross-sectional, descriptive, and qualitative one. The participants were asked the question: "What top ten ethical challenges are Saudis likely to face in health care?" The participants were asked to rank the top ten ethical challenges throughout a modified Delphi process, using a ranking Scale. A consensus was reached after three rounds of questions and an experts′ meeting. Results: The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1 Patients′ Rights, (2 Equity of resources, (3 Confidentiality of the patients, (4 Patient Safety, (5 Conflict of Interests, (6 Ethics of privatization, (7 Informed Consent, (8 Dealing with the opposite sex, (9 Beginning and end of life, and (10 Healthcare team ethics. Conclusion: Although many of the challenges listed by the participants have received significant public and specialized attention worldwide, scant attention has been paid to these top challenges in Saudi Arabia. We propose several possible steps to help address these key challenges.

  15. Multiple Religious Belonging: Hermeneutical Challenges for Theology of Religions

    Directory of Open Access Journals (Sweden)

    Oostveen Daan F.

    2017-01-01

    Full Text Available The phenomenon of multiple religious belonging is studied from different perspectives, each of which reveals a different understanding of religion, religious diversity and religious belonging. This shows that the phenomenon of multiple religious belonging is challenging the applicability of these central notions in academic enquiry about religion. In this article, I present the different perspectives on multiple religious belonging in theology of religions and show how the understanding of some central scholarly notions is different. In Christian theology, the debate on multiple religious belonging is conducted between particularists, who focus on the uniqueness of religious traditions, and pluralists, who focus on the shared religious core of religious traditions. Both positions are criticized by feminist and post-colonial theologians. They believe that both particularists and pluralists focus too strongly on religious traditions and the boundaries between them. I argue that the hermeneutic study of multiple religious belonging could benefit from a more open understanding of religious traditions and religious boundaries, as proposed by these feminist and post-colonial scholars. In order to achieve this goal we could also benefit from a more intercultural approach to multiple religious belonging in order to understand religious belonging in a nonexclusive way.

  16. Applying the Rasch Model to Measure Acculturation Challenges Faced by Saudi Female Students in the United States

    Science.gov (United States)

    Hakami, Samah Mohammed

    2012-01-01

    The purpose of this study was to explore the major acculturation challenges faced by Saudi female students who study in the U.S. and to develop a scale to measure potential acculturation challenges. The construction of the scale was based on a table of specification that included nine domains of possible acculturation challenges: (a)…

  17. MIGRATION AND VULNERABILITY: CHALLENGES, IMPLICATIONS AND DIFFICULTIES FACED BY THE SAHRAWI MIGRANT POPULATION

    Directory of Open Access Journals (Sweden)

    María López Belloso

    2016-12-01

    Full Text Available This article analyses transnational communities through the case study of the Sahrawi migrant community in Spain. After reviewing the most important theoretical contributions on transnational migration and determining the characteristics of these communities, this article will examine potential difficulties that derive from regulations and from the process of acquiring citizenship, which in turn affect the inclusion of this group of migrants within the host society. The article studies whether these regulations and processes may become determinants of this group’s vulnerability, and provides the main conclusions deriving from the challenges that this community faces.

  18. Multiple identities in social perception and interaction: challenges and opportunities.

    Science.gov (United States)

    Kang, Sonia K; Bodenhausen, Galen V

    2015-01-03

    Categorization plays a fundamental role in organizing daily interactions with the social world. However, there is increasing recognition that social categorization is often complex, both because category membership can be ambiguous (e.g., multiracial or transgender identities) and because different categorical identities (e.g., race and gender) may interact to determine the meaning of category membership. These complex identities simultaneously impact social perceivers' impressions and social targets' own experiences of identity, thereby shaping perceptions, experiences, and interactions in fundamental ways. This review examines recent research on the perception and experience of the complex, multifaceted identities that both complicate and enrich our lives. Although research has historically tended to focus more on difficulties and challenges associated with multiple identities, increasing attention is being paid to opportunities that emerge from the possession of identities that include multiple distinct or overlapping groups. We consider how these opportunities might benefit both perceivers and targets.

  19. APPLICATION OF BINARY DESCRIPTORS TO MULTIPLE FACE TRACKING IN VIDEO SURVEILLANCE SYSTEMS

    Directory of Open Access Journals (Sweden)

    A. L. Oleinik

    2016-07-01

    Full Text Available Subject of Research. The paper deals with the problem of multiple face tracking in a video stream. The primary application of the implemented tracking system is the automatic video surveillance. The particular operating conditions of surveillance cameras are taken into account in order to increase the efficiency of the system in comparison to existing general-purpose analogs. Method. The developed system is comprised of two subsystems: detector and tracker. The tracking subsystem does not depend on the detector, and thus various face detection methods can be used. Furthermore, only a small portion of frames is processed by the detector in this structure, substantially improving the operation rate. The tracking algorithm is based on BRIEF binary descriptors that are computed very efficiently on modern processor architectures. Main Results. The system is implemented in C++ and the experiments on the processing rate and quality evaluation are carried out. MOTA and MOTP metrics are used for tracking quality measurement. The experiments demonstrated the four-fold processing rate gain in comparison to the baseline implementation that processes every video frame with the detector. The tracking quality is on the adequate level when compared to the baseline. Practical Relevance. The developed system can be used with various face detectors (including slow ones to create a fully functional high-speed multiple face tracking solution. The algorithm is easy to implement and optimize, so it may be applied not only in full-scale video surveillance systems, but also in embedded solutions integrated directly into cameras.

  20. Nanomaterials for Polymer Electrolyte Membrane Fuel Cells; Materials Challenges Facing Electrical Energy Storate

    Energy Technology Data Exchange (ETDEWEB)

    Gopal Rao, MRS Web-Editor; Yury Gogotsi, Drexel University; Karen Swider-Lyons, Naval Research Laboratory

    2010-08-05

    Symposium T: Nanomaterials for Polymer Electrolyte Membrane Fuel Cells Polymer electrolyte membrane (PEM) fuel cells are under intense investigation worldwide for applications ranging from transportation to portable power. The purpose of this seminar is to focus on the nanomaterials and nanostructures inherent to polymer fuel cells. Symposium topics will range from high-activity cathode and anode catalysts, to theory and new analytical methods. Symposium U: Materials Challenges Facing Electrical Energy Storage Electricity, which can be generated in a variety of ways, offers a great potential for meeting future energy demands as a clean and efficient energy source. However, the use of electricity generated from renewable sources, such as wind or sunlight, requires efficient electrical energy storage. This symposium will cover the latest material developments for batteries, advanced capacitors, and related technologies, with a focus on new or emerging materials science challenges.

  1. Facing new safety-challenges in a large particle accelerator experiment at CERN

    CERN Document Server

    Schmidt, Reiner

    1999-01-01

    An upgraded safety concept for CMS has been adapted to the size of the project and its organisational challenges under today's budgetary constraints, as well as to the increasing levels of risk. Strong magnetic fields and high radiation levels, including neutrons, pose additional hazards to materials, to operators, to maintenance and to ultimate deposit of activated materials. CMS also fits the insurer's risk-description for modern facilities, i.e. characterised by "higher energy density, more combustible materials and unattended operation". The regulatory environment, consisting essentially of CERN's autonomous regulations as well as of those of its host countries, also need to be satisfied with much attention. To face this challenge, seven distinct safety management tools have been identified, which are described in some detail, namely clear safety objectives, documented safety requirements, open items list, safety ( and design)reviews, safety risk analysis, enforcement of compliance and quality management....

  2. OPPORTUNITIES AND CHALLENGES FOR MICRO-SMALL AND MEDIUM BUSINESS IN INDONESIA FACING ASEAN ECONOMIC COMMUNITY

    Directory of Open Access Journals (Sweden)

    Raden Aswin Rahadi

    2016-03-01

    Full Text Available This research is a part of a continuous study to analyze the opportunities and challenges for micro-small and medium business in Indonesia when facing ASEAN Economic Community (AEC in 2016. It has its own uniqueness, as it will combine the point of view between current business owners and current literature study synthesis on business perception towards AEC. Ten business owners have been interviewed. The results suggested AEC provides challenges for the business owners, particularly in terms of capital; competitiveness; sales system; innovation; finance, bureaucracy; and government preparedness. AEC also provides opportunities, in terms of market potential; creativity; export opportunities; business owners’ resistances and sustainability; and knowledge of local market. From all of the keywords mentioned by the respondents, there are four main attributes considered as important: human resources; creativities; market share; and capital. Finally, most of the respondents suggested that AEC will bring more positive influences for the development of micro-small and medium business in Indonesia.

  3. Multiple scales combined principle component analysis deep learning network for face recognition

    Science.gov (United States)

    Tian, Lei; Fan, Chunxiao; Ming, Yue

    2016-03-01

    It is well known that higher level features can represent the abstract semantics of original data. We propose a multiple scales combined deep learning network to learn a set of high-level feature representations through each stage of convolutional neural network for face recognition, which is named as multiscaled principle component analysis (PCA) Network (MS-PCANet). There are two main differences between our model and the traditional deep learning network. On the one hand, we get the prefixed filter kernels by learning the principal component of images' patches using PCA, nonlinearly process the convolutional results by using simple binary hashing, and pool them using spatial pyramid pooling method. On the other hand, in our model, the output features of several stages are fed to the classifier. The purpose of combining feature representations from multiple stages is to provide multiscaled features to the classifier, since the features in the latter stage are more global and invariant than those in the early stage. Therefore, our MS-PCANet feature compactly encodes both holistic abstract information and local specific information. Extensive experimental results show our MS-PCANet model can efficiently extract high-level feature presentations and outperform state-of-the-art face/expression recognition methods on multiple modalities benchmark face-related datasets.

  4. Challenges Faced in Engaging American Indian Mothers in an Early Childhood Caries Preventive Trial.

    Science.gov (United States)

    Tiwari, Tamanna; Albino, Judith; Batliner, Terrence S

    2015-01-01

    Objective. This study explores the challenges faced by the research implementation team in engaging new mothers in a community oral health prevention intervention in an American Indian (AI) reservation community. Methods. Qualitative methods in the form of in-depth interviews were used in the study. Qualitative data were collected from research staff workers at a field site, who were involved in the implementation of a culturally tailored, randomized controlled trial of a behavioral intervention utilizing Motivational Interviewing (MI). Results. Several challenges were described by the field staff in engaging new mothers, including low priority placed on oral health, lack of knowledge, and distractions that reduced their ability to engage in learning about oral health of their child. Other difficulties faced in engaging the mothers and the AI community at large were distrust related to racial differences and physical and environmental barriers including poor road conditions, lack of transportation and communication, and remoteness of data collection sites. The field staff developed and applied many strategies, including conducting home visits, applying new communication strategies, and interacting with the community at various venues. Conclusion. Prevention interventions for ECC need to target AI mothers. Strategies developed by the field staff were successful for engaging mothers in the study.

  5. Physiotherapy in the management of non-communicable diseases: facing the challenge

    Directory of Open Access Journals (Sweden)

    J. M. Frantz

    2005-02-01

    Full Text Available There is mounting evidence of the rising incidence and prevalence of non-communicable diseases in developing countries. Governments are facing serious challenges in health care due to the rising trends in non-communicable diseases as a result of demographic and epidemiological changes, as well as economic globalization. Cardiovascular disease, cancers, diabetes, respiratory disease, obesity andother non-communicable conditions now account for 59 percent of the 56.5 million global deaths annually, and almost half, or 46 percent, of the global burden of disease. It is estimated that by 2020, non-communicable diseases will account for 60% of the global burden of disease. The burden of non-communicable diseases in sub-Saharan Africa is already substantial, and patients with these conditions make significant demands on health resources. How do these changes affect physiotherapists? This paper aims to highlight the need for physiotherapists to shift their focus from curative to preventive care in order to face the challenge of non-communicable diseases.

  6. Indigenous mothers face more than three delays: The challenges of multiculturalism in health

    Directory of Open Access Journals (Sweden)

    Roosta-G., Manigeh

    2015-08-01

    Full Text Available Although the maternal mortality ratio has descended in Bolivia from 416 (1989 to 229 deaths (DHS 2003 per one hundred thousand live births, it is one of the highest in the region. As a national average, the ratio conceals the rural-urban, socio-economics differences and the reality of the indigenous population. Maternal mortality is one of the major challenges at national level. Reduction of maternal mortality, in addition of technical-medical measures offering health services, requires to focus on socio-cultural aspects that hamper the access to health services. This article examines challenges faced by indigenous mothers accessing the health services. In addition to the geographic, economic and administrative barriers that generate delays in access to the health services, there are others that are presented in the context of multiculturalism resulting from discriminatory attitudes exercised in health centers. The testimonies of indigenous mothers show delays faced in health centers because of prejudice and discrimination suffered, threatening the lives of mothers and their babies. The study also suggests the need to deepen the concept of multiculturalism as a successful strategy in health, in order to promote equity and social justice on the horizon of more inclusive societies.

  7. When health systems are barriers to health care: challenges faced by uninsured Mexican kidney patients.

    Science.gov (United States)

    Kierans, Ciara; Padilla-Altamira, Cesar; Garcia-Garcia, Guillermo; Ibarra-Hernandez, Margarita; Mercado, Francisco J

    2013-01-01

    Chronic Kidney Disease disproportionately affects the poor in Low and Middle Income Countries (LMICs). Mexico exemplifies the difficulties faced in supporting Renal Replacement Therapy (RRT) and providing equitable patient care, despite recent attempts at health reform. The objective of this study is to document the challenges faced by uninsured, poor Mexican families when attempting to access RRT. The article takes an ethnographic approach, using interviewing and observation to generate detailed accounts of the problems that accompany attempts to secure care. The study, based in the state of Jalisco, comprised interviews with patients, their caregivers, health and social care professionals, among others. Observations were carried out in both clinical and social settings. In the absence of organised health information and stable pathways to renal care, patients and their families work extraordinarily hard and at great expense to secure care in a mixed public-private healthcare system. As part of this work, they must navigate challenging health and social care environments, negotiate treatments and costs, resource and finance healthcare and manage a wide range of formal and informal health information. Examining commonalities across pathways to adequate healthcare reveals major failings in the Mexican system. These systemic problems serve to reproduce and deepen health inequalities. A system, in which the costs of renal care are disproportionately borne by those who can least afford them, faces major difficulties around the sustainability and resourcing of RRTs. Attempts to increase access to renal therapies, therefore, need to take into account the complex social and economic demands this places on those who need access most. This paper further shows that ethnographic studies of the concrete ways in which healthcare is accessed in practice provide important insights into the plight of CKD patients and so constitute an important source of evidence in that effort.

  8. When health systems are barriers to health care: challenges faced by uninsured Mexican kidney patients.

    Directory of Open Access Journals (Sweden)

    Ciara Kierans

    Full Text Available BACKGROUND: Chronic Kidney Disease disproportionately affects the poor in Low and Middle Income Countries (LMICs. Mexico exemplifies the difficulties faced in supporting Renal Replacement Therapy (RRT and providing equitable patient care, despite recent attempts at health reform. The objective of this study is to document the challenges faced by uninsured, poor Mexican families when attempting to access RRT. METHODS: The article takes an ethnographic approach, using interviewing and observation to generate detailed accounts of the problems that accompany attempts to secure care. The study, based in the state of Jalisco, comprised interviews with patients, their caregivers, health and social care professionals, among others. Observations were carried out in both clinical and social settings. RESULTS: In the absence of organised health information and stable pathways to renal care, patients and their families work extraordinarily hard and at great expense to secure care in a mixed public-private healthcare system. As part of this work, they must navigate challenging health and social care environments, negotiate treatments and costs, resource and finance healthcare and manage a wide range of formal and informal health information. CONCLUSIONS: Examining commonalities across pathways to adequate healthcare reveals major failings in the Mexican system. These systemic problems serve to reproduce and deepen health inequalities. A system, in which the costs of renal care are disproportionately borne by those who can least afford them, faces major difficulties around the sustainability and resourcing of RRTs. Attempts to increase access to renal therapies, therefore, need to take into account the complex social and economic demands this places on those who need access most. This paper further shows that ethnographic studies of the concrete ways in which healthcare is accessed in practice provide important insights into the plight of CKD patients and so

  9. Multiple endocrine neoplasia type 2: achievements and current challenges

    Directory of Open Access Journals (Sweden)

    Andreas Machens

    2012-01-01

    Full Text Available Incremental advances in medical technology, such as the development of sensitive hormonal assays for routine clinical care, are the drivers of medical progress. This principle is exemplified by the creation of the concept of multiple endocrine neoplasia type 2, encompassing medullary thyroid cancer, pheochromocytoma, and primary hyperparathyroidism, which did not emerge before the early 1960s. This review sets out to highlight key achievements, such as joint biochemical and DNA-based screening of individuals at risk of developing multiple endocrine neoplasia type 2, before casting a spotlight on current challenges which include: (i ill-defined upper limits of calcitonin assays for infants and young children, rendering it difficult to implement the biochemical part of the integrated DNA-based/biochemical concept; (ii our increasingly mobile society in which different service providers are caring for one individual at various stages in the disease process. With familial relationships disintegrating as a result of geographic dispersion, information about the history of the origin family may become sketchy or just unavailable. This is when DNA-based gene tests come into play, confirming or excluding an individual's genetic predisposition to multiple endocrine neoplasia type 2 even before there is any biochemical or clinical evidence of the disease. However, the unrivaled molecular genetic progress in multiple endocrine neoplasia type 2 does not come without a price. Screening may uncover unknown gene sequence variants representing either harmless polymorphisms or pathogenic mutations. In this setting, functional characterization of mutant cells in vitro may generate helpful ancillary evidence with regard to the pathogenicity of gene variants in comparison with established mutations.

  10. The protective role of ethnic identity for urban adolescent males facing multiple stressors.

    Science.gov (United States)

    Williams, Joanna L; Aiyer, Sophie M; Durkee, Myles I; Tolan, Patrick H

    2014-10-01

    Having a connection to one's ethnic heritage is considered a protective factor in the face of discrimination; however, it is unclear whether the protective effects are persistent across multiple stressors. Furthermore, the dimensions of ethnic identity that reflect group pride/connection (affirmation) and exploration of the meaning of group membership (achievement) may operate differently in the face of stress. The present study examined the moderating role of ethnic identity affirmation and achievement on concurrent and longitudinal relationships between exposure to stress (discrimination, family hardship, exposure to violence) and antisocial behavior in a sample of 256 Black and Latino male youth (70% Black) living in low-income urban neighborhoods. Using regression analysis, concurrent associations were examined at age 18, and longitudinal associations were tested 18 months later. We found that, among youth experiencing discrimination, high levels of achievement and low levels of affirmation predicted greater aggressive behavior and delinquency. Low affirmation also predicted more criminal offending in the face of discrimination. The two dimensions operated similarly in the context of family stress, in which case high levels of affirmation and achievement predicted lower levels of antisocial behavior. The findings suggest a differential role of the two dimensions of ethnic identity with respect to discrimination; furthermore, the coping skills that may be promoted as youth make meaning of their ethnic group membership may serve as cultural assets in the face of family stress.

  11. Challenges and Opportunities Faced by Biofield Practitioners in Global Health and Medicine: A White Paper.

    Science.gov (United States)

    Guarneri, Erminia; King, Rauni Prittinen

    2015-11-01

    Biofield therapies (BTs) are increasingly employed in contemporary healthcare. In this white paper, we review specific challenges faced by biofield practitioners resulting from a lack of (1) a common scientific definition of BT; (2) common educational standards for BT training (including core competencies for clinical care); (3) collaborative team care education in complementary and alternative medicine (CAM) and in integrative health and medicine (IHM); (4) a focused agenda in BT research; and (5) standardized devices and scientifically validated mechanisms in biofield research. We present a description of BT and discuss its current status and challenges as an integrative healthcare discipline. To address the challenges cited and to enhance collaboration across disciplines, we propose (1) standardized biofield education that leads to professional licensure and (2) interprofessional education (IPE) competencies in BT training required for licensed healthcare practitioners and encouraged for other practitioners using these therapies. Lastly, we discuss opportunities for growth and a potential strategic agenda to achieve these goals. The Academy of Integrative Health and Medicine (AIHM) provides a unique forum to facilitate development of this emerging discipline, to facilitate IPE, and to further increase the availability of BT to patients.

  12. Optimal design for an end face engagement worm gear with multiple worm-wheel meshing

    Science.gov (United States)

    Deng, Xingqiao; Zhu, Weibing; Chen, Yonghong; Chen, Shouan; Wang, Jinge

    2017-01-01

    To solve the problem for lacking a special mechanical transmission that could provide multiple outputs with high transmission efficiency and good lubrication in the modern industrial, a novel worm gear, named end face engagement worm gear, with multiple worm-wheel meshing is proposed for the first time. The essential parameters for the worm gear are optimized to enhance lubrication and meshing properties. Moreover, analysis of variance(ANOVA) is applied to determine the optimum levels and to determine the influence of parameters. The ANOVA results show that the novel end face engagement worm gear with multiple worm wheels provides high lubrication(the lubrication angle is more than 89°) and meshing performance(the induce normal curvature is less than 0.0002 mm-1). The interaction between center distance and roller slant distance most strongly influences the lubrication angle(contributed 51.6%), followed by the parameters of center distance(contributed 25.0%), roller slant distance(contributed 16.4%), tooth angle of gear, gear ratio, and roller radius. In addition, roller radius most strongly influences the induced normal curvature(contributed 39.4%), followed by roller slant distance(contributed 15.2%), tooth angle of the gear(contributed 9.0%), center distance, and gear ratio. The proposed worm gear helps to enrich the no-backlash high precision worm drive and the optimal design method can provide a useful reference on performance improvement of other worm gear.

  13. Why Learning Common Fractions Is Uncommonly Difficult: Unique Challenges Faced by Students With Mathematical Disabilities.

    Science.gov (United States)

    Berch, Daniel B

    2016-07-18

    In this commentary, I examine some of the distinctive, foundational difficulties in learning fractions and other types of rational numbers encountered by students with a mathematical learning disability and how these differ from the struggles experienced by students classified as low achieving in math. I discuss evidence indicating that students with math disabilities exhibit a significant delay or deficit in the numerical transcoding of decimal fractions, and I further maintain that they may face unique challenges in developing the ability to effectively translate between different types of fractions and other rational number notational formats-what I call conceptual transcoding I also argue that characterizing this level of comprehensive understanding of rational numbers as rational number sense is irrational, as it misrepresents this flexible and adaptive collection of skills as a biologically based percept rather than a convergence of higher-order competencies that require intensive, formal instruction.

  14. Fostering the Asian Bond Market:Challenges and Options Faced by China

    Institute of Scientific and Technical Information of China (English)

    HongChen

    2004-01-01

    Underdevelopment of bond markets is one of the factors contributing to the vulnerability of financial systems in Asian countries. Due to over-reliance on bank loans, it has not been possible for savings in Asia to be invested directly in enterprises rather than being funneled to international financial centers in theU.S, and Europe and then back to Asia. When there is a crisis, enterprises and financial institutions are faced with both “mismatch in maturity of loans” and “mismatch in currency denomination” in their funding positions. The risks inherent in the dual mismatches are sources offinancial instability in Asia. Therefore there has been a consensus among major Asian countries to foster Asian bond markets in order to reduce these risks. For China, developing its domestic bond market has become an important part of effort to participate in fostering Asian bond markets. Based on proposals and recent development of Asian bond markets, this paper discusses the problems and challenges faced by China in developing domestic bond markets.

  15. Supply constraints : Australia and Canada coal industry face logistics and capacity challenges

    Energy Technology Data Exchange (ETDEWEB)

    Borsato, J.

    2010-09-15

    Australia and Canada are benefiting from a global increase in coal consumption, but face challenges regarding coal and coal export capacity. Coal is Australia's biggest export commodity, accounting for over 50 percent of world coking coal exports, with almost 75 percent of those exports destined for Asian markets, primarily Japan. However, the number of ships delayed at Australian ports hit a record of 223 bulk carriers in early 2010. Compared to Canada, Australia faces greater logistical issues getting coal into port and onto ships at its 9 loading terminals. Two of Canada's 3 major shipping terminals, Westshore and Neptune, have some additional capacity. Its third terminal, Ridley Island, has considerable potential to carry more coal. With 98 percent of all coal moved by rail in Australia, rail issues also hinder growth. A national approach to planning freight transport on both roads and rail is being developed. While infrastructure issues remain the single greatest barrier to export growth for Australia's coal sector, Canada's most immediate issues pertain to mine permitting and mine-site expansion. In 2009, Canada exported 28 million tonnes of coal, 90 percent of it metallurgical. With approximately 70 million tonnes of annual production, mostly in British Columbia and Alberta, coal remains the number one commodity in Canada carried by rails and shipped from ports. 1 fig.

  16. Challenges of microtome-based serial block-face scanning electron microscopy in neuroscience.

    Science.gov (United States)

    Wanner, A A; Kirschmann, M A; Genoud, C

    2015-08-01

    Serial block-face scanning electron microscopy (SBEM) is becoming increasingly popular for a wide range of applications in many disciplines from biology to material sciences. This review focuses on applications for circuit reconstruction in neuroscience, which is one of the major driving forces advancing SBEM. Neuronal circuit reconstruction poses exceptional challenges to volume EM in terms of resolution, field of view, acquisition time and sample preparation. Mapping the connections between neurons in the brain is crucial for understanding information flow and information processing in the brain. However, information on the connectivity between hundreds or even thousands of neurons densely packed in neuronal microcircuits is still largely missing. Volume EM techniques such as serial section TEM, automated tape-collecting ultramicrotome, focused ion-beam scanning electron microscopy and SBEM (microtome serial block-face scanning electron microscopy) are the techniques that provide sufficient resolution to resolve ultrastructural details such as synapses and provides sufficient field of view for dense reconstruction of neuronal circuits. While volume EM techniques are advancing, they are generating large data sets on the terabyte scale that require new image processing workflows and analysis tools. In this review, we present the recent advances in SBEM for circuit reconstruction in neuroscience and an overview of existing image processing and analysis pipelines.

  17. United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Updike, Randall G.; Ellis, Eugene G.; Page, William R.; Parker, Melanie J.; Hestbeck, Jay B.; Horak, William F.

    2013-01-01

    Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, in an area known as the Borderlands, we are witnessing the expression of the challenges of the 21st century. This circular identifies several challenge themes and issues associated with life and the environment in the Borderlands, listed below. The challenges are not one-sided; they do not originate in one country only to become problems for the other. The issues and concerns of each challenge theme flow in both directions across the border, and both nations feel their effects throughout the Borderlands and beyond. The clear message is that our two nations, the United States and Mexico, face the issues in these challenge themes together, and the U.S. Geological Survey (USGS) understands it must work with its counterparts, partners, and customers in both countries.Though the mission of the USGS is not to serve as land manager, law enforcer, or code regulator, its innovation and creativity and the scientific and technical depth of its capabilities can be directly applied to monitoring the conditions of the landscape. The ability of USGS scientists to critically analyze the monitored data in search of signals and trends, whether they lead to negative or positive results, allows us to reach significant conclusions—from providing factual conclusions to decisionmakers, to estimating how much of a natural resource exists in a particular locale, to predicting how a natural hazard phenomenon will unfold, to forecasting on a scale from hours to millennia how ecosystems will behave.None of these challenge themes can be addressed strictly by one or two science disciplines; all require well-integrated, cross-discipline thinking, data collection, and analyses. The multidisciplinary science themes that have become the focus of the USGS mission parallel the major challenges in the border region between Mexico and the United States. Because of this multidisciplinary approach, the USGS

  18. United States-Mexican Borderlands: facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Updike, Randall G.; Ellis, Eugene G.; Page, William R.; Parker, Melanie J.; Hestbeck, Jay B.; Horak, William F.

    2013-01-01

    Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, in an area known as the Borderlands, we are witnessing the expression of the challenges of the 21st century. This circular identifies several challenge themes and issues associated with life and the environment in the Borderlands, listed below. The challenges are not one-sided; they do not originate in one country only to become problems for the other. The issues and concerns of each challenge theme flow in both directions across the border, and both nations feel their effects throughout the Borderlands and beyond. The clear message is that our two nations, the United States and Mexico, face the issues in these challenge themes together, and the U.S. Geological Survey (USGS) understands it must work with its counterparts, partners, and customers in both countries. Though the mission of the USGS is not to serve as land manager, law enforcer, or code regulator, its innovation and creativity and the scientific and technical depth of its capabilities can be directly applied to monitoring the conditions of the landscape. The ability of USGS scientists to critically analyze the monitored data in search of signals and trends, whether they lead to negative or positive results, allows us to reach significant conclusions—from providing factual conclusions to decisionmakers, to estimating how much of a natural resource exists in a particular locale, to predicting how a natural hazard phenomenon will unfold, to forecasting on a scale from hours to millennia how ecosystems will behave. None of these challenge themes can be addressed strictly by one or two science disciplines; all require well-integrated, cross-discipline thinking, data collection, and analyses. The multidisciplinary science themes that have become the focus of the USGS mission parallel the major challenges in the border region between Mexico and the United States. Because of this multidisciplinary approach, the USGS

  19. THE CHALLENGES FACED BY THE MALE GENDER EXECUTIVE SECRETARY PROFESSIONAL IN CONTEMPORARY ORGANIZATIONS

    Directory of Open Access Journals (Sweden)

    Conceição de Maria Pinheiro Barros

    2011-10-01

    Full Text Available The Professional Executive Secretary has been occupying space increasingly evident in the labor market and organizational structure, both because of market demand, the needs of dynamism in the modern administration that demonstrates the growth of the reference to it. It has sought in his field vision and attitude of performance excellence with fulfilling its role with its own characteristics. This study aims to investigate the general challenges for the Executive Secretariat professional male in contemporary organizations. We defined the following objectives: to analyze the insertion of the male in the profession of Executive Secretary and identify the challenges faced by the Executive Secretary of the males to their development and professional growth. To this end, we performed a literature search, followed by a field survey. It is a qualitative research because data collected, and then make a qualitative analysis of results from selected literature. The survey was conducted in organizations from the public and private, state of Ceará. The sample was represented by professional male graduates in the executive secretariat at the Federal University of Ceará and working in the area. After analyzing the data it was concluded that despite the obstacles to be overcome, the tendency is that these opportunities work for the professional male grow, requiring that all actors in the field to seek gender equity in the profession.

  20. From Toques to Tokes: Two challenges facing nationwide legalization of cannabis in Canada.

    Science.gov (United States)

    Bear, Daniel

    2017-04-01

    In 2015, a new Liberal Government came to power in Canada, elected on a platform that included legalization and regulation of cannabis for recreational purposes. Their legislation, based on recommendations from a Federal Task Force on Marijuana Legalization and Regulation, is due in early April 2017. This commentary utilizes Canadian Federal policy papers, previous literature, and internal and international agreements to examine two key areas critical to the development of a nationwide regulated market for cannabis in Canada; the need to overcome restrictions to legalizing cannabis in United Nations' drug control treaties, and the unique challenges that non-medical cannabis creates for navigating interprovincial trade policies in Canada. Irrespective of UN conventions that appear to prohibit legalization of cannabis the Government is preparing to bring forward legislation as this article goes to print. At the same time significant squabbles impede the selling of even beer and wine inter-provincially in Canada. This paper identifies the challenges facing Canadian legalization efforts, but also shows how the legalization legislation may provide opportunities to engender significant change beyond the simple legalization of a specific drug. This commentary does not argue for any specific course of action for Canada, but rather explores the nuance of legalization absent from the declaration in the Liberal party platform. The paper argues that Canada's efforts may hasten the dismantling of the UN drug control structure, and provide renewed opportunities for intern-provincial trade in Canada. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Are we facing new health challenges and diseases in reindeer in Fennoscandia?

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    Morten Tryland

    2013-03-01

    Full Text Available A large number of semi-domesticated reindeer is lost every year. Predators are the single most important factor for these losses, whereas restrictions on food availability some years also may cause high mortality. In the past, reindeer herding was challenged by severe infectious diseases, killing hundreds and thousands of animals, and having huge economic and social impact on reindeer herding in Fennoscandia. The general zoo-sanitary situation in Fennoscandia is very favourable for the time being, but reindeer herding is sometimes challenged by disease outbreaks, and diseases play an important role for survival and fitness of reindeer. Reindeer herding is also facing changes and challenges, which also may impact reindeer health and the disease status. Introduction of infectious agents not commonly present in the reindeer population may take place through import of animals, as well as by contact between reindeer, livestock and wildlife. Further, changes in the herding, such as increased feeding, transport, size of herds, animal density and stress load on the animals, may affect the animals ability to cope with infectious diseases. Also changes in weather conditions and climate, such as increased precipitation and mean temperature, may over time lead to restricted availability of pastures, changes in vegetation and changed conditions for parasites and insect vectors. These changes might be especially important for the reproductive success, including fitness of the calves during their first winter. To be able to cope with these changes and their potential impact on reindeer health, increased efforts should be made to gather reference data on health and disease parameters from the different reindeer herding districts, along with epidemiological risk factor analysis. This would increase the ability for the reindeer herding to cope with changes and to continue to produce quality meat products for the market.

  2. STaRRS in Yellowstone: Addressing Challenges Facing Student-Teacher-Scientist Partnerships

    Science.gov (United States)

    Houseal, A.; Gallagher, R.; Fuhrmann, B.; Sanford, R.

    2010-12-01

    The literature outlines many challenges faced by Student-Teacher-Scientist Partnerships (STSPs) including cultural differences between the scientific research and education communities. For example, shared vocabulary terms with dissimilar definitions can create communication problems. Other issues include accuracy in data collection, meeting the needs of a very diverse group of partners, connecting students with research science in a meaningful way, and maintaining the infrastructure necessary to develop and maintain these partnerships. Additionally, evidence, other than anecdotal, of the success of these partnerships is limited, especially as school year and research cycles are often on different schedules or have very different goals. Students, Teachers, and Rangers & Research Scientists: Investigating Systems at Mammoth Hot Springs in Yellowstone National Park (STaRRS) was an STSP developed to address some of these challenges, model some solutions within an STSP, and identify some possible outcomes for participating teachers and their students. Three strategies used to address some of these challenges that will be discussed briefly in this presentation include: (a) embedding the STSP in an already existing National Park Service environmental education program; (b) development of three types of research activities connecting teachers, students, and scientists to the research, and (c) a professional development (PD) model that included all partners in an on-going year-long process. Results from an accompanying research study will also be presented. Using a pretest-intervention-posttest design, this study revealed significant changes in attitude regarding science and scientists of participating STaRRS teachers. Student data gathered using a quasi-experimental pretest-intervention-posttest treatment and comparison group design also demonstrated significant changes in their attitudes and gains in earth science content knowledge.

  3. Intimate partner violence and challenges facing women living with HIV/AIDS in accessing antiretroviral treatment at Singida Regional Hospital, central Tanzania

    Science.gov (United States)

    Kosia, Agnes; Kakoko, Deodatus; Semakafu, Ave Maria Emilius; Nyamhanga, Tumaini; Frumence, Gasto

    2016-01-01

    Background Human immunodeficiency virus (HIV) remains a global public health problem. Sub-Saharan Africa is the region most affected by HIV/AIDS in the world. Globally, and in Tanzania in particular, women are more affected by HIV/AIDS than men. Tanzania has been reported to be among the countries with the highest burden of intimate partner violence (IPV). This study explored the challenges facing women living with HIV/AIDS (LWHA) attending the care and treatment clinic (CTC) in Singida Regional Hospital in Tanzania. Design A qualitative study was performed in which data were collected through in-depth interviews with 35 women LWHA who also experienced IPV. Content analysis was used to analyse the data. Results The study findings showed that women LWHA experienced challenges from their male partners in the form of lack of fare to attend CTC, delayed attendance to CTC, verbal threats and intimidation, mistrust partner resulting in changed antiretroviral (ARV) dosing time. Also, systemic challenges such as malfunction of CD4 count testing apparatus contributed to mistrust from their male partners which led to IPV. Conclusion In this study, women LWHA experienced IPV challenges that resulted in poor adherence to ARV medication and CTC attendance, as well as insufficient time to collect ARV medication. It is recommended that the government address systemic challenges faced by women LWHA, introduce multiple approaches to address the needs of women LWHA experiencing IPV, and develop strong policies to prevent IPV against women in Tanzania, regardless of their HIV status. PMID:27987296

  4. Challenge clusters facing LCA in environmental decision-making-what we can learn from biofuels.

    Science.gov (United States)

    McManus, Marcelle C; Taylor, Caroline M; Mohr, Alison; Whittaker, Carly; Scown, Corinne D; Borrion, Aiduan Li; Glithero, Neryssa J; Yin, Yao

    Bioenergy is increasingly used to help meet greenhouse gas (GHG) and renewable energy targets. However, bioenergy's sustainability has been questioned, resulting in increasing use of life cycle assessment (LCA). Bioenergy systems are global and complex, and market forces can result in significant changes, relevant to LCA and policy. The goal of this paper is to illustrate the complexities associated with LCA, with particular focus on bioenergy and associated policy development, so that its use can more effectively inform policymakers. The review is based on the results from a series of workshops focused on bioenergy life cycle assessment. Expert submissions were compiled and categorized within the first two workshops. Over 100 issues emerged. Accounting for redundancies and close similarities in the list, this reduced to around 60 challenges, many of which are deeply interrelated. Some of these issues were then explored further at a policy-facing workshop in London, UK. The authors applied a rigorous approach to categorize the challenges identified to be at the intersection of biofuels/bioenergy LCA and policy. The credibility of LCA is core to its use in policy. Even LCAs that comply with ISO standards and policy and regulatory instruments leave a great deal of scope for interpretation and flexibility. Within the bioenergy sector, this has led to frustration and at times a lack of obvious direction. This paper identifies the main challenge clusters: overarching issues, application and practice and value and ethical judgments. Many of these are reflective of the transition from application of LCA to assess individual products or systems to the wider approach that is becoming more common. Uncertainty in impact assessment strongly influences planning and compliance due to challenges in assigning accountability, and communicating the inherent complexity and uncertainty within bioenergy is becoming of greater importance. The emergence of LCA in bioenergy governance is

  5. Nuclear medicine department activity facing major public health challenges in France; Activite des services de medecine nucleaire face aux grands enjeux de sante publique en France

    Energy Technology Data Exchange (ETDEWEB)

    Baulieu, J.L. [Hopital Bretonneau, CHU de Tours, Unite de Medecine Nucleaire, 37 - Tours (France); Mundler, O. [CHU la Timone, Service Central de Biophysique et Medecine Nucleaire, 13 - Marseille (France)

    2007-12-15

    A national survey was made at the 2008 la Baule Symposium 'nuclear medicine facing major public health challenges'. The aim was to evaluate the activity in the fields of clinical specialities involved in these challenges : cancerology, cardiology and neurology. The response rate was 62%. The total number of PET scans performed in France during the year 2007 was about 100,000 including 97.5% of cancer indications. The mean number of PET scans per center was 1285, with a maximum of 3500 scans. The first indications were lung cancer (27%), lymphoma (20%) and colorectal cancer (14%). The registered number of cardiac examinations was 170,387 extrapolated to a total number of about 250,000 examinations in one year. The number of registered brain SPECT was 11,215 corresponding to about 100 examinations per center in one year. The survey pointed out large variations of PET activity between centers and suggested potentialities in extending and diversifying the field of PET. Brain scintigraphy appeared as a minor sector out of proportion with the challenge of degenerative brain pathology. Performing again these evaluations in the next years should allow to better describe the capabilities of nuclear medicine to face the major challenges and the evolution of public health.

  6. New Challenges Facing Small Undergraduate Departments And The Role Of Faculty And Administrators.

    Science.gov (United States)

    El-Shazly, A. K.

    2003-12-01

    Small geoscience departments with 5 faculty members or less in undergraduate institutions are facing serious challenges that will have a profound impact on their future, as well as the future of geoscience education. In addition to past and future budget cuts that affect all departments, small departments are more vulnerable to such problems as (i) decreased enrollments in introductory level classes, (ii) small number of geology majors, (iii) small number of graduates per year (iv) lack or paucity of equipment necessary for faculty and student research, (v) limited opportunities for external funding, (vi) need to offer upper division classes on an alternate year basis, (vii) difficulty in recruiting and retaining students, (viii) high teaching loads for faculty, and (ix) designing rigorous curricula based on 120 credit hours with a significant component of liberal art classes. These problems pose new challenges for faculty, department chairs and administrators. Faculty need to design curricula tailored to the need of the job market, without compromising rigor or the quality of the program. New classes/ concentrations in environmental science, hydrogeology and geographical information systems should be offered, and traditional classes in petrology, geophysics and tectonics should be maintained. Classes in Physics, Chemistry and Math should be core requirements. Student involvement in research should be encouraged at an early stage (sophomore/ junior levels). Department chairs need to assign duties in their department carefully to capitalize on the strengths of their faculty: faculty with strong research backgrounds should be helped in their efforts to pursue external funding opportunities, whereas those with strong teaching abilities should be evaluated primarily on their performance in the classroom. Student credit hour production should not be used as a criterion for evaluating faculty. Administrators should evaluate programs and departments based on the success

  7. Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services.

    Science.gov (United States)

    Magalhães-Sant'Ana, Manuel; More, Simon J; Morton, David B; Hanlon, Alison J

    2017-01-01

    The provision of veterinary clinical services is known to elicit a range of challenges which require an ethical appraisal. In a recent Policy Delphi study, referrals/second opinions and 24 h emergency care were identified as matters of key concern by veterinary professionals in Ireland. In this case study (the first in a series of three resulting from a research workshop exploring challenges facing the veterinary profession in Ireland; the other two case studies investigate the on-farm use of veterinary antimicrobials and emergency/casualty slaughter certification) we aim to provide a value-based reflection on the constraints and possible opportunities for two prominent veterinary clinical services in Ireland: referrals/second opinions and 24 h emergency care. Using a qualitative focus group approach, this study gathered evidence from relevant stakeholders, namely referral and referring veterinarians, clients, animal charities, and the regulatory body. Six overarching, interrelated constraints emerged from the thematic analysis: the need to improve current guidance, managing clients' expectations, concerns with veterinarian well-being, financial issues, timeliness of referral, and conflicts between veterinary practices. Possible solutions to improve veterinary referral and out-of-hours clinical services included clarifying the terms used in current norms and regulations (namely 'referral', 'second opinion', '24 h emergency care' and '24 h cover'), improved communication (making the client aware of the different levels of veterinary care that are being offered, and transparent and full disclosure of clinical records), and the promotion of Continuing Veterinary Education in communication, business management and ethical decision-making. These findings may help inform the Veterinary Council of Ireland about future recommendations and regulatory measures.

  8. Challenges Faced by Sudanese Banks in Implementing Online Banking: Bankers’ Perception

    Directory of Open Access Journals (Sweden)

    Nafis Alam

    2010-08-01

    Full Text Available Innovations in Information technology have changed the way financial transactions are done in banking industry globally. Online banking uses today’s computer technology to give user the ability to manage their finances more quickly and efficiently, from anywhere around the world, and with just a click of the mouse. Banks perceive online banking as a powerful ‘value-added’ tool to attract and retain new customers while helping to eliminate costly paper handling and teller interactions. Online banking has managed to provide customers the convenience, efficiency, effe ctiveness, and most importantly, the speed needed in today’s dynamic world. As more banks around the world are offering online banking to its customers, it is becoming a rather popular trend. Online banking is an asset both to the bank and the customer. However, countries like Sudan are yet to join the frenzy of this new innovation in an effective manner. This paper will investigate what are the challenges faced by Sudanese banks in implementing online banking.

  9. Challenges facing post-war tourism development: the case of Iran

    Directory of Open Access Journals (Sweden)

    Jamal Mohammadi

    2015-12-01

    Full Text Available This study presents an empirical investigation to study the post-war tourism in sought west region of Iran. This region is the host of many Iranian who wish remember the events of War between Iran and Iraq. Many high school or university students travel to the region through cultural as well as religious communities. This paper tries to analyze the challenges facing these people when they travel to province of Khozestan, Iran. The study designs a questionnaire in Likert scale and distributes it among some randomly selected people who visited the region. The implementation of Pearson correlation test has determined that “Weakness of tourism infrastructure facilities and services” is to be blamed the most followed by “Underdevelopment of decision making centers”. Moreover, path analysis has been implemented to detect direct and indirect effects of different factors on development of tourism in the region. In our survey, marketing, culture and weakness in infrastructures have been determined the most important factors influencing on development of the region.

  10. Challenges faced in the treatment of acute lymphoblastic leukemia in adolescents and young adults

    Directory of Open Access Journals (Sweden)

    Levine SR

    2016-02-01

    Full Text Available Selena R Levine,1 Jennifer L McNeer,2 Michael S Isakoff1 1Center for Cancer and Blood Disorders, Connecticut Children’s Medical Center and University of Connecticut School of Medicine, Hartford, CT, 2Section of Pediatric Hematology/Oncology, University of Chicago Comer Children's Hospital, Chicago, IL, USA Abstract: The survival rate for children with acute lymphoblastic leukemia (ALL has dramatically improved over the last 50 years. However, for those in the adolescent and young adult (AYA age-group of 15–30 years with ALL, there has not been the same degree of improvement. Historically, pediatric and adult providers have utilized different treatment approaches based on clinical trials. However, studies that have compared the outcome of AYA patients with ALL treated on pediatric or adult clinical trials have generally shown substantially better outcomes for this patient population treated with the pediatric trials. Additionally, hematopoietic stem cell transplantation has been considered as part of intensified therapy for AYA patients with ALL. Herein, we review the outcomes with chemotherapy alone and with hematopoietic stem cell transplantation, and explore the challenges faced in determining the ideal therapy for the AYA population of patients. Keywords: adolescent young adult oncology, leukemia, hematopoietic stem cell transplantation

  11. The Challenges faced by teachers in teaching of children with psychosocial needs due to war trauma in Northern Uganda

    OpenAIRE

    Obot, Robinson

    2006-01-01

    ABSTRACT The study focus was to explore: the major challenges faced by teachers in the teaching: the teachers experiences in overcoming the challenges and then ways in which the teachers capacity can be improved in teaching and psychosocial needs support towards formerly abducted children (FAC). Qualitative approach was chosen with special reference to case study design. Three schools were the cases. The head-teachers and the classroom teachers were the main interviewees in the study...

  12. Multiple endocrine neoplasias: advances and challenges for the future.

    Science.gov (United States)

    Alevizaki, M; Stratakis, C A

    2009-07-01

    Several important advances have been made over the last 2 years, since the last international workshop on multiple endocrine neoplasias (MENs) that was held in Marseilles, France (MEN2006). The series of articles that are included in this issue summarize the most important of these advances as they were presented in Delphi, Greece, during the 11th International Workshop on MENs, September 25-27, 2008 (MEN2008). This editorial summarizes some of these advances: the identification of the AIP, and the PDE11A and PDE8B genes by genome-wide association (GWA) studies as predisposing genes for pituitary and adrenal tumours, respectively, the discovery of p27 mutations in a new form of MEN similar to MEN type 1 (MEN 1) that is now known as MEN 4, the molecular investigations of Carney triad (CT), a disorder that associates paragangliomas (PGLs), gastrointestinal stromal tumour (GISTs), and pulmonary chondromas (PCH) with pheochromocytomas and adrenocortical adenomas and other lesions, and the molecular elucidation of the association of GISTs with paragangliomas (Carney-Stratakis syndrome) that is now known to be because of SDHB, SDHC, and SDHD mutations. Molecular investigations in Carney complex (another MEN also described by Dr. Carney, who during the meeting, along with Dr. Charles E. ('Gene') Jackson was honoured for his life-long and many contributions to the field) have also revealed the role of cyclic AMP signalling in tumorigenesis. As our knowledge of the molecular causes of MENs increases, the challenge is to translate these discoveries in better treatments for our patients. Indeed, new advances in the preventive diagnosis and molecular treatment of MEN 1 and MEN 2, respectively, continued unabated, and an update on this front was also presented at MEN2008 and is included in this issue.

  13. Current challenges facing the determination of product bioequivalence in veterinary medicine.

    Science.gov (United States)

    Martinez, M N; Hunter, R P

    2010-10-01

    Despite the pharmacological and statistical advances that have occurred since the early days of bioequivalence assessments, there remain many unresolved issues associated with the bioequivalence evaluation of human and veterinary pharmaceuticals. While many of these issues are common to both human and veterinary medicine, there are also challenges specific to veterinary drug products. Examples of complex problems that remain to be resolved include the assessment of drugs associated with complex kinetics (e.g., sustained release formulations that produce multiple peaks), the evaluation of intramammary formulations, uncertainty associated with conditions under which specific enantiomers of metabolites need to be factored into the bioequivalence evaluation, the study design for products and active pharmaceutical ingredients that exhibit highly variable kinetics, equivalence of biomass products, methods for evaluating topical formulations or formulations with very long duration of release, the evaluation of products where destructive sampling is necessary (e.g., aquaculture products), and the evaluation of bioequivalence for Type A medicated articles. This manuscript highlights many of the unresolved challenges currently impacting the evaluation of product bioequivalence in veterinary medicine, and provides a summary of the associated scientific complexities with each of these issues. © 2010 Blackwell Publishing Ltd.

  14. Diagnostic challenges in combined multiple sclerosis and centronuclear myopathy

    DEFF Research Database (Denmark)

    Olsen, D.B.; Langkilde, Annika Reynberg; Schmalbruch, H

    2000-01-01

    The first case of combined centronuclear myopathy and multiple sclerosis is reported. The difficulties of diagnosing multiple sclerosis in patients with muscular disorders associated with the central nervous system involvement are discussed......The first case of combined centronuclear myopathy and multiple sclerosis is reported. The difficulties of diagnosing multiple sclerosis in patients with muscular disorders associated with the central nervous system involvement are discussed...

  15. Adult attachment, hostile conflict, and relationship adjustment among couples facing multiple sclerosis.

    Science.gov (United States)

    Crangle, Cassandra J; Hart, Tae L

    2017-07-12

    Couples facing multiple sclerosis (MS) report significantly elevated rates of relationship distress, yet the effects of attachment have never been examined in this population. We examined whether hostile conflict mediated the dyadic effects of attachment on relationship adjustment in couples facing MS and whether these associations were moderated by gender or role. We also explored whether dyadic adjustment mediated the relationship between attachment and hostile conflict. The study was cross-sectional and included 103 couples in which one partner had been diagnosed with MS. Participants completed the Experiences in Close Relationships-Revised, Dyadic Adjustment Scale, and Aversive Interactions Scale, as well as demographic variables. We used the actor-partner interdependence model for data analysis. There were significant actor and partner effects of greater anxious attachment and worse dyadic adjustment. Actor and partner effects of anxious attachment were significantly mediated by greater hostile conflict. Gender significantly moderated the effects between avoidant attachment and dyadic adjustment. The actor effect was significant for males and females; the partner effect was only significant for females. The actor effect for females but not males was significantly mediated by greater hostile conflict. Role was not a significant moderator. Exploratory analyses also showed that dyadic adjustment mediated the relationship between anxious and avoidant attachment and hostile conflict. Findings highlight the important effects of attachment on relationship adjustment in MS couples. Both hostile conflict and dyadic adjustment appear to be mechanisms through which insecure attachment has a detrimental effect. Statement of contribution What is already known on this subject? Despite higher-than-normal rates of marital distress and separation/divorce, the effects of attachment on relationship adjustment among couples facing multiple sclerosis have never been examined

  16. Using an Iterative Mixed-Methods Research Design to Investigate Schools Facing Exceptionally Challenging Circumstances within Trinidad and Tobago

    Science.gov (United States)

    De Lisle, Jerome; Seunarinesingh, Krishna; Mohammed, Rhoda; Lee-Piggott, Rinnelle

    2017-01-01

    In this study, methodology and theory were linked to explicate the nature of education practice within schools facing exceptionally challenging circumstances (SFECC) in Trinidad and Tobago. The research design was an iterative quan>QUAL-quan>qual multi-method research programme, consisting of 3 independent projects linked together by overall…

  17. Developing a Test for Exploring Student Performance in a Complex Domain: Challenges Faced, Decisions Made, and Implications Drawn

    Science.gov (United States)

    Charalambous, Charalambos Y.; Kyriakides, Leonidas; Philippou, George N.

    2012-01-01

    This paper illustrates the application of existing guidelines to develop a test grounded in theoretical perspectives and empirical findings in the area of problem solving. By documenting this process, the paper outlines the challenges test developers face when seeking to construct a theory/research-driven test, discusses the decisions made at…

  18. A Reflective Perspective on the Challenges Facing Research-Led Teaching in the Performing and Creative Arts

    Science.gov (United States)

    Walmsley, Ben

    2013-01-01

    This article provides a reflective perspective on the role that research-led teaching plays in the development of future arts workers in higher education. It explores the challenges faced by lecturers developing curricula in the performing and creative arts and argues that the increasing focus on employability can conflict with universities'…

  19. Knowledge Production and Transmission in a Changing Society: Challenges Facing Law Lecturers in a Distance Education Environment in South Africa

    Science.gov (United States)

    Scott, Susan

    2006-01-01

    In this article I highlight the challenges facing a law lecturer in a multicultural society in transformation where the student is being prepared to serve society in different occupational fields as a professional person. I indicate that the law itself cannot effect change. For this we need properly trained lawyers. For an effective transformation…

  20. Challenges Faced by Development Partners in Supporting the Growth and Development of Commercial Enterprises in Lira District, Northern Uganda

    Science.gov (United States)

    Eton, Marus; Mwirumubi, Richard; Edaku, Charles

    2017-01-01

    Entrepreneurship is defined as the process where an individual discovers, evaluates and exploit opportunities independently. Most countries have embraced entrepreneurship development as ways of creating employment and economic growth and development. The objective of the study was to examine the challenges faced by commercial enterprises in Lira…

  1. Knowledge Production and Transmission in a Changing Society: Challenges Facing Law Lecturers in a Distance Education Environment in South Africa

    Science.gov (United States)

    Scott, Susan

    2006-01-01

    In this article I highlight the challenges facing a law lecturer in a multicultural society in transformation where the student is being prepared to serve society in different occupational fields as a professional person. I indicate that the law itself cannot effect change. For this we need properly trained lawyers. For an effective transformation…

  2. Challenges facing the veterinary profession in Ireland: 3. emergency and casualty slaughter certification.

    Science.gov (United States)

    Magalhães-Sant'Ana, Manuel; More, Simon J; Morton, David B; Hanlon, Alison J

    2017-01-01

    Veterinarians are faced with significant conflicts of interest when issuing certificates for the transport and slaughter of acutely injured and casualty livestock. In a recent Policy Delphi study, emergency and casualty slaughter certification was a key concern identified by veterinary professionals in Ireland. In this case study (the third in a series of three resulting from a research workshop exploring challenges facing the veterinary profession in Ireland; the other two case studies investigate clinical veterinary services and the on-farm use of veterinary antimicrobials), we aim to provide a value-based reflection on the constraints and opportunities for best practice in emergency and casualty slaughter certification in Ireland. Using a qualitative focus group approach, this study gathered evidence from relevant stakeholders, namely a representative from the regulatory body, local authority veterinarians with research experience in emergency slaughter, an animal welfare research scientist, official veterinarians from the competent authority, a private veterinary practitioner, and a member of a farming organisation. Results revealed a conflict between the responsibility of private veterinary practitioners (PVPs) to safeguard the welfare of acutely injured bovines on-farm and the client's commercial concerns. As a consequence, some PVPs may feel under pressure to certify, for example, an acutely injured animal for casualty slaughter instead of recommending either on-farm emergency slaughter or disposal by the knackery service. Among Official Veterinarians, there are concerns about the pressure within processing plants to accept acutely injured livestock as casualty animals. Confusion pertaining to legislation and definition of fitness to travel also contribute to these dilemmas. Conflicts of interest arise due to the gap between governance and provision to facilitate on-farm emergency slaughter of livestock. Increased availability and acceptance of on

  3. Challenges Faced by Health Care Reform%医保改革面临挑战

    Institute of Scientific and Technical Information of China (English)

    桑吉·古普塔; 本尼迪克特·克莱门茨; 戴维·科迪; 王宇(译)

    2015-01-01

    At present, poor medical service availability, high health care costs and inefficient of public health spending are exsiting in many countries, and health care reform still faces big challenges. To improve people's health and to make a control of the costs are dilemma of health-care reform, and thus improving the efficiency of public health expenditure is the optimal choice to improve social health. The forms of government intervention and the level of public health expenditure are different due to different countries and period. Emerging economies should expand basic health care coverage on the premise of fiscal sustainable development while developed economies should pay attention to improve the public health spending efficiency and limit the spending growth.%当前,许多国家仍存在医疗服务可得性差、医疗成本高昂、公共卫生支出效率低下等问题,医保改革面临重大挑战。医保改革目标存在两难—既要改善人们的健康状况,又要控制支出成本,因而提高公共卫生支出效率是改善社会健康状况的最优选择。各国政府的干预形式和公共卫生支出水平因国别、时间等的不同而变化。财政状况较好的新兴经济体需在保证财政可持续的前提下扩大基本医保覆盖面;发达经济体则应注重提升公共卫生支出的效率并限制支出增长速度。

  4. Recruiting family dyads facing thoracic cancer surgery: Challenges and lessons learned from a smoking cessation intervention.

    Science.gov (United States)

    McDonnell, Karen Kane; Hollen, Patricia J; Heath, Janie; Andrews, Jeannette O

    2016-02-01

    Persistent smoking after a cancer diagnosis has adverse effects. Most smoking cessation interventions focus on individual behaviors; however, family members who smoke are major barriers to success. This article describes challenges and lessons learned related to recruitment and retention to a longitudinal, dyadic-centered smoking cessation intervention study for individuals confronting a new diagnosis of thoracic cancer and their family members who smoke. A prospective, one-group repeated measures, mixed-method feasibility study measured recruitment, retention, adherence, and acceptability over a 6-month period in a thoracic surgery clinic at a university cancer center. A multidisciplinary, multi-component decision aid-"Tobacco Free Family"-was used to intervene with the dyads. Study recruitment occurred preoperatively with a thoracic surgery team member assessing smoking status. During the 6-month recruitment period, 50 patients who smoked were screened, and 18 eligible families were approached to participate. Sixteen participants (8 dyads) enrolled. Patients were all male, and participating family members were all female-either spouses or long-term girlfriends. Others types of family members declined participation. Recruitment was lower than anticipated (44%), retention was high (100%), and maximizing convenience was the most important retention strategy. Oncology nurses can assess the smoking status of patients and family members, facilitate understanding about the benefits of cessation, refer those willing to stop to expert resources, and help motivate those unwilling to quit. Research is needed to continue developing strategies to help patients with thoracic cancer and their families facing surgery as an impetus for stopping smoking. Novel intervention delivery and communication need further exploration. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Challenges facing the veterinary profession in Ireland: 2. On-farm use of veterinary antimicrobials.

    Science.gov (United States)

    Magalhães-Sant'Ana, Manuel; More, Simon J; Morton, David B; Hanlon, Alison J

    2017-01-01

    Antimicrobial resistance has emerged in recent years as a significant public health threat, which requires both an ethical and a scientific approach. In a recent Policy Delphi study, on-farm use of antimicrobials was a key concern identified by veterinary professionals in Ireland. In this case study (the second in a series of three resulting from a research workshop exploring the challenges facing the veterinary profession in Ireland; the other two case studies investigate clinical veterinary services and emergency/casualty slaughter certification) we aim to provide a value-based reflection on the constraints and possible opportunities for responsible use of veterinary antimicrobials in Ireland. Using a qualitative focus group approach, this study gathered evidence from relevant stakeholders, namely veterinarians working in public and private organisations, a representative from the veterinary regulatory body, a dairy farmer and a general medical practitioner. Three overarching constraints to prudent on-farm use of veterinary antimicrobials emerged from the thematic analysis: 'Defective regulations', 'Lack of knowledge and values' regarding farmers and vets and 'Farm-centred concerns', including economic and husbandry concerns. Conversely, three main themes which reflect possible opportunities to the barriers were identified: 'Improved regulations', 'Education' and 'Herd health management'. Five main recommendations arose from this study based on the perspectives of the study participants including: a) the potential for regulatory change to facilitate an increase in the number of yearly visits of veterinarians to farms and to implement electronic prescribing and shorter validity of prescriptions; b) a 'One Health' education plan; c) improved professional guidance on responsible use of veterinary antimicrobials; d) improved on-farm herd health management practices; and e) the promotion of a 'One Farm-One Vet' policy. These findings may assist Veterinary Council of

  6. How Do EFL Student Teachers Face the Challenge of Using L2 in Public School Classrooms?

    Directory of Open Access Journals (Sweden)

    Viáfara John Jairo

    2011-04-01

    Full Text Available

    As an EFL Student teachers’ advisor, I had constantly perceived that they regarded using the target language with their pupils inside their classroom as a challenge. That is why I became interested in investigating how thirteen student teachers in Tunja public schools faced this issue. While participants were involved in a reflective teaching preparation model, I used field notes, interviews and their portfolios to explore their attitudes and strategies. Findings revealed that their history as learners, their teaching context and preparation influenced their decisions. Moreover, it was possible to identify the strategies they implemented to interact in English with their students.

    En mi labor como tutor de estudiantes practicantes del inglés como lengua extranjera, he percibido constantemente que, para ellos, la utilización del inglés como medio de comunicación con sus estudiantes dentro de la clase es un reto. Por esta razón, me interesé por investigar cómo trece estudiantes practicantes en colegios públicos de Tunja afrontaban esta circunstancia. Mientras los participantes se involucraban en un modelo reflexivo de preparación docente, utilicé notas de campo, entrevistas y sus portafolios para explorar sus actitudes y estrategias. Los hallazgos revelan que sus decisiones fueron influenciadas por su trayectoria como estudiantes, su contexto de enseñanza y su preparación. Además, se pudieron identificar las estrategias que utilizaron para interactuar por medio del inglés con sus estudiantes.

  7. Synergistic patterns of threat and the challenges facing global anguillid eel conservation

    Directory of Open Access Journals (Sweden)

    David M.P. Jacoby

    2015-07-01

    Full Text Available With broad distributions, diadromous fishes can be exposed to multiple threats at different stages of development. For the primarily catadromous eels of the family Anguillidae, there is growing international concern for the population abundance and escapement trends of some of these species and yet incomplete knowledge of their remarkable life-histories hampers management and conservation. Anguillids experience a suite of pressures that include habitat loss/modification, migration barriers, pollution, parasitism, exploitation, and fluctuating oceanic conditions that likely have synergistic and regionally variable impacts, even within species. In beginning to redress this rather fragmented picture, we evaluated the extinction risk of these species using the IUCN Red List of Threatened Species Categories and Criteria to infer population-wide trends from catch and monitoring data. Here we consolidate and build upon these species assessments by presenting an overview of the current state of global eel data and conservation, categorising the knowledge gaps and geographic regions where resources are needed and discussing future recommendations to improve our understanding of anguillids. We find stark disparity between the quality and length of data available to assess population trends and conservation priorities in temperate and tropical anguillids. Of the 13 species assessed, four were listed as ‘Threatened’ (Vulnerable, Endangered or Critically Endangered; four were Near Threatened, three were Data Deficient and two were deemed Least Concern. Comparing with other diadromous species, we examine the multiple threats that impact eels during their different life-history stages, highlighting the challenges of applying the Red List Categories and Criteria to geographically-expansive, catadromous and panmictic groups of species.

  8. Challenges Faced by Graduate Business Education in Southern Africa: Perceptions of MBA Participants

    Science.gov (United States)

    Temtime, Zelealem T.; Mmereki, Rebana N.

    2011-01-01

    Purpose: The purpose of this paper is to examine the degree of satisfaction and perceived relevance of the Graduate Business Education (GBE) programme at the University of Botswana. Design/methodology/approach: A self-administered questionnaire and face to face interviews were used to collect data from Master of Business Administration (MBA)…

  9. Facing the challenges of multiscale modelling of bacterial and fungal pathogen-host interactions.

    Science.gov (United States)

    Schleicher, Jana; Conrad, Theresia; Gustafsson, Mika; Cedersund, Gunnar; Guthke, Reinhard; Linde, Jörg

    2017-03-01

    Recent and rapidly evolving progress on high-throughput measurement techniques and computational performance has led to the emergence of new disciplines, such as systems medicine and translational systems biology. At the core of these disciplines lies the desire to produce multiscale models: mathematical models that integrate multiple scales of biological organization, ranging from molecular, cellular and tissue models to organ, whole-organism and population scale models. Using such models, hypotheses can systematically be tested. In this review, we present state-of-the-art multiscale modelling of bacterial and fungal infections, considering both the pathogen and host as well as their interaction. Multiscale modelling of the interactions of bacteria, especially Mycobacterium tuberculosis, with the human host is quite advanced. In contrast, models for fungal infections are still in their infancy, in particular regarding infections with the most important human pathogenic fungi, Candida albicans and Aspergillus fumigatus. We reflect on the current availability of computational approaches for multiscale modelling of host-pathogen interactions and point out current challenges. Finally, we provide an outlook for future requirements of multiscale modelling. © The Author 2016. Published by Oxford University Press.

  10. Facing the challenges of multiscale modelling of bacterial and fungal pathogen–host interactions

    Science.gov (United States)

    Schleicher, Jana; Conrad, Theresia; Gustafsson, Mika; Cedersund, Gunnar; Guthke, Reinhard

    2017-01-01

    Abstract Recent and rapidly evolving progress on high-throughput measurement techniques and computational performance has led to the emergence of new disciplines, such as systems medicine and translational systems biology. At the core of these disciplines lies the desire to produce multiscale models: mathematical models that integrate multiple scales of biological organization, ranging from molecular, cellular and tissue models to organ, whole-organism and population scale models. Using such models, hypotheses can systematically be tested. In this review, we present state-of-the-art multiscale modelling of bacterial and fungal infections, considering both the pathogen and host as well as their interaction. Multiscale modelling of the interactions of bacteria, especially Mycobacterium tuberculosis, with the human host is quite advanced. In contrast, models for fungal infections are still in their infancy, in particular regarding infections with the most important human pathogenic fungi, Candida albicans and Aspergillus fumigatus. We reflect on the current availability of computational approaches for multiscale modelling of host–pathogen interactions and point out current challenges. Finally, we provide an outlook for future requirements of multiscale modelling. PMID:26857943

  11. Challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe: The case of Chitungwiza town

    Directory of Open Access Journals (Sweden)

    Tafadzwa Rugoho

    2017-01-01

    Full Text Available Background: Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities.Objectives: The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe.Method: The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants’ ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data.Results: Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language are some of the challenges involved.Conclusion: The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.

  12. Development and validation of risk profiles of West African rural communities facing multiple natural hazards.

    Science.gov (United States)

    Asare-Kyei, Daniel; Renaud, Fabrice G; Kloos, Julia; Walz, Yvonne; Rhyner, Jakob

    2017-01-01

    West Africa has been described as a hotspot of climate change. The reliance on rain-fed agriculture by over 65% of the population means that vulnerability to climatic hazards such as droughts, rainstorms and floods will continue. Yet, the vulnerability and risk levels faced by different rural social-ecological systems (SES) affected by multiple hazards are poorly understood. To fill this gap, this study quantifies risk and vulnerability of rural communities to drought and floods. Risk is assessed using an indicator-based approach. A stepwise methodology is followed that combines participatory approaches with statistical, remote sensing and Geographic Information System techniques to develop community level vulnerability indices in three watersheds (Dano, Burkina Faso; Dassari, Benin; Vea, Ghana). The results show varying levels of risk profiles across the three watersheds. Statistically significant high levels of mean risk in the Dano area of Burkina Faso are found whilst communities in the Dassari area of Benin show low mean risk. The high risk in the Dano area results from, among other factors, underlying high exposure to droughts and rainstorms, longer dry season duration, low caloric intake per capita, and poor local institutions. The study introduces the concept of community impact score (CIS) to validate the indicator-based risk and vulnerability modelling. The CIS measures the cumulative impact of the occurrence of multiple hazards over five years. 65.3% of the variance in observed impact of hazards/CIS was explained by the risk models and communities with high simulated disaster risk generally follow areas with high observed disaster impacts. Results from this study will help disaster managers to better understand disaster risk and develop appropriate, inclusive and well integrated mitigation and adaptation plans at the local level. It fulfills the increasing need to balance global/regional assessments with community level assessments where major decisions

  13. Challenges faced when using radiocarbon measurements to estimate fossil fuel emissions in the UK.

    Science.gov (United States)

    Wenger, A.; O'Doherty, S.; Rigby, M. L.; Ganesan, A.; Manning, A.; Allen, G.

    2015-12-01

    Estimating the anthropogenic component of carbon dioxide emissions from direct atmospheric measurements is difficult, due to the large natural carbon dioxide fluxes. One way of determining the fossil fuel component of atmospheric carbon dioxide is the use of radiocarbon measurements. Whilst carbon reservoirs with a reasonably fast carbon exchange rate all have a similar radiocarbon content, fossil fuels are completely devoid of radiocarbon due to their age. Previous studies have 14CO2 (UK) this approach is compromised by the high density of 14CO2 emitting nuclear power plants. Of the 16 nuclear reactors in the UK, 14 are advanced gas cooled reactors, which have one of the highest 14CO2 emission rates of all reactor types. These radiocarbon emissions not only lead to a serious underestimation of the recently added fossil fuel CO2, by masking the depletion of 14C in CO2, but can in fact overshadow the depletion by a factor of 2 or more. While a correction for this enhancement can be applied, the emissions from the nuclear power plants are highly variable, and an accurate correction is therefore not straightforward. We present the first attempt to quantify UK fossil fuel CO2 emissions through the use of 14CO2. We employ a sampling strategy that makes use of a Lagrangian particle dispersion model, in combination with nuclear industry emission estimates, to forecast "good" sampling times, in an attempt to minimize the correction due to emissions from the nuclear industry. As part of the Greenhouse gAs Uk and Global Emissions (GAUGE) project, 14CO2measurements are performed at two measurement sites in the UK and Ireland, as well as during science flights around the UK. The measurement locations have been chosen with a focus on high emitting regions such as London and the Midlands. We discuss the unique challenges that face the determination of fossil fuel emissions through radiocarbon measurements in the UK and our sampling strategy to deal with them. In addition we

  14. Developing Academic Literacy and Voice: Challenges Faced by A Mature esl Student and Her Instructors

    Directory of Open Access Journals (Sweden)

    Correa Doris

    2010-05-01

    Full Text Available Drawing on critical, socio-cultural and sociolinguistic theories of writing, text and voice, this ethnographic study examines the challenges that a mature ESL student and her instructors in a university course on Spanish Language Media face as they co-construct a common understanding of academic literacy and voice in an undergraduate General Studies Program offered by a university in Western Massachusetts. Intertextual analysis of the data suggests that traditional product-based approaches to helping students develop academic literacy might not be very effective. However, to be able to take a different approach, such as the one suggested by genre scholars, both faculty teaching content subjects and writing tutors would need appropriate training. Key words: ESL writing, academic writing, academic voice, disciplinary writing Con base en teorías críticas, socioculturales y sociolingüísticas sobre escritura académica, texto y voz, este estudio etnográfico explora los retos que enfrentan una estudiante hablante de inglés como segunda lengua y sus profesores de un curso de Medios de Comunicación en Lengua Española al construir conjuntamente los conceptos de literacias académicas y de voz en un curso de pregrado en estudios generales ofrecido por una universidad en Massachusetts. El análisis intertextual de los datos recogidos muestra que algunos métodos tradicionales dirigidos a la elaboración de productos pueden resultar poco efectivos para apoyar el desarrollo de la escritura académica. Sin embargo, se concluye que para usar metodologías más efectivas, como las propuestas por las teorías de género, es indispensable que tanto los profesores de las diferentes materias como los tutores reciban el entrenamiento adecuado. Palabras clave: escritura de inglés como segunda lengua, escritura académica, voz académica, escritura disciplinaria

  15. HIV and infant feeding counselling: challenges faced by nurse-counsellors in northern Tanzania

    Directory of Open Access Journals (Sweden)

    Blystad Astrid

    2007-07-01

    Full Text Available Abstract Background Infant feeding is a subject of worry in prevention of mother to child transmission (pMTCT programmes in settings where breastfeeding is normative. Nurse-counsellors, expected to counsel HIV-positive women on safer infant feeding methods as defined in national/international guidelines, are faced with a number of challenges. This study aims to explore the experiences and situated concerns of nurses working as infant feeding counsellors to HIV-positive mothers enrolled in pMTCT programmes in the Kilimanjaro region, northern Tanzania. Methods A qualitative study was conducted using in-depth interviews and focus group discussions (FGDs with 25 nurse-counsellors at four pMTCT sites. Interviews were handwritten and FGDs were tape-recorded and transcribed, and the programme Open Code assisted in sorting and structuring the data. Analysis was performed using 'content analysis.' Results The findings revealed a high level of stress and frustration among the nurse-counsellors. They found themselves unable to give qualified and relevant advice to HIV-positive women on how best to feed their infants. They were confused regarding the appropriateness of the feeding options they were expected to advise HIV-positive women to employ, and perceived both exclusive breastfeeding and exclusive replacement feeding as culturally and socially unsuitable. However, most counsellors believed that formula feeding was the right way for an HIV-positive woman to feed her infant. They expressed a lack of confidence in their own knowledge of HIV and infant feeding, as well as in their own skills in assessing a woman's possibilities of adhering to a particular method of feeding. Moreover, the nurses were in general not comfortable in their newly gained role as counsellors and felt that it undermined the authority and trust traditionally vested in nursing as a knowledgeable and caring profession. Conclusion The findings illuminate the immense burden placed on

  16. Evaluation of a Multimedia Intervention for Children and Families Facing Multiple Military Deployments.

    Science.gov (United States)

    Flittner O'Grady, Allison; Thomaseo Burton, E; Chawla, Neelu; Topp, David; MacDermid Wadsworth, Shelley

    2016-02-01

    Repeated military deployments have been a common experience for many military families in the past 15 years. While there has been an increase in research and intervention focused on the effects on families of military deployments, much of this work has not focused specifically on the particular needs of young children. Talk, Listen, Connect: Multiple Deployments (TLC-II MD), a multimedia kit designed for home use, is among the first interventions directed toward young children. Created by Sesame Workshop and using popular Sesame Street characters, TLC-II MD was designed to support and equip families with young children with skills to address challenges associated with multiple deployments. This study utilized a randomized experimental design to evaluate the impact of TLC-II MD relative to a control condition using a Sesame Workshop multimedia kit not tailored to military families. Parents in both groups reported that children enjoyed the video overall and watched it repeatedly. Also in both groups, caregivers' depressive symptoms and children's aggressive behaviors declined significantly over time. Caregivers in the test group reported significantly larger increases in comfort discussing the deployment with their child and stronger perceptions that the DVD helped children to cope. Thus, the resilience-oriented materials were helpful to both groups, but those tailored to military families were significantly more likely to be perceived as helpful. Findings offer evidence regarding the ability of multimedia self-administered interventions to assist military families.

  17. The Nigerian Economy in the Face of Socio-Political Challenges: A Retrospective View and Ways Forward

    Directory of Open Access Journals (Sweden)

    Tomola M Obamuyi

    2016-04-01

    Full Text Available This paper examines the Nigerian economy and the tendency for its growth in the face of several socio-political challenges facing the country, which have hampered the rate of economic development in spite of the tremendous human and material resources inherent. The paper identifies the socio-political challenges to include corruption, poverty, unemployment, insecurity, politics and governance, among others. The central argument of the paper is that steady economic growth can be achieved and financial crisis mitigated in Nigeria, if the effects of socio-political challenges, which are the key factors that have contributed to the high poverty, unemployment and economic instability in the country, are minimised. To ensure economic growth and move the country forward politically and economically, government must be more accountable in managing the nation’s resources in order to avoid wastage, poverty and unemployment. Close attention should be given to those socio-political challenges in the formulation of policies that aimed at maintaining economic growth at a level commensurate with the country’s growth rate. This study put forward that government must be proactive in all issues relating to the socio-political challenges to prevent resource mismanagement, poverty, unemployment, insecurity and slow economic growth in future.

  18. Dual-target cost in visual search for multiple unfamiliar faces.

    Science.gov (United States)

    Mestry, Natalie; Menneer, Tamaryn; Cave, Kyle R; Godwin, Hayward J; Donnelly, Nick

    2017-08-01

    The efficiency of visual search for one (single-target) and either of two (dual-target) unfamiliar faces was explored to understand the manifestations of capacity and guidance limitations in face search. The visual similarity of distractor faces to target faces was manipulated using morphing (Experiments 1 and 2) and multidimensional scaling (Experiment 3). A dual-target cost was found in all experiments, evidenced by slower and less accurate search in dual- than single-target conditions. The dual-target cost was unequal across the targets, with performance being maintained on one target and reduced on the other, which we label "preferred" and "non-preferred" respectively. We calculated the capacity for each target face and show reduced capacity for representing the non-preferred target face. However, results show that the capacity for the non-preferred target can be increased when the dual-target condition is conducted after participants complete the single-target conditions. Analyses of eye movements revealed evidence for weak guidance of fixations in single-target search, and when searching for the preferred target in dual-target search. Overall, the experiments show dual-target search for faces is capacity- and guidance-limited, leading to superior search for 1 face over the other in dual-target search. However, learning faces individually may improve capacity with the second face. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  19. Face challenges with confidence when we review the great achievements at the 60th birthday of the people's republic

    Institute of Scientific and Technical Information of China (English)

    ZHAORI Ge-tu

    2009-01-01

    @@ The millions of medical and health care professionals in China celebrate with great pleasure and confidence the 60th birthday of the people's republic. In this issue of the journal, our readers will see a part of what fruitful achievements have been obtained by the government, health and medical professionals and researchers in various fields of health and medical care and research as well as what challenges the Chinese medical professionals face.

  20. Encompassing multiple moral paradigms: a challenge for nursing educators.

    Science.gov (United States)

    Caldwell, Elizabeth Shirin; Lu, Hongyan; Harding, Thomas

    2010-03-01

    Providing ethically competent care requires nurses to reflect not only on nursing ethics, but also on their own ethical traditions. New challenges for nurse educators over the last decade have been the increasing globalization of the nursing workforce and the internationalization of nursing education. In New Zealand, there has been a large increase in numbers of Chinese students, both international and immigrant, already acculturated with ethical and cultural values derived from Chinese Confucian moral traditions. Recently, several incidents involving Chinese nursing students in morally conflicting situations have led to one nursing faculty reflecting upon how moral philosophy is taught to non-European students and the support given to Chinese students in integrating the taught curriculum into real-life clinical practice settings. This article uses a case study involving a Chinese student to reflect on the challenges for both faculty members and students when encountering situations that present ethical dilemmas.

  1. Maritime Education and Research to Face the XXI-st Century Challenges in Gdynia Maritime University’s Experience Part I – Maritime Universities Facing Today and Tomorrow’s Challenges

    Directory of Open Access Journals (Sweden)

    Janusz Mindykowski

    2013-12-01

    Full Text Available In the paper, divided into two parts, a problem of advancements in maritime education and research facing the 21st century challenges, based on the case study of the Gdynia Maritime University (GMU experience is discussed. Part I is devoted to the main directions of advances in the maritime education and research towards the challenges in a global meaning. In this context, the education and research potential of the Gdynia Maritime University, as one of the world-leading maritime universities, is shortly presented. Part II is dedicated to the Gdynia Maritime University experiencing the 21st century challenges. The GMU’s contribution and good practices concerning the participation in modification of the processes of the IMO STCW 78/2010 convention, adoption of programmes into the international and national qualification frameworks’ standards and procedures, as well as the development of research addressed to a new technological and organizational solution are described and analyzed.

  2. Convergence in France facing Big Data era and Exascale challenges for Climate Sciences

    Science.gov (United States)

    Denvil, Sébastien; Dufresne, Jean-Louis; Salas, David; Meurdesoif, Yann; Valcke, Sophie; Caubel, Arnaud; Foujols, Marie-Alice; Servonnat, Jérôme; Sénési, Stéphane; Derouillat, Julien; Voury, Pascal

    2014-05-01

    The presentation will introduce a french national project : CONVERGENCE that has been funded for four years. This project will tackle big data and computational challenges faced by climate modeling community in HPC context. Model simulations are central to the study of complex mechanisms and feedbacks in the climate system and to provide estimates of future and past climate changes. Recent trends in climate modelling are to add more physical components in the modelled system, increasing the resolution of each individual component and the more systematic use of large suites of simulations to address many scientific questions. Climate simulations may therefore differ in their initial state, parameter values, representation of physical processes, spatial resolution, model complexity, and degree of realism or degree of idealisation. In addition, there is a strong need for evaluating, improving and monitoring the performance of climate models using a large ensemble of diagnostics and better integration of model outputs and observational data. High performance computing is currently reaching the exascale and has the potential to produce this exponential increase of size and numbers of simulations. However, post-processing, analysis, and exploration of the generated data have stalled and there is a strong need for new tools to cope with the growing size and complexity of the underlying simulations and datasets. Exascale simulations require new scalable software tools to generate, manage and mine those simulations ,and data to extract the relevant information and to take the correct decision. The primary purpose of this project is to develop a platform capable of running large ensembles of simulations with a suite of models, to handle the complex and voluminous datasets generated, to facilitate the evaluation and validation of the models and the use of higher resolution models. We propose to gather interdisciplinary skills to design, using a component-based approach, a

  3. Challenges for Ecosystem Services Provided by Coral Reefs In the Face of Climate Change

    Science.gov (United States)

    Kikuchi, R. K.; Elliff, C. I.

    2014-12-01

    Coral reefs provide many ecosystem services of which coastal populations are especially dependent upon, both in cases of extreme events and in daily life. However, adaptation to climate change is still relatively unknown territory regarding the ecosystem services provided by coastal environments, such as coral reefs. Management strategies usually consider climate change as a distant issue and rarely include ecosystem services in decision-making. Coral reefs are among the most vulnerable environments to climate change, considering the impact that increased ocean temperature and acidity have on the organisms that compose this ecosystem. If no actions are taken, the most likely scenario to occur will be of extreme decline in the ecosystem services provided by coral reefs. Loss of biodiversity due to the pressures of ocean warming and acidification will lead to increased price of seafood products, negative impact on food security, and ecological imbalances. Also, sea-level rise and fragile structures due to carbonate dissolution will increase vulnerability to storms, which can lead to shoreline erosion and ultimately threaten coastal communities. Both these conditions will undoubtedly affect recreation and tourism, which are often the most important use values in the case of coral reef systems. Adaptation strategies to climate change must take on an ecosystem-based approach with continuous monitoring programs, so that multiple ecosystem services are considered and not only retrospective trends are analyzed. Brazilian coral reefs have been monitored on a regular basis since 2000 and, considering that these marginal coral reefs of the eastern Atlantic are naturally under stressful conditions (e.g. high sedimentation rates), inshore reefs of Brazil, such as those in Tinharé-Boipeba, have shown lower vitality rates due to greater impacts from the proximity to the coastal area (e.g. pollution, overfishing, sediment run-off). This chronic negative impact must be addressed

  4. Talking about epilepsy: Challenges parents face when communicating with their child about epilepsy and epilepsy-related issues.

    Science.gov (United States)

    O'Toole, Stephanie; Lambert, Veronica; Gallagher, Pamela; Shahwan, Amre; Austin, Joan K

    2016-04-01

    The aim of this qualitative study was to explore the challenges that parents of children with epilepsy experienced when engaging in dialog with their child about epilepsy and epilepsy-related issues. Using a qualitative exploratory approach, interviews were conducted with 34 parents of children with epilepsy (aged 6-16 years), consisting of 27 mothers and 7 fathers. Data were transcribed verbatim and thematically analyzed. Findings revealed five main themes: normalizing epilepsy, the invisibility of epilepsy, information concealment, fear of misinforming the child, and difficulty in discussing particular epilepsy-related issues. Many of the communicative challenges experienced by parents impacted on their ability to engage openly in parent-child dialog about epilepsy in the home. Parents face specific challenges when choosing to communicate with their child about epilepsy, relating to creating a sense of normality, reducing fear of causing their child worry, and having a lack of epilepsy-related knowledge. Healthcare professionals who work closely with families living with epilepsy should remain mindful of the importance of discussing family communication surrounding epilepsy and the challenges parents of children with epilepsy face when talking about epilepsy within the home.

  5. Distinct representations of configural and part information across multiple face- selective regions of the human brain

    Directory of Open Access Journals (Sweden)

    Golijeh eGolarai

    2015-11-01

    Full Text Available Several regions of the human brain respond more strongly to faces than to other visual stimuli, such as regions in the amygdala (AMG, superior temporal sulcus (STS, and the fusiform face area (FFA. It is unclear if these brain regions are similar in representing the configuration or natural appearance of face parts. We used functional magnetic resonance imaging of healthy adults who viewed natural or schematic faces with internal parts that were either normally configured or randomly rearranged. Response amplitudes were reduced in the AMG and STS when subjects viewed stimuli whose configuration of parts were digitally rearranged, suggesting representation of the 1st order configuration of face parts. In contrast, response amplitudes in the FFA showed little modulation whether face parts were rearranged or if the natural face parts were replaced with lines. Instead, FFA responses were reduced only when both configural and part information were reduced, revealing an interaction between these factors, suggesting distinct representation of 1st order face configuration and parts in the AMG and STS vs. the FFA.

  6. Strategies to Address English Language Writing Challenges Faced by International Graduate Students in the US

    Science.gov (United States)

    Ravichandran, Swathi; Kretovics, Mark; Kirby, Kara; Ghosh, Ankita

    2017-01-01

    Since 2000, there has been a 72% increase in the number of international students attending US institutions of higher education. The increase, specifically of international graduate students, has brought to light the writing challenges experienced by this population of students. This study explored specific writing challenges experienced by…

  7. Challenges Facing Chinese Academic Staff in a UK University in Terms of Language, Relationships and Culture

    Science.gov (United States)

    Hsieh, Hui-hua

    2012-01-01

    The recruitment of international academic staff is viewed as one of the strategies to internationalise the universities. International academic staff, however, usually encounter many challenges when in a foreign context. This study aims to investigate the challenges of Chinese academic staff teaching in the UK in terms of language, relationships…

  8. Enhancing Teacher Efficacy for Urban STEM Teachers Facing Challenges to Their Teaching

    Science.gov (United States)

    Seals, Christopher; Mehta, Swati; Berzina-Pitcher, Inese; Graves-Wolf, Leigh

    2017-01-01

    This paper explores challenges of teaching in relation to teachers' efficacy for 49 teachers who were part of a year-long teacher development program (PD) called the UrbanSTEM program. This program took place in an urban school district that serves over 300,000 students. This research asked if there are common challenges that urban teachers face…

  9. From Theory to Practice: Facing Ethical Challenges as a Clinical Intern

    Science.gov (United States)

    Hambrick, James P.; Pimentel, Sandra; Albano, Anne Marie

    2009-01-01

    Although formal ethics classes provide a basic foundation in managing ethical dilemmas, professionals often point to their experiences on internship as an important training ground for consolidation of their ethical development. Clinical interns face many personal and professional transitions that can lead to a number of ethical dilemmas.…

  10. Challenges Face Arab Students in Writing Well-Developed Paragraphs in English

    Science.gov (United States)

    Rass, Ruwaida Abu

    2015-01-01

    This study aimed to investigate problems facing Palestinian Arab students from Israel who are majoring in teaching English as a Foreign Language (EFL) in developing well-written paragraphs in English. They usually transfer the stylistic features of their first language, Arabic to the target language, English. For example, they tend to write long…

  11. Language and Cultural Challenges Facing Business Faculty in the Ever-Expanding Global Classroom

    Science.gov (United States)

    Vogel, Glen M.

    2013-01-01

    More than 690,000 foreign students studied in the United States during the 2009-10 academic year. As non-native English-speaking students continue to pour into American educational institutions, one question many educators have is: are these international students adequately prepared for the language and cultural demands they will face when they…

  12. Gruppenleistungen beim Review von Multiple-Choice-Fragen - Ein Vergleich von face-to-face und virtuellen Gruppen mit und ohne Moderation [Review of multiple-choice-questions and group performance - A comparison of face-to-face and virtual groups with and without facilitation

    Directory of Open Access Journals (Sweden)

    Schüttpelz-Brauns, Katrin

    2010-11-01

    Full Text Available [english] Background: Multiple choice questions (MCQs are often used in exams of medical education and need careful quality management for example by the application of review committees. This study investigates whether groups communicating virtually by email are similar to face-to-face groups concerning their review process performance and whether a facilitator has positive effects.Methods: 16 small groups of students were examined, which had to evaluate and correct MCQs under four different conditions. In the second part of the investigation the changed questions were given to a new random sample for the judgement of the item quality.Results: There was no significant influence of the variables “form of review committee” and “facilitation”. However, face-to-face and virtual groups clearly differed in the required treatment times. The test condition “face to face without facilitation” was generally valued most positively concerning taking over responsibility, approach to work, sense of well-being, motivation and concentration on the task.Discussion: Face-to-face and virtual groups are equally effective in the review of MCQs but differ concerning their efficiency. The application of electronic review seems to be possible but is hardly recommendable because of the long process time and technical problems.[german] Einleitung: Multiple-Choice-Fragen (MCF werden in vielen Prüfungen der medizinischen Ausbildung verwendet und bedürfen aus diesem Grund einer sorgfältigen Qualitätssicherung, beispielsweise durch den Einsatz von Review-Komitees. Anhand der vorliegenden empirischen Studie soll erforscht werden, ob virtuell per E-Mail kommunizierende Review-Komitees vergleichbar sind mit face-to-face Review-Komitees hinsichtlich ihrer Leistung beim Review-Prozess und ob sich Moderation positiv auswirkt.Methodik: 16 Kleingruppen von Psychologie-Studenten hatten die Aufgabe unter vier verschiedenen Versuchsbedingungen MCF zu bewerten und zu

  13. Myelin Recovery in Multiple Sclerosis: The Challenge of Remyelination

    Directory of Open Access Journals (Sweden)

    Edward L. Hogan

    2013-08-01

    Full Text Available Multiple sclerosis (MS is the most common demyelinating and an autoimmune disease of the central nervous system characterized by immune-mediated myelin and axonal damage, and chronic axonal loss attributable to the absence of myelin sheaths. T cell subsets (Th1, Th2, Th17, CD8+, NKT, CD4+CD25+ T regulatory cells and B cells are involved in this disorder, thus new MS therapies seek damage prevention by resetting multiple components of the immune system. The currently approved therapies are immunoregulatory and reduce the number and rate of lesion formation but are only partially effective. This review summarizes current understanding of the processes at issue: myelination, demyelination and remyelination—with emphasis upon myelin composition/ architecture and oligodendrocyte maturation and differentiation. The translational options target oligodendrocyte protection and myelin repair in animal models and assess their relevance in human. Remyelination may be enhanced by signals that promote myelin formation and repair. The crucial question of why remyelination fails is approached is several ways by examining the role in remyelination of available MS medications and avenues being actively pursued to promote remyelination including: (i cytokine-based immune-intervention (targeting calpain inhibition, (ii antigen-based immunomodulation (targeting glycolipid-reactive iNKT cells and sphingoid mediated inflammation and (iii recombinant monoclonal antibodies-induced remyelination.

  14. Farmer responses to multiple stresses in the face of global change: Assessing five case studies to enhance adaptation

    Science.gov (United States)

    Nicholas, K. A.; Feola, G.; Lerner, A. M.; Jain, M.; Montefrio, M.

    2013-12-01

    The global challenge of sustaining agricultural livelihoods and yields in the face of growing populations and increasing climate change is the topic of intense research. The role of on-the-ground decision-making by individual farmers actually producing food, fuel, and fiber is often studied in individual cases to determine its environmental, economic, and social effects. However, there are few efforts to link across studies in a way that provides opportunities to better understand empirical farmer behavior, design effective policies, and be able to aggregate from case studies to a broader scale. Here we synthesize existing literature to identify four general factors affecting farmer decision-making: local technical and socio-cultural contexts; actors and institutions involved in decision-making; multiple stressors at broader scales; and the temporal gradient of decision-making. We use these factors to compare five cases that illustrate agricultural decision-making and its impacts: cotton and castor farming in Gujarat, India; swidden cultivation of upland rice in the Philippines; potato cultivation in Andean Colombia; winegrowing in Northern California; and maize production in peri-urban central Mexico. These cases span a geographic and economic range of production systems, but we find that we are able to make valid comparisons and draw lessons common across all cases by using the four factors as an organizing principle. We also find that our understanding of why farmers make the decisions they do changes if we neglect to examine even one of the four general factors guiding decision-making. This suggests that these four factors are important to understanding farmer decision-making, and can be used to guide the design and interpretation of future studies, as well as be the subject of further research in and of themselves to promote an agricultural system that is resilient to climate and other global environmental changes.

  15. Challenges in randomized controlled trials and emerging multiple sclerosis therapeutics.

    Science.gov (United States)

    Huang, DeRen

    2015-12-01

    The remarkable global development of disease-modifying therapies (DMTs) specific for multiple sclerosis (MS) has significantly reduced the frequency of relapse, slowed the progression of disability, and improved the quality of life in patients with MS. With increasing numbers of approved DMTs, neurologists in North America and Europe are able to present multiple treatment options to their patients to achieve a better therapeutic outcome, and in many cases, no evidence of disease activity. MS patients have improved accessibility to various DMTs at no or minimal out-of-pocket cost. The ethical guidelines defined by the Edinburgh revision of the Declaration of Helsinki strongly discourage the use of placebo control groups in modern MS clinical trials. The use of an active comparator control group increases the number of participants in each group that is essential to achieve statistical significance, thus further increasing the difficulty of completing randomized controlled trials (RCTs) for the development of new MS therapies. There is evidence of a high prevalence of MS and a large number of patients in Asia. The belief of the existence of Asian types of MS that are distinct from Western types, and regulatory policies are among the reasons why DMTs are limited in most Asian countries. Lack of access to approved DMTs provides a good opportunity for clinical trials that are designed for the development of new MS therapies. Recently, data from RCTs have demonstrated excellent recruitment of participants and the completion of multi-nation and single-nation MS trials within this region. Recent studies using the McDonald MS diagnostic criteria carefully excluded patients with neuromyelitis optica (NMO) and NMO spectrum disorder, and demonstrated that patients with MS in Asia have clinical characteristics and treatment responses similar to those in Western countries.

  16. Systems approach to waste governance: unpacking the challenges facing local government

    CSIR Research Space (South Africa)

    Godfrey, Linda K

    2008-09-01

    Full Text Available ; no or poor levels of service delivery; and potential environmental and human health impacts. However, these broad challenges were found to contain further primary, secondary, etc. root causes, both internal and external to the municipality. This analysis...

  17. Facing the Future: Time for the EU to meet Global Challenges

    OpenAIRE

    BODEN John Mark; CAGNIN CRISTIANO; CARABIAS BARCELO VICENTE; HAEGEMAN Karel; KÖNNÖLÄ Timo-Topias Totti

    2010-01-01

    What will the world look like in 2025? What are the possible future disruptive global challenges? And how can the EU position itself to take an active role in shaping a response to them? This publication offers possible answers to these questions through the identification of three main challenges and potential responses to these, and concludes that the main policy issues to be considered at EU level are: policy alignment towards sustainability; social diversity and the use of ICT for citizen...

  18. Challenges facing the food industry: Examples from the baked goods sector

    DEFF Research Database (Denmark)

    Hansen, Zaza Nadja Lee; Jacobsen, Peter

    2013-01-01

    This paper investigates the challenges in the food industry, illustrated by a case study from the baked goods sector in Denmark. The paper proposes key elements this sector needs to address in order to limit waste, improve productivity and increase profitability.......This paper investigates the challenges in the food industry, illustrated by a case study from the baked goods sector in Denmark. The paper proposes key elements this sector needs to address in order to limit waste, improve productivity and increase profitability....

  19. More than just a pretty face and a hot body: multiple cues in mate-choice.

    Science.gov (United States)

    Jonason, Peter K; Raulston, Tara; Rotolo, Ashley

    2012-01-01

    Mate preferences have been well studied in social and evolutionary psychology. In two studies (N = 490), using two different measurement techniques, we examined mate preferences for the body and the face in the context of other traits. Results replicated prior research on mate preferences across the sex of the participant and mating duration but clarified the nature of preferences for physical attractiveness. Generally, physical attractiveness was a necessity in short-term mating and for men and traits like kindness were a necessity in long-term mating and for women. Men wanted a short-term mate who had a good body, likely because that body advertises fertility whereas both sexes wanted a mate with a nice face for a long-term mate, which is likely because the face is a cue based on structural properties related to health. Sex and mating-duration differences on preferences for attractive faces and bodies were robust to differences in measurement technique.

  20. Delivering multiple independent RIB simultaneously: Technical and operational challenges

    Energy Technology Data Exchange (ETDEWEB)

    Morton, A.C.

    2016-06-01

    ISAC is an ISOL-type facility at which RIB are produced by direct reactions of 480 MeV protons from TRIUMFs main cyclotron on thick targets. Like other ISOL-type facilities, ISAC is limited to the production and delivery of a single RIB at any given time. ARIEL, the Advanced Rare-IsotopE Laboratory, will provide for the production and delivery of, ultimately, two additional RIB, the first produced by photofission on actinide targets using electrons from a new superconducting electron linac and the second by direct and indirect reactions with protons from TRIUMFs main cyclotron. This will allow for the simultaneous delivery of three independent RIB to experimental areas at ARIEL and ISAC. The shift from single-user to multi-user operation will introduce significant technical and operational challenges that RIB facilities have not yet had to address. Almost all aspects of facility operation will become more complex as the first RIB from ARIEL targets become available.

  1. Phenotypic plasticity in the common garden snail: big guts and heavier mucus glands compete in snails faced with the dual challenge of poor diet and coarse substrate.

    Science.gov (United States)

    Munn, Adam J; Treloar, Marguerite

    2016-12-26

    Phenotypic plasticity allows animals to manage environmental challenges. Studies aimed at quantifying plasticity often focus on one challenge, such as diet, and one organ system, such the gastrointestinal tract, but this approach may not adequately reflect how plasticity could buffer multiple challenges. Thus, we investigated the outcomes of a dual challenge experiment that fed land snails either a high-fibre (low quality) or a low-fibre (high quality) diet, and simultaneously exercised them daily over 1.2 m on either a smooth surface of polyvinyl chloride (PVC) or a rough sandpaper. By the end of 20 days, snails fed the poor quality diet had a longer crop and oesophagus and a heavier intestine and rectum than those offered a low-fibre diet. Additionally, high-fibre fed snails had a smaller spermoviduct and oviduct. When also exercised on sandpaper, high-fibre fed snails had a smaller digestive gland, a main energy store, than those exercised on PVC. All snails exercised on sandpaper had a heavier pedal mucus gland, used a loping gait and used less mucus than those on PVC plastic, but there was no difference in the average speed of snails on either surface, supporting the conclusion that loping is a mucus conserving gait. Notably, snails faced with both a diet and substrate challenge had a smaller kidney, which could directly effect fecundity. This demonstrates that our dual challenge approach has potential for evaluating the costs and limits of the plasticity necessary to fully appreciate the evolutionary significance of plasticity in snails and other species.

  2. Challenges faced by professional nurses when implementing the Expanded Programme on Immunisation at rural clinics in Capricorn District, Limpopo

    Directory of Open Access Journals (Sweden)

    Tebogo M. Mothiba

    2016-03-01

    Full Text Available Background: Immunisation is the cornerstone of primary healthcare. Apart from the provision of safe water, immunisation remains the most cost-effective public health intervention currently available. Immunisation prevents infectious conditions that are debilitating, fatal and have the potential to cause huge public health burdens, both financially and socially, in South Africa.Aim: To determine the challenges faced by professional nurses when implementing the Expanded Programme on Immunisation (EPI at rural clinics in Capricorn District, Limpopo Province, South Africa.Setting: The study was conducted in selected primary healthcare clinics of Capricorn District, Limpopo Province.Methods: A qualitative explorative descriptive contextual research design was used to gather data related to the challenges faced by professional nurses when implementing EPI at rural clinics in Capricorn District.Results: The findings revealed that professional nurses had knowledge of the programme, but that they experienced several challenges during implementation of EPI that included staff shortages and problems related to maintenance of the vaccines’ potency.Conclusions: The Department of Health as well as the nursing administration should monitor policies and guidelines, and especially maintenance of a cold chain for vaccines, to ensure that they are practised throughout Limpopo Province. The problem of staff shortages also needs to be addressed so that the EPI can achieve its targeted objectives.Keywords: Professional nurse, knowledge, EPI-SA, immunisation

  3. Proteomics:addressing the challenges of multiple myeloma

    Institute of Scientific and Technical Information of China (English)

    Feng Ge; Shengce Tao; Lijun Bi; Zhiping Zhang; Xian'En Zhang

    2011-01-01

    Multiple myeloma (MM) is a malignancy of terminally differentiated B-iymphocytes that accounts for ~13% of all hematologic cancers. Despite a wealth of knowledge describing the molecular biology of MM as well as signifi-cant advances in therapeutics, this disease remains incur-able. Since proteins govern the cellular structure and biological function, a wide selection of proteomic approaches holds great promise for increasing our under-standing of this disease, such as by investigating the dynamic nature of protein expression, cellular and subcel-lular distribution, post-translational modifications, and interactions at both the cellular and suhcellular levels.The aims of this review are to introduce the available and emerging proteomic technologies that have potential applications in the study of MM and to highlight the current status of proteomic studies of MM. To date,although there have been a limited number of proteomic studies in MM, those performed have provided valuable information with regard to MM diagnosis and therapy. The potential future application of proteomic technologies is expected to provide new avenues in MM diagnostics, individualized therapy design and therapy response sur-veillance for the clinician.

  4. The challenges of multiple disabilities - A look at a Specialized Unit for students with multiple disabilities

    Directory of Open Access Journals (Sweden)

    Estefânia Barroso

    2014-04-01

    Full Text Available The creation of Specialized Units for students with multiple disabilities and congenital deafness-blindness in schools has been one of the implemented measures during the last past years to promote inclusive education. To understand the problem of multiple disabilities and inclusive education for students with multiple disabilities which must ascertain the views of Regular Education teachers who have students with multiple disabilities included in their classes and Special Education teachers about the presence of a Supporting Unit in grouping multiple disabilities they are teaching. To achieve this goal the methodology that seemed most appropriate was the case study and the instruments that have been used to collect data were participant observation and questionnaire. During the investigation it was observed how the Special Unit for Students with Multiple Disabilities was working and it was analyzed the opinions of 24 teachers participating in the samples selected for this study. The results obtained in the empirical component of this study support the conclusion that the teachers surveyed for the Special Unit are the best educational response for children with multiple disabilities to perform both learning and their socialization. We conclude that Special Education teachers feel more prepared to work with this type of audience than teachers from Regular Teaching; and opinions on these issues do not differ substantially between teachers of Special Education and Regular Education teachers .

  5. How to overcome some of the challenges that African scholars are facing in conducting informetrics research

    Directory of Open Access Journals (Sweden)

    Isola Ajiferuke

    2011-01-01

    Full Text Available This article provides evidence to show that the contributions of African researchers to the informetrics literature are minimal. The three main challenges identified as limiting the contributions of African scholars to the informetrics literature are lack of appropriate skills, inadequate data collection sources, and unaffordable analytical tools. To overcome these challenges, it is suggested that regular pre-conference workshops on informetrics should be organized, an African Citation Index should be developed, and the use of free analytical tools should be encouraged.

  6. [Political challenges facing the consolidation of the Sistema Único de Saúde: a historical approach].

    Science.gov (United States)

    Rodrigues, Paulo Henrique de Almeida

    2014-01-01

    This article investigates the circumstances in which Brazil’s sanitation reform was conceived and the Sistema Único de Saúde (SUS) was constructed. A brief analysis is conducted of Brazil’s political transition to democracy, focusing on three political challenges facing the consolidation of SUS: its weak support base amongst workers, competition with the private sector, and the fragmentation of its administration caused by its municipalization. Finally, the changes in the scenario caused by the weakening of neoliberalism since the 2008 crisis, the reemergence of a multipolar political scenario internationally, and the financing conditions of the Brazilian State are described.

  7. A Qualitative Study of Challenges Faced by International Doctoral Students in Counselor Education Supervision Courses

    Science.gov (United States)

    Jang, Yoo Jin; Woo, Hongryun; Henfield, Malik S.

    2014-01-01

    Using consensual qualitative research methodology, this study examines the challenges doctoral-level international students encountered in counselor education programs, during supervisor training, specifically. Semi-structured interviews were conducted with eight participants and revealed a variety of difficulties. Despite the wide variability in…

  8. How Zoos Are Meeting the Challenges Facing Biodiversity: Bristol Zoo Gardens as a Case Study

    Science.gov (United States)

    Garrett, Simon

    2010-01-01

    As ideas about effective conservation of biodiversity develop, zoos are adapting their roles to meet the new challenges. This article considers these changes, using the work of Bristol and other UK zoos as a case study. The significance of zoos in both global and local conservation of biodiversity, their role in promoting public engagement and…

  9. The Delicate Balancing Act: Challenges and Successes Facing College Student Women in Formal Leadership Roles

    Science.gov (United States)

    Haber-Curran, Paige

    2013-01-01

    This qualitative study focused on the successes and challenges experienced by four undergraduate college women while holding top leadership roles in student organizations. Interpretive and descriptive qualitative research methods were employed with aspects of case study and phenomenological approaches of inquiry. Data were collected through…

  10. Vic: The Challenges Facing Schools in a Small, Newly Diverse, Catalan City

    Science.gov (United States)

    Simo, Nuria; Telford, Jon

    2012-01-01

    The arrival over the last 15 years of a substantial number of pupils of immigrant origin has presented Catalan schools with significant challenges. The schools in Vic (70 km north of Barcelona) have been at the forefront of attempts to adjust to this new multicultural reality. This article describes the results of three studies carried out by the…

  11. Facing the Globalisation Challenge in the Realm of English Language Teaching.

    Science.gov (United States)

    Sifakis, Nicos C.; Sougari, Areti-Maria

    2003-01-01

    Addresses the challenge of globalization with respect to English language teaching and particularly teaching English to speakers of foreign languages. Argues that some of the primary issues involved concern the increasing role of technology and communication in modern societies and the looming conflict between local communities and the…

  12. A Qualitative Study of Challenges Faced by International Doctoral Students in Counselor Education Supervision Courses

    Science.gov (United States)

    Jang, Yoo Jin; Woo, Hongryun; Henfield, Malik S.

    2014-01-01

    Using consensual qualitative research methodology, this study examines the challenges doctoral-level international students encountered in counselor education programs, during supervisor training, specifically. Semi-structured interviews were conducted with eight participants and revealed a variety of difficulties. Despite the wide variability in…

  13. How Zoos Are Meeting the Challenges Facing Biodiversity: Bristol Zoo Gardens as a Case Study

    Science.gov (United States)

    Garrett, Simon

    2010-01-01

    As ideas about effective conservation of biodiversity develop, zoos are adapting their roles to meet the new challenges. This article considers these changes, using the work of Bristol and other UK zoos as a case study. The significance of zoos in both global and local conservation of biodiversity, their role in promoting public engagement and…

  14. The Delicate Balancing Act: Challenges and Successes Facing College Student Women in Formal Leadership Roles

    Science.gov (United States)

    Haber-Curran, Paige

    2013-01-01

    This qualitative study focused on the successes and challenges experienced by four undergraduate college women while holding top leadership roles in student organizations. Interpretive and descriptive qualitative research methods were employed with aspects of case study and phenomenological approaches of inquiry. Data were collected through…

  15. Students' Reasons for Studying Special Needs Education: Challenges Facing Inclusive Education

    Science.gov (United States)

    Hausstatter, Rune Sarromaa

    2007-01-01

    This article attempts to clarify some of the problems and challenges currently met by the teaching profession in special education, in particular those relating to why students choose to study special needs education and what they expect to learn. There are two major reasons why students choose to become a "special needs" teacher: to…

  16. Challenges Faced by Key Stakeholders Using Educational Online Technologies in Blended Tertiary Environments

    Science.gov (United States)

    Tuapawa, Kimberley

    2016-01-01

    Traditional learning spaces have evolved into dynamic blended tertiary environments (BTEs), providing a modern means through which tertiary education institutes (TEIs) can augment delivery to meet stakeholder needs. Despite the significant demand for web-enabled learning, there are obstacles concerning the use of EOTs, which challenge the…

  17. Challenges Faced by Military Families: Perceptions of United States Marine Corps School Liaisons

    Science.gov (United States)

    Aronson, Keith R.; Perkins, Daniel F.

    2013-01-01

    The global war on terror has placed a number of stressful demands on service members and their families. Although the military offers a wide range of services and supports to military families, not all families are willing or able to use them. For example, geographically dispersed families can find it challenging to connect with military support…

  18. Challenges Faced by Military Families: Perceptions of United States Marine Corps School Liaisons

    Science.gov (United States)

    Aronson, Keith R.; Perkins, Daniel F.

    2013-01-01

    The global war on terror has placed a number of stressful demands on service members and their families. Although the military offers a wide range of services and supports to military families, not all families are willing or able to use them. For example, geographically dispersed families can find it challenging to connect with military support…

  19. Design and Development of Virtual Reality: Analysis of Challenges Faced by Educators

    Science.gov (United States)

    Hanson, Kami; Shelton, Brett E.

    2008-01-01

    There exists an increasingly attractive lure of using virtual reality applications for teaching in all areas of education, but perhaps the largest detriment to its use is the intimidating nature of VR technology for non-technical instructors. What are the challenges to using VR technology for the design and development of VR-based instructional…

  20. Use of Data from Multiple Registries in Studying Biologic Discontinuation: Challenges and Opportunities

    Science.gov (United States)

    Yoshida, Kazuki; Radner, Helga; Kavanaugh, Arthur; Sung, Yoon-Kyoung; Bae, Sang-Cheol; Kishimoto, Mitsumasa; Matsui, Kazuo; Okada, Masato; Tohma, Shigeto; Weinblatt, Michael E.; Solomon, Daniel H.

    2016-01-01

    Many biologic disease-modifying antirheumatic drug (DMARD) discontinuation studies have been conducted, but mainly in trial settings which result in limited generalizability. Registry studies can complement the current literature of biologic DMARD discontinuation by providing more generalizable information. However, registries may need to be combined to increase power and provide a more diverse patient population. This increased power could provide us information about risk and benefits of discontinuing biologic DMARD in typical clinical practice. However, use of multiple registries is not without challenges. In this review, we discuss the challenges to combining data across multiple registries, focusing on biologic discontinuation as an example. Challenges include: 1) generalizability of each registry; 2) new versus prevalent users designs; 3) outcome definitions; 4) different health care systems; 5) different follow up intervals; and 6) data harmonization. The first three apply to each registry, and the last three apply to combining multiple registries. This review describes these challenges, corresponding solutions, and potential future opportunities. PMID:24129133

  1. Juggling Educational Ends: Non-Indigenous Yukon Principals and the Policy Challenges that They Face

    Science.gov (United States)

    Blakesley, Simon

    2012-01-01

    This article reports on a 2008 study of non-indigenous principals working in indigenous Yukon contexts. It examines the policy contexts in which Yukon principals are embedded, giving attention to how they address the tensions that exist as a result of operating at the intersections of multiple policy levels. The application of critical ethnography…

  2. 21st century challenges faced by nursing faculty in educating for compassionate practice: embodied interpretation of phenomenological data.

    Science.gov (United States)

    Curtis, Katherine

    2013-07-01

    Nursing faculty are facing challenges in facilitating student learning of complex concepts such as compassionate practice. Compassion is a stated expectation of Registered Nurse (RN) and student nurse practice, and yet how it is enabled and learned within the challenging environments of university and health service provider organisations are not yet understood. There is currently an international concern that student nurses are not being adequately prepared for compassion to flourish and for compassionate practice to be sustained upon professional qualification. In order to investigate the experiences of nursing faculty in their preparation of student nurses for compassionate practice, an exploratory aesthetic phenomenological research study was undertaken using in depth interviews with five nurse teachers in the North of England. Findings from this study were analysed and presented using embodied interpretation, and indicate that nurse teachers recognise the importance of the professional ideal of compassionate practice alongside specific challenges this expectation presents. They have concerns about how the economically constrained and target driven practice reality faced by RNs promotes compassionate practice, and that students are left feeling vulnerable to dissonance between learned professional ideals and the RNs' practice reality they witness. Nurse teachers also experience dissonance within the university setting, between the pressures of managing large student groups and the time and opportunity required for small group discussion with students that enables compassion to develop in a meaningful and emotionally sustainable way. Teachers also express discomfort due to a perceived promotion of an 'unachievable utopia' within practice, identifying how the constraints within practice could be better managed to support professional ideals. The nurse teachers within this exploratory study identify the need for strong nurse leadership in practice to challenge

  3. Overview of the critical disaster management challenges faced during Van 2011 earthquakes.

    Science.gov (United States)

    Tolon, Mert; Yazgan, Ufuk; Ural, Derin N; Goss, Kay C

    2014-01-01

    On October 23, 2011, a M7.2 earthquake caused damage in a widespread area in the Van province located in eastern Turkey. This strong earthquake was followed by a M5.7 earthquake on November 9, 2011. This sequence of damaging earthquakes led to 644 fatalities. The management during and after these earthquake disaster imposed many critical challenges. In this article, an overview of these challenges is presented based on the observations by the authors in the aftermath of this disaster. This article presents the characteristics of 2011 Van earthquakes. Afterward, the key information related to the four main phases (ie, preparedness, mitigation, response, and recovery) of the disaster in Van is presented. The potential strategies that can be taken to improve the disaster management practice are identified, and a set of recommendations are proposed to improve the existing situation.

  4. The changing face of nanomaterials: Risk assessment challenges along the value chain.

    Science.gov (United States)

    Mattsson, Mats-Olof; Simkó, Myrtill

    2017-03-01

    Risk assessment (RA) of manufactured nanomaterials (MNM) is essential for regulatory purposes and risk management activities. Similar to RA of "classical" chemicals, MNM RA requires knowledge about exposure as well as of hazard potential and dose response relationships. What makes MNM RA especially challenging is the multitude of materials (which is expected to increase substantially in the future), the complexity of MNM value chains and life cycles, the accompanying possible changes in material properties over time and in contact with various environmental and organismal milieus, and the difficulties to obtain proper exposure data and to consider the proper dose metric. This article discusses these challenges and also critically overviews the current state of the art regarding MNM RA approaches. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Inappropriate attitudes, fitness to practise and the challenges facing medical educators

    Science.gov (United States)

    Whiting, Demian

    2007-01-01

    The author outlines a number of reasons why morally inappropriate attitudes may give rise to concerns about fitness to practise. He argues that inappropriate attitudes may raise such concerns because they can lead to harmful behaviours (such as a failure to give proper care or treatment), and because they are often themselves harmful (both because of the offence that they can cause and because of the unhealthy pall that they may cast over relations between healthcare practitioners and patients). He also outlines some of the challenges that the cultivation and assessment of attitudes in students raise for medical educators and some of the ways in which those challenges may be approached and possibly overcome. PMID:17971472

  6. Asian Security Challenges-Planning the Face of Strategic Uncertainties. Volume 1. Main Report

    Science.gov (United States)

    1994-10-01

    body of cold-war analytic and planning techniques to be unseated; methodologically, the region is tabula rasa . We found that net assessments have their...countries. The result was substantially enhanced comprehension of the roles played by the U.S. and Soviet research, deVelopment, and acquisition processes...address these challenges. Technology will no doubt have an important role in the military power of many Asian nations, although not necessarily in

  7. Facing the challenges of the One-Tablet-Per-Child policy in Thai primary school education

    Directory of Open Access Journals (Sweden)

    Ratchada Viriyapong

    2013-10-01

    Full Text Available The Ministry of Education in Thailand is currently distributing tablets to all first year primary (Prathom 1 school children across the country as part of the government’s “One Tablet Per Child” (OTPC project to improve education. Early indications suggest that there are many unexplored issues in designing and implementing tablet activities for such a large and varied group of students and so far there is a lack of evaluation on the effectiveness of the tablet activities. In this article, the authors propose four challenges for the improving Thailand’s OTPC project, consisting of: developing contextualised content, ensuring usability, providing teacher support, and assessing learning outcomes. A case study on developing science activities for first year primary school children on the OTPC devices is the basis for presenting possible solutions to the four challenges. In presenting a solution to the challenge of providing teacher support, an architecture is described for collecting data from student interactions with the tablet in order to analysis the current progress of students while in a live classroom setting. From tests in three local Thai schools, the authors evaluate the case study from both student and teacher perspectives. In concluding the paper, a framework for guiding mobile learning innovation is utilised to review the qualities and shortcomings of the case study.

  8. Child Health and Nutrition: Getting better and facing new challenges in China

    Directory of Open Access Journals (Sweden)

    Shougang Wei

    2011-03-01

    Full Text Available BackgroundChild healthcare practices in China over the last 60 yearshave extensively improved children’s health and growth, yetnew challenges lie ahead. This review aims to summarisethe successful experiences and the newly identifiedproblems in child healthcare in China.MethodInformation, available to the public, was obtained fromChinese databases and Chinese Government websites,chiefly the Chinese National Knowledge Infrastructuredatabase, the Chinese Biomedical Literature database, theMinistry of Health website and the National WorkingCommittee on Children and Women website.ResultsDuring its poverty-stricken 1950s–1970s, China protectedchildren’s health mainly through prevention and control ofcommon infectious diseases and severe malnutrition withina comprehensive healthcare system. After the subsequent30 years of rapid socio-economic development, China hasachieved great success in reducing childhood mortality ratesand promoting child growth, meeting the MillenniumDevelopment Goal 4 targets and the WHO child growthstandards. Meanwhile, new challenges for children’shealthcare emerged, including: large disparities in thehealth, growth and nutritional status of children, and in theaccessibility and quality of child healthcare, between urbanand rural areas and across different regions of China; thenutritional and healthcare concerns of the fast-expandingpopulation of migrant children and rural left-behindchildren; the burgeoning epidemic of childhood obesity inurban and economically developed areas; micronutrientdeficiencies such as calcium, iron, zinc and vitamin A; andincreasing prevalence of mental and behavioural disorders.ConclusionUnder poor economic conditions, healthcare plays a keyrole in protecting children against diseases. With thedevelopment of social economy, new challenges present tohealthcare services, specifically, to comprehensivelypromote and optimise childrens’ health and nutrition.

  9. The 'PEARL' Data Warehouse: Initial Challenges Faced with Semantic and Syntactic Interoperability.

    Science.gov (United States)

    Mahmoud, Samhar; Boyd, Andy; Curcin, Vasa; Bache, Richard; Ali, Asad; Miles, Simon; Taweel, Adel; Delaney, Brendan; Macleod, John

    2017-01-01

    Data about patients are available from diverse sources, including those routinely collected as individuals interact with service providers, and those provided directly by individuals through surveys. Linking these data can lead to a more complete picture about the individual, to inform either care decision making or research investigations. However, post-linkage, differences in data recording systems and formats present barriers to achieving these aims. This paper describes an approach to combine linked GP records with study observations, and reports initial challenges related to semantic and syntactic interoperability issues.

  10. Crisis Management: Challenge or Opportunity for Public and Private Managers Face Economic Disaster

    Directory of Open Access Journals (Sweden)

    Lucean MIHALCEA

    2012-11-01

    Full Text Available Successful managers find ways to overcome situations of uncertainty. The strategies adopted are based on a series of simplistic reasoning such as analogy, taking into account the ideas of experts, rigorous debate and experimentation. Napoleon Bonaparte said that "there is nothing more important and more valuable than being able to make decisions." Business leaders today must deal with an avalanche of ambiguity, it must decide on the future of the company. I intend to expose some successful methods by which top managers were able to transform into opportunities, challenges of economic crisis.

  11. E-LEARNING AND THE GLOBAL DIVIDE: The Challenges Facing Distance Education in Africa

    Directory of Open Access Journals (Sweden)

    Bamidele A. OJO

    2009-07-01

    Full Text Available This paper examines the question of distance education and its pivotal role in promoting social change and development in Africa. It also discussed within the context of the global digital divide and the ongoing need for collaborative effort at global education, the limitation imposed by the socio-economic and political environment on the continent. The paper in its findings conclude that the crisis within African societies constitutes a serious challenge to the implementation of and the effectiveness of distance education in Africa and therefore contributes to the widening of the digital divide rather than reducing it.

  12. Challenges faced in managing dementia in Alzheimer’s disease in patients with Down syndrome

    Directory of Open Access Journals (Sweden)

    Prasher VP

    2016-09-01

    Full Text Available Vee P Prasher, Hassan Mahmood, Madhumanti Mitra Birmingham Learning Disability Service, Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK Abstract: Dementia in Alzheimer’s disease (DAD is more common in adults with Down syndrome (DS, with characteristically an earlier onset. The treatment of DAD is not too dissimilar in the general population and in people with intellectual disabilities. However, the underlying intellectual disability can make the management of DAD more challenging in older adults with DS. This literature review aimed to look at the management of DAD in people with DS. The management of dementia is holistic. This includes treating reversible factors, aiming to slow the cognitive decline, psychological therapies, ensuring that the environment is appropriate, and use of psychotropic medication when necessary to manage behavioral problems, psychotic symptoms, depressive symptoms, and sleep difficulty. Antidementia medications have a role to play but remain limited. The management of DAD in the DS population can be at times challenging, but good clinical practice should involve accurate diagnosis of dementia, treating any reversible additional factors, consideration of psychological and behavioral management, use of antidementia medication, and a multidisciplinary team approach. Keywords: Down syndrome, Alzheimer’s disease, dementia, management

  13. A Cross-Cultural Perspective on Challenges Facing Comparative Cancer Survivorship Research

    Directory of Open Access Journals (Sweden)

    Astri Syse

    2011-01-01

    Full Text Available Cancer survivorship research includes the study of physical, psychosocial, and economic consequences of cancer diagnosis and treatment among pediatric and adult cancer survivors. Historically, the majority of cancer survivorship studies were from the United States, but survivorship issues are increasingly being addressed in other developed countries. Cross-cultural studies remain, however, scarce. The degree to which knowledge attained may or may not be transferred across cultures, countries, or regions is not known. Some important challenges for comparative research are therefore discussed in a cross-cultural perspective. Several substantive and methodological challenges that complicate the execution of cross-cultural cancer survivorship research are presented with examples and discussed to facilitate comparative research efforts in the establishment of new survivorship cohorts and in the planning and implementation of survivorship studies. Comparative research is one key to understanding the nature of cancer survivorship, distinguishing modifiable from nonmodifiable factors at individual, hospital, societal, and system levels and may thus guide appropriate interventions. Lastly, suggested future courses of action within the field of comparative cancer survivorship research are provided.

  14. National metric challenges facing the Costa Rican goal of achieving carbon - neutrality by 2021

    Directory of Open Access Journals (Sweden)

    William Fonseca

    2014-06-01

    Full Text Available This paper analyzes weaknesses faced by the carbon neutrality initiative proposed by the Costa Rican government due to metrics and highlights some of the technical improvements that will be required in order to achieve greater comparability, applicability and confidence from the results obtained. Technical gaps are found not only in the assessment of greenhouse gas emissions but when accounting for biogenic carbon capture and storage, where global reference values, usually those reported by the IPCC, are commonly used. We then make reference to problems associated with their use, mainly related to the uncertainty (accuracy and precision that results from any estimate. At the national level there is a lack of information for biomass and carbon for some ecosystems as well as few complete studies that consider all carbon pools at the ecosystem level. We give examples for some of the most studied species. Finally, we compare results using global reference values against those developed from local studies a the national level.

  15. Economic and Market Challenges Facing the U.S. Nuclear Commercial Fleet

    Energy Technology Data Exchange (ETDEWEB)

    Szilard, Ronaldo [Idaho National Lab. (INL), Idaho Falls, ID (United States); Sharpe, Phil [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kee, Edward [Nuclear Economics Consulting Group, Washington, DC (United States); Davis, Edward [Nuclear Economics Consulting Group, Washington, DC (United States); Grecheck, Eugene [Grecheck Consulting LLC, Midlothian, VA (United States)

    2016-09-01

    This report identifies underlying economic and electricity market factors that have led to early retirements of U.S. operating nuclear power plants, assesses the Gap between operating revenues and operating costs for selected nuclear power plants, and discusses a range of actions that might be taken to stop early retirement of operating nuclear power plants. The Kewaunee and Vermont Yankee nuclear power plants were retired early for economic and financial reasons. Early retirement has been announced or proposed for Clinton and Quad Cities in Illinois, Fitzpatrick and Ginna in New York, Fort Calhoun in Nebraska. Other nuclear power plants, including Palisades, Davis-Besse, Prairie Island, and Three Mile Island Unit 1, have been identified as facing financial stress that might lead to early retirement. The early retirement of operating nuclear power plants will mean the loss of a large amount of zero-emission electricity, inconsistent with the goal of reducing carbon emissions in the electricity sector. This report provides a high-level view of the major factors driving early retirement: • The U.S. market and private ownership approach to the electricity sector; • Low electricity market prices resulting from low natural gas prices, low demand growth, increased penetration of renewable generation, and negative electricity market prices; and • No compensation to nuclear power plants for public benefits including zero-emission electricity.

  16. Technical and engineering challenges faced in design of the Gelugor Mainline, Penang, Malaysia

    Energy Technology Data Exchange (ETDEWEB)

    Khairiri, A.; Ghani, A. [PETRONAS GAS BERHAD, Kuala Lumpur (Malaysia)

    2000-07-01

    The design of the Gelugor Mainline pipeline in Malaysia faced several obstacles of major importance. The Gelugor Mainline is part of the Peninsular Gas Utilization Project - Stage III. This NPS 24 gas pipeline is approximately 7 km in length and runs from Tenaga National Berhad (TNB) Prai Power Plant of the main line to TNB Gelugor Power Plant on Penang Island. Operating at high pressure, the route runs through complex terrain with varied seabed lithology with depth up to 16 m. It will cross active shipping lanes, zones of live electrical cables, an extensive system of submarine pipeline, mudbank and areas susceptible to mass gravity flows. The development of a Light Rapid Transportation system and the proposed development of a Vision City are both within a few meters of the route of the pipeline. In addition, the pipeline traverses an environmentally sensitive region which includes the rearing of caged fishing activities. A risk assessment study was performed to determine the mitigation actions required and appropriate evasion procedures. The busy shipping strait became the site of a detailed survey of its activities. The different phases of the design process were explained in the presentation as well as an outline of the techniques employed in the design of the pipeline. 7 refs., 2 tabs., 6 figs.

  17. DEWA: A Multiaspect Approach for Multiple Face Detection in Complex Scene Digital Image

    Directory of Open Access Journals (Sweden)

    Setiawan Hadi

    2013-09-01

    Full Text Available A new approach for detecting faces in a digital image with unconstrained background has been developed. The approach is composed of three phases: segmentation phase, filtering phase and localization phase. In the segmentation phase, we utilized both training and non-training methods, which are implemented in user selectable color space. In the filtering phase, Minkowski addition-based objects removal has been used for image cleaning. In the last phase, an image processing method and a data mining method are employed for grouping and localizing objects, combined with geometric-based image analysis. Several experiments have been conducted using our special face database that consists of simple objects and complex objects. The experiment results demonstrated that the detection accuracy is around 90% and the detection speed is less than 1 second in average.

  18. DEWA: A Multiaspect Approach for Multiple Face Detection in Complex Scene Digital Image

    Directory of Open Access Journals (Sweden)

    Setiawan Hadi

    2007-05-01

    Full Text Available A new approach for detecting faces in a digital image with unconstrained background has been developed. The approach is composed of three phases: segmentation phase, filtering phase and localization phase. In the segmentation phase, we utilized both training and non-training methods, which are implemented in user selectable color space. In the filtering phase, Minkowski addition-based objects removal has been used for image cleaning. In the last phase, an image processing method and a data mining method are employed for grouping and localizing objects, combined with geometric-based image analysis. Several experiments have been conducted using our special face database that consists of simple objects and complex objects. The experiment results demonstrated that the detection accuracy is around 90% and the detection speed is less than 1 second in average.

  19. Research with families facing cancer: the challenges of accrual and retention.

    Science.gov (United States)

    Northouse, Laurel L; Rosset, Tansey; Phillips, Laurel; Mood, Darlene; Schafenacker, Ann; Kershaw, Trace

    2006-06-01

    The purposes of this article are: (a) to describe and analyze the accrual and retention patterns in a longitudinal randomized clinical trial with prostate cancer patients and their partners, and (b) to discuss strategies that were used to overcome challenges in conducting this family-based study. Initially, 429 dyads were referred to the study. Of these, 166 were not enrolled due to refusal (n = 120) or ineligibility (n = 46), 21 of whom did not meet one or more of the inclusion criteria, and 25 of whom could not be reached within the 2-month window of eligibility. Of the 383 eligible dyads, 263 dyads were enrolled (enrollment rate of 68.7%). Accrual and retention patterns differed by research site, referral procedures, and phase of prostate cancer. The retention rate was very good with the majority of dyads (n = 218) completing all three follow-up assessments at 4, 8, and 12 months (82.9%).

  20. Cyber crime: can a standard risk analysis help in the challenges facing business continuity managers?

    Science.gov (United States)

    Vande Putte, Danny; Verhelst, Marc

    Risk management has never been easy. Finding efficient mitigating measures is not always straightforward. Finding measures for cyber crime, however, is a really huge challenge because cyber threats are changing all the time. As the sophistication of these threats is growing, their impact increases. Moreover, society and its economy have become increasingly dependent on information and communication technologies. Standard risk analysis methodologies will help to score the cyber risk and to place it in the risk tolerance matrix. This will allow business continuity managers to figure out if there is still a gap with the maximum tolerable outage for time-critical business processes and if extra business continuity measures are necessary to fill the gap.

  1. Managing parental groups during early childhood: New challenges faced by Swedish child health-care nurses.

    Science.gov (United States)

    Lefèvre, Åsa; Pia, Lundqvist; Eva, Drevenhorn; Inger, Hallström

    2015-09-01

    The purpose of this study was to describe child health centre (CHC) nurses' views of managing parental groups during early childhood. All 311 CHC nurses working within the Swedish CHC system in one county were asked to complete a web-based questionnaire. Findings showed that although the CHC nurses were experienced, several found group leadership challenging and difficult. The need for specialized groups for young parents, single parents and parents whose first language was not Swedish was identified by 57% of the nurses. The CHC nurses found the participation of fathers in their parental groups to be low (an estimate of 10-20%), and 30% of the nurses made special efforts to make the fathers participate. Education in group dynamics and group leadership can strengthen CHC nurses in managing parental groups. It is recommended that specialized parental groups are organized by a few family centres so CHC nurses can develop their skill in managing such groups.

  2. Perception Challenges Faced by Al-Qaeda on the Battlefield of Influence Warfare

    Directory of Open Access Journals (Sweden)

    James J.F. Forest

    2012-03-01

    Full Text Available Many kinds of entities—including terrorists and insurgents—seek to influence perceptions and behavior among various target audiences, and have become increasingly reliant on the Internet in their efforts, incorporating social media, blogging, public video sharing and other online tools. This article is focused on the ideological messages that terrorist groups use to convey with these tools. Drawing from a study of Al-Qaeda, this discussion illustrates how ideologies of violence have certain vulnerabilities that can be exploited in order to degrade a terrorist group’s ability to achieve its objectives. While crafting and disseminating counter-narratives can be a critical part of a counterterrorism strategy, it is also important to identify ways in which terrorists undermine their own central narratives and exacerbate pre-existing “influence warfare” challenges

  3. Challenges, uncertainties and issues facing gas production from gas hydrate deposits

    Energy Technology Data Exchange (ETDEWEB)

    Moridis, G.J.; Collett, T.S.; Pooladi-Darvish, M.; Hancock, S.; Santamarina, C.; Boswell, R.; Kneafsey, T.; Rutqvist, J.; Kowalsky, M.; Reagan, M.T.; Sloan, E.D.; Sum, A.K.; Koh, C.

    2010-11-01

    The current paper complements the Moridis et al. (2009) review of the status of the effort toward commercial gas production from hydrates. We aim to describe the concept of the gas hydrate petroleum system, to discuss advances, requirement and suggested practices in gas hydrate (GH) prospecting and GH deposit characterization, and to review the associated technical, economic and environmental challenges and uncertainties, including: the accurate assessment of producible fractions of the GH resource, the development of methodologies for identifying suitable production targets, the sampling of hydrate-bearing sediments and sample analysis, the analysis and interpretation of geophysical surveys of GH reservoirs, well testing methods and interpretation of the results, geomechanical and reservoir/well stability concerns, well design, operation and installation, field operations and extending production beyond sand-dominated GH reservoirs, monitoring production and geomechanical stability, laboratory investigations, fundamental knowledge of hydrate behavior, the economics of commercial gas production from hydrates, and the associated environmental concerns.

  4. Challenges facing the farm animal veterinary profession in England: A qualitative study of veterinarians' perceptions and responses.

    Science.gov (United States)

    Ruston, Annmarie; Shortall, Orla; Green, Martin; Brennan, Marnie; Wapenaar, Wendela; Kaler, Jasmeet

    2016-05-01

    The farm animal veterinary profession in the UK has faced a number of challenges in recent decades related to the withdrawal of government funding and a contraction of the agricultural sector. They have come under pressure to respond by developing skills and focusing on disease prevention advisory services. However, this puts veterinarians in competition with other providers of these services, and moves in this direction have only been partial. Failure to respond to these challenges puts the veterinary profession at risk of de-professionalisation-a loss of their monopoly over knowledge, an erosion of client beliefs in their service ethos and a loss of work autonomy. This paper explores how farm animal veterinarians in England perceive these challenges and are responding to them. Semi-structured qualitative interviews were carried out with 28 veterinarians from Royal College of Veterinary Surgeon farm accredited practices. Veterinarians were chosen from high, medium and low density cattle farming regions. Interviews were recorded, transcribed and themes identified through the constant comparison method. The majority of respondents recognised the challenges facing the veterinary profession. Most believed their role had changed, moving towards that of a disease prevention adviser who was part of the farm management team. In terms of maintaining and redefining their professional status, farm animal veterinarians do have a defined body of knowledge and the ability to develop trusting relationships with clients, which enhances their competitiveness. However, while they recognise the changes and challenges, moves towards a disease prevention advisory model have only been partial. There seem to be little effort towards using Farm accreditation status or other strategies to promote their services. They do not appear to be finding effective strategies for putting their knowledge on disease prevention into practice. Disease prevention appears to be delivered on farm on an ad

  5. Challenge theme 2: assuring water availability and quality in the 21st century: Chapter 4 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Callegary, James; Langeman, Jeff; Leenhouts, Jim; Martin, Peter

    2013-01-01

    Along the United States–Mexican border, the health of communities, economies, and ecosystems is inextricably intertwined with the availability and quality of water, but effective water management in the Borderlands is complicated. Water users compete for resources, and their needs are increasing. Managers are faced with issues such as finding a balance between agriculture and rapidly growing cities or maintaining public supplies while ensuring sufficient resources for aquatic ecosystems. In addition to human factors, the dry climate of the Borderlands, as compared to more temperate regions, also increases the challenge of balancing water supplies between humans and ecosystems. Warmer, drier, and more variable conditions across the southwestern United States—the projected results of climate change (Seager and others, 2007)—would further stress water supplies.

  6. An opportunity and an imperative: Chapter 11 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Updike, Randall G.; Page, William R.

    2013-01-01

    Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, we are witnessing the expression of the challenges of the 21st century. The Borderlands have become a microcosm for the entire United States and Mexico; the issues faced in that region are felt throughout both nations—water availability and quality, ecosystem health, natural resource needs, safety from natural hazards, and human socioeconomic well-being. If these issues were not challenging enough, we now recognize that the difficulties of addressing them are exacerbated by the onset of climate change, and as we come to better understand the complexities of the components of these challenge themes, we discover that each part is inextricably intertwined with other overarching issues. Further, because we are a creative and progressive society, we all seek to understand and appreciate the natural environments associated with the Borderlands while at the same time benefitting from the region’s many social and economic values. It is little wonder that we as a society find it increasingly difficult to ask the right questions, much less find suitable answers to the questions we do ask. For the many scientists who have worked in the Borderlands and contributed to the preceding chapters, this circular is a way to describe to the two nations of the region the capabilities the U.S. Geological Survey can provide to assist in that quest for knowledge and understanding in preparation for the future.

  7. Facing tomorrow's challenges: U.S. Geological Survey science in the decade 2007-2017

    Science.gov (United States)

    ,

    2007-01-01

    In order for the U.S. Geological Survey (USGS) to respond to evolving national and global priorities, it must periodically reflect on, and optimize, its strategic directions. This report is the first comprehensive science strategy since the early 1990s to examine critically major USGS science goals and priorities. The development of this science strategy comes at a time of global trends and rapidly evolving societal needs that pose important natural-science challenges. The emergence of a global economy affects the demand for all resources. The last decade has witnessed the emergence of a new model for managing Federal lands-ecosystem-based management. The U.S. Climate Change Science Program predicts that the next few decades will see rapid changes in the Nation's and the Earth's environment. Finally, the natural environment continues to pose risks to society in the form of volcanoes, earthquakes, wildland fires, floods, droughts, invasive species, variable and changing climate, and natural and anthropogenic toxins, as well as animal-borne diseases that affect humans. The use of, and competition for, natural resources on the global scale, and natural threats to those resources, has the potential to impact the Nation's ability to sustain its economy, national security, quality of life, and natural environment. Responding to these national priorities and global trends requires a science strategy that not only builds on existing USGS strengths and partnerships but also demands the innovation made possible by integrating the full breadth and depth of USGS capabilities. The USGS chooses to go forward in the science directions proposed here because the societal issues addressed by these science directions represent major challenges for the Nation's future and for the stewards of Federal lands, both onshore and offshore. The six science directions proposed in this science strategy are listed as follows. The ecosystems strategy is listed first because it has a dual nature

  8. Northern Eurasia Future Initiative: Facing the Challenges of Global Change in the 21st century

    Science.gov (United States)

    Groisman, Pavel; Gutman, Garik; Gulev, Sergey; Maksyutov, Shamil; Qi, Jiaguo

    2016-04-01

    foci emerged in discussions within the NEESPI community during the past 20 months. Presentation will provide justification of these foci and approach examples addressing them. The societal challenges, particularly the socio-economic challenges are the top priority in most of them. Throughout the NEESP Initiative duration, support for it studies has been provided by different national and international Agencies of the United States (in particular, the NASA Land Cover and Land Use Change Program), the Russian Federation (in particular, the Ministry of Education and Science, e.g., mega-grant 14.B25.31.0026), European Union, Japan, and China. After the NEFI White Paper release, we anticipate a similar kind of support for this new Initiative.

  9. Frontier of therapeutic antibody discovery:The challenges and how to face them

    Institute of Scientific and Technical Information of China (English)

    Zhi-Jian; Lu; Su-Jun; Deng; Da-Gang; Huang; Yun; He; Ming; Lei; Li; Zhou; Pei; Jin

    2012-01-01

    Therapeutic monoclonal antibodies have become an important class of modern medicines.The established technologies for therapeutic antibody discovery such as humanization of mouse antibodies,phage display of human antibody libraries and transgenic animals harboring human IgG genes have been practiced successfully so far,and many incremental improvements are being made constantly.These methodologies are responsible for currently marketed therapeutic antibodies and for the biopharma industry pipeline which are concentrated on only a few dozen targets.A key challenge for wider application of biotherapeutic approaches is the paucity of truly validated targets for biotherapeutic intervention.The efforts to expand the target space include taking the pathway approach to study the disease correlation.Since many new targets are multi-spanning and multimeric membrane proteins there is a need to develop more effective methods to generate antibodies against these difficult targets.The pharmaceutical properties of therapeutic antibodies are an active area for study concentrating on biophysical characteristics such as thermal stability and aggregation propensity.The immunogenicity of biotherapeutics in humans is a very complex issue and there are no truly predictive animal models to rely on.The in silico and T-cell response approaches identify the potential for immunogenicity;however,one needs contingency plans for emergence of antiproduct antibody response for clinical trials.

  10. Potential challenges facing distributed leadership in health care: evidence from the UK National Health Service.

    Science.gov (United States)

    Martin, Graeme; Beech, Nic; MacIntosh, Robert; Bushfield, Stacey

    2015-01-01

    The discourse of leaderism in health care has been a subject of much academic and practical debate. Recently, distributed leadership (DL) has been adopted as a key strand of policy in the UK National Health Service (NHS). However, there is some confusion over the meaning of DL and uncertainty over its application to clinical and non-clinical staff. This article examines the potential for DL in the NHS by drawing on qualitative data from three co-located health-care organisations that embraced DL as part of their organisational strategy. Recent theorising positions DL as a hybrid model combining focused and dispersed leadership; however, our data raise important challenges for policymakers and senior managers who are implementing such a leadership policy. We show that there are three distinct forms of disconnect and that these pose a significant problem for DL. However, we argue that instead of these disconnects posing a significant problem for the discourse of leaderism, they enable a fantasy of leadership that draws on and supports the discourse.

  11. Challenges faced by China compared with the US in developing wind power

    Science.gov (United States)

    Lu, Xi; McElroy, Michael B.; Peng, Wei; Liu, Shiyang; Nielsen, Chris P.; Wang, Haikun

    2016-06-01

    In the 21st Conference of the Parties held in Paris in December 2015, China pledged to peak its carbon emissions and increase non-fossil energy to 20% by 2030 or earlier. Expanding renewable capacity, especially wind power, is a central strategy to achieve these climate goals. Despite greater capacity for wind installation in China compared to the US (145.1 versus 75.0 GW), less wind electricity is generated in China (186.3 versus 190.9 TWh). Here, we quantify the relative importance of the key factors accounting for the unsatisfactory performance of Chinese wind farms. Different from the results in earlier qualitative studies, we find that the difference in wind resources explains only a small fraction of the present China-US difference in wind power output (-17.9% in 2012); the curtailment of wind power, differences in turbine quality, and delayed connection to the grid are identified as the three primary factors (respectively -49.3%, -50.2%, and -50.3% in 2012). Improvements in both technology choices and the policy environment are critical in addressing these challenges.

  12. Aging: the triumph of humanity-are we prepared to face the challenge?

    Science.gov (United States)

    Singh, Zile

    2012-01-01

    Advances in medicine have increased the life expectancy resulting in an increase in the geriatric population all over the world, and their proportion will only continue to rise in the coming years. It is known that the elderly bear a significant burden of morbidity, which is why health systems globally spearheaded by the WHO are waking up to the need for better geriatric health services. This includes India, whose health system continues to grapple with the health challenges of communicable and noncommunicable diseases. This article enumerates the various government policies and programs, constitutional and legal provisions available for the care of the elderly, and concludes that they are grossly inadequate to deal with the various physical, psychological, and emotional needs of the aging population. Mainstreaming of geriatric health to address the health needs of the elderly at all levels of health care, both in the public and the private sectors, giving due importance to multidimensional rehabilitative services and terminal care, involving NGOs and voluntary organizations, and stepping up social security in old age are the recommended measures for improving geriatric health in India.

  13. Networked Social Enterprises: A New Model of Community Schooling for Disadvantaged Neighborhoods Facing Challenging Times

    Directory of Open Access Journals (Sweden)

    Kirstin Kerr

    2016-06-01

    Full Text Available Community schools have long been accepted as an institutional mechanism for intervening in the relationship between poverty, poor educational outcomes, and limited life chances. At a time when public services are being retracted, and disadvantaged places are being increasingly left to struggle, community schools are poised to become more important in offering a response to the needs of children, families, and communities in these places. Yet, despite their apparent promise, community schools remain badly under-conceptualized. As an international field, research on community schooling has rarely articulated or questioned how—by providing additional learning and leisure opportunities and personal and social supports—community schools might create a viable intervention in the relationship between poverty and poor outcomes. This paper explicitly addresses this significant challenge. Conceptualizing empirical findings emerging from a research-practice partnership, it identifies the core features of a new institutional design for community schools which can help to clarify their potential contribution to addressing disadvantage. Marking a considerable shift from a traditional design of simply adding new services to the school day, it argues that community schools will need to operate as social enterprises with networked governance arrangements, and to develop strategies which engage with children’s social ecologies, and are risk-reducing and resilience-building within these. This, in turn, sets a new agenda for significantly advancing the field of community schooling by further defining—conceptually and empirically—the core elements of a new institutional design as identified here.

  14. The Challenges Facing the Multilateral Trading System in Addressing Global Public Policy Objectives

    Directory of Open Access Journals (Sweden)

    Christophe Bellmann

    2013-02-01

    Full Text Available Despite a record-breaking 14.5 per cent increase in world merchandise exports, the effects of the financial crisis and global recession are still hampering faster economic recovery. Relatively high oil prices combined with persistent unemployment and measures designed to reduce budget deficits have undermined short-term growth prospects. While South–South trade continues to explode, trade imbalances – i.e. the gap between exports and imports – widened in 2010 compared to 2009 (though smaller than pre-crisis levels. Meanwhile, trade negotiations under the Doha Round have reached an impasse, generating uncertainties about the future of the World Trade Organization (WTO as a negotiating forum. Under these circumstances, should the system rethink its decision-making process founded upon the predominance of member states, the principle of consensus and the notion of single undertaking, as some critics have suggested? And, if so, how could such a reform agenda be initiated at the WTO? Moreover, beyond the negotiating function of the WTO, the paralysis of the system also raises urgent questions about the ability of the system to respond to pressing challenges of our times, such as trade and climate change, or food security and price volatility.

  15. Transcultural nursing: facing the challenges of advocacy and diversity/universality.

    Science.gov (United States)

    Kavanagh, K H

    1993-01-01

    This paper is in response to an invitation to address the topic of advocacy and diversity from the perspective of past and present transcultural nursing. With origins in nursing, with its philosophy of active intervention, and in anthropology, where relativism proposes merit in diverse (including non-interventive) approaches to health and illness, transcultural nursing grapples with potential epistemological conflict as it helps shape health care in highly industrialized, multicultural societies and even more varied global contexts. As a developing subdiscipline, transcultural nursing continuously reexamines dialectical relationships between change and preservation and between health care needs and the risk of imposition. Whereas advocacy is viewed as a moral imperative in nursing, diversity (which can be used to argue against acknowledgement of differences and to promote the pretense that everything is the same for everyone) remains better developed conceptually than operationally, while universality too often falls prey to misuse as an argument against acknowledgement of diversity. Within a framework constructed from the juxtaposition of advocacy with diversity/universality (Leininger, 1988c, 1991), this article appraises the accomplishments and challenges of transcultural nursing as it moves into its second quarter century. It is proposed that the future of transcultural nursing should emphasize development of realistic nursing roles that include a confluence of advocacy and diversity/universality and negotiation of responsible social conceptualizations of cultural issues such as "race" and diversity.

  16. Eculizumab for atypical hemolytic-uremic syndrome in India: First report from India and the challenges faced

    Science.gov (United States)

    Sethi, S. K.; Rohatgi, S.; Dragon-Durey, M. A.; Raghunathan, V.; Dhaliwal, M.; Rawat, A.; Jha, P.; Bansal, S. B.; Raina, R.; Kher, V.

    2017-01-01

    Much progress has been made in understanding the pathophysiology and treatment of atypical hemolytic uremic syndrome (aHUS). Plasma therapy is the mainstay of treatment for aHUS. The availability of the first effective anti-complement therapeutic agent, eculizumab, has dramatically changed the outlook of this disease. However, its use in clinical practice raises important questions, such as who should receive the drug, when to start such therapy, and is it safe to stop treatment once the disease is controlled. We describe here for the 1st time in India, use of eculizumab in a 12-year-old boy with aHUS. We also describe in this report challenges faced in procuring the drug, and an ideal, evidence-based method of treating aHUS in children. PMID:28182046

  17. 医院信息化面临的安全挑战%The Information Security Challenges Faced by Hospitals

    Institute of Scientific and Technical Information of China (English)

    沈韬

    2012-01-01

    This article provides an overview of the information security challenges faced by hospitals in the process of healthcare reform. The solutions and implementation approaches for financial security, business continuity management, internet security and leakage of sensitive information were proposed. A brief analysis about significant barriers to promoting hospital information security governance was also in this article.%概述了医改形势下医院信息化所面临的安全挑战,针对财务安全、业务连续性管理、互联网安全和敏感信息泄漏问题提出了应对方案和实施策略,并对推进医院信息安全治理的主要障碍进行了简要分析.

  18. Pesticide Health and Safety Challenges Facing Informal Sector Workers: A Case of Small-scale Agricultural Workers in Tanzania.

    Science.gov (United States)

    Ngowi, Aiwerasia; Mrema, Ezra; Kishinhi, Stephen

    2016-08-01

    The Tanzania informal sector is growing fast, with precarious working conditions and particular hazards for women and children in agriculture. Hazardous agricultural chemicals including pesticides are mostly imported and have been used for many years. Despite the role played by pesticides in food security and vector control, these chemicals are responsible for acute and chronic illnesses among communities. The availability of obsolete persistent organic pesticides on the open market indicates existence of an inadequate regulatory system. People who get injured or ill in the agriculture sector in Tanzania receive health services in primary health care facilities where professionals have little or no knowledge of pesticides. We are presenting the pesticide health and safety challenges faced by small-scale farmers who fall in the informal sector. Achievements that have been made by the government and other players to reduce and prevent pesticide exposures and poisoning are also outlined.

  19. Investigating Challenges Facing Self-Management Empowerment Education in Adolescents and Youths with Major Thalassemia

    Directory of Open Access Journals (Sweden)

    Razzazan

    2014-10-01

    Full Text Available Background Thalassemia is considered an important public health problem worldwide, especially in developing and poor countries. Although several advanced techniques have been developed for prevention of thalassemia in the recent years, many adolescents and youths are still living with this disease. Independence from parents, decisions about high-risk behaviors, uncovering the identity, and adapting to mental and physical effects of the disease occur together in adolescents. Objectives This study was conducted to explore challenges of self-management empowerment in adolescents and youths with major thalassemia. Materials and Methods This was a descriptive-exploratory study. The study population consisted of adolescents and youths with major thalassemia who had medical records in the Bushehr Thalassemia Center, affiliated with Bushehr University of Medical Sciences. The study samples were purposively selected. Demographic information questionnaire and empowerment questionnaire were used to collect data from the semistructured interview. We analyzed qualitative data by content analysis method and quantitative data by descriptive (mean, standard deviation and analytical (Student's t-test, ANOVA and Pearson’s correlation coefficient statistical methods, using the statistical software SPSS 18. Results In qualitative part of the study, data from semistructured in-depth interviews with 15 participants were coded and summarized in five themes including: 1 awareness of personal changes; 2 need for adaptation; 3 maintaining independence and self-management; 4 uncovering the identity and role playing; and 5 sense of control and satisfaction. Results of the quantitative part showed that the overall score of participants on empowerment was 92.46 of 149 scores, which showed a moderate situation in the empowerment of these individuals. In addition, the empowerment score showed no statistically significant correlation with demographic characteristics

  20. Facing policy challenges with inter- and transdisciplinary soil research focused on the UN Sustainable Development Goals

    Science.gov (United States)

    Bouma, Johan; Montanarella, Luca

    2016-04-01

    Our current information society, populated by increasingly well-informed and critical stakeholders, presents a challenge to both the policy and science arenas. The introduction of the UN Sustainable Development Goals (SDGs) offers a unique and welcome opportunity to direct joint activities towards these goals. Soil science, even though it is not mentioned as such, plays an important role in realizing a number of SDGs focusing on food, water, climate, health, biodiversity, and sustainable land use. A plea is made for a systems approach to land use studies, to be initiated by soil scientists, in which these land-related SDGs are considered in an integrated manner. To connect with policy makers and stakeholders, two approaches are functional. The first of these is the policy cycle when planning and executing research, which includes signaling, design, decision making, implementation, and evaluation. Many current research projects spend little time on signaling, which may lead to disengagement of stakeholders. Also, implementation is often seen as the responsibility of others, while it is crucial to demonstrate - if successful - the relevance of soil science. The second approach is the DPSIR approach when following the policy cycle in land-related research, distinguishing external drivers, pressures, impact, and responses to land use change that affect the state of the land in the past, present, and future. Soil science cannot by itself realize SDGs, and interdisciplinary studies on ecosystem services (ESs) provide an appropriate channel to define contributions of soil science in terms of the seven soil functions. ESs, in turn, can contribute to addressing the six SDGs (2, 3, 6, 12, 13, and 15) with an environmental, land-related character. SDGs have a societal focus and future soil science research can only be successful if stakeholders are part of the research effort in transdisciplinary projects, based on the principle of time-consuming "joint learning". The

  1. Legal and regulatory challenges currently facing diabetes treatment providers and related durable medical equipment suppliers.

    Science.gov (United States)

    Liles, Robert

    2013-03-01

    It has been estimated that 24 million Americans have diabetes, many of whom are Medicare beneficiaries. These individuals carefully monitor their blood glucose levels primarily through the use of in-home blood glucose testing kits. Although the test is relatively simple, the cumulative expense of providing glucose test strips and lancets to patients is ever increasing, both to the Medicare program and to uninsured individuals who must pay out-of-pocket for these testing supplies. This article discusses the diabetes durable medical equipment (DME) coverage under Part B Medicare, the establishment and role of DME Medicare administrative contractors, and national and local coverage requirements for diabetes DME suppliers. This article also discusses the federal government's ongoing concerns regarding the improper billing of diabetes testing supplies. To protect the Medicare Trust Fund, the federal government has contracted with multiple private entities to conduct reviews and audits of questionable Medicare claims. These private sector contractors have conducted unannounced site visits of DME supplier offices, interviewed patients and their families, placed suppliers on prepayment review, and conducted extensive postpayment audits of prior paid Medicare claims. In more egregious administrative cases, Medicare contractors have recommended that problematic providers and/or DME suppliers have their Medicare numbers suspended or, in some instances, revoked. More serious infractions can lead to civil or criminal liability. In the final part of this article, we will examine the future of enforcement efforts by law enforcement and Medicare contractors and the importance of understanding and complying with federal laws when ordering and supplying diabetes testing strips and lancets.

  2. Theoretical Borderlands: Using Multiple Theoretical Perspectives to Challenge Inequitable Power Structures in Student Development Theory

    Science.gov (United States)

    Abes, Elisa S.

    2009-01-01

    This article is an exploration of possibilities and methodological considerations for using multiple theoretical perspectives in research that challenges inequitable power structures in student development theory. Specifically, I explore methodological considerations when partnering queer theory and constructivism in research on lesbian identity…

  3. Effect of phone call versus face-to-face follow-up on recurrent suicide attempts prevention in individuals with a history of multiple suicide attempts

    Science.gov (United States)

    Mousavi, Seyed Ghafur; Amini, Mohsen; Mahaki, Behzad; Bagherian-Sararoudi, Reza

    2016-01-01

    Background: To evaluate the efficacy of different ways of communications on prevention of suicidal reattempt, we compared the efficacy of phone call versus face-to-face follow-up in patients with previous attempt. Materials and Methods: In a randomized controlled clinical trial, 55 suicide reattempters who were admitted to the poisoning emergency were divided into phone call (29 patients) and face-to-face (26 patients) groups randomly. They were followed at 8 occasions: 2nd and 4th weeks, and the 2nd, 3rd, 4th, 5th, 6th, and 8th months. The suicidal reattempt, suicidal thought, hope, and interest of the patients were assessed on each occasion, and the patients were guided to visit by a therapist, if needed. The findings were analyzed by Mann–Whitney, Chi-square, Cochran, Friedman, and independent t-tests using SPSS 20. Results: The status of “hope” and “interest” improved in both groups, but it showed more significant difference in the face-to-face group. Suicidal thoughts in both groups decreased over time, and this was more significant in the face-to-face group. However, we did not found any significant difference in the frequency of the suicidal reattempts between two groups. Conclusion: Face-to-face versus phone call follow-up of suicide attempters can significantly alleviate suicidal thoughts and improve hopes and interests. PMID:28028524

  4. Tools to support interpreting multiple regression in the face of multicollinearity.

    Science.gov (United States)

    Kraha, Amanda; Turner, Heather; Nimon, Kim; Zientek, Linda Reichwein; Henson, Robin K

    2012-01-01

    While multicollinearity may increase the difficulty of interpreting multiple regression (MR) results, it should not cause undue problems for the knowledgeable researcher. In the current paper, we argue that rather than using one technique to investigate regression results, researchers should consider multiple indices to understand the contributions that predictors make not only to a regression model, but to each other as well. Some of the techniques to interpret MR effects include, but are not limited to, correlation coefficients, beta weights, structure coefficients, all possible subsets regression, commonality coefficients, dominance weights, and relative importance weights. This article will review a set of techniques to interpret MR effects, identify the elements of the data on which the methods focus, and identify statistical software to support such analyses.

  5. Social, Cultural, and Environmental Challenges Faced by Children on Antiretroviral Therapy in Zimbabwe: a Mixed Method Study

    Directory of Open Access Journals (Sweden)

    Margaret Macherera, MSc

    2012-11-01

    Full Text Available Objectives:Despite the advent of antiretroviral therapy (ART, many children, particularly in the rural communities of Zimbabwe, remain vulnerable. The purpose of this study was to determine the factors and challenges facing children on antiretroviral therapy (ART in Brunapeg area of Mangwe District, Zimbabwe.Methods:A mixed-method approach involving interviewer-guided focus group discussions and piloted semi-structured questionnaires was utilized to collect data from different key population groups. The data obtained were analyzed through content coding procedures based on a set of predetermined themes of interest.Results:A number of challenges emerged as barriers to the success of antiretroviral therapy for children. Primary care givers were less informed about HIV and AIDS issues for people having direct impact on the success of antiretroviral therapy in children whilst some were found to be taking the antiretroviral drugs meant for the children. It also emerged that some primary care givers were either too young or too old to care for the children while others had failed to disclose to the children why they frequently visited the Opportunistic Infections (OI clinic. Most primary care givers were not the biological parents of the affected children. Other challenges included inadequate access to health services, inadequate food and nutrition and lack of access to clean water, good hygiene and sanitation. The lack of community support and stigma and discrimination affected their school attendance and hospital visits. All these factors contributed to non-adherence to antiretroviral drugs.Conclusions and Public Health Implications:Children on ART in rural communities in Zimbabwe remain severely compromised and have unique problems that need multi-intervention strategies both at policy and programmatic levels. Effective mitigating measures must be fully established and implemented in rural communities of developing countries in the fight for

  6. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    John Kuumuori Ganle

    Full Text Available While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana.A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling's thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers' insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability.Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and patient-centred training for

  7. One stone, two birds: managing multiple common warts on hands and face by local hyperthermia.

    Science.gov (United States)

    Hu, Lanting; Qi, Ruiqun; Hong, Yuxiao; Huo, Wei; Chen, Hong-Duo; Gao, Xing-Hua

    2015-01-01

    A man developed with multiple warts on his hands and the inner canthus of his left eye. We applied local hyperthermia on a single target lesion on his hand at a surface temperature of 44 °C for 30 minutes on Days 1, 2, 3, 17, and 18. All the lesions treated with or without heat cleared 8 weeks after the last treatment. Treatment of a target lesion resolved all other untreated lesions, a fact suggestive that local hyperthermia could induce activation of specific immunity against human papillomavirus on the lesional skin, which lead to resolution of all the warts. © 2014 Wiley Periodicals, Inc.

  8. The multiple faces of calcineurin signaling in Caenorhabditis elegans: Development, behaviour and aging

    Indian Academy of Sciences (India)

    Jin Il Lee; Sutapa Mukherjee; Kyoung–Hye Yoon; Meenakshi Dwivedi; Jaya Bandyopadhyay

    2013-06-01

    Calcineurin, a well-conserved protein phosphatase 2B (PP2B), is a Ca2+-calmodulin–dependent serine/threonine protein phosphatase that is known to be involved in a myriad of cellular processes and signal transduction pathways. The biological role of calcineurin has been extensively studied in diverse groups of organisms. Homologues of mammalian and Drosophila calcineurin subunits exist in the nematode, Caenorhabditis elegans. The C. elegans counterpart of the catalytic subunit, calcineurin A, cna-1/tax-6, and the regulatory subunit, calcineurin B, cnb-1, are known to express ubiquitously in multiple tissues including neurons. The characterization of C. elegans calcineurin mutants facilitates identification of its physiological functions and signaling pathways. Genetic interactions between cna-1/tax-6 and cnb-1 mutants with a number of mutants involved in several signaling pathways have exemplified the pivotal role of calcineurin in regulating nematode development, behaviour and lifespan (aging). The present review has been aimed to provide a succinct summary of the multiple functions of calcineurin in C. elegans relating to its development, fertility, proliferation, behaviour and lifespan. Analyses of cna-1/tax-6 and cnb-1 interacting proteins and regulators of the phosphatase in this fascinating worm model have an immense scope to identify potential drug targets in various parasitic nematodes, which cause many diseases inflicting huge economic loss; and also for many human diseases, particularly neurodegenerative and myocardial diseases.

  9. DAG tales: the multiple faces of diacylglycerol--stereochemistry, metabolism, and signaling.

    Science.gov (United States)

    Eichmann, Thomas Oliver; Lass, Achim

    2015-10-01

    The neutral lipids diacylglycerols (DAGs) are involved in a plethora of metabolic pathways. They function as components of cellular membranes, as building blocks for glycero(phospho)lipids, and as lipid second messengers. Considering their central role in multiple metabolic processes and signaling pathways, cellular DAG levels require a tight regulation to ensure a constant and controlled availability. Interestingly, DAG species are versatile in their chemical structure. Besides the different fatty acid species esterified to the glycerol backbone, DAGs can occur in three different stereo/regioisoforms, each with unique biological properties. Recent scientific advances have revealed that DAG metabolizing enzymes generate and distinguish different DAG isoforms, and that only one DAG isoform holds signaling properties. Herein, we review the current knowledge of DAG stereochemistry and their impact on cellular metabolism and signaling. Further, we describe intracellular DAG turnover and its stereochemistry in a 3-pool model to illustrate the spatial and stereochemical separation and hereby the diversity of cellular DAG metabolism.

  10. Young women facing multiple and intersecting stressors of modernity, gender orders and youth.

    Science.gov (United States)

    Wiklund, Maria; Bengs, Carita; Malmgren-Olsson, Eva-Britt; Ohman, Ann

    2010-11-01

    This article aims to explore stressors experienced by Swedish adolescent girls and young women, specifically understood in relation to social context and gender theory. Interviews were conducted with 40 young Swedish women, aged 16-25 years, who had sought help at a youth health centre for stress problems. Using qualitative content analysis we identified three clusters of stressors: "the stressors of modernity", "the stressors of gendered orders", and "the stressors of youth". The results revealed that multiple and intersecting discourse-shaped stressors and demands connected to essential life spheres contribute not only to experiences of distress but also to feelings of constraint. Gendered individualism and healthism proved to be essential in understanding the young women's experienced stress. Failing social support from adults, gendered demands and responsibility taking were also illuminated. This calls for a broad contextualized and gender-sensitive approach to young women's stress and health problems. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. Dynamics of mechanical systems with multiple sliding contacts: new faces of Painlev\\'e's paradox

    CERN Document Server

    Várkonyi, Péter L

    2016-01-01

    We investigate the dynamics of finite degree-of-freedom, planar mechanical systems with multiple sliding, unilateral frictional point contacts. A complete classification of systems with 2 sliding contacts is given. The contact-mode based approach of rigid body mechanics is combined with linear stability analysis using a compliant contact model to determine the feasibility and the stability of every possible contact mode in each class. Special forms of non-stationary contact dynamics including "impact without collision" and "reverse chattering" are also investigated. Many types of solution inconsistency and the indeterminacy are identified and new phenomena related to Painlev\\'e"s non-existence and non-uniqueness paradoxes are discovered. Among others, we show that the non-existence paradox is not fully resolvable by considering impulsive contact forces. These results contribute to a growing body of evidence that rigid body mechanics cannot be developed into a complete and self-consistent theory in the presenc...

  12. Patient-reported multiple drug reactions: Clinical profile and results of challenge testing

    Directory of Open Access Journals (Sweden)

    Ramam M

    2010-01-01

    Full Text Available Background: Some patients report hypersensitivity reactions to many drugs making it difficult to prescribe medications when they fall ill. Aim: To describe the clinical profile of multiple drug hypersensitivity and the results of challenge testing in a large teaching hospital.Methods: We performed a five-year retrospective review of the records of patients who complained of reactions to two or more unrelated drugs and avoided medication because of a fear of developing reactions. Oral challenge testing was carried out in hospital with drugs suspected by the patient to cause reactions and/or commonly prescribed medications. A positive reaction was diagnosed when symptoms and signs resembled previously experienced episodes and there was no such reaction with placebo. Results: Twenty three patients (aged 14-65 years; 19 females underwent challenge testing. Their complaints had been present for 1-30 years, with 2-40 drug reaction episodes reported. Antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs were most commonly implicated, and urticaria/angioedema were the most often reported manifestations. The patients underwent 3-27 challenges with 1-24 drugs. Three had positive challenge reactions with various NSAIDs, 13 developed symptoms and signs that were judged not to be true reactions, and 7 had no reactions. None of our patients qualified for a diagnosis of true multiple drug hypersensitivity. Conclusion: Patients who believe they are allergic to multiple, pharmacologically unrelated drugs are usually mistaken. Challenge testing is a reliable way of demonstrating this and providing patients with a list of safe drugs.

  13. Facing the Challenges

    DEFF Research Database (Denmark)

    He, Kai

    2014-01-01

    Summit (EAS), the Regional Comprehensive Economic Partnership (RCEP), and the ASEAN Community, to constrain and shape China's behaviour in the region in the post-Cold War era. It argues that due to globalization and economic interdependence, the power transition in the 21st century is different from...... ASEAN and China has amplified the economic cost for the ASEAN states to use traditional military means to deal with China s rise. Applying institutional balancing theory, this paper examines how ASEAN has adopted various institutional instruments, such as the ASEAN Regional Forum (ARF), the East Asia...

  14. ENVIRONMENTAL CHALLENGES FACING INDIA

    Institute of Scientific and Technical Information of China (English)

    DR.J.P.Semwal

    2004-01-01

    @@ INTRODUCTION India is among one of the ten most industrialized nations in the world. Increase in population has raised the urbar industrial, transport and agriculture demands which are major reasons for the degradation of the environmel condition. For India besides land and soil degradation, deforestation, low accessibility of water, ,industrial pollution and urban congestion are the major environmental issues of priority. The industries that generate huge quantities of waste are thermal power station, Iron and Steel Plants, Sugar, Paper and Fertilizer Industries.

  15. ENVIRONMENTAL CHALLENGES FACING INDIA

    Institute of Scientific and Technical Information of China (English)

    DR.J.P.Semwal

    2004-01-01

    India is among one of the ten most industrialized nations in the world. Increase in population has raisedthe urbar industrial, transport and agriculture demands which are major reasons for the degradationof the environmel condition. For India besides landand soil degradation, deforestation, low accessibilityof water, ,industrial pollution and urban congestionare the major environmental issues of priority. Theindustries that generate huge quantities ofwaste are thermal power station, Iron and SteelPlants, Sugar, Paper and Fertilizer Industries.

  16. Training needs of general library workers:Part I (challenges facing educators in South African institutions of higher learning

    Directory of Open Access Journals (Sweden)

    Hester W.J. Meyer

    2010-01-01

    Full Text Available A recent survey by Meyer (2009 on the need for the training of general library workers revealed that employers in library services are often not aware of the conditions affecting the ability of library and information science (LIS educators at South African tertiary institutions to deliver ‘work ready’ general workers to the LIS industry. Simultaneously, LIS educators are not aware of the extent to which changes to learning programmes can affect the appointment and promotions of library staff in practice. The objectives of the study were to determine the need for a formal learning programme for general library workers and how existing study material can be adapted to develop a formal learning programme suitable for general library workers countrywide. Data was collected by means of a self-administered questionnaire directed at supervisory staff of provincial and municipal libraries in South Africa, interviews with supervisors, and consultation of relevant internal documentation on job descriptions and legislation. The findings revealed that there is a definite need for training general library workers, whether formally or informally. This article, the first of two parts, considers the challenges facing LIS educators of which employers in the LIS industry are seldom aware of. The discussion is based on a literature study regarding training of general library workers in South Africa, as well as personal experience of the impact of various conditions on the relevant learning programmes of the Department of Information Science, University of South Africa before and after merging with the former Technikon SA. It considers the implementation of legislation and policies with regard to LIS training and how LIS educators, involved in open distance learning (ODL cope with the specific challenges for delivering ‘work ready’ general library workers. Part two will deal with aspects concerning the types of task general workers perform, and the

  17. The Multiple Faces of RAGE - Opportunities for Therapeutic Intervention in Aging and Chronic Disease

    Science.gov (United States)

    Ramasamy, Ravichandran; Shekhtman, Alexander; Schmidt, Ann Marie

    2016-01-01

    Introduction This review focuses on the multi-ligand receptor of the immunoglobulin superfamily, receptor for advanced glycation endproducts (RAGE). The accumulation of the multiple ligands of RAGE in cellular stress milieux links RAGE to the pathobiology of chronic disease and natural aging. Areas Covered In this review, we present a discussion on the ligands of RAGE and the implications of these ligand families in disease. We review the recent literature on the role of ligand-RAGE interaction in the consequences of natural aging; the macro- and microvascular complications of diabetes; obesity and insulin resistance; autoimmune disorders and chronic inflammation; tumors and Alzheimer’s disease. We discuss the mechanisms of RAGE signaling through its intracellular binding effector molecule, the formin DIAPH1. Physico-chemical evidence by which the RAGE cytoplasmic domain binds to the FH1 (formin homology 1) domain of DIAPH1, and the consequences, is also reviewed. Expert Opinion We discuss the modalities of RAGE antagonism currently in pre-clinical and clinical studies. Finally, we present the rationale behind potentially targeting the RAGE cytoplasmic domain-DIAPH1 interaction as a logical strategy for therapeutic intervention in the pathological settings of chronic diseases and aging in which RAGE ligands accumulate and signal. PMID:26558318

  18. Expression robust 3D face recognition via mesh-based histograms of multiple order surface differential quantities

    KAUST Repository

    Li, Huibin

    2011-09-01

    This paper presents a mesh-based approach for 3D face recognition using a novel local shape descriptor and a SIFT-like matching process. Both maximum and minimum curvatures estimated in the 3D Gaussian scale space are employed to detect salient points. To comprehensively characterize 3D facial surfaces and their variations, we calculate weighted statistical distributions of multiple order surface differential quantities, including histogram of mesh gradient (HoG), histogram of shape index (HoS) and histogram of gradient of shape index (HoGS) within a local neighborhood of each salient point. The subsequent matching step then robustly associates corresponding points of two facial surfaces, leading to much more matched points between different scans of a same person than the ones of different persons. Experimental results on the Bosphorus dataset highlight the effectiveness of the proposed method and its robustness to facial expression variations. © 2011 IEEE.

  19. Challenges faced by visually disabled people in use of medicines, self-adopted coping strategies and medicine-related mishaps.

    Science.gov (United States)

    Weeraratne, Chamari L; Opatha, Sharmika T; Rosa, Chamith T

    2012-01-01

    Difficulties faced by visually disabled people when using medicines, self-adopted coping strategies, and medicine-related mishaps have been under-explored locally and internationally. The objective of this study was to gain insight regarding this long-neglected issue. A descriptive cross-sectional study, using an interviewer administered questionnaire on 63 visually disabled adults was carried out at a vocational training centre and a school for visually disabled students in Sri Lanka. Among 63 participants, 71% wanted to be independent in medicine use and 79% in spite of difficulties had self-administered medicines. They had difficulty in locating medicines (25.39%), identifying medicines and medicine containers (17.46%), and administering liquid medications (25.39%). These difficulties led to inaccurate dosing (14.28%), missed doses (39.68%), and discontinuation of treatment prematurely (28.57%). Self-adopted coping strategies to overcome these difficulties included using different sized and shaped containers, tying medicines to the attire, and dipping their finger into a measuring cup while measuring liquid medicines. Mishaps related to medicines such as taking vinegar instead of gripe mixture and, putting ear drops into eyes were disclosed. There were many challenges for visually disabled people in taking medicines and some self-adopted coping strategies were inadequate to overcome these.

  20. Current challenges facing the translation of brain computer interfaces from preclinical trials to use in human patients

    Directory of Open Access Journals (Sweden)

    Maxwell D. Murphy

    2016-01-01

    Full Text Available Current research in brain computer interface (BCI technology is advancing beyond preclinical studies, with trials beginning in human patients. To date, these trials have been carried out with several different types of recording interfaces. The success of these devices has varied widely, but different factors such as the level of invasiveness, timescale of recorded information, and ability to maintain stable functionality of the device over a long period of time all must be considered in addition to accuracy in decoding intent when assessing the most practical type of device moving forward. Here, we discuss various approaches to BCIs, distinguishing between devices focusing on control of operations extrinsic to the subject (e.g., prosthetic limbs, computer cursors and those focusing on control of operations intrinsic to the brain (e.g. using stimulation or external feedback, including closed-loop or adaptive devices. In this discussion, we consider the current challenges facing the translation of various types of BCI technology to eventual human application.

  1. Current Challenges Facing the Translation of Brain Computer Interfaces from Preclinical Trials to Use in Human Patients.

    Science.gov (United States)

    Murphy, Maxwell D; Guggenmos, David J; Bundy, David T; Nudo, Randolph J

    2015-01-01

    Current research in brain computer interface (BCI) technology is advancing beyond preclinical studies, with trials beginning in human patients. To date, these trials have been carried out with several different types of recording interfaces. The success of these devices has varied widely, but different factors such as the level of invasiveness, timescale of recorded information, and ability to maintain stable functionality of the device over a long period of time all must be considered in addition to accuracy in decoding intent when assessing the most practical type of device moving forward. Here, we discuss various approaches to BCIs, distinguishing between devices focusing on control of operations extrinsic to the subject (e.g., prosthetic limbs, computer cursors) and those focusing on control of operations intrinsic to the brain (e.g., using stimulation or external feedback), including closed-loop or adaptive devices. In this discussion, we consider the current challenges facing the translation of various types of BCI technology to eventual human application.

  2. Ventriculopleural Shunt Surgery in A Patient with Multiple Skeletal and Neurodevelopmental Anomalies: A True Perioperative Challenge

    Directory of Open Access Journals (Sweden)

    Ashish K. Khanna

    2015-02-01

    Full Text Available Introduction: Ventriculopleural shunt placement for decompression of hydrocephalous is an uncommon procedure. The usual indications are adhesions, infection, thrombosis or obliteration of the more commonly done ventriculoperitoneal shunt or an anatomical non-availability of the peritoneum. We present a clinical case of a patient with congenital hydrocephalous complicated by multiple skeletal and neurodevelopmental anomalies who presented for thoracoscopic placement of a ventriculopleural shunt. The anesthetic challenges and perioperative management constituted a complex multi-disciplinary challenge. Case presentation: We present a clinical case of a 42 years old woman with congenital hydrocephalous complicated by multiple skeletal and neurodevelopmental anomalies who presented for thoracoscopic placement of a ventriculopleural shunt. Some of the perioperative concerns included initiation and maintenance of one-lung ventilation in a patient with short stature, dysmorphic skeletal features, severe kyphoscoliosis, restrictive underlying lung disease and multiple neurodevelopmental midline defects. Conclusion: Our presentation highlights the special challenges in this patient based on the need for lung collapse in a severely short statured individual with a dysmorphic severely kyphoscoliotic thoracic cavity along with underlying restrictive lung disease and background neurodevelopmental midline defects.

  3. A survey of real face modeling methods

    Science.gov (United States)

    Liu, Xiaoyue; Dai, Yugang; He, Xiangzhen; Wan, Fucheng

    2017-09-01

    The face model has always been a research challenge in computer graphics, which involves the coordination of multiple organs in faces. This article explained two kinds of face modeling method which is based on the data driven and based on parameter control, analyzed its content and background, summarized their advantages and disadvantages, and concluded muscle model which is based on the anatomy of the principle has higher veracity and easy to drive.

  4. The Borderlands and climate change: Chapter 10 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Fitzpatrick, Joan; Gray, Floyd; Dubiel, Russell; Langman, Jeff; Moring, J. Bruce; Norman, Laura M.; Page, William R.; Parcher, Jean W.

    2013-01-01

    The prediction of global climate change in response to both natural forces and human activity is one of the defining issues of our times. The unprecedented observational capacity of modern earth-orbiting satellites coupled with the development of robust computational representations (models) of the Earth’s weather and climate systems afford us the opportunity to observe and investigate how these systems work now, how they have worked in the past, and how they will work in the future when forced in specific ways. In the most recent report on global climate change by the Intergovernmental Panel on Climate Change (IPCC; Solomon and others, 2007), analyses using multiple climate models support recent observations that the Earth’s climate is changing in response to a combination of natural and human-induced causes. These changes will be significant in the United States–Mexican border region, where the process of climate change affects all of the Borderlands challenge themes discussed in the preceding chapters. The dual possibilities of both significantly-changed climate and increasing variability in climate make it challenging to take full measure of the potential effects because the Borderlands already experience a high degree of interannual variability and climatological extremes.

  5. Construction and Validation of a Survey Instrument to Determine the Gender-Related Challenges Faced by Pre-Service Male Primary Teachers

    Science.gov (United States)

    Cruickshank, Vaughan; Pedersen, Scott; Hill, Allen; Callingham, Rosemary

    2015-01-01

    The gender-related challenges facing males entering the primary-school teaching profession have been well documented in the academic literature over recent decades. The majority of these data have come about through qualitative reports. Whilst qualitative methods provide important perspectives into these issues, the use of valid and reliable…

  6. Science Education and the Challenges Facing Its Integration into the 21st Century School System in a Globalized World: A Case of Igbo Nation

    Science.gov (United States)

    Ezeudu, F. O.; Nkokelonye, C. U.; Ezeudu, S. A.

    2013-01-01

    This paper is a study of historical foundations of science education in Igboland, its nature and scope as well as the challenges facing its integration into the 21st century school system in a globalized world. The authors found that there were many scientific activities in Igbo culture, but many problems hinder their integration into the basic…

  7. Facing Human Capital Challenges of the 21st Century: Education and Labor Market Initiatives in Lebanon, Oman, Qatar, and the United Arab Emirates

    Science.gov (United States)

    Gonzalez, Gabriella; Karoly, Lynn A.; Constant, Louay; Salem, Hanine; Goldman, Charles A.

    2008-01-01

    Countries in the Arab region are faced with the challenge of developing their populations' skills and technical knowledge, or human capital, in order to compete in the 21st century global economy. The authors describe the education and labor market initiatives implemented or under way in four countries in the Arab region -- Lebanon, Oman, Qatar,…

  8. Facing Human Capital Challenges of the 21st Century: Education and Labor Market Initiatives in Lebanon, Oman, Qatar, and the United Arab Emirates

    Science.gov (United States)

    Gonzalez, Gabriella; Karoly, Lynn A.; Constant, Louay; Salem, Hanine; Goldman, Charles A.

    2008-01-01

    Countries in the Arab region are faced with the challenge of developing their populations' skills and technical knowledge, or human capital, in order to compete in the 21st century global economy. The authors describe the education and labor market initiatives implemented or under way in four countries in the Arab region -- Lebanon, Oman, Qatar,…

  9. An Investigation into Challenges Faced by Secondary School Teachers and Pupils in Algebraic Linear Equations: A Case of Mufulira District, Zambia

    Science.gov (United States)

    Samuel, Koji; Mulenga, H. M.; Angel, Mukuka

    2016-01-01

    This paper investigates the challenges faced by secondary school teachers and pupils in the teaching and learning of algebraic linear equations. The study involved 80 grade 11 pupils and 15 teachers of mathematics, drawn from 4 selected secondary schools in Mufulira district, Zambia in Central Africa. A descriptive survey method was employed to…

  10. Mondialisation et exploitation des ressources linguistiques: les defis des communautes francophones de l'Ontario (Globalization and Use of Linguistic Resources: The Challenges Facing Francophone Communities in Ontario).

    Science.gov (United States)

    Labrie, Normand; Belanger, Nathalie; Lozon, Roger; Roy, Sylvie

    2000-01-01

    Examines challenges faced by two Canadian francophone communities, one in Niagra Peninsula, and the other in the Simcoe region. Investigates how communities are affected by changes related to globalization and how the members of these two communities use their linguistic resources to adapt socially and professionally. (Author/VWL)

  11. An Official American Thoracic Society Research Statement: Current Challenges Facing Research and Therapeutic Advances in Airway Remodeling.

    Science.gov (United States)

    Prakash, Y S; Halayko, Andrew J; Gosens, Reinoud; Panettieri, Reynold A; Camoretti-Mercado, Blanca; Penn, Raymond B

    2017-01-15

    Airway remodeling (AR) is a prominent feature of asthma and other obstructive lung diseases that is minimally affected by current treatments. The goals of this Official American Thoracic Society (ATS) Research Statement are to discuss the scientific, technological, economic, and regulatory issues that deter progress of AR research and development of therapeutics targeting AR and to propose approaches and solutions to these specific problems. This Statement is not intended to provide clinical practice recommendations on any disease in which AR is observed and/or plays a role. An international multidisciplinary group from within academia, industry, and the National Institutes of Health, with expertise in multimodal approaches to the study of airway structure and function, pulmonary research and clinical practice in obstructive lung disease, and drug discovery platforms was invited to participate in one internet-based and one face-to-face meeting to address the above-stated goals. Although the majority of the analysis related to AR was in asthma, AR in other diseases was also discussed and considered in the recommendations. A literature search of PubMed was performed to support conclusions. The search was not a systematic review of the evidence. Multiple conceptual, logistical, economic, and regulatory deterrents were identified that limit the performance of AR research and impede accelerated, intensive development of AR-focused therapeutics. Complementary solutions that leverage expertise of academia and industry were proposed to address them. To date, numerous factors related to the intrinsic difficulty in performing AR research, and economic forces that are disincentives for the pursuit of AR treatments, have thwarted the ability to understand AR pathology and mechanisms and to address it clinically. This ATS Research Statement identifies potential solutions for each of these factors and emphasizes the importance of educating the global research community as to the

  12. Meeting Cathala-Letort named: the challenges of the processes engineering facing the hydrogen-energy; Journee Cathala-Letort intitulee: les defis du genie des procedes face a l'hydrogene-energie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This document provides the presentations proposed during the day Cathala-Letort on the challenges of the processes engineering facing the hydrogen-energy. In the context of the greenhouse effect increase and the fossil energies resources decrease, it brings information on researches on hydrogen technologies, carbon dioxide sequestration, hydrogen supply, production, storage and distribution and the thermo-chemical cycles. (A.L.B.)

  13. Understanding and Facing Discipline-Related Challenges in the English as a Foreign Language Classroom at Public Schools

    Directory of Open Access Journals (Sweden)

    Quintero Corzo Josefina

    2011-11-01

    Full Text Available

    Complying with school regulations and teachers’ instructions is a basic principle of an excellent class; both novice and experienced teachers face challenging situations when getting into real classrooms, especially those related to classroom management. There are various reasons that explain discipline problems in public schools, as well as varied strategies beginning teachers create and try when coping with those challenges. This article reports an action research study on how this methodology helped a group of teacher-trainees overcome indiscipline in English as a foreign language classrooms at public schools, and align with professional development initiatives which focus on reflection and decision-making processes that the new Colombian policies demand from new teachers seeking a higher quality 
    of education.


    Responder a las normas escolares y a las instrucciones de los profesores es un principio básico de una clase excelente. Tanto los profesores novatos como los experimentados enfrentan situaciones problemáticas en las aulas de clase reales, especialmente en relación con la disciplina. Hay varias razones que explican la indisciplina en los colegios públicos y también estrategias variadas que los profesores principiantes crean y ensayan para superar tal reto. Este artículo reporta un estudio de investigación acción que ayudó a un grupo de profesores principiantes a superar la indisciplina en el aula de inglés en colegios públicos y a responder a iniciativas de desarrollo profesional con base en procesos de reflexión y toma de decisiones que las nuevas políticas educativas colombianas demandan de las nuevas generaciones de profesores para mejorar la calidad de la educación.

  14. 血液透析面临的问题与挑战%The problem and challenge faced by hemodialysis

    Institute of Scientific and Technical Information of China (English)

    孙雪峰

    2015-01-01

    虽然血液透析应用于临床治疗已经90余年,成为急、慢性肾衰竭的最主要治疗手段,但仍然存在许多问题与挑战。在我国,伴随血液透析患者的快速增加,将给我国医疗保障体系带来严重挑战,亟待加快社会资金参入和培养合格的血液透析医护人员。从血液透析的基本技术层面看,血液透析开始的最佳时机?血管通路是否一定要优先选择血管内瘘?血液透析患者的适宜透析液钙浓度?目前尚存争议。从血液透析并发症防治层面看,透析患者血压控制靶目标?甲状旁腺激素控制的靶目标?目前也无定论。本文将结合现有文献证据进行评述,为临床医生的临床实践提供借鉴。%Although hemodialysis has been applied to clinical treatment for more than 90 years and become the main treatment for patients with acute and chronic renal failures,nephrologists are still faced with many problems and challenges.The rapid increase of hemodialysis patients in our country will bring serious challenges to China′s health care,which is in urgent need of being supported by more social capital participation and cultivation of qualified hemodialysis medical workers.There are still controversies.From the basic technical level of hemodialysis:when is the best time for hemodialysis initiation?Is intravascular fistula definitely the first choice of vascular access?What is the suitable calcium concentration of dialysate for hemodialysis patients?Besides,from the aspect of prevention and treatment of hemodialysis complications in dialysis patients:what is the target of blood pressure control?How about the target for parathyroid hormone control?In this article,the existing literature evidence was reviewed in order to provide reference for clinical doctors in clinical practice.

  15. Distinct representations of configural and part information across multiple face-selective regions of the human brain

    OpenAIRE

    Golijeh eGolarai; Dara eGhahremani; Eberhardt, Jennifer L.; John D E Gabrieli

    2015-01-01

    Several regions of the human brain respond more strongly to faces than to other visual stimuli, such as regions in the amygdala (AMG), superior temporal sulcus (STS), and the fusiform face area (FFA). It is unclear if these brain regions are similar in representing the configuration or natural appearance of face parts. We used functional magnetic resonance imaging of healthy adults who viewed natural or schematic faces with internal parts that were either normally configured or randomly rearr...

  16. Challenges in 3D scanning: Focusing on Ears and Multiple View Stereopsis

    DEFF Research Database (Denmark)

    Jensen, Rasmus Ramsbøl

    It is the goal of this thesis to address some of the challenges in 3D scanning. This has been done with focus on direct in-ear scanning and on Multiple View Stereopsis. Seven papers have been produced over the course of the Ph.D., out of which, six have been included. Two papers concern volumetric...... to be used for advances in Multiple View Stereopsis, robust surface reconstruction and photorealistic modelling....... segmentation based on Markov Random Fields. These have been formulated to address problems relating to noise ltering in direct in-ear scanning and Intracranial Volume estimation. Another two papers have been produced on the topic of recovering surface data based on a strong statistical prior. This was done...

  17. The development of myelin repair agents for treatment of multiple sclerosis: progress and challenges.

    Science.gov (United States)

    Murphy, Robert P; Murphy, Keith J; Pickering, Mark

    2013-01-01

    Multiple Sclerosis (MS) is an inflammatory demyelinating disorder which affects the central nervous system. Multiple sclerosis treatment has traditionally focused on preventing inflammatory damage to the myelin sheath. Indeed, all currently available disease modifying agents are immunomodulators. However, the limitations of this approach are becoming increasingly clear, leading to the exploration of other potential therapeutic strategies. In particular, targeting the endogenous remyelination system to promote replacement of the lost myelin sheath has shown much promise. As our understanding of remyelination biology advances, the realization of a remyelinating therapeutic comes closer to fruition. In our review, we aim to summarize the limitations of the current immune focused treatment strategy and discuss the potential of remyelination as a new treatment method. Finally, we aim to highlight the challenges in the identification and development of such therapeutics.

  18. Recent advances and future challenges in the genetics of multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Christina M Lill

    2014-07-01

    Full Text Available Multiple Sclerosis (MS is the most common auto-inflammatory disease of the central nervous system, affecting more than 2 million individuals worldwide. It is a genetically complex disease, in which a substantial part of a person's liability to develop MS is caused by a combination of multiple genetic and non-genetic (e.g. environmental risk factors. Increasing this complexity, many of the involved risk factors likely interact in an intricate and hitherto ill-defined fashion. Despite these complexities, and owing greatly to the advent and application of large-scale genome-wide association studies, our understanding of the genetic factors underlying MS etiology has begun to gain unprecedented momentum. In this perspective, I will summarize some recent advances and outline future challenges in MS genetics research.

  19. Transition to a green economy – a challenge and a solution for the world economy in multiple crisis context

    Directory of Open Access Journals (Sweden)

    Alina-Mihaela BABONEA

    2012-10-01

    Full Text Available The concept of "Green Economy" is heavily debated recently because it is considered to be essential for the future global economy. This concept aims to find practical solutions that can be applied in international affairs regarding the environment development as a result of the massive problems caused by multiple crises that are no longer solvable. However, the international community is looking for long-term alternatives to improve the quality of life and eliminate poverty population as much as possible.To make sustainable economic development requires a transition with multiple implications for both the government and the private sector. In other words, you need a joint effort between public and private, in order to separate economic growth from excessive use of resources; the main objective should be considered the quality of life along with reducing the environmental and social deficit.The transition to a "Green Economy" means practicing a certain type of economy based on policies and investment that should be able to create a connection between economic development, biodiversity, ecosystem, climate change, health and welfare on the medium and long term. These premises must be connected together to achieve sustainable development – which is considered the resumption of economic growth at global scale.Switching to "Green Economy" implies a proper concern based on adequate knowledge, research and innovation in order to create a framework for promoting sustainable development on long term. This study aims to generate an overview on the concept of "Green Economy", considered by some experts as the main solution to the problems that countries of the world are facing nowadays. It is well known that the economic system is situated in a collapse and requires a rethinking from all points of view. A solution to adapt the economy and its development to these new global challenges can be the transition to "Green Economy", especially by integrating the

  20. The challenges of healthcare delivery to people with multiple sclerosis in Iran

    Science.gov (United States)

    Yazdannik, Ahmadreza; Abolhassani, Shahla; Taleghani, Fariba; Zamani, Ahmadreza

    2015-01-01

    Background: Multiple sclerosis (MS) is a chronic disease prevalent in young and middle-aged people. Patients with MS often have numerous complicated needs and, consequently, require a broad range of health services. Results of a number of studies indicate that patients’ needs are only partially met. Aims: This study was conducted to explore the challenges of healthcare delivery to patients with MS in Iran. Materials and Methods: In this qualitative case study, 43 participants selected through purposeful sampling were interviewed using semi-structured method in the cities of Isfahan and Tehran in 2012–2013. Besides the interview, documentations relevant to healthcare delivery were collected from different sources, including websites of all Iranian universities of medical sciences, insurance organizations, patients’ weblogs, news agencies, the MS Center forum for MS patients, and MS Payam bimonthly. The data were analyzed through the constant comparative analysis. Results: The data were categorized into four main categories, including functional challenges (diagnosis problems, failure to pay attention to patient needs, failure to follow-up, and miscommunication), administrative challenges (resource allocation and supervision), policy-making challenges (lack of comprehensive services, bureaucracy, and problems in provision of medications), and structural challenges (difficult access to services, lack of comprehensive centers, space limit, and long wait). Conclusion: Despite all attempts of governmental and nongovernmental organizations for healthcare delivery to MS patients, these services cannot satisfy all needs of the patients. In this regard, service providers and administrators should pay more attention to the needs and expectations of patients and their families. PMID:27462625

  1. Hierarchical Spatio-Temporal Probabilistic Graphical Model with Multiple Feature Fusion for Binary Facial Attribute Classification in Real-World Face Videos.

    Science.gov (United States)

    Demirkus, Meltem; Precup, Doina; Clark, James J; Arbel, Tal

    2016-06-01

    Recent literature shows that facial attributes, i.e., contextual facial information, can be beneficial for improving the performance of real-world applications, such as face verification, face recognition, and image search. Examples of face attributes include gender, skin color, facial hair, etc. How to robustly obtain these facial attributes (traits) is still an open problem, especially in the presence of the challenges of real-world environments: non-uniform illumination conditions, arbitrary occlusions, motion blur and background clutter. What makes this problem even more difficult is the enormous variability presented by the same subject, due to arbitrary face scales, head poses, and facial expressions. In this paper, we focus on the problem of facial trait classification in real-world face videos. We have developed a fully automatic hierarchical and probabilistic framework that models the collective set of frame class distributions and feature spatial information over a video sequence. The experiments are conducted on a large real-world face video database that we have collected, labelled and made publicly available. The proposed method is flexible enough to be applied to any facial classification problem. Experiments on a large, real-world video database McGillFaces [1] of 18,000 video frames reveal that the proposed framework outperforms alternative approaches, by up to 16.96 and 10.13%, for the facial attributes of gender and facial hair, respectively.

  2. Upright or inverted, entire or exploded: right-hemispheric superiority in face recognition withstands multiple spatial manipulations

    Directory of Open Access Journals (Sweden)

    Giulia Prete

    2015-12-01

    Full Text Available Background. The ability to identify faces has been interpreted as a cerebral specialization based on the evolutionary importance of these social stimuli, and a number of studies have shown that this function is mainly lateralized in the right hemisphere. The aim of this study was to assess the right-hemispheric specialization in face recognition in unfamiliar circumstances.Methods. Using a divided visual field paradigm, we investigated hemispheric asymmetries in the matching of two subsequent faces, using two types of transformation hindering identity recognition, namely upside-down rotation and spatial “explosion” (female and male faces were fractured into parts so that their mutual spatial relations were left intact, as well as their combination.Results. We confirmed the right-hemispheric superiority in face processing. Moreover, we found a decrease of the identity recognition for more extreme “levels of explosion” and for faces presented upside-down (either as sample or target stimuli than for faces presented upright, as well as an advantage in the matching of female compared to male faces.Discussion. We conclude that the right-hemispheric superiority for face processing is not an epiphenomenon of our expertise, because we are not often exposed to inverted and “exploded” faces, but rather a robust hemispheric lateralization. We speculate that these results could be attributable to the prevalence of right-handedness in humans and/or to early biases in social interactions.

  3. Consumers or Citizens? Whose Voice Will Healthwatch Represent and Will It Matter? Comment on "Challenges Facing Healthwatch, a New Consumer Champion in England".

    Science.gov (United States)

    Wright, Brad

    2016-06-22

    Efforts to achieve effective and meaningful patient and public involvement (PPI) in healthcare have existed for nearly a century, albeit with limited success. This brief commentary discusses a recent paper by Carter and Martin exploring the "Challenges Facing Healthwatch, a New Consumer Champion in England," and places these challenges in the context of the broader struggle to give a voice to healthcare consumers and citizens. With an overview of what can go right and-perhaps more importantly-what can go wrong, the question remains: will Healthwatch-and other PPI efforts in healthcare-represent the voice of consumers or citizens and will it matter?

  4. The contribution of youth work to address the challenges young people are facing, in particular the transition from education to employment

    DEFF Research Database (Denmark)

    Louw, Arnt Vestergaard

    The findings of the expert group detail the role of youth work and its specific contribution to addressing the challenges young people face, in particular the transition from education to employment. In this context, youth work is defined as 'actions directed towards young people regarding activi...... activities where they take part voluntarily, designed for supporting their personal and social development through non-formal and informal learning'....

  5. Multiple versus Single Maintaining Factors of Challenging Behaviours as Assessed by the QABF for Adults with Intellectual Disabilities

    Science.gov (United States)

    Matson, Johnny L.; Boisjoli, Jessica A.

    2007-01-01

    Background: The "Questions About Behavioral Function" (QABF) correctly identifies maintaining variables of challenging behaviour. However, for adults who have a long history of challenging behaviours, identifying one clear function of the maladaptive behaviour is difficult. Additionally, the person may develop multiple functions of their…

  6. Further Evaluations of Functional Communication Training and Chained Schedules of Reinforcement to Treat Multiple Functions of Challenging Behavior

    Science.gov (United States)

    Falcomata, Terry S.; Muething, Colin S.; Gainey, Summer; Hoffman, Katherine; Fragale, Christina

    2013-01-01

    We evaluated functional communication training (FCT) combined with a chained schedule of reinforcement procedure for the treatment of challenging behavior exhibited by two individuals diagnosed with Asperger syndrome and autism. Following functional analyses that suggested that challenging behavior served multiple functions for both participants,…

  7. Fast and Accurate 3D Face Recognition Using Registration to an Intrinsic Coordinate System and Fusion of Multiple Region classifiers

    NARCIS (Netherlands)

    Spreeuwers, Lieuwe Jan

    2011-01-01

    In this paper we present a new robust approach for 3D face registration to an intrinsic coordinate system of the face. The intrinsic coordinate system is defined by the vertical symmetry plane through the nose, the tip of the nose and the slope of the bridge of the nose. In addition, we propose a 3D

  8. Distinct representations of configural and part information across multiple face-selective regions of the human brain.

    Science.gov (United States)

    Golarai, Golijeh; Ghahremani, Dara G; Eberhardt, Jennifer L; Gabrieli, John D E

    2015-01-01

    Several regions of the human brain respond more strongly to faces than to other visual stimuli, such as regions in the amygdala (AMG), superior temporal sulcus (STS), and the fusiform face area (FFA). It is unclear if these brain regions are similar in representing the configuration or natural appearance of face parts. We used functional magnetic resonance imaging of healthy adults who viewed natural or schematic faces with internal parts that were either normally configured or randomly rearranged. Response amplitudes were reduced in the AMG and STS when subjects viewed stimuli whose configuration of parts were digitally rearranged, suggesting that these regions represent the 1st order configuration of face parts. In contrast, response amplitudes in the FFA showed little modulation whether face parts were rearranged or if the natural face parts were replaced with lines. Instead, FFA responses were reduced only when both configural and part information were reduced, revealing an interaction between these factors, suggesting distinct representation of 1st order face configuration and parts in the AMG and STS vs. the FFA.

  9. The Challenges Faced by Eastern European Students within a 16-19 Education Setting in the United Kingdom

    Science.gov (United States)

    Babalola, Shade

    2015-01-01

    To examine the challenges encountered by Eastern European students within a sixth form college in the United Kingdom. This paper aims to consider the difficulties encountered by this particular ethnic group examining the impact the challenges may have on their performance, success and achievement. This paper will also highlight equality and…

  10. Emergent Teacher-Researchers: A Reflection on the Challenges Faced when Conducting Research in the English Classroom

    Science.gov (United States)

    Blakemore, Helen

    2012-01-01

    The following narrative reflects on the dilemmas and problems faced by inexperienced researchers working within the field of education. Focusing on a research project completed in fulfilment of an MA in Teaching and Learning, the article recounts the decisions made by one emergent researcher and evaluates how far the chosen methods may have helped…

  11. European cinema: face to face with Hollywood

    NARCIS (Netherlands)

    T. Elsaesser

    2005-01-01

    In the face of renewed competition from Hollywood since the early 1980s and the challenges posed to Europe's national cinemas by the fall of the Wall in 1989, independent filmmaking in Europe has begun to re-invent itself. European Cinema: Face to Face with Hollywood re-assesses the different debate

  12. Beyond mean-field dynamics of ultra-cold bosonic atoms in higher dimensions: facing the challenges with a multi-configurational approach

    CERN Document Server

    Bolsinger, V; Schmelcher, P

    2016-01-01

    Exploring the impact of dimensionality on the quantum dynamics of interacting bosons in traps including particle correlations is an interesting but challenging task. Due to the different participating length scales the modelling of the short-range interactions in three dimensions plays a special role. We review different approaches for the latter and elaborate that for multi-configurational computational strategies finite range potentials are adequate resulting in the need of large grids to resolve the relevant length scales. This results in computational challenges which include also the exponential scaling of complexity with the number of atoms. We show that the recently developed ab-initio Multi-Layer Multi-Configurational Time- Dependent Hartee method for Bosons (ML-MCTDHB) [J. Chem. Phys. 139, 134103 (2013)] can face both numerical challenges and present an efficient numerical implementation of ML-MCTDHB in three spatial dimensions, particularly suited to describe the quantum dynamics for elongated traps...

  13. Multiple diseases and polypharmacy in the elderly: challenges for the internist of the third millennium

    Directory of Open Access Journals (Sweden)

    Alessandro Nobili

    2011-12-01

    Full Text Available The pattern of patients admitted to internal medicine wards has dramatically changed in the last 20–30 years. Elderly people are now the most rapidly growing proportion of the patient population in the majority of Western countries, and aging seldom comes alone, often being accompanied by chronic diseases, comorbidity, disability, frailty, and social isolation. Multiple diseases and multimorbidity inevitably lead to the use of multiple drugs, a condition known as polypharmacy. Over the last 20–30 years, problems related to aging, multimorbidity, and polypharmacy have become a prominent issue in global healthcare. This review discusses how internists might tackle these new challenges of the aging population. They are called to play a primary role in promoting a new, integrated, and comprehensive approach to the care of elderly people, which should incorporate age-related issues into routine clinical practice and decisions. The development of new approaches in the frame of undergraduate and postgraduate training and of clinical research is essential to improve and implement suitable strategies meant to evaluate and manage frail elderly patients with chronic diseases, comorbidity, and polypharmacy.

  14. Temporal stability of multiple response systems to 7.5% carbon dioxide challenge.

    Science.gov (United States)

    Roberson-Nay, Roxann; Gorlin, Eugenia I; Beadel, Jessica R; Cash, Therese; Vrana, Scott; Teachman, Bethany A

    2017-03-01

    Self-reported anxiety, and potentially physiological response, to maintained inhalation of carbon dioxide (CO2) enriched air shows promise as a putative marker of panic reactivity and vulnerability. Temporal stability of response systems during low-dose, steady-state CO2 breathing challenge is lacking. Outcomes on multiple levels were measured two times, one week apart, in 93 individuals. Stability was highest during the CO2 breathing phase compared to pre-CO2 and recovery phases, with anxiety ratings, respiratory rate, skin conductance level, and heart rate demonstrating good to excellent temporal stability (ICCs≥0.71). Cognitive symptoms tied to panic were somewhat less stable (ICC=0.58) than physical symptoms (ICC=0.74) during CO2 breathing. Escape/avoidance behaviors and DSM-5 panic attacks were not stable. Large effect sizes between task phases also were observed. Overall, results suggest good-excellent levels of temporal stability for multiple outcomes during respiratory stimulation via 7.5% CO2.

  15. Challenges experienced during rehabilitation after traumatic multiple rib fractures: a qualitative study.

    Science.gov (United States)

    Claydon, Jacqueline; Maniatopoulos, Gregory; Robinson, Lisa; Fearon, Paul

    2017-08-02

    People with multiple rib fractures rarely receive rehabilitation aimed specifically at their chest wall injuries. This research explores patient perceptions of rehabilitation and recovery. A qualitative study exploring how a purposive sample of 15 people with traumatic multiple rib fractures at a Major Trauma Centre in the United Kingdom make sense of their recovery. Data collected during one-to-one interviews 4 to 9 months after injury. Transcripts analysed using Interpretative Phenomenological Analysis. Struggling with breathing and pain: Difficulties with breathing and pain were initially so severe ?it takes your breath away? and people felt scared they may not survive. These symptoms gradually improved but feeling "out of puff" often persisted. Life on hold: Healing was considered a natural process which people couldn't influence, creating frustration whilst waiting for injuries to heal. Many believed they would never fully recover and accepted limitations. Lucky to be alive: All participants expressed a sense of feeling lucky to be alive. The seriousness of injury prompted a change in attitude to make the most of life. Rib fractures can be painful, but also frightening. A rehabilitation intervention promoting pain management, normalises trauma and restores physical activity may improve recovery. Implications for Rehabilitation Patients identified challenges with rehabilitation throughout the entire recovery journey, and their rehabilitation needs evolved with time. People find it difficult to regain pre-injury fitness even after their fractures heal and pain subsides. A belief there is nothing that can be done to help rib fractures contributed to people lowering their expectations of achieving a full recovery and developing a sense of "making do". Rehabilitation and patient education after traumatic multiple rib fractures should focus on improving pain management, respiratory fitness and emotional well-being.

  16. Towards an inclusive society in Ghana: An analysis of challenges persons with disabilities face in participating in tourism in Ashanti region

    Directory of Open Access Journals (Sweden)

    Sussan Aggrey Mensah

    2015-12-01

    Full Text Available Participation in tourism brings individuals, families and communities together, making it an important social inclusion strategy. Negative perceptions about persons with disabilities could make it difficult for them to access public places. Therefore, this study served to examine tourism challenges for persons with disabilities (PwDs in the Ashanti region of Ghana. A cross sectional study with quantitative data collection was conducted with PwDs. Structured questionnaires were administered to 120 PwDs using a convenience sampling technique. Descriptive statistics were explored using SPSS version 20. The study found that PwDs faced barriers to facilities and structures at tourist destinations. The barriers to tourism included lack of income, negative attitudes of the public and physical barriers such as a lack of adapted toilet facilities, tables and chairs, inaccessible routes for wheel chair users, inability to climb walkways and an absence of canopy walk-ways. The study supports the evidence of challenges faced by PwDs at tourism destinations. Redesigning and resourcing tourism facilities to be more PwD friendly could remove barriers faced by PwDs in tourism, creating greater social inclusion for this population. Keywords: tourism, persons with disabilities, participation, accessibility, inclusion

  17. 我国石化产业面临的挑战及对策建议%Challenges Facing China's Petrochemical Industry and Their Countermeasure Suggestions

    Institute of Scientific and Technical Information of China (English)

    王基铭

    2015-01-01

    阐述了当前我国石化产业面临着原油低价格、市场化进程加快、科技革命兴起等新形势,同时也面临着市场竞争加剧、环保要求日益严格等严峻挑战,指出我国石化工业面对新的机遇和挑战,必须走创新驱动、转型升级、绿色发展之路.%The article expounds on the new situation facing China's petrochemical industry such as low oil price, continuously accelerated commercialization process and accelerated advances in science & technological revolution, as well as severe challenges facing it such as aggravated market competition and increasingly strict environmental protection requirements. It points out that, being faced with new chances and challenges, China's petrochemical industry must walk along the road of innovation drive, transformation and upgrading as well as green development.

  18. Comparative and International Education Society (CIES) Facing the Twenty-First Century: Challenges and Contributions. Presidential Address.

    Science.gov (United States)

    Arnove, Robert F.

    2001-01-01

    Examines challenges to comparative and international education in the areas of epistemological approaches, research methodology, philosophical considerations, and dissemination of findings; the field's contributions in questioning assumptions about school-society relationships, identifying the benefits and dangers of "borrowing" educational…

  19. The Human Face of Digital Preservation: Organizational and Staff Challenges, and Initiatives at the Bibliothèque nationale de France

    Directory of Open Access Journals (Sweden)

    Emmanuelle Bermès

    2011-03-01

    Full Text Available The process of setting up a digital preservation repository in compliance with the OAIS model is not only a technical challenge: libraries also need to develop and maintain appropriate skills and organizations. Digital activities, including digital preservation, are nowadays moving into the mainstream activity of the Library and are integrated in its workflows.The Bibliothèque nationale de France (BnF has been working on the definition of digital preservation activities since 2003. This paper aims at presenting the organizational and human resources challenges that have been faced by the library in this context, and those that are still awaiting us.The library has been facing these challenges through a variety of actions at different levels: organizational changes, training sessions, dedicated working group and task forces, analysis of skills and processes, etc. The results of these actions provide insights on how a national library is going digital, and what is needed to reach this longstanding goal.

  20. Toward a Social Psychophysics of Face Communication.

    Science.gov (United States)

    Jack, Rachael E; Schyns, Philippe G

    2017-01-03

    As a highly social species, humans are equipped with a powerful tool for social communication-the face. Although seemingly simple, the human face can elicit multiple social perceptions due to the rich variations of its movements, morphology, and complexion. Consequently, identifying precisely what face information elicits different social perceptions is a complex empirical challenge that has largely remained beyond the reach of traditional methods. In the past decade, the emerging field of social psychophysics has developed new methods to address this challenge, with the potential to transfer psychophysical laws of social perception to the digital economy via avatars and social robots. At this exciting juncture, it is timely to review these new methodological developments. In this article, we introduce and review the foundational methodological developments of social psychophysics, present work done in the past decade that has advanced understanding of the face as a tool for social communication, and discuss the major challenges that lie ahead.

  1. Evaluation of face-validity of multiple choice questions in special lessons of dentistry at Shahid Sadoughi University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    M. H Toodehzaiem

    2012-09-01

    Full Text Available Introduction: Evaluation is an important part of all educational activities and considering of these evaluations help us to improve all educational institutes . The aim of this study was evaluation of face validity of multiple choice questions in faculty of dentistry in second semester of 1385-1386 at Shahid Sadughi University of medical sciences. Methods : In this study, for evaluating of face validity, all of the multiple choice questions were examined with a check list which were considered and the percentage of face validity established . Then data were analyzed. Results : Introduction page, time of the exam and name of the professor(s were written in all of the exams. The independency of the questions and the lack of vague words in the question's stem were 100%. The percentage of each professor's contribution in the exam and the length of the choices for each question were 8.7% and 27.7% respectively. Conclusion : Face validity of the questions was 92-99.7%. According to this investigation it is concluded that some of the professors need to pass the question plan courses.

  2. Challenges faced by health-care providers offering infant-feeding counseling to HIV-positive women in sub-Saharan Africa: a review of current research.

    Science.gov (United States)

    Tuthill, Emily L; Chan, Jessica; Butler, Lisa M

    2015-01-01

    Exclusive breastfeeding (EBF) has been identified as the optimal nutrition and critical behavior in attaining human immunodeficiency virus (HIV)-free infant survival in resource-limited settings. Health-care providers (HCPs) in clinic- and community-settings throughout sub-Saharan Africa (sSA) provide infant-feeding counseling. However, rates of EBF at 6 months of age are suboptimal. HCPs are uniquely positioned to educate HIV-positive mothers and provide support by addressing known barriers to EBF. However, limited evidence exists on the experiences faced by HCPs in providing counseling on infant feeding to HIV-positive women. Our objective is to describe experiences faced by HCPs when delivering infant-feeding counseling in the context of HIV in program settings in sSA. We searched a range of electronic databases, including PubMed, CINAHL, and PsycINFO from January 1990 to February 2013, in addition to hand-searching, cross-reference searching, and personal communications. The search was limited to publications in English. Empirical studies of HCP experiences providing infant-feeding counseling in the prevention of mother-to-child transmission (PMTCT) of HIV programs in sSA were selected. We identified 10 peer-reviewed articles reporting HCP challenges in infant-feeding counseling that met inclusion criteria. Articles included qualitative, cross-sectional and mixed-method studies, and cumulatively reported 31 challenges faced by HCPs. Among the challenges identified, the most commonly reported were personal beliefs held by the HCPs toward infant feeding in the context of HIV, contradictory messages, staff workload, directive counseling styles, and a lack of practical strategies to offer mothers, often leading to improvised counseling approaches. Counseling strategies need to be developed that are relevant, meaningful, and responsive to the needs of both HCPs and mothers.

  3. Proceedings of a USGS Workshop on Facing Tomorrow's Challenges Along the U.S.-Mexico Border - Monitoring, Modeling, and Forecasting Change Within the Arizona-Sonora Transboundary Watersheds

    Science.gov (United States)

    Norman, Laura M.; Hirsch, Derrick D.; Ward, A. Wesley

    2008-01-01

    INTRODUCTION TO THE WORKSHOP PROCEEDINGS Competition for water resources, habitats, and urban areas in the Borderlands has become an international concern. In the United States, Department of Interior Bureaus, Native American Tribes, and other State and Federal partners rely on the U.S. Geological Survey (USGS) to provide unbiased science and leadership in the Borderlands region. Consequently, the USGS hosted a workshop, ?Facing Tomorrow?s Challenges along the U.S.-Mexico Border,? on March 20?22, 2007, in Tucson, Ariz., focused specifically on monitoring, modeling, and forecasting change within the Arizona-Sonora Transboundary Watersheds

  4. Issues and Challenges Facing Rice Production and Food Security in the Granary Areas in the East Coast Economic Region (ECER), Malaysia

    OpenAIRE

    Chamhuri Siwar; Nor Diana Mohd Idris; Muhammad Yasar; Golam Morshed

    2014-01-01

    This study is an effort to explore and investigate the issues and challenging are facing rice production and food security in Malaysia. It is also to identify the contribution of the granary areas in East Coast Economic Region (ECER) to the national food security. The important of rice as a staple food crop of Malaysia and is grown on 673,745 ha of land, producing annually 2.6 million tons of paddy grain valued at RM 2 billion, which is contribute with average growth rate of 3.7% of year, in ...

  5. New Challenges Faced by Senior High School Mathematics Teachers%高中数学教师所面临的新挑战

    Institute of Scientific and Technical Information of China (English)

    李辉

    2011-01-01

    After attending trainings at senior high school mathematics curriculum standards and textbooks and curriculum reforms, the author feels that mathematics teachers are being faced with new challenges. And this paper throws some light on this issue.%经过参加高中数学课程标准和试用教材的培训学习,以及参与正在进行的课程改革实验。笔者深感数学教师面临很多新的挑战。

  6. Multiple choice questions can be designed or revised to challenge learners' critical thinking.

    Science.gov (United States)

    Tractenberg, Rochelle E; Gushta, Matthew M; Mulroney, Susan E; Weissinger, Peggy A

    2013-12-01

    Multiple choice (MC) questions from a graduate physiology course were evaluated by cognitive-psychology (but not physiology) experts, and analyzed statistically, in order to test the independence of content expertise and cognitive complexity ratings of MC items. Integration of higher order thinking into MC exams is important, but widely known to be challenging-perhaps especially when content experts must think like novices. Expertise in the domain (content) may actually impede the creation of higher-complexity items. Three cognitive psychology experts independently rated cognitive complexity for 252 multiple-choice physiology items using a six-level cognitive complexity matrix that was synthesized from the literature. Rasch modeling estimated item difficulties. The complexity ratings and difficulty estimates were then analyzed together to determine the relative contributions (and independence) of complexity and difficulty to the likelihood of correct answers on each item. Cognitive complexity was found to be statistically independent of difficulty estimates for 88 % of items. Using the complexity matrix, modifications were identified to increase some item complexities by one level, without affecting the item's difficulty. Cognitive complexity can effectively be rated by non-content experts. The six-level complexity matrix, if applied by faculty peer groups trained in cognitive complexity and without domain-specific expertise, could lead to improvements in the complexity targeted with item writing and revision. Targeting higher order thinking with MC questions can be achieved without changing item difficulties or other test characteristics, but this may be less likely if the content expert is left to assess items within their domain of expertise.

  7. Learning to Teach English Language in the Practicum: What Challenges do Non-Native ESL Student Teachers Face?

    Science.gov (United States)

    Gan, Zhengdong

    2013-01-01

    This study investigates the challenges sixteen non-native preservice ESL teachers in a Bachelor of Education (English Language) (BEdEL) programme from Hong Kong experienced in an eight-week teaching practicum. Qualitative data from semi-structured interviews and reflective journals were collected from all 16 participants to obtain a detailed…

  8. Application of Vague Analytical Hierarchy Process to Prioritize the Challenges Facing Public Transportation in Dar Es Salaam City-Tanzania

    Directory of Open Access Journals (Sweden)

    Erick P. Massami

    2016-03-01

    Full Text Available Transportation is a key to the economy and social welfare; it makes mobility more accessible and enhances the social and economic interactions. On the other hand, the increase of urban population, pollution and other negative impacts has directly affected the existing transportation system in Dar es Salaam City - Tanzania. As the transportation challenges cannot be overcome simultaneously due to the scarcity of financial resources, a decision support tool is needed to prioritize these challenges. In this study, a composite model of Vague Set Theory (VST and Analytical Hierarchy Process (AHP is applied to appraise the challenges. The Vague Analytical Hierarchy Process (VAHP uses opinions of experts collected from a survey questionnaire. The computational results reveal the ranking in descending order of the urban transportation challenges as poor traffic management, inadequacy of proper public transit service and inadequacy of road transport infrastructure. The results also depict that the VAHP model is a useful decision support tool for transport planners, transport policy makers and other industry stakeholders.

  9. Facing the Challenge--Developing an Instructional Plan for Portuguese as Foreign Language in Brazil Based on Multiliteracy

    Science.gov (United States)

    Schlindwein, Ana Flora

    2013-01-01

    Adopting the multiliteracy concept and embracing the challenge of developing meaningful and captivating classes for Portuguese as Foreign Language in Brazil, this paper proposes an approach which includes the use of different technologies to learn and teach Portuguese, the reading of graphic novel adaptations of Brazilian literature classics and…

  10. Panel workload assessment in US primary care: accounting for non-face-to-face panel management activities.

    Science.gov (United States)

    Arndt, Brian; Tuan, Wen-Jan; White, Jennifer; Schumacher, Jessica

    2014-01-01

    An understanding of primary care provider (PCP) workload is an important consideration in establishing optimal PCP panel size. However, no widely acceptable measure of PCP workload exists that incorporates the effort involved with both non-face-to-face patient care activities and face-to-face encounters. Accounting for this gap is critical given the increase in non-face-to-face PCP activities that has accompanied electronic health records (EHRs) (eg, electronic messaging). Our goal was to provide a comprehensive assessment of perceived PCP workload, accounting for aspects of both face-to-face and non-face-to-face encounters. Internal medicine, family medicine, and pediatric PCPs completed a self-administered survey about the perceived workload involved with face-to-face and non-face-to-face panel management activities as well as the perceived challenge associated with caring for patients with particular biomedical, demographic, and psychosocial characteristics (n = 185). Survey results were combined with EHR data at the individual patient and PCP service levels to assess PCP panel workload, accounting for face-to-face and non-face-to-face utilization. Of the multiple face-to-face and non-face-to-face activities associated with routine primary care, PCPs considered hospital admissions, obstetric care, hospital discharges, and new patient preventive health visits to be greater workload than non-face-to-face activities such as telephone calls, electronic communication, generating letters, and medication refills. Total workload within PCP panels at the individual patient level varied by overall health status, and the total workload of non-face-to-face panel management activities associated with routine primary care was greater than the total workload associated with face-to-face encounters regardless of health status. We used PCP survey results coupled with EHR data to assess PCP workload associated with both face-to-face as well as non-face-to-face panel management

  11. Multiple-use Management of Irrigation Systems: Technical Constraints and Challenges

    Science.gov (United States)

    Gowing, J.; Li, Q.; Mayilswami, C.; Gunawardhana, K.

    It is now widely recognised that many irrigation systems, originally planned only for irrigation supply, are de facto multiple-use systems. However, the importance of non- irrigation uses (such as bathing, laundry, livestock watering and fishing), to the liveli- hoods of the rural poor has generally been ignored. This has significant implications for irrigation engineers, water resources managers and other decision-makers. An im- proved understanding of competition and complementarity between these uses and irrigation demands is essential for effective multiple-use management of irrigation systems.This paper presents a study of multiple-use management, where the focus is on integrating aquaculture within irrigation systems with and without secondary storage. The Lower Bhavani scheme in South India and Mahaweli System H in Sri- Lanka were selected as representative smallholder irrigation schemes: - The Lower Bhavani scheme comprises a 200km contour canal serving a command area of 78,500ha. Apart from the main dam, there are no storage structures within the irriga- tion system. - Mahaweli System H comprises a command area of 43,000ha served by three main canals. The feature of particular interest in this scheme is the large number of secondary storage structures (known locally as tanks), which are in- tegrated within the canal network. It is apparent from these two sites and from studies elsewhere that non-irrigation uses are important to the livelihoods of the local peo- ple, but these uses are largely opportunistic. The failure to give explicit recognition to non-irrigation uses has important implications for assessments of economic per- formance and water productivity of irrigation systems. However, any attempt to give proper recognition to these alternative uses also has implication for irrigation project management. This paper describes a detailed study of water management in the two irrigation systems. The method of investigation involves in-depth studies in

  12. 'It's intense, to an extent': a qualitative study of the emotional challenges faced by staff working on a treatment programme for intellectually disabled sex offenders.

    Science.gov (United States)

    Sandhu, Daljit K; Rose, John; Rostill-Brookes, Helen J; Thrift, Su

    2012-07-01

    This study explores the emotional challenges faced by staff working on a sex offender treatment programme for people with an intellectual disability. Semi-structured interviews were carried out with eight participants working on a treatment programme for sex offenders with an intellectual disability. Interviews were analysed using interpretative phenomenological analysis. Staff experienced a range of negative emotions that they dealt with in a variety of ways including through the use of humour and various emotional defences. Empathy was a challenging and complex issue with individuals taking a variety of positions. Staff awareness and understanding of the role of emotions in relation to their own well-being and in relation to therapeutic processes varied. Emotional intelligence was associated with greater therapeutic understanding. Recommendations are made in relation to personal and professional characteristics and need for clinical supervision to support staff well-being and the development of therapeutic competence and effectiveness. © 2012 Blackwell Publishing Ltd.

  13. Bayesian coclustering of Anopheles gene expression time series: Study of immune defense response to multiple experimental challenges

    OpenAIRE

    Heard, Nicholas A.; Holmes, Christopher C.; Stephens, David A.; Hand, David J.; Dimopoulos, George

    2005-01-01

    We present a method for Bayesian model-based hierarchical coclustering of gene expression data and use it to study the temporal transcription responses of an Anopheles gambiae cell line upon challenge with multiple microbial elicitors. The method fits statistical regression models to the gene expression time series for each experiment and performs coclustering on the genes by optimizing a joint probability model, characterizing gene coregulation between multiple experiments. We compute the mo...

  14. Integrated health messaging for multiple neglected zoonoses: Approaches, challenges and opportunities in Morocco.

    Science.gov (United States)

    Ducrotoy, M J; Yahyaoui Azami, H; El Berbri, I; Bouslikhane, M; Fassi Fihri, O; Boué, F; Petavy, A F; Dakkak, A; Welburn, S; Bardosh, K L

    2015-12-01

    Integrating the control of multiple neglected zoonoses at the community-level holds great potential, but critical data is missing to inform the design and implementation of different interventions. In this paper we present an evaluation of an integrated health messaging intervention, using powerpoint presentations, for five bacterial (brucellosis and bovine tuberculosis) and dog-associated (rabies, cystic echinococcosis and leishmaniasis) zoonotic diseases in Sidi Kacem Province, northwest Morocco. Conducted by veterinary and epidemiology students between 2013 and 2014, this followed a process-based approach that encouraged sequential adaptation of images, key messages, and delivery strategies using auto-evaluation and end-user feedback. We describe the challenges and opportunities of this approach, reflecting on who was targeted, how education was conducted, and what tools and approaches were used. Our results showed that: (1) replacing words with local pictures and using "hands-on" activities improved receptivity; (2) information "overload" easily occurred when disease transmission pathways did not overlap; (3) access and receptivity at schools was greater than at the community-level; and (4) piggy-backing on high-priority diseases like rabies offered an important avenue to increase knowledge of other zoonoses. We conclude by discussing the merits of incorporating our validated education approach into the school curriculum in order to influence long-term behaviour change.

  15. Promoting remyelination for the treatment of multiple sclerosis:opportunities and challenges

    Institute of Scientific and Technical Information of China (English)

    Yueting Zhang; Taylor B.Guo; Hongtao Lu

    2013-01-01

    Multiple sclerosis (MS) is a chronic and devastating autoimmune demyelinating disease of the central nervous system.With the increased understanding of the pathophysiology of this disease in the past two decades,many disease-modifying therapies that primarily target adaptive immunity have been shown to prevent exacerbations and new lesions in patients with relapsing-remitting MS.However,these therapies only have limited efficacy on the progression of disability.Increasing evidence has pointed to innate immunity,axonal damage and neuronal loss as important contributors to disease progression.Remyelination of denuded axons is considered an effective way to protect neurons from damage and to restore neuronal function.The identification of several key molecules and pathways controlling the differentiation of oligodendrocyte progenitor cells and myelination has yielded clues for the development of drug candidates that directly target remyelination and neuroprotection.The long-term efficacy of this strategy remains to be evaluated in clinical trials.Here,we provide an overview of current and emerging therapeutic concepts,with a focus on the opportunities and challenges for the remyelination approach to the treatment of MS.

  16. Promoting remyelination for the treatment of multiple sclerosis: opportunities and challenges.

    Science.gov (United States)

    Zhang, Yueting; Guo, Taylor B; Lu, Hongtao

    2013-04-01

    Multiple sclerosis (MS) is a chronic and devastating autoimmune demyelinating disease of the central nervous system. With the increased understanding of the pathophysiology of this disease in the past two decades, many disease-modifying therapies that primarily target adaptive immunity have been shown to prevent exacerbations and new lesions in patients with relapsing-remitting MS. However, these therapies only have limited efficacy on the progression of disability. Increasing evidence has pointed to innate immunity, axonal damage and neuronal loss as important contributors to disease progression. Remyelination of denuded axons is considered an effective way to protect neurons from damage and to restore neuronal function. The identification of several key molecules and pathways controlling the differentiation of oligodendrocyte progenitor cells and myelination has yielded clues for the development of drug candidates that directly target remyelination and neuroprotection. The long-term efficacy of this strategy remains to be evaluated in clinical trials. Here, we provide an overview of current and emerging therapeutic concepts, with a focus on the opportunities and challenges for the remyelination approach to the treatment of MS.

  17. Socio-economic and cultural vulnerabilities to cervical cancer and challenges faced by patients attending care at Tikur Anbessa Hospital: a cross sectional and qualitative study.

    Science.gov (United States)

    Tadesse, Sara Kebede

    2015-09-16

    Cervical cancer is a leading cause of death among women in Ethiopia, affecting them at a time of their life when they are critical to social and economic stability. This study was mainly focused on assessing different socioeconomic and cultural related factors that make women vulnerable to cervical cancer and challenges women face in the process of diagnosis and treatment. To achieve the objective of the study both qualitative and quantitative methods were utilized.198 participants were enrolled in a cross- sectional survey and 10 in-depth interviews were conducted with patients in Tikur Anbessa Hospital. A consecutive sampling method was used to select participants in the survey while purposive sampling was employed to select participants in the qualitative design. For the population covered in the study, poverty along with other socio-cultural practices such as early marriage, high parity and to certain extent polygamy were identified as factors that increased the vulnerability of women to cervical cancer. In addition, the study has uncovered several challenges faced by cervical cancer patients in the diagnosis and treatment process. Three types of challenges that include, health care based, psychological and economic were identified. System and practitioner delay were found as the main hurdles within the variable of health care related challenges. What's more, the psychological challenges identified included, fear of recurrence, negative social attitude and distress associated with the side effects from treatments such as fecal & urinary leakage. Furthermore, inability of bearing costs related to treatment and accommodation were cited as the main economic challenges. The study showed various socio-economic and cultural vulnerabilities that expose women to cervical cancer and the challenges encountered by cervical cancer patients after their diagnosis. Addressing this issue largely lies in strengthening primary and secondary preventive mechanisms, providing

  18. The multiple faces of the human immune system : Modern life causes low-grade inflammation and thereby provokes conflict between the selfish immune system and the selfish brain

    NARCIS (Netherlands)

    Pruimboom, Leo

    2017-01-01

    This thesis describes the multiple ways by which the human immune system can react upon direct and indirect challenges, such as infection and wounds on the one hand, and chronic stress factors, such as smoking, on the other. The human defense system exhibits a type of selfish behaviour during both a

  19. DOD Personnel Clearances. DOD Faces Multiple Challenges in Its Efforts to Improve Clearance Processes for Industry Personnel

    National Research Council Canada - National Science Library

    2008-01-01

    .... Delays in determining eligibility for a clearance can heighten the risk that classified information will be disclosed to unauthorized sources, increase contract costs, and pose problems in attracting...

  20. A prisoner's dilemma with asymmetrical payoffs: revealing the challenges faced by performing arts health and wellness practitioners.

    Science.gov (United States)

    Shan, Gongbing; Visentin, Peter

    2010-03-01

    In a prisoner's dilemma, constructed narratives are used to demonstrate problems within individual rationality and decision-making. Performing artists can be seen as facing a type of prisoner's dilemma in their careers: they must practice repeated movements for long periods in order to improve, yet despite the short-term perception of gained artistic benefit, the long-term consequences may be playing-related musculoskeletal disorders and injury. To help avoid such an outcome, educators and health and wellness practitioners must function as negotiators, engaging in discussions of artistry as part of establishing credibility and encouraging behaviors that keep artists in efficient, healthy behaviors. By setting practice time limits that are considerate of the intensity of each specific task, performers can improve their performance on a daily basis and become more skilled at planning their future training.

  1. 技术进步挑战电信监管%Administration Facing New Challenges with Technology Advancing

    Institute of Scientific and Technical Information of China (English)

    翟雪梅

    2005-01-01

    The history of telecom industry development can be said to be the history of communications technology development and advance in a sense. Especially in the new century, information technology develops and changes quickly out of our imagination. Innovation in new services makes the limit among all services becoming not clear any more. Also the integration of telecom network, internet and TV net becomes a trend. All those bring new challenges for telecom administration.

  2. DNS and the Internet of Things : Outlining the challenges faced by DNS in the Internet of Things

    OpenAIRE

    Hamzic, Almira; Olofsson, Isabel

    2016-01-01

    This thesis work consists of a literature study where different aspects of DNS and the Internet of Things have been researched. A functional naming and service identification method is an essential part in making the IoT global, and DNS is the current method of naming devices on the Internet. The study looks into some challenges DNS will encounter, namely functionality, security and availability. This report concludes that a multicast DNS (mDNS) based solution designed for constrained network...

  3. 运动生理学面临的挑战及适应发展%Challenges Faced by Athletic Physiology and Its'Adaptation of Development

    Institute of Scientific and Technical Information of China (English)

    张强; 刘锡洋

    2011-01-01

    和体育学的其他子学科相类似的是,运动生理学作为一个科学领域在研究(新知识的创新和消化)和教育(课堂教学和学生指导)方面也面临着巨大的挑战.我们可以通过分析运动生理学的过去和现在,解析这一学科面对的挑战,根据我们的知识和工作经验为运动生理学的发展提出自己的建议,希望能够更好的促进运动生理学的发展.%Similar to physical education and other sub-disciplincs, athlethic physiology as a scientific area is also facing huge challenge both in its study (new knowledge's innovation and digestion) and education (classroom teaching and student guidance). We could analyze the challenge faced by athlethie physiology through analyzing of its past and the present situation. Our suggestion is proposed according to our knowledge and work experience in hope of promoting athletic physiology's development.

  4. Determining the efficacy of national strategies aimed at addressing the challenges facing health personnel working in rural areas in KwaZulu-Natal, South Africa

    Directory of Open Access Journals (Sweden)

    Grace Mburu

    2017-01-01

    Full Text Available Background: Shortages of Human Resources for Health (HRH in rural areas are often driven by poor working and living conditions, inadequate salaries and benefits, lack of training and career development opportunities amongst others. The South African government has adopted a human resource strategy for the health sector in 2011 aimed at addressing these challenges.Aim: This study reviews the challenges faced by health personnel against government strategies aimed at attracting and retaining health personnel in these underserved areas.Setting: The study was conducted in six primary health care service sites in the Hlabisa sub-district of Umkhanyakude, located in northern KwaZulu-Natal, South Africa.Methods: The study population comprised 25 health workers including 11 professional nurses, 4 staff nurses and 10 doctors (4 medical doctors, 3 foreign medical doctors and 3 doctors undertaking community service. Qualitative data were collected from semi-structured interviews and analysed using thematic analysis.Results: Government initiatives including the rural allowance, deployment of foreign medical doctors and the presence of health personnel undertaking their community service in rural areas are positively viewed by health personnel working in rural health facilities. However, poor living and working conditions, together with inadequate personal development opportunities, remain unresolved challenges. It is these challenges that will continue to dissuade experienced health personnel from remaining in these underserved areas.Conclusion: South Africa’s HRH strategy for the Health Sector 2012/13–2015/16 had highlighted the key challenges raised by respondents and identified strategies aimed at addressing these challenges. Implementation of these strategies is key to improving both living and working conditions, and providing health personnel with opportunities for further development will require inter-ministerial collaboration if the HRH 2030

  5. Challenge theme 6: Natural hazard risks in the Borderlands: Chapter 8 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Page, William R.; Parcher, Jean W.; Stefanov, Jim

    2013-01-01

    Natural hazards such as earthquakes, landslides and debris flows, wildfires, hurricanes, and intense storm-induced flash floods threaten communities to varying degrees all along the United States–Mexican border. The U.S. Geological Survey (USGS) collaborates with Federal, State, and local agencies to minimize the effects of natural hazards by providing timely, unbiased science information to emergency response officials, resource managers, and the public to help reduce property damage, injury, and loss of life. The USGS often mobilizes response efforts during and after a natural hazard event to provide technical and scientific counsel on recovery and response, and it has a long history of deploying emergency response teams to major disasters in both domestic and international locations. This chapter describes the challenges of natural hazards in the United States–Mexican border region and the capabilities of the USGS in the fields of hazard research, monitoring, and assessment, as well as preventative mitigation and post-disaster response.

  6. A challenging diagnosis of late-onset tumefactive multiple sclerosis associated to cervicodorsal syringomyelia: doubtful CT, MRI, and bioptic findings

    OpenAIRE

    Conforti, Renata; Capasso, Raffaella; Galasso, Rosario; Cirillo, Mario; Taglialatela, Gemma; Galasso, Luigi

    2016-01-01

    Abstract Background: Tumefactive multiple sclerosis (MS) is an unusual variant of demyelinating disease characterized by lesions with pseudotumoral appearance on radiological imaging mimicking other space-occupying lesions, such as neoplasms, infections, and infarction. Especially when the patient's medical history is incompatible with MS, the differential diagnosis between these lesions constitutes a diagnostic challenge often requiring histological investigation. An older age at onset makes...

  7. Exercise persistence in the face of varying exercise challenges: a test of self-efficacy theory in working mothers.

    Science.gov (United States)

    Jung, Mary E; Brawley, Lawrence R

    2011-07-01

    Self-regulatory efficacy (SRE) should influence persistence towards goals. Mothers attempting to exercise while managing work and young children (N = 49, M(age) = 35.69, M(children) = 1.88) were stratified into high or low concurrent SRE groups, then randomized to read a hypothetical scenario detailing numerous or minimal exercise barrier conditions. Consistent with self-efficacy theory, when exercise barriers were numerous, mothers with higher concurrent SRE demonstrated greater persistence towards exercise goals, and perceived concurrent management of exercise with their other valued goals as more positively challenging, than mothers with lower concurrent SRE.

  8. Analysis of Multiple-Impact Ballistic Performance of a Tempered Glass Laminate with a Strike Face Film

    Science.gov (United States)

    2014-02-01

    strengthened glass as exterior or strike faces. Initial impact by a single projectile typically produces a quasi-symmetrical crater exhibiting the typical...during subsequent impacts. Should an impact from a second projectile occur on the damaged glass , loosely constrained fragments would be forced in a...Should an impact from a second projectile occur on the damaged glass , loosely constrained fragments would be forced in a direction away from the strike

  9. AAV-expressed eCD4-Ig provides durable protection from multiple SHIV challenges

    Science.gov (United States)

    Gardner, Matthew R.; Kattenhorn, Lisa M.; Kondur, Hema R.; von Schaewen, Markus; Dorfman, Tatyana; Chiang, Jessica J.; Haworth, Kevin G.; Decker, Julie M.; Alpert, Michael D.; Bailey, Charles C.; Neale, Ernest S.; Fellinger, Christoph H.; Joshi, Vinita R.; Fuchs, Sebastian P.; Martinez-Navio, Jose M.; Quinlan, Brian D.; Yao, Annie Y.; Mouquet, Hugo; Gorman, Jason; Zhang, Baoshan; Poignard, Pascal; Nussenzweig, Michel C.; Burton, Dennis R.; Kwong, Peter D.; Piatak, Michael; Lifson, Jeffrey D.; Gao, Guangping; Desrosiers, Ronald C.; Evans, David T.; Hahn, Beatrice H.; Ploss, Alexander; Cannon, Paula M.; Seaman, Michael S.; Farzan, Michael

    2015-01-01

    Long-term in vivo expression of a broad and potent entry inhibitor could circumvent the need for a conventional vaccine for HIV-1. Adeno-associated virus (AAV) vectors can stably express HIV-1 broadly neutralizing antibodies (bNAbs)1,2. However even the best bNAbs neutralize 10–50% of HIV-1 isolates inefficiently (IC80 > 5 μg/ml), suggesting that high concentrations of these antibodies would be necessary to achieve general protection3–6. Here we show that eCD4-Ig, a fusion of CD4-Ig with a small CCR5-mimetic sulfopeptide, binds avidly and cooperatively to the HIV-1 envelope glycoprotein (Env) and is more potent than the best bNAbs (geometric mean IC50 < 0.05 μg/ml). Because eCD4-Ig binds only conserved regions of Env, it is also much broader than any bNAb. For example, eCD4-Ig efficiently neutralized 100% of a diverse panel of neutralization-resistant HIV-1, HIV-2, and SIV isolates, including a comprehensive set of isolates resistant to the CD4-binding site bNAbs VRC01, NIH45-46, and 3BNC117. Rhesus macaques inoculated with an AAV vector stably expressed 17 to 77 μg/ml of fully functional rhesus eCD4-Ig for 40 weeks, and these macaques were protected from multiple infectious challenges with SHIV-AD8. Rhesus eCD4-Ig was also markedly less immunogenic than rhesus forms of four well characterized bNAbs. Our data suggest that AAV-delivered eCD4-Ig can function like an effective HIV-1 vaccine. PMID:25707797

  10. Climate Scenarios for the NASA / USAID SERVIR Project: Challenges for Multiple Planning Horizons

    Science.gov (United States)

    Robertson, Franklin R.; Roberts, J. B.; Lyon, B.; Funk, C.; Bosilovich, M. G.

    2014-01-01

    SERVIR, an acronym meaning "to serve" in Spanish, is a joint venture between NASA and the U.S. Agency for International Development (USAID) which provides satellite-based Earth observation data, modeling, and science applications to help developing nations in Central America, East Africa and the Himalayas improve environmental decision making. Anticipating climate variability / climate change impacts has now become an important component of the SERVIR efforts to build capacity in these regions. Uncertainty in hydrometeorological components of climate variations and exposure to extreme events across scales from weather to climate are of particular concern. We report here on work to construct scenarios or outlooks that are being developed as input drivers for decision support systems (DSSs) in a variety of settings. These DSSs are being developed jointly by a broad array NASA Applied Science Team (AST) Investigations and user communities in the three SERVIR Hub Regions, Central America, East Africa and the Himalayas. Issues span hydrologic / water resources modeling, agricultural productivity, and forest carbon reserves. The scenarios needed for these efforts encompass seasonal forecasts, interannual outlooks, and likely decadal / multi-decadal trends. Providing these scenarios across the different AST efforts enables some level of integration in considering regional responses to climate events. We will discuss a number of challenges in developing this continuum of scenarios including the identification and "mining" of predictability, addressing multiple continental regions, issues of downscaling global model integrations to regional / local applications (i.e. hydrologic and crop modeling). We compare / contrast the role of the U.S. National Multi- Model Experiment initiative in seasonal forecasts and the CMIP-5 climate model experiments in supporting these efforts. Examples of these scenarios, their use, and an assessment of their utility as well as limitations will

  11. How do temperate bryophytes face the challenge of a changing environment? Lessons from the past and predictions for the future.

    Science.gov (United States)

    Désamoré, Aurélie; Laenen, Benjamin; Stech, Michael; Papp, Beata; Hedenäs, Lars; Mateo, Ruben G; Vanderpoorten, Alain

    2012-09-01

    Bryophytes are a group of early land plants, whose specific ecophysiological and biological features, including poikilohydry, sensitivity to moderately high temperature and high dispersal ability, make them ideal candidates for investigating the impact of climate changes. Employing a combined approach of species distribution modelling (SDM) and molecular phylogeography in the temperate moss Homalothecium sericeum, we explore the significance of the Mediterranean refugia, contrasting the southern and northern refugia hypotheses, determine the extent to which recolonization of previously glaciated areas has been facilitated by the high dispersal ability of the species and make predictions on the extent to which it will be impacted by ongoing climate change. The Mediterranean areas exhibit the highest nucleotidic diversities and host a mixture of ancestral, endemic and more recently derived haplotypes. Extra-Mediterranean areas exhibit low genetic diversities and Euro-Siberian populations display a significant signal of expansion that is identified to be of Euro-Siberian origin, pointing to the northern refugia hypothesis. The SDMs predict a global net increase in range size owing to ongoing climate change, but substantial range reductions in southern areas. Presence of a significant phylogeographical signal at different spatial scales suggests, however, that dispersal limitations might constitute, as opposed to the traditional view of spore-producing plants as efficient dispersers, a constraint for migration. This casts doubts about the ability of the species to face the massive extinctions predicted in the southern areas, threatening their status of reservoir of genetic diversity.

  12. Challenge theme 7: Information support for management of border security and environmental protection: Chapter 9 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Parcher, Jean W.; Page, William R.

    2013-01-01

    Historically, international borders were located far from the major political and economic capitals of their countries and rarely received adequate planning or infrastructure development. Today, as a result of global economics and increased movement of goods between nations, border regions play a much greater role in commerce, tourism, and transportation. For example, Mexico is the second largest destination for United States exports (Woodrow Wilson Center Mexico Institute, 2009). The rapid population and economic growth along the United States–Mexican border, undocumented human border crossings, and the unique natural diversity of resources in the Borderlands present challenges for border security and environmental protection. Assessing risks and implementing sustainable growth policies to protect the environment and quality of life greatly increase in complexity when the issues cross an international border, where social services, environmental regulations, lifestyles, and cultural beliefs are unique for each country. Shared airsheds, water and biological resources, national security issues, and disaster management needs require an integrated binational approach to assess risks and develop binational management strategies.

  13. Challenges of International Students in a Japanese University: Ethnographic Perspectives

    Science.gov (United States)

    Lee, Ju Seong

    2017-01-01

    The author investigates what challenges four international students (Vietnamese, Filipino, Brazilian, and Chinese) faced and how they coped with these dilemmas in a Japanese language program during the first semester in 2014. Multiple apparatuses (e.g., field notes, face-to-face oral interviews, focal group conversations, and semi-structured…

  14. Characterization of a hapten-induced, murine model with multiple features of atopic dermatitis: structural, immunologic, and biochemical changes following single versus multiple oxazolone challenges.

    Science.gov (United States)

    Man, Mao-Qiang; Hatano, Yutaka; Lee, Seung H; Man, Mona; Chang, Sandra; Feingold, Kenneth R; Leung, Donald Y M; Holleran, Walter; Uchida, Yoshikazu; Elias, Peter M

    2008-01-01

    Atopic dermatitis (AD) is a chronic dermatosis bearing clinical, histological, and immunologic similarities to chronic allergic contact dermatitis (ACD). AD shows a Th2 cell-dominant inflammatory infiltrate, elevated serum IgE levels, a permeability barrier abnormality, and Staphylococcus aureus colonization. Repeated hapten challenges reportedly produce a Th2-like hypersensitivity reaction (Th2-like HR). Here, 9-10 challenges with oxazolone (Ox) to hairless mice also produced a chronic Th2-like HR. Permeability barrier function and expression of differentiation proteins, filaggrin, loricrin, and involucrin, became abnormal. CRTH-positive Th2-dominant inflammatory infiltrate, with increased IL-4 expression, and a large increase in serum IgE levels were observed. The barrier abnormality was associated with decreased stratum corneum (SC) ceramide content and impaired lamellar body secretion, resulting in abnormal lamellar membranes, as in human AD. Furthermore, as in human AD, epidermal serine protease activity in SC increased and expression of two lamellar body-derived antimicrobial peptides, CRAMP and mBD3, declined after Ox challenges, paralleling the decrease of their human homologues in AD. Thus, multiple Ox challenges to normal murine skin produce a chronic Th2-like HR, with multiple features of human AD. Because of its reproducibility, predictability, and low cost, this model could prove useful for evaluating both pathogenic mechanisms and potential therapies for AD.

  15. An opportunity and an imperative: Chapter 11 in United States--Mexican Borderlands--facing tomorrow’s challenges through USGS science

    Science.gov (United States)

    Updike, Randall G.; Page, William R.

    2013-01-01

    Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, we are witnessing the expression of the challenges of the 21st century. The Borderlands have become a microcosm for the entire United States and Mexico; the issues faced in that region are felt throughout both nations—water availability and quality, ecosystem health, natural resource needs, safety from natural hazards, and human socioeconomic well-being. If these issues were not challenging enough, we now recognize that the difficulties of addressing them are exacerbated by the onset of climate change, and as we come to better understand the complexities of the components of these challenge themes, we discover that each part is inextricably intertwined with other overarching issues. Further, because we are a creative and progressive society, we all seek to understand and appreciate the natural environments associated with the Borderlands while at the same time benefitting from the region’s many social and economic values. It is little wonder that we as a society find it increasingly difficult to ask the right questions, much less find suitable answers to the questions we do ask. For the many scientists who have worked in the Borderlands and contributed to the preceding chapters, this circular is a way to describe to the two nations of the region the capabilities the U.S. Geological Survey can provide to assist in that quest for knowledge and understanding in preparation for the future.

  16. Beyond mean-field dynamics of ultra-cold bosonic atoms in higher dimensions: facing the challenges with a multi-configurational approach

    Science.gov (United States)

    Bolsinger, V. J.; Krönke, S.; Schmelcher, P.

    2017-02-01

    Exploring the impact of dimensionality on the quantum dynamics of interacting bosons in traps including particle correlations is an interesting but challenging task. Due to the different participating length scales, the modelling of the short-range interactions in three dimensions plays a special role. We review different approaches for the latter and elaborate that for multi-configurational computational strategies, finite-range potentials are adequate resulting in the need for large grids to resolve the relevant length scales. This results in computational challenges, which include the exponential scaling of complexity with the number of atoms. We show that the recently developed ab initio multi-layer multi-configurational time-dependent Hartee method for bosons (ML-MCTDHB) (2013 J. Chem. Phys. 139 134103) can face both numerical challenges and present an efficient numerical implementation of ML-MCTDHB in three spatial dimensions, particularly suited to describe the quantum dynamics for elongated traps. The beneficial scaling of our approach is demonstrated by studying the tunnelling dynamics of bosonic ensembles in a double well. Comparing three-dimensional with quasi-one dimensional simulations, we find dimensionality-induced effects in the density. Furthermore, we study the crossover from weak transversal confinement, where a mean-field description of the system is sufficient, towards tight transversal confinement, where particle correlations and beyond mean-field effects are pronounced.

  17. Maritime Education and Research to Face the XXI-st Century Challenges in Gdynia Maritime University’s Experience Part II – Gdynia Maritime University of Experience the 21st Century Challenges

    Directory of Open Access Journals (Sweden)

    Janusz Mindykowski

    2013-12-01

    Full Text Available In the paper, divided into two parts, a problem of advancements in maritime education and research facing the 21st century challenges, based on the case study of the Gdynia Maritime University (GMU experience is discussed. Part I is devoted to the advances in the maritime education and research towards the challenges in a global meaning. The maritime education challenges are focused on contribution of the University’s representatives in full implementation of the STCW 1978 as amended in 2010 convention, and on the flexible adoption of the academic specializations and programmes to the European and National Qualifications Frameworks, as well as to the needs of a global and local labour market. The research advancements in the maritime universities are basically oriented to marine transport problems, and their main focus is concentrated on the implementation of new technologies, effective and reliable technical and organizational solutions, friendly for users and environment. Part II is dedicated to the Gdynia Maritime University experiencing the 21st century challenges. In this part, firstly the education and research potential of the Gdynia Maritime University, as the one of the world-leading maritime universities, is shortly presented. And next, the GMU’s contribution and good practices concerning the participation in modification of the processes of the IMO STCW 78/2010 convention, adoption of programmes into the international and national qualification frameworks’ standards and procedures, as well as the development of research addressed to a new technological and organizational solution are described and analyzed.

  18. Face Image Analysis Based on Multiple Separated Component Sparse Coding%基于多分离部件稀疏编码的人脸图像分析

    Institute of Scientific and Technical Information of China (English)

    刘伟锋; 刘红丽; 王延江

    2013-01-01

    Considering the different contributions of different facial components to face analysis, e. g. eyes, mouth etc. , a face analysis based on multi-component sparse coding is proposed. Firstly, some facial components which play important role to face analysis are selected. Then, the dictionaries of multiple components are learnt by using multi-view sparse coding algorithm, and the sparse codes of each face image are computed based on the dictionary. The final decision is made through pooling the sparse codes into support vector machines and least squares classifiers. Face analysis experiments include face recognition, facial expression recognition, face recognition with occlusion, and facial expression recognition with occlusion. The experimental results show that the proposed method based on multi-component sparse coding learns optimal weights of different facial components and outperforms single facial component method and simple multi-component fusion method.%考虑到不同部件(眼睛,嘴等)对人脸分析的贡献差别,提出基于多部件稀疏编码的人脸图像分析方法。首先,选取对人脸(表情)分析影响较大的几个人脸部件,然后,利用多视角稀疏编码方法学习各部件的字典,并计算相应的稀疏编码,最后,将稀疏编码输入分类器(支持向量机和最小均方误差)进行判决。分别在数据库JAFFE和Yale上进行人脸(表情)识别及有遮挡的人脸(表情)识别实验。实验结果表明,基于多部件稀疏编码的人脸分析能较好地调节各部件的权重,优于各单一部件和简单的多部件融合方法的性能。

  19. Effective Recruitment Challenges Faced by the Hospitality Industry in Bangladesh: A Study on Selected Star Rated Residential Hotels

    Directory of Open Access Journals (Sweden)

    Kazi HUDA

    2014-12-01

    Full Text Available In Human Resource Management (HRM, Recruitment is the first and foremost issue to be considered with full of sincerity, because its role is to create a positive impression about the employer in the job market by ensuring effective stimuli for the job seekers. At the beginning, the study sets a picture that focuses on the importance of effective recruitment in the hospitality sector of Bangladesh and then the study details obligatory determinants of attracting efficient human resource for the development of this sector. The main objective of the paper is to study the status and the scopes of recruitment function in hospitality industry with focus towards star rated residential hotels. This study is based on primary data collection through a formal questionnaire. The questionnaire was of mixed mode with most questions in likert-type scale and few were dichotomous in nature. The key finding of the study is that recruitment is a highly challenging task in hospitality and it is quite evident that attractive compensation package is the key factor to attract potential employees. The need and scope to modernize the recruitment practices along with the line of company and employer branding ideas are also recommended in details. There is a long way to go on the way of conceptualizing and actualizing recruitment functions and practices. A paper like this can help to discuss and debate on the necessity of developing better recruitment cultural and conceptual change in these sectors.

  20. [Team work and interdiciplinarity: challenges facing the implementation of comprehensive outpatient care for people with HIV/Aids in Pernambuco].

    Science.gov (United States)

    Borges, Maria Jucineide Lopes; Sampaio, Aletheia Soares; Gurgel, Idê Gomes Dantas

    2012-01-01

    The complexity of providing healthcare to people with HIV/Aids requires investment in comprehensive action and care, constituting a challenge for the multidisciplinary work teams to build an interdisciplinary practice. This study sought to analyze comprehensive healthcare in the Specialized Assistance Services for HIV/Aids (SAE-HIV/Aids) in Recife, in the State of Pernambuco, starting with the process and organization of team work. This is a case study developed in three SAE-HIV/Aids units, based on a qualitative approach using different research techniques. The results show that SAE-HIV/Aids have complied with most of the Brazilian Health Ministry recommendations in terms of basic infrastructure, though none of them had a team of appropriate size. These services have shown signs of fragmentation and difficulty in establishing a systematic intersectorial and interdisciplinary practice, with failings in ensuring the reference and counter-reference flow. It was seen that there was little appreciation of the role of the manager as team leader. The need to perceive the user as a whole was identified, as well as for the team to work in a coordinated manner in order to ensure communicative and relational activities.

  1. Standards for Radiation Effects Testing: Ensuring Scientific Rigor in the Face of Budget Realities and Modern Device Challenges

    Science.gov (United States)

    Lauenstein, J M.

    2015-01-01

    An overview is presented of the space radiation environment and its effects on electrical, electronic, and electromechanical parts. Relevant test standards and guidelines are listed. Test standards and guidelines are necessary to ensure best practices, minimize and bound systematic and random errors, and to ensure comparable results from different testers and vendors. Test standards are by their nature static but exist in a dynamic environment of advancing technology and radiation effects research. New technologies, failure mechanisms, and advancement in our understanding of known failure mechanisms drive the revision or development of test standards. Changes to standards must be weighed against their impact on cost and existing part qualifications. There must be consensus on new best practices. The complexity of some new technologies exceeds the scope of existing test standards and may require development of a guideline specific to the technology. Examples are given to illuminate the value and limitations of key radiation test standards as well as the challenges in keeping these standards up to date.

  2. Challenges facing use of energy in the tourism and hospitality industry in Zimbabwe and policies that can promote the sustainable use of renewable energy and tourism development

    Directory of Open Access Journals (Sweden)

    Marunda, E.

    2013-06-01

    Full Text Available This article analyses the various challenges facing use of energy for sustainable tourism development in Zimbabwe on the backdrop of Zimbabwe’s reliance mainly on non-renewable energy sources such as fossil fuels and wood whilst very little use is being made of the abundant renewable sources of energy for instance the sun and wind technologies. It is based on the research carried out with the objective of establishing policies that can promote the sustainable use of renewable energy sources in the country. The findings reveal that stakeholders in the tourism and hospitality industry are largely in favour of formulating and expanding policies that encourage use of solar and wind technologies, at the same time mitigating environmental degradation. The article summarises the findings and duly recommends policies than can be used in Zimbabwe to promote the sustainable use of renewable energy employing solar and wind among others for tourism development.

  3. The humble in a context of "greatness": challenges facing the regeneration of Barrio Antiguo in Monterrey, Nuevo Leon

    Directory of Open Access Journals (Sweden)

    Prieto Gonzalez, Jose Manuel

    2016-03-01

    Full Text Available The current “Barrio Antiguo” (Old Quarter of Monterrey (Mexico, formerly known as "Cathedral Quarter", is a postmodern product arising from the intervention between 1988 and 1994 in a sector called First Square, shortly after the construction of the “Macroplaza” (1979-1985 destroyed a significant part of that same sector. Thus, “Barrio Antiguo” became an example of consciousness cleansing experience. The area is a part of what would become the center of Monterrey, whose physical and conceptual boundaries are still undefined. After a harsh period of degradation in the quarter, especially profound in the context of organized crime and its resulting violence in recent years, the Municipal Institute for Planning and Coexistence of Monterrey (IMPLANC has undertaken the task of regenerating the area. The aim of this lecture is to reveal the difficulties faced by the previously mentioned regeneration, starting with the "inferiority complex" that stirs up among the Monterrey population –traditionally-identified with the official discourse of "greatness"– due to the humility of both the architecture and the vernacular northeastern atmosphere of the quarter, especially when comparisons are made with national historic centers which are World Heritage Sites. El actual Barrio Antiguo de Monterrey, antaño conocido como “Barrio de Catedral”, es un producto posmoderno que surge de la intervención realizada entre 1988 y 1994 en un sector del llamado Primer Cuadro de la ciudad, poco después de que las obras de la Macroplaza (1979-85 destruyeran una parte importante de ese mismo sector. Barrio Antiguo vino a ser así una especie de lavado de conciencia. La zona es una parte de lo que sería el centro histórico de Monterrey, cuyos límites físicos y conceptuales aún están sin definir. Después de una dura etapa de degradación del Barrio, especialmente intensa en el contexto de la ola de violencia de los últimos años, el Instituto

  4. Rapid prefrontal cortex activation towards aversively paired faces and enhanced contingency detection are observed in highly trait-anxious women under challenging conditions

    Directory of Open Access Journals (Sweden)

    Maimu Alissa Rehbein

    2015-06-01

    Full Text Available Relative to healthy controls, anxiety-disorder patients show anomalies in classical conditioning that may either result from, or provide a risk factor for, clinically relevant anxiety. Here, we investigated whether healthy participants with enhanced anxiety vulnerability show abnormalities in a challenging affective-conditioning paradigm, in which many stimulus-reinforcer associations had to be acquired with only few learning trials. Forty-seven high and low trait-anxious females underwent MultiCS conditioning, in which 52 different neutral faces (CS+ were paired with an aversive noise (US, while further 52 faces (CS- remained unpaired. Emotional learning was assessed by evaluative (rating, behavioral (dot-probe, contingency report, and neurophysiological (magnetoencephalography measures before, during, and after learning. High and low trait-anxious groups did not differ in evaluative ratings or response priming before or after conditioning. High trait-anxious women, however, were better than low trait-anxious women at reporting CS+/US contingencies after conditioning, and showed an enhanced prefrontal cortex activation towards CS+ in the M1 (i.e., 80 to 117 ms and M170 time intervals (i.e., 140 to 160 ms during acquisition. These effects in MultiCS conditioning observed in individuals with elevated trait anxiety are consistent with theories of enhanced conditionability in anxiety vulnerability. Furthermore, they point towards increased threat monitoring and detection in highly trait-anxious females, possibly mediated by alterations in visual working memory.

  5. Accessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa

    Directory of Open Access Journals (Sweden)

    Lisbet Grut

    2012-05-01

    Full Text Available Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person’s life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person’s perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person’s history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalization of health professional’s training, and include a patient’s perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognized and utilized.

  6. Accessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa.

    Science.gov (United States)

    Grut, Lisbet; Mji, Gubela; Braathen, Stine Hellum; Ingstad, Benedicte

    2012-01-01

    Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person's life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person's perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person's history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalisation of health professional's training, and include a patient's perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognised and utilised.

  7. Toward design of multiple-property inorganic-organic hybrid compounds based on face-sharing octahedral iodoplumbate chains.

    Science.gov (United States)

    Zhao, Shun-Ping; Ren, Xiao-Ming

    2011-09-07

    In this review article, we have illustrated the strategies developed to achieve inorganic-organic hybrid compounds with technologically important physical properties. A series of target inorganic-organic hybrid compounds have been accomplished by incorporating the functional organic components (with a large hyperpolarizability and luminophore Schiff base cation) into the highly polarizable one-dimensional (1-D) iodoplumbate chain network. The effect of substituent features in the phenyl ring of the Schiff base cation on its molecular conformation as well as the crystal packing structure of the hybrid compound will be discussed and the multiple physical properties (ferroelectricity, NLO and multiple band emission) will also be mentioned. This journal is © The Royal Society of Chemistry 2011

  8. Local recurrence of pheochromocytoma in multiple endocrine neoplasia type 2A: a diagnostic and therapeutic challenge

    OpenAIRE

    Tramunt, Blandine; Buffet, Alexandre; Grunenwald, Solange; Vezzosi, Delphine; Bennet, Antoine; Huyghe, Eric; Zerdoud, Slimane; Caron, Philippe

    2016-01-01

    Key Clinical Message In a patient with multiple endocrine neoplasia type 2A (MEN2A), an inverted physiological ratio between urinary normetanephrines and metanephrines is an early marker of recurrence in epinephrine?secreting pheochromocytoma, and 131I MIBG treatment appears to be a useful therapeutic option in order to avoid multiple invasive surgical procedures in pheochromocytomatosis.

  9. Local recurrence of pheochromocytoma in multiple endocrine neoplasia type 2A: a diagnostic and therapeutic challenge.

    Science.gov (United States)

    Tramunt, Blandine; Buffet, Alexandre; Grunenwald, Solange; Vezzosi, Delphine; Bennet, Antoine; Huyghe, Eric; Zerdoud, Slimane; Caron, Philippe

    2016-03-01

    In a patient with multiple endocrine neoplasia type 2A (MEN2A), an inverted physiological ratio between urinary normetanephrines and metanephrines is an early marker of recurrence in epinephrine-secreting pheochromocytoma, and 131I MIBG treatment appears to be a useful therapeutic option in order to avoid multiple invasive surgical procedures in pheochromocytomatosis.

  10. Food Engineering at Multiple Scales: Case Studies, Challenges and the Future—A European Perspective

    NARCIS (Netherlands)

    Roos, Y.; Fryer, P.J.; Knorr, D.; Schuchmann, H.P.; Schroën, C.G.P.H.; Schutyser, M.A.I.; Trystram, G.; Windhab, E.J.

    2016-01-01

    A selection of Food Engineering research including food structure engineering, novel emulsification processes, liquid and dry fractionation, Food Engineering challenges and research with comments on European Food Engineering education is covered. Food structure engineering is discussed by using stru

  11. Issues and Challenges Facing Rice Production and Food Security in the Granary Areas in the East Coast Economic Region (ECER, Malaysia

    Directory of Open Access Journals (Sweden)

    Chamhuri Siwar

    2014-01-01

    Full Text Available This study is an effort to explore and investigate the issues and challenging are facing rice production and food security in Malaysia. It is also to identify the contribution of the granary areas in East Coast Economic Region (ECER to the national food security. The important of rice as a staple food crop of Malaysia and is grown on 673,745 ha of land, producing annually 2.6 million tons of paddy grain valued at RM 2 billion, which is contribute with average growth rate of 3.7% of year, in the last five years. However, the current country’s self-sufficiency level for rice production is about 71.4% and the balance imported from countries abroad. Efforts are being undertaken by government to increase the productivity, cropping intensity prediction and crop acreage to cope with the growing demand for the produce. This study examines the various issues of rice production for food security and analyses the challenging of rice production in Malaysia. Various policies, strategies and programmes for rice production will be thoroughly analysed for attaining the study objectives. In the ECER, Kemubu Agricultural Development Authority (KADA, Kemasin Semerak and North Terengganu (KETARA Integrated Agriculture Development Area (IADA is among the granary areas, which emphasised on paddy cultivation to the country. The role of the area is important to enhance the self-sufficiency level of rice in Malaysia. Issues and challenges related to rice production, food security and self-sufficiency are discussed. Various efforts and government intervention have been implemented to ensure that these areas will remain as the important granary area. Several approaches to improve the productivity and stability of food production as well as outlining the agenda to ensure the country food supply are discussed.

  12. Challenge theme 2: assuring water availability and quality in the 21st century: Chapter 4 in United States--Mexican Borderlands--facing tomorrow’s challenges through USGS science

    Science.gov (United States)

    Callegary, James; Langeman, Jeff; Leenhouts, Jim; Martin, Peter

    2013-01-01

    Along the United States–Mexican border, the health of communities, economies, and ecosystems is inextricably intertwined with the availability and quality of water, but effective water management in the Borderlands is complicated. Water users compete for resources, and their needs are increasing. Managers are faced with issues such as finding a balance between agriculture and rapidly growing cities or maintaining public supplies while ensuring sufficient resources for aquatic ecosystems. In addition to human factors, the dry climate of the Borderlands, as compared to more temperate regions, also increases the challenge of balancing water supplies between humans and ecosystems. Warmer, drier, and more variable conditions across the southwestern United States—the projected results of climate change (Seager and others, 2007)—would further stress water supplies.

  13. The state of multiple sclerosis: current insight into the patient/health care provider relationship, treatment challenges, and satisfaction

    Directory of Open Access Journals (Sweden)

    Tintoré M

    2016-12-01

    Full Text Available Mar Tintoré,1 Maggie Alexander,2 Kathleen Costello,3 Martin Duddy,4 David E Jones,5 Nancy Law,6 Gilmore O’Neill,7 Antonio Uccelli,8 Robert Weissert,9 Sibyl Wray10 1Multiple Sclerosis Centre of Catalonia, Hospital Vall d’Hebron, Barcelona, Spain; 2European Multiple Sclerosis Platform, Brussels, Belgium; 3National Multiple Sclerosis Society, Denver, CO, USA; 4Royal Victoria Infirmary, Newcastle-upon-Tyne, UK; 5Department of Neurology, University of Virginia, Charlottesville, VA, USA; 6Nancy Law Consulting LLC, Parker, CO, USA; 7Biogen, Cambridge, MA, USA; 8Centre of Excellence for Biomedical Research, University of Genoa, Genoa, Italy; 9Department of Neurology, University of Regensburg, Regensburg, Germany; 10Hope Neurology Multiple Sclerosis Center, Knoxville, TN, USA Background: Managing multiple sclerosis (MS treatment presents challenges for both patients and health care professionals. Effective communication between patients with MS and their neurologist is important for improving clinical outcomes and quality of life. Methods: A closed-ended online market research survey was used to assess the current state of MS care from the perspective of both patients with MS (≥18 years of age and neurologists who treat MS from Europe and the US and to gain insight into perceptions of treatment expectations/goals, treatment decisions, treatment challenges, communication, and satisfaction with care, based on current clinical practice. Results: A total of 900 neurologists and 982 patients completed the survey, of whom 46% self-identified as having remitting-relapsing MS, 29% secondary progressive MS, and 11% primary progressive MS. Overall, patients felt satisfied with their disease-modifying therapy (DMT; satisfaction related to comfort in speaking with their neurologist and participation in their DMT decision-making process. Patients who self-identified as having relapsing-remitting MS were more likely to be very satisfied with their treatment

  14. The multiple faces of a sustainability strategy. Analysing Finland's programme to promote sustainable consumption and production

    Energy Technology Data Exchange (ETDEWEB)

    Berg, A.

    2012-07-01

    This study discusses broad national sustainability programmes as multi-faceted and controversial hybrids. It concentrates on one pioneering case, the Finnish Programme to Promote Sustainable Consumption and Production (SCP) that was published in 2005. It is claimed that much-used effectiveness-focused analytical approaches fail to address some of the key characteristics of the Programme. Empirical analysis combined with a theory review reveals at least four different perspectives from which the Finnish SCP Programme can be fruitfully grasped, viewed and acted upon: the Bullet, Process, Ritual and Depiction perspectives. Together, these make up a multi-perspective analytical approach that outlines the programme profile and facilitates comparison of the differences between the acts, expectations and perceptions of various actors. (1) The Bullet perspective follows the traditional effectiveness approach based on the assumption that broad sustainability programmes have outputs and outcomes that are described in the programme document. (2) According to the Process perspective, the programme process has some effects but their exact form and direction cannot be predetermined due to the institutionally ambiguous context. (3) The Ritual perspective emphasises the symbolic dimension of action, and that the innermost meaning of programme making may go beyond its manifested goals. (4) Last but not least, the Depiction perspective reflects how the programme document and process construct, renew and silence some meaning structures, in this case about SCP. Analysed from these four perspectives, respectively, it turns out that Finland's SCP Programme: (1) has quite scarce outputs compared to the grand challenges and visions presented, the key ones including the establishment of a material-efficiency centre, a research programme and an initiative to green public procurement; (2) has raised awareness of SCP among major actors in the field, which has had various unprompted

  15. Possibilities and Challenges of Early Critical Literacy Practices: Bilingual Preschoolers' Exploring Multiple Voices and Gender Roles

    Science.gov (United States)

    Kim, So Jung

    2016-01-01

    Despite the emphasis on the significance of critical literacy, there has been a startling paucity of studies examining how critical literacy pedagogies can be implemented to preschool bilingual settings. In order to address this gap in the research, this qualitative case study examines the possibilities and challenges of critical literacy in…

  16. One health, multiple challenges: The inter-species transmission of influenza A virus

    NARCIS (Netherlands)

    K.R. Short (Kirsty); M. Richard (Mathilde); J.H. Verhagen (Josanne); D.A.J. van Riel (Debby); E.J.A. Schrauwen (Eefje); J.M.A. van den Brand (Judith); B. Mänz (Benjamin); R. Bodewes (Rogier); S. Herfst (Sander)

    2015-01-01

    textabstractInfluenza A viruses are amongst the most challenging viruses that threaten both human and animal health. Influenza A viruses are unique in many ways. Firstly, they are unique in the diversity of host species that they infect. This includes waterfowl (the original reservoir), terrestrial

  17. One health, multiple challenges : The inter-species transmission of influenza A virus

    NARCIS (Netherlands)

    Short, Kirsty R; Richard, Mathilde; Verhagen, Josanne H; van Riel, Debby; Schrauwen, Eefje J A; van den Brand, Judith M A; Mänz, Benjamin; Bodewes, Rogier; Herfst, Sander

    2015-01-01

    Influenza A viruses are amongst the most challenging viruses that threaten both human and animal health. Influenza A viruses are unique in many ways. Firstly, they are unique in the diversity of host species that they infect. This includes waterfowl (the original reservoir), terrestrial and aquatic

  18. challenges facing child headed households

    African Journals Online (AJOL)

    Mugumbate

    This research employed qualitative methods to establish the daily experiences ... family support systems that view children as society's future and as an .... children's decision-making in 30 child-headed .... fetching water from nearby boreholes.

  19. RRR for NNN-a rapid research response for the Neglected Tropical Disease NGDO Network: a novel framework to challenges faced by the global programs targeting neglected tropical diseases.

    Science.gov (United States)

    Toledo, Chelsea E; Jacobson, Julie; Wainwright, Emily C; Ottesen, Eric A; Lammie, Patrick J

    2016-03-01

    While global programs targeting the control or elimination of five of the neglected tropical diseases (NTDs)-lymphatic filariasis, onchocerciasis, soil-transmitted helminthiasis, schistosomiasis and trachoma-are well underway, they still face many operational challenges. Because of the urgency of 2020 program targets, the Bill & Melinda Gates Foundation and the U.S. Agency for International Development devised a novel rapid research response (RRR) framework to engage national programs, researchers, implementers and WHO in a Coalition for Operational Research on NTDs. After 2 years, this effort has succeeded as an important basis for the research response to programmatic challenges facing NTD programs.

  20. Handling Missing Data: Analysis of a Challenging Data Set Using Multiple Imputation

    Science.gov (United States)

    Pampaka, Maria; Hutcheson, Graeme; Williams, Julian

    2016-01-01

    Missing data is endemic in much educational research. However, practices such as step-wise regression common in the educational research literature have been shown to be dangerous when significant data are missing, and multiple imputation (MI) is generally recommended by statisticians. In this paper, we provide a review of these advances and their…

  1. Multiple Choice Questions Can Be Designed or Revised to Challenge Learners' Critical Thinking

    Science.gov (United States)

    Tractenberg, Rochelle E.; Gushta, Matthew M.; Mulroney, Susan E.; Weissinger, Peggy A.

    2013-01-01

    Multiple choice (MC) questions from a graduate physiology course were evaluated by cognitive-psychology (but not physiology) experts, and analyzed statistically, in order to test the independence of content expertise and cognitive complexity ratings of MC items. Integration of higher order thinking into MC exams is important, but widely known to…

  2. Investigating the Multiple Food Sources and N Chemistry of Invasive Earthworms at the Rhinelander, WI, Free Air CO2 Enrichment (FACE) Experiment

    Science.gov (United States)

    Top, S. M.; Filley, T. R.

    2013-12-01

    Rising levels of atmospheric CO2 can directly and indirectly alter biogeochemical cycling in forest ecosystems through changes to plant productivity, tissue chemistry, and associated feedbacks to microbial and faunal communities. At the Rhinelander free air CO2 enrichment site (FACE), Rhinelander WI, we examined the consumption and movement of plant tissue and soil by invasive earthworm species using a multi-proxy stable isotope and amino acid chemistry analysis of plant and soil, as well as fecal matter extracted from invasive earthworms present at the site. Using an isotopic mixing model that exploits the 13C-depleted CO2 source and a previous 15N labeling in the FACE experiment, we determined potential sources to the earthworm fecal matter and the movement of amino compounds. For epigeic, surface dwelling earthworms, the stable isotope modeling showed the largest contribution to the C and N in fecal matter was from leaf litter (up to 80%) which was depleted in amino acid C under elevated CO2 conditions. Fecal matter from the endogeic, mineral soil dwelling earthworms was primarily derived from 0-5 cm soil (up to 56%) and fine root tissue (up to 70%). Additionally, amino acid C in this group of earthworms had a proportionately greater relative concentration compared to the epigeic species and the 0-5cm soil. Here we demonstrate that earthworms are incorporating multiple sources (leaf litter, root, and soil) into their fecal matter, which then get deposited throughout the soil profile, where nutrients could become available for plant use.

  3. Protective efficacy of multiple vaccine platforms against Zika virus challenge in rhesus monkeys.

    Science.gov (United States)

    Abbink, Peter; Larocca, Rafael A; De La Barrera, Rafael A; Bricault, Christine A; Moseley, Edward T; Boyd, Michael; Kirilova, Marinela; Li, Zhenfeng; Ng'ang'a, David; Nanayakkara, Ovini; Nityanandam, Ramya; Mercado, Noe B; Borducchi, Erica N; Agarwal, Arshi; Brinkman, Amanda L; Cabral, Crystal; Chandrashekar, Abishek; Giglio, Patricia B; Jetton, David; Jimenez, Jessica; Lee, Benjamin C; Mojta, Shanell; Molloy, Katherine; Shetty, Mayuri; Neubauer, George H; Stephenson, Kathryn E; Peron, Jean Pierre S; Zanotto, Paolo M de A; Misamore, Johnathan; Finneyfrock, Brad; Lewis, Mark G; Alter, Galit; Modjarrad, Kayvon; Jarman, Richard G; Eckels, Kenneth H; Michael, Nelson L; Thomas, Stephen J; Barouch, Dan H

    2016-09-09

    Zika virus (ZIKV) is responsible for a major ongoing epidemic in the Americas and has been causally associated with fetal microcephaly. The development of a safe and effective ZIKV vaccine is therefore an urgent global health priority. Here we demonstrate that three different vaccine platforms protect against ZIKV challenge in rhesus monkeys. A purified inactivated virus vaccine induced ZIKV-specific neutralizing antibodies and completely protected monkeys against ZIKV strains from both Brazil and Puerto Rico. Purified immunoglobulin from vaccinated monkeys also conferred passive protection in adoptive transfer studies. A plasmid DNA vaccine and a single-shot recombinant rhesus adenovirus serotype 52 vector vaccine, both expressing ZIKV premembrane and envelope, also elicited neutralizing antibodies and completely protected monkeys against ZIKV challenge. These data support the rapid clinical development of ZIKV vaccines for humans.

  4. Analysing Italian Regional Patterns in Green Economy and Climate Change. Can Italy Leverage on Europe 2020 Strategy to Face Sustainable Growth Challenges ?

    Directory of Open Access Journals (Sweden)

    Francesco BONSINETTO

    2013-12-01

    Full Text Available European cities and regions are facing the crucial challenge of greening their economy towards more sustainable patterns. Politicians and policy-makers should promote new policies for sustainable growth including renewables, greenhouse gas emissions, energy efficiency and biodiversity. All of these aspects can be considered as a boost for local and regional economy. In this regard, European countries and regions can benefit from the Europe 2020 Strategy which is defined as Europe’s blueprint for a smart, sustainable and inclusive future, providing a ten year roadmap for growth and jobs. EU2020S was designed as a European exit strategy from the global economic and financial crisis in view of new European economic governance. This study discusses the above issues regarding Italy and intends to provide some answers on the perspectives of the new EU2020S. It draws from a research project supported by ESPON, the S.I.E.S.T.A. Project, focused on the territorial dimension of the EU2020S. Therefore, this paper aims at analyzing Italian regional patterns on climate change, green economy and energy within the context of EU2020S and at providing policy recommendations for better achieving the goals of the Strategy.

  5. 德雷福斯的“无表征智能”及其挑战%Hubert Dreyfus' "Intelligence without Representation" and the faced Challenges

    Institute of Scientific and Technical Information of China (English)

    孟伟

    2012-01-01

    Based on the phenomenology of Merleau-Ponty and neuro-scientific explanation, Hubert Dreyfus puts forward the idea of "Intelli- gence without Representation". Through the critical survey, we see that it still faces some challenges. It is not definitive that expert skillful ac tion without representation. The critique of propositional representation doesn't result to deny any form of representation. Using phenomenolo- gy actively demands a guideline of constructive phenomenology.%立足梅洛-庞蒂的现象学思想和神经科学解释,德雷福斯提出了"无表征智能"的设想。基于不同角度对德雷福斯设想的批判性审视,我们看到这一设想面临着诸多挑战:很难确定专家级别的熟练技能行为完全脱离表征;命题式表征的批判并不意味着消除任何形式的表征;发挥现象学在认知科学研究中的积极作用需要阐明一种建设性的纲领。

  6. 中国石化品牌建设面临的问题与挑战%Problems and Challenges Faced by SINOPEC in Brand Building

    Institute of Scientific and Technical Information of China (English)

    骆虹

    2014-01-01

    At present, SINOPEC’s brand building is facing certain problems and challenges. The brand image needs to be reshaped and optimized to enhance its appeal to domestic and international consumers; the brand positioning needs to be more clear to highlight value propositions that are globally consistent; the marketing tools need to be integrated to help with brand communication and promotion; designing at the top level needs to be improved to align brand building and management systems.%当前,中国石化品牌建设面临问题和挑战。品牌形象需优化重塑,以增强品牌对国内外消费者的吸引力;品牌定位应加以明确,突出全球一致的价值主张;营销手段需进一步整合,以助力品牌传播推广;顶层设计待完善,应抓紧统一品牌建设和管理体系。

  7. A novel organizational model to face the challenge of multimorbid elderly patients in an internal medicine setting: a case study from Parma Hospital, Italy.

    Science.gov (United States)

    Meschi, Tiziana; Ticinesi, Andrea; Prati, Beatrice; Montali, Arianna; Ventura, Antonio; Nouvenne, Antonio; Borghi, Loris

    2016-08-01

    Continuous increase of elderly patients with multimorbidity and Emergency Department (ED) overcrowding are great challenges for modern medicine. Traditional hospital organizations are often too rigid to solve them without consistently rising healthcare costs. In this paper we present a new organizational model achieved at Internal Medicine and Critical Subacute Care Unit of Parma University Hospital, Italy, a 106-bed internal medicine area organized by intensity of care and specifically dedicated to such patients. The unit is partitioned into smaller wards, each with a specific intensity level of care, including a rapid-turnover ward (mean length of stay principles. In 2012-2014, this organizational model, compared with other peer units of the hospital and of other teaching hospitals of the region, showed a better performance, efficacy and effectiveness indexes calculated on Regional Hospital Discharge Records database system, allowing a capacity to face a massive (+22 %) rise in medical admissions from the ED. Further studies are needed to validate this model from a patient outcome point of view.

  8. The process of translation and linguistic validation of the Functional Assessment of Cancer Therapy-Brain quality of life instrument from English to Malayalam: The challenges faced

    Directory of Open Access Journals (Sweden)

    Durgapoorna Menon

    2017-01-01

    Full Text Available Aim: Both brain tumors and their treatments have a major negative impact on the quality of life (QoL. EORTC BN20 and Functional Assessment of Cancer Therapy-Brain (FACT-BR are the most commonly used tools to assess QoL. The FACT-BR is a 23-item questionnaire, especially about the psychosocial aspects of QoL. This paper describes the challenges we faced during the process of translation and validation of the FACT-BR into Malayalam. Methods: We first screened the patients to ensure their mental status was satisfactory and that they could communicate well in both languages. According to the Functional Assessment of Chronic Illness Therapy methodology, there were two forward translations from English to Malayalam by two independent translators, a reconciliation of the two forward translations, a back-translation into English, a review/finalization by a fifth translator, proofreading, and then testing on a small cohort of patients. Results: The whole process of translation was fraught with small and large hurdles – from small technical issues to the gaps in sociocultural norms. The sub item BR 7, due to the lack of an exact equivalent word, had issues that persisted up to the validation phase. The postquestionnaire debriefing interviews confirmed that the translations were well understood and conceptually equivalent to the original English one. Conclusions: Translation of the FACT-BR into Malayalam nearly completely reproduced the concepts of the original English questionnaire, as proved in the subsequent validation process.

  9. The capacity of smes with export-import activity from Bihor county to face the challenge of integration on the european single market in euro-regional context

    Directory of Open Access Journals (Sweden)

    Dodescu Anca

    2008-04-01

    Full Text Available Starting from the premises that the competitive capacity of the SMEs is determined by their nature: some of them having rapidly growing capacity, others being totally dependent on local or regional markets, the present paper aims to investigate the capacity of SMEs from Bihor county, which carry out export and import activity, to face the challenges of integration in the European Single Market, with the purpose to guide them towards that initiatives and measures that correspond to their nature, by exploiting the possibilities offered by structural funds. The paper presents the general situation of the SMEs from Bihor county focused on those which are part of intra-communitary trade, and, on the base of a questionnaire applied to a number of 50 of them, their perceptions regarding the threats and opportunities of the European Single Market, in order to increase the absorption of structural funds and to design a Euroregional strategy for the SME sector with direct benefits for the economic agents and communities from Romania and Hungary. The paper is based on the preliminary research results of the project called “The encouragement of SMEs which carry out import-export activity from Bihor county regarding the integration in the European Single Market through the development of cross-border business services”, financed by the PHARE CBC 2005 Programme. The data used have been offered for the mentioned project by Local SMEs Council, Oradea.

  10. Ethical challenges in the management of multiple pregnancies: the professional responsibility model of perinatal ethics.

    Science.gov (United States)

    Chervenak, Frank A; McCullough, Laurence B

    2013-01-01

    Abstract Ethics is an essential component for the responsible clinical management of multiple gestation and decision-making about such pregnancies with pregnant women. The ethical concept of the fetus as a patient is presented as the basis for identifying a professionally responsible approach to selective termination, twin-to-twin transfusion syndrome, and to discordant beneficence-based obligations that exist when one or more fetuses are adversely affected by a fetal anomaly or complication of pregnancy. The roles for directive counseling, i.e., making evidence-based recommendations, and for non-directive counseling, i.e., offering evidence-based alternatives but making no recommendations, are described. The professional responsibility model of perinatal ethics creates a practical framework to guide the clinical judgment of perinatologists and the informed process about the clinical management of multiple pregnancies.

  11. Developing Academic Literacy and Voice: Challenges Faced by a Mature ESL Student and Her Instructors (Desarrollo del discurso académico y la voz: retos de una estudiante de inglés como segunda lengua y sus profesores)

    Science.gov (United States)

    Correa, Doris

    2010-01-01

    Drawing on critical, socio-cultural and sociolinguistic theories of writing, text and voice, this ethnographic study examines the challenges that a mature ESL student and her instructors in a university course on Spanish Language Media face as they co-construct a common understanding of academic literacy and voice in an undergraduate General…

  12. 埃及高等教育所面临的挑战及应对之策%The Challenges Facing Egyptian Higher Education and Countermeasures

    Institute of Scientific and Technical Information of China (English)

    武慧杰

    2009-01-01

    Egypt which has more advanced higher education in the Arab world has cultivated several Nobel Prize winners. The last century in the late 1980s, Egypt had early realized higher education popularity while many serious problems and challenges are facing its higher education system. Such as the contradiction between centralized management system of higher education and University autonomy, as well as the confusion and inequality which are brought about by two paralleling education system: the secular system and the religious ,or Al-Azhar system. Facing its history and current situation of higher education, Egyptian government persists in implementing the education development strategy to explore the way to cope with and get rid of dilemma. However, it is still a difficult problem for Egyptian government to realize the coordination between education and economy society.%埃及是阿拉伯世界高等教育比较发达的国家,相继培养出多位诺贝尔奖获得者.20世纪八十年代中后期,在埃及较早进入高等教育大众化阶段的同时,其高等教育系统也面临着许多严重的问题与挑战,如高等教育中央集权管理体制与大学自治的矛盾,以世俗教育和宗教教育为中心的双轨教育体制所带来的不平等和混乱等.针对其高等教育的历史与现状,埃及政府坚持实施教育兴国的现代化发展战略,积极探索应对之道,努力摆脱困境.但如何使教育和经济社会协调发展,依然是摆在埃及政府面前的一道难题.

  13. An incidental case of dihydropyrimidine dehydrogenase deficiency: One case, multiple challenges

    Directory of Open Access Journals (Sweden)

    Hamoud H Al Khallaf

    2013-01-01

    Full Text Available Dihydropyrimidine dehydrogenase (DPD deficiency is an autosomal recessive disorder that shows large phenotypical variability, ranging from no symptoms to intellectual disability, motor retardation, and convulsions. In addition, homozygous and heterozygous mutation carriers can develop severe 5-fluorouracil (5-FU toxicity. The lack of genotype-phenotype correlation and the possibility of other factors playing a role in the manifestation of the neurological abnormalities, make the management and education of asymptomatic DPD individuals more challenging. We describe a 3-month-old baby who was incidentally found by urine organic acid testing (done as part of positive newborn screen to have very high level of thymine and uracil, consistent with DPD deficiency. Since the prevalence of asymptomatic DPD deficiency in the general population is fairly significant (1 in 10,000, we emphasize in this case study the importance of developing a guideline in genetic counseling and patient education for this condition as well as other incidental laboratory findings.

  14. Separations of Metal Ions Using Ionic Liquids:The Challenges of Multiple Mechanisms

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Ionic liquids are a distinct sub-set of liquids, comprising only of cations and anions, often with negligible vapor pressure. As a result of the low or non-volatility of these fluids, ionic liquids are often considered in liquid/liquid separation schemes where the goal is to replace volatile organic solvents. Unfortunately,it is often not yet recognized that the ionic nature of these solvents can result in a variety of extraction mechanisms, including solvent ion-pair extraction, ion exchange, and simultaneous combinations of these.This paper discusses current ionic liquid-based separations research where the effects of the nature of the solvent ions, ligands, and metal ion species were studied in order to be able to understand the nature of the challenges in utilizing ionic liquids for practical applications.

  15. Multiple endocrine neoplasias type 2A and thyroid medullary carcinoma: an interdisciplinary challenge.

    Science.gov (United States)

    Haecker, Frank-Martin; Oertli, Daniel; Gissler, Stefanie; Zumsteg, Urs; Avoledo, Pierino; von Schweinitz, Dietrich

    2003-04-01

    The diagnosis and treatment of multiple endocrine neoplasias type 2A (MEN 2A) requires interdisciplinary management. The association of RET proto-oncogene mutations and medullary thyroid carcinoma (MTC) in children is well-known, but the optimal timing for elective surgery is controversial. Besides the risk of MTC, associated anomalies like hyperparathyroidism have to be considered. We report the results of molecular genetic investigations, the pentagastrin stimulation test, pre- and postoperative staging, and histologic examinations of four children who had a positive family history for MEN 2A. Histologic specimens of the removed thyroid glands showed MTC in all four cases. The patients had an uneventful postoperative clinical course. In view of the recent literature and our patients' results, we suggest a concept for diagnostic strategy and timing of the elective thyroidectomy.

  16. Measuring the Quality of Life in Patients with Multiple Sclerosis in Clinical Practice: A Necessary Challenge

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    Karine Baumstarck

    2013-01-01

    Full Text Available While the physical disability aspect of multiple sclerosis (MS is of great importance, quality of life (QoL measurements are being considered increasingly important with regard to evaluating disease progression, treatment, and the management of care provided to MS patients. Despite the acknowledged need to consider QoL issues, QoL assessment remains underutilized in clinical practice. These issues should be explored and understood to promote the use of measuring QoL in MS clinical practice. We explore the difficulties for clinicians: choosing and determining the most appropriate QoL measure and how to best integrate QoL measurements into clinical practice. This paper discusses several avenues to provide to clinicians arguments of the clinical relevance and accuracy of QoL instruments and ultimately to enhance the use of QoL measures in clinical practice for MS patients.

  17. Measuring the quality of life in patients with multiple sclerosis in clinical practice: a necessary challenge.

    Science.gov (United States)

    Baumstarck, Karine; Boyer, Laurent; Boucekine, Mohamed; Michel, Pierre; Pelletier, Jean; Auquier, Pascal

    2013-01-01

    While the physical disability aspect of multiple sclerosis (MS) is of great importance, quality of life (QoL) measurements are being considered increasingly important with regard to evaluating disease progression, treatment, and the management of care provided to MS patients. Despite the acknowledged need to consider QoL issues, QoL assessment remains underutilized in clinical practice. These issues should be explored and understood to promote the use of measuring QoL in MS clinical practice. We explore the difficulties for clinicians: choosing and determining the most appropriate QoL measure and how to best integrate QoL measurements into clinical practice. This paper discusses several avenues to provide to clinicians arguments of the clinical relevance and accuracy of QoL instruments and ultimately to enhance the use of QoL measures in clinical practice for MS patients.

  18. Challenges facing effective implementation of co-trimoxazole prophylaxis in children born to HIV-infected mothers in the public health facilities

    Directory of Open Access Journals (Sweden)

    Kamuhabwa AAR

    2015-10-01

    Full Text Available Appolinary AR Kamuhabwa,1 Vicky Manyanga21Unit of Pharmacology and Therapeutics, 2Department of Medicinal Chemistry, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaBackground: If children born to HIV-infected mothers are not identified early, approximately 30% of them will die within the first year of life due to opportunistic infections. In order to prevent morbidity and mortality due to opportunistic infections in children, the World Health Organization recommends the use of prophylaxis using co-trimoxazole. However, the challenges affecting effective implementation of this policy in Tanzania have not been documented.Aim: In this study, we assessed the challenges facing the provision of co-trimoxazole prophylaxis among children born to HIV-infected mothers in the public hospitals of Dar es Salaam, Tanzania.Methodology: Four hundred and ninety-eight infants' PMTCT (Prevention of Mother-to-Child Transmission of HIV register books for the past 2 years were reviewed to obtain information regarding the provision of co-trimoxazole prophylaxis. One hundred and twenty-six health care workers were interviewed to identify success stories and challenges in the provision of co-trimoxazole prophylaxis in children. In addition, 321 parents and guardians of children born to HIV-infected mothers were interviewed in the health facilities.Results: Approximately 80% of children were initiated with co-trimoxazole prophylaxis within 2 months after birth. Two hundred and ninety-one (58.4% children started using co-trimoxazole within 4 weeks after birth. Majority (n=458, 91.8% of the children were prescribed 120 mg of co-trimoxazole per day, whereas 39 (7.8% received 240 mg per day. Only a small proportion (n=1, 0.2% of children received 480 mg/day. Dose determination was based on the child's age rather than body weight. Parents and guardians reported that 42 (13.1% children had missed one or more doses of co

  19. Clinicians’ concerns about decision support interventions for patients facing breast cancer surgery options: understanding the challenge of implementing shared decision‐making

    Science.gov (United States)

    Caldon, Lisa J.M.; Collins, Karen A.; Reed, Malcolm W.; Sivell, Stephanie; Austoker, Joan; Clements, Alison M.; Patnick, Julietta; Elwyn, Glyn

    2011-01-01

    Abstract Background  There is interest in interventions that provide support for patients facing challenging decisions, such as the choice between mastectomy and breast conservation surgery for breast cancer. However, it is difficult to implement these interventions. One potential source of resistance is the attitudes of clinicians. Objective  To examine specialist breast clinicians’ opinions about the provision of decision support interventions (DesIs) for patients. Methods  As part of the development of a web‐based DesI (BresDex), semi‐structured interviews were conducted with specialist clinicians [breast surgeons, breast care nurses (BCNs) and oncologists] from four breast units in a UK region, and speciality national opinion leaders. Interviews were recorded, transcribed and analysed using the Framework approach. Results  A majority of the 24 clinicians interviewed did not have a working knowledge of DesIs and were ambivalent or sceptical. Many expressed conflicting opinions: they noted the potential benefits, but at the same time expressed reservations about information overlap, overload and about content that they considered inappropriate. Many wanted access to DesIs to be always under clinical supervision. In particular, they were uncertain as regards how DeSIs could be tailored to individual patients’ needs and also accommodate clinical practice variation. BCNs were particularly concerned that DesIs might induce patient anxiety and replace their role. Conclusions  The concept of providing interventions to support patients in decision‐making tasks generated concern, defensiveness and scepticism. These attitudes will be a significant barrier. Implementation efforts will need to recognize and address these issues if these interventions are to become embedded in clinical practice. PMID:21029281

  20. NBA集体谈判协议及其所面临的挑战%NBA Collective Bargaining Agreement and the Challenges It Faces

    Institute of Scientific and Technical Information of China (English)

    李智

    2011-01-01

    Collective bargaining is the way to handle labor relationships in Western society, and the contracts are formed on the basis of consensus between labor unions and employers. The United States is an early country recognized collective bargaining and applied it into professional sports fields gradually,and developed its characteristics. In NBA's collective bargaining agreement, include some restrictive measures,such as the age requirement of players access to league, freedom of movement, salary cap, and so on, the purpose of these rules is to balance the competition between teams. Now, NBA's collective bargaining system faces the challenges from developing overseas basketball markets,so,NBA needs reconsider of its global strategy and the upcoming collective bargaining in 2011.%美国是较早确认集体谈判机制的国家,后逐渐将其适用于职业体育领域,并形成其特点。NBA的集体谈判协议中安排了球员准入年龄、自由流动及工资帽等限制性措施,其目的是为了平衡球队间的竞争。在海外篮球市场的冲击下,其集体谈判机制面临挑战,NBA需对其全球战略及即将进行的2011年集体谈判进行重新考量。

  1. A challenging diagnosis: case report of extensive pyoderma gangrenosum at multiple sites

    Directory of Open Access Journals (Sweden)

    Ye MJ

    2014-03-01

    Full Text Available Mingwei J Ye,1,2 Joshua Mingsheng Ye,2 Leonard Wu,3 Cameron P Keating,4 Wai-Ting Choi41Department of Dermatology, Western Hospital, Footscray, VIC, Australia; 2University of Melbourne, Department of Medicine, Dentistry and Health Sciences, Parkville, VIC, Australia; 3Department of Pathology, Western Hospital, Footscray, VIC, Australia; 4Department of Plastic Surgery, Western Hospital, Footscray, VIC, AustraliaBackground: Pyoderma gangrenosum (PG is a rare dermatological condition characterized by the rapid progression of a painful, necrolytic ulcer with an irregular, undermined border and commonly affects the lower extremities, mainly in the pretibial area. The diagnosis of PG is not easy. Due to lack of diagnostic laboratory test and histopathological findings indicative of PG, it is often misdiagnosed as an infection. This results in delayed or inappropriate treatment of the condition, which leads to devastating consequences such as limb amputation and death.Main observations: We report a rare case of a 51-year-old female who was initially diagnosed as having infected ulcers and underwent serial debridements, which resulted in extensive PG at three different sites (abdominal, left thigh, and sacral.Conclusion: This case highlights the challenges in diagnosing PG, emphasizes the key clinical features to aid diagnosis, and the clinical consequences of delayed or misdiagnosis of this condition.Keywords: postoperative complication, skin ulcer, surgical wound

  2. Relabelling behaviour : The effects of psycho-education on the perceived severity and causes of challenging behaviour in people with profound intellectual and multiple disabilities

    NARCIS (Netherlands)

    Poppes, P.; Putten, van der Annette; Post, W.; Frans, N.; ten Brug, A.; van Es, A.; Vlaskamp, C.

    2016-01-01

    BackgroundPrevalence rates of challenging behaviour are high in children and adults with profound intellectual and multiple disabilities (PIMD). Moreover, many of these behaviours are observed daily. Direct support staff report that most challenging behaviour identified has little impact on the

  3. The state of multiple sclerosis: current insight into the patient/health care provider relationship, treatment challenges, and satisfaction

    Science.gov (United States)

    Tintoré, Mar; Alexander, Maggie; Costello, Kathleen; Duddy, Martin; Jones, David E; Law, Nancy; O’Neill, Gilmore; Uccelli, Antonio; Weissert, Robert; Wray, Sibyl

    2017-01-01

    Background Managing multiple sclerosis (MS) treatment presents challenges for both patients and health care professionals. Effective communication between patients with MS and their neurologist is important for improving clinical outcomes and quality of life. Methods A closed-ended online market research survey was used to assess the current state of MS care from the perspective of both patients with MS (≥18 years of age) and neurologists who treat MS from Europe and the US and to gain insight into perceptions of treatment expectations/goals, treatment decisions, treatment challenges, communication, and satisfaction with care, based on current clinical practice. Results A total of 900 neurologists and 982 patients completed the survey, of whom 46% self-identified as having remitting-relapsing MS, 29% secondary progressive MS, and 11% primary progressive MS. Overall, patients felt satisfied with their disease-modifying therapy (DMT); satisfaction related to comfort in speaking with their neurologist and participation in their DMT decision-making process. Patients who self-identified as having relapsing-remitting MS were more likely to be very satisfied with their treatment. Top challenges identified by patients in managing their DMT were cost, side effects/tolerability of treatment, and uncertainty if treatment was working. Half of the patients reported skipping doses, but only 68% told their health care provider that they did so. Conclusion Several important differences in perception were identified between patients and neurologists concerning treatment selection, satisfaction, expectations, goals, and comfort discussing symptoms, as well as treatment challenges and skipped doses. The study results emphasize that patient/neurologist communication and patient input into the treatment decision-making process likely influence patient satisfaction with treatment. PMID:28053511

  4. Important Role of FTO in the Survival of Rare Panresistant Triple-Negative Inflammatory Breast Cancer Cells Facing a Severe Metabolic Challenge.

    Directory of Open Access Journals (Sweden)

    Balraj Singh

    Full Text Available We have previously shown that only 0.01% cells survive a metabolic challenge involving lack of glutamine in culture medium of SUM149 triple-negative Inflammatory Breast Cancer cell line. These cells, designated as SUM149-MA for metabolic adaptability, are resistant to chemotherapeutic drugs, and they efficiently metastasize to multiple organs in nude mice. We hypothesized that obesity-related molecular networks, which normally help in cellular and organismal survival under metabolic challenges, may help in the survival of MA cells. The fat mass and obesity-associated protein FTO is overexpressed in MA cells. Obesity-associated cis-acting elements in non-coding region of FTO regulate the expression of IRX3 gene, thus activating obesity networks. Here we found that IRX3 protein is significantly overexpressed in MA cells (5 to 6-fold as compared to the parental SUM149 cell line, supporting our hypothesis. We also obtained evidence that additional key regulators of energy balance such as ARID5B, IRX5, and CUX1 P200 repressor could potentially help progenitor-like TNBC cells survive in glutamine-free medium. MO-I-500, a pharmacological inhibitor of FTO, significantly (>90% inhibited survival and/or colony formation of SUM149-MA cells as compared to untreated cells or those treated with a control compound MO-I-100. Curiously, MO-I-500 treatment also led to decreased levels of FTO and IRX3 proteins in the SUM149 cells initially surviving in glutamine-free medium as compared to MO-I-100 treatment. Interestingly, MO-I-500 treatment had a relatively little effect on cell growth of either the SUM149 or SUM149-MA cell line when added to a complete medium containing glutamine that does not pose a metabolic challenge. Importantly, once selected and cultured in glutamine-free medium, SUM149-MA cells were no longer affected by MO-I-500 even in Gln-free medium. We conclude that panresistant MA cells contain interconnected molecular networks that govern

  5. Neurophysiological analysis of the suprachiasmatic nucleus: a challenge at multiple levels.

    Science.gov (United States)

    Meijer, Johanna H; Michel, Stephan

    2015-01-01

    Understanding the neurophysiology of the circadian timing system requires investigation at multiple levels of organization. Neurons of the suprachiasmatic nucleus (SCN) function as autonomous single-cell oscillators, which warrant studies at the single-cell level. Combining patch-clamp recordings of ion channels with imaging techniques to measure clock gene expression and intracellular calcium has proven extremely valuable to study cellular properties. To achieve and maintain rhythmic activity, SCN neurons require sufficient stimulation (i.e., input) from surrounding cells. At the network level, SCN rhythms are robust and can be measured in vitro, for example, in brain slices that contain the SCN. These recordings revealed that the collective behavior of the SCN neuronal network is strongly determined by the phase dispersal of the neurons. This phase dispersal is plastic, with high synchronization in short photoperiod, desynchronization in long photoperiod, and antiphase oscillations in aging and/or continuous light. In vivo recordings are needed in order to study the SCN as part of a larger network (i.e., interacting with other brain centers) and to study the SCN's response to light. Interestingly, superimposed on the circadian waveform are higher frequency fluctuations that are present in vivo but not in vitro. These fluctuations are attributed to input from other brain centers and computational analyses suggest that these fluctuations are beneficial to the system. Hence, the SCN's properties arise from several organizational levels, and a combination of approaches is needed in order to fully understand the circadian system. © 2015 Elsevier Inc. All rights reserved.

  6. Multiple measures reveal antiretroviral adherence successes and challenges in HIV-infected Ugandan children.

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    Jessica E Haberer

    Full Text Available BACKGROUND: Adherence to HIV antiretroviral therapy (ART among children in developing settings is poorly understood. METHODOLOGY/PRINCIPAL FINDINGS: To understand the level, distribution, and correlates of ART adherence behavior, we prospectively determined monthly ART adherence through multiple measures and six-monthly HIV RNA levels among 121 Ugandan children aged 2-10 years for one year. Median adherence levels were 100% by three-day recall, 97.4% by 30-day visual analog scale, 97.3% by unannounced pill count/liquid formulation weights, and 96.3% by medication event monitors (MEMS. Interruptions in MEMS adherence of ≥ 48 hours were seen in 57.0% of children; 36.3% had detectable HIV RNA at one year. Only MEMS correlated significantly with HIV RNA levels (r = -0.25, p = 0.04. Multivariable regression found the following to be associated with <90% MEMS adherence: hospitalization of child (adjusted odds ratio [AOR] 3.0, 95% confidence interval [CI] 1.6-5.5; p = 0.001, liquid formulation use (AOR 1.4, 95%CI 1.0-2.0; p = 0.04, and caregiver's alcohol use (AOR 3.1, 95%CI 1.8-5.2; p<0.0001. Child's use of co-trimoxazole (AOR 0.5, 95%CI 0.4-0.9; p = 0.009, caregiver's use of ART (AOR 0.6, 95%CI 0.4-0.9; p = 0.03, possible caregiver depression (AOR 0.6, 95%CI 0.4-0.8; p = 0.001, and caregiver feeling ashamed of child's HIV status (AOR 0.5, 95%CI 0.3-0.6; p<0.0001 were protective against <90% MEMS adherence. Change in drug manufacturer (AOR 4.1, 95%CI 1.5-11.5; p = 0.009 and caregiver's alcohol use (AOR 5.5, 95%CI 2.8-10.7; p<0.0001 were associated with ≥ 48-hour interruptions by MEMS, while second-line ART (AOR 0.3, 95%CI 0.1-0.99; p = 0.049 and increasing assets (AOR 0.7, 95%CI 0.6-0.9; p = 0.0007 were protective against these interruptions. CONCLUSIONS/SIGNIFICANCE: Adherence success depends on a well-established medication taking routine, including caregiver support and adequate education on medication changes. Caregiver-reported depression and

  7. Meaning and challenges in the practice of multiple therapeutic massage modalities: a combined methods study

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    Page Stacey A

    2011-09-01

    Full Text Available Abstract Background Therapeutic massage and bodywork (TMB practitioners are predominantly trained in programs that are not uniformly standardized, and in variable combinations of therapies. To date no studies have explored this variability in training and how this affects clinical practice. Methods Combined methods, consisting of a quantitative, population-based survey and qualitative interviews with practitioners trained in multiple therapies, were used to explore the training and practice of TMB practitioners in Alberta, Canada. Results Of the 5242 distributed surveys, 791 were returned (15.1%. Practitioners were predominantly female (91.7%, worked in a range of environments, primarily private (44.4% and home clinics (35.4%, and were not significantly different from other surveyed massage therapist populations. Seventy-seven distinct TMB therapies were identified. Most practitioners were trained in two or more therapies (94.4%, with a median of 8 and range of 40 therapies. Training programs varied widely in number and type of TMB components, training length, or both. Nineteen interviews were conducted. Participants described highly variable training backgrounds, resulting in practitioners learning unique combinations of therapy techniques. All practitioners reported providing individualized patient treatment based on a responsive feedback process throughout practice that they described as being critical to appropriately address the needs of patients. They also felt that research treatment protocols were different from clinical practice because researchers do not usually sufficiently acknowledge the individualized nature of TMB care provision. Conclusions The training received, the number of therapies trained in, and the practice descriptors of TMB practitioners are all highly variable. In addition, clinical experience and continuing education may further alter or enhance treatment techniques. Practitioners individualize each patient

  8. Managing Bioenergy Production on Arable Field Margins for Multiple Ecosystem Services: Challenges and Opportunities

    Science.gov (United States)

    Ferrarini, Andrea; Serra, Paolo; Amaducci, Stefano; Trevisan, Marco; Puglisi, Edoardo

    2013-04-01

    Growing crops for bioenergy is increasingly viewed as conflicting with food production. However, energy use continues to rise and food production requires fuel inputs, which have increased with intensification. The debate should shift from "food or fuel" to the more challenging target: how the increasing demand for food and energy can be met in the future, particularly when water and land availability will be limited. As for food crops, also for bioenergy crops it is questioned whether it is preferable to manage cultivation to enhance ecosystem services ("land sharing" strategy) or to grow crops with lower ecosystem services but higher yield, thereby requiring less land to meet bioenergy demand ("land sparing" strategy). Energy crop production systems differ greatly in the supply of ecosystem services. The use of perennial biomass (e.g. Switchgrass, Mischantus, Giant reed) for energy production is considered a promising way to reduce net carbon emissions and mitigate climate change. In addition, regulating and supporting ecosystem services could be provided when specific management of bioenergy crops is implemented. The idea of HEDGE-BIOMASS* project is to convert the arable field margins to bioenergy crop production fostering a win-win strategy at landscape level. Main objective of the project is to improve land management to generate environmental benefits and increase farmer income. The various options available in literature for an improved field boundary management are presented. The positive/unknown/negative effects of growing perennial bioenergy crops on field margins will be discussed relatively to the following soil-related ecosystem services: (I) biodiversity conservation and enhancement, (II) soil nutrient cycling, (III) climate regulation (reduction of GHG emissions and soil carbon sequestration/stabilization, (IV) water regulation (filtering and buffering), (V) erosion regulation, (VI) pollination and pest regulation. From the analysis of available

  9. INTERCONNECTION BETWEEN NITRIC OXIDE FORMATION AND HYPERSENSITIVITY PARAMETERS UNDER GUINEA PIG MODEL OF ACUTE ASTHMA WITH MULTIPLE CHALLENGES.

    Science.gov (United States)

    Parilova, O O; Shandrenko, S G

    2015-01-01

    An immunoregulatory role of nitric oxide (NO) in the development of adaptive immune responses associated with allergic diseases is very important. The present study extended these observations by the examination of the reciprocal changes in characteristic immunologic parameters of the disease and NO level of bronchoalveolar lavage (BAL) cells under guinea pig model of acute asthma with multiple challenges. Development of guinea pig Th2 mediated asthma was accompanied by increasing the level of allergic markers: ovalbumin (OVA) specific IgG and IL-4. We demonstrated that the infiltrate of airway cells contributes to NO synthesis in the respiratory tract during allergic inflammation. The level of intracellular NO formation significantly correlated with plasma allergen specific IgG value in OVA-induced asthma. The presented data evidence that the elevated intracellular NO level in BAL fluid may reflect a nitrosative stress in respiratory tract in general, when allergic asthma exacerbation is present.

  10. Multiplicity of cerebrospinal fluid functions: New challenges in health and disease

    Directory of Open Access Journals (Sweden)

    Stopa Edward G

    2008-05-01

    and excretory benefits. Finally, CSF reabsorption via multiple pathways (olfactory and spinal arachnoidal bulk flow is likely complemented by fluid clearance across capillary walls (aquaporin 4 and arachnoid villi when CSFP and fluid retention are markedly elevated. A model is presented that links CSF and ISF homeostasis to coordinated fluxes of water and solutes at both the blood-CSF and blood-brain transport interfaces. Outline 1 Overview 2 CSF formation 2.1 Transcription factors 2.2 Ion transporters 2.3 Enzymes that modulate transport 2.4 Aquaporins or water channels 2.5 Receptors for neuropeptides 3 CSF pressure 3.1 Servomechanism regulatory hypothesis 3.2 Ontogeny of CSF pressure generation 3.3 Congenital hydrocephalus and periventricular regions 3.4 Brain response to elevated CSF pressure 3.5 Advances in measuring CSF waveforms 4 CSF flow 4.1 CSF flow and brain metabolism 4.2 Flow effects on fetal germinal matrix 4.3 Decreasing CSF flow in aging CNS 4.4 Refinement of non-invasive flow measurements 5 CSF volume 5.1 Hemodynamic factors 5.2 Hydrodynamic factors 5.3 Neuroendocrine factors 6 CSF turnover rate 6.1 Adverse effect of ventriculomegaly 6.2 Attenuated CSF sink action 7 CSF composition 7.1 Kidney-like action of CP-CSF system 7.2 Altered CSF biochemistry in aging and disease 7.3 Importance of clearance transport 7.4 Therapeutic manipulation of composition 8 CSF recycling in relation to ISF dynamics 8.1 CSF exchange with brain interstitium 8.2 Components of ISF movement in brain 8.3 Compromised ISF/CSF dynamics and amyloid retention 9 CSF reabsorption 9.1 Arachnoidal outflow resistance 9.2 Arachnoid villi vs. olfactory drainage routes 9.3 Fluid reabsorption along spinal nerves 9.4 Reabsorption across capillary aquaporin channels 10 Developing translationally effective models for restoring CSF balance 11 Conclusion

  11. Generating virtual training samples for sparse representation of face images and face recognition

    Science.gov (United States)

    Du, Yong; Wang, Yu

    2016-03-01

    There are many challenges in face recognition. In real-world scenes, images of the same face vary with changing illuminations, different expressions and poses, multiform ornaments, or even altered mental status. Limited available training samples cannot convey these possible changes in the training phase sufficiently, and this has become one of the restrictions to improve the face recognition accuracy. In this article, we view the multiplication of two images of the face as a virtual face image to expand the training set and devise a representation-based method to perform face recognition. The generated virtual samples really reflect some possible appearance and pose variations of the face. By multiplying a training sample with another sample from the same subject, we can strengthen the facial contour feature and greatly suppress the noise. Thus, more human essential information is retained. Also, uncertainty of the training data is simultaneously reduced with the increase of the training samples, which is beneficial for the training phase. The devised representation-based classifier uses both the original and new generated samples to perform the classification. In the classification phase, we first determine K nearest training samples for the current test sample by calculating the Euclidean distances between the test sample and training samples. Then, a linear combination of these selected training samples is used to represent the test sample, and the representation result is used to classify the test sample. The experimental results show that the proposed method outperforms some state-of-the-art face recognition methods.

  12. Face pain

    Science.gov (United States)

    ... begin in other places in the body. Abscessed tooth (ongoing throbbing pain on one side of the lower face that ... face, and aggravated by eating. Call a dentist. Pain is persistent, ... by other unexplained symptoms. Call your primary provider.

  13. When neurologist and patient disagree on reasonable risk: new challenges in prescribing for patients with multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Kachuck NJ

    2011-04-01

    Full Text Available Norman J KachuckUniversity of Southern California, Keck School of Medicine, Los Angeles, CA, USAAbstract: New more powerful therapies for the treatment of multiple sclerosis may also confer a potential for unprecedented life-endangering side effects. How does a physician respond to a patient's request for a treatment the benefit of which cannot be clearly established as worth its risk? The current challenge with prescription of natalizumab (Tysabri®, Biogen Idec is used to illustrate how this conflict creates an opportunity to re-examine our goals as physicians and the nature of the physician-patient relationship. Understanding the physician's role in that partnership, and the ethical and psychological issues impacting on how reasonable risk is determined, can improve the neurologist's capacity to explicate such quandaries. Redefining what is required to mediate disagreement between doctors and patients about reasonable risk is at the heart of why many of us became physicians. However, such nuanced interpersonal dynamics of patient care can be neglected due to the time and resource pressures of our practices. These demands have increased the seductiveness of the efficiencies promoted by the trend toward the pseudoobjectification of evidence-based care, which has arguably monopolized the healing conversation often to the detriment of the shared narrative. We examine and attempt to reframe the fiduciary and biopsychosocial contretemps of the doctor and patient disagreeing on risk, emphasizing its humanistic, relational dimensions.Keywords: multiple sclerosis, natalizumab, medical ethics, medical decision-making, patient-physician relationship

  14. 论入世后统计师职业面临的挑战与重塑%The Challenges Statistician Profession Faces After China's Entry of WTO and the Reconstruction of Statistician Team

    Institute of Scientific and Technical Information of China (English)

    邓盛平; 张启良

    2003-01-01

    The social and economic development of China has been inevitably drawing the attentions of foreign governments and international organizations after China's entry of WTO .Statistics which describe the basic national condition is facing both developing chances and grim challenges. So we should promote the statistical team and strengthen the training of statisticians with ability of meet the needs of the development of statistics after China' s Entry of WTO.

  15. Decoding of faces and face components in face-sensitive human visual cortex

    Directory of Open Access Journals (Sweden)

    David F Nichols

    2010-07-01

    Full Text Available A great challenge to the field of visual neuroscience is to understand how faces are encoded and represented within the human brain. Here we show evidence from functional magnetic resonance imaging (fMRI for spatially distributed processing of the whole face and its components in face-sensitive human visual cortex. We used multi-class linear pattern classifiers constructed with a leave-one-scan-out verification procedure to discriminate brain activation patterns elicited by whole faces, the internal features alone, and the external head outline alone. Furthermore, our results suggest that whole faces are represented disproportionately in the fusiform cortex (FFA whereas the building blocks of faces are represented disproportionately in occipitotemporal cortex (OFA. Faces and face components may therefore be organized with functional clustering within both the FFA and OFA, but with specialization for face components in the OFA and the whole face in the FFA.

  16. Handbook of Face Recognition

    CERN Document Server

    Li, Stan Z

    2011-01-01

    This highly anticipated new edition provides a comprehensive account of face recognition research and technology, spanning the full range of topics needed for designing operational face recognition systems. After a thorough introductory chapter, each of the following chapters focus on a specific topic, reviewing background information, up-to-date techniques, and recent results, as well as offering challenges and future directions. Features: fully updated, revised and expanded, covering the entire spectrum of concepts, methods, and algorithms for automated face detection and recognition systems

  17. 应对全球气候变化的昆虫学研究%Challenges facing entomologists in a changing global climate

    Institute of Scientific and Technical Information of China (English)

    戈峰

    2011-01-01

    大气二氧化碳浓度升高、温度上升、降雨分布不均、灾害性天气出现频次增加等全球气候变化,深刻改变着农林生态系统昆虫群落的组成结构、功能和演替,使昆虫分布区域扩大、发生世代增多、生态适应性变异,从而影响了原有的植物-害虫-天敌间内在联系和各营养层间的固有平衡格局,最终导致一些害虫暴发成灾,一些昆虫种群数量下降,甚至一些昆虫物种灭绝.本文在综述昆虫对温度升高、干旱、温室气体(CO2、O3)变化响应研究的基础上,提出我国未来应围绕害虫对全球气候变化的响应特征、适应机制及其控制新方法3个关键的科学问题,通过长期监测、控制试验和模型预测结合,重点开展4个领域的研究工作,以应对全球气候变化下昆虫发生、控制与保护的新挑战.%Global climate change, such as elevated CO2 and O3 concentrations, rising temperature and the uneven distribution of rainfall has a profound impact on insect community composition and the interaction between host plants, and pest insects and their natural enemies. Insect responses to global climate change are frequently "species-specific" and can be negative, positive or neutral. Global climate change has been associated with an increase in the number of pest insect outbreaks, a decline in some insect populations, and even the extinction of some insect species. This review examines the effects of climate change including those in temperature, rainfall and greenhouse gases (CO2, O3), on insects. There are still many challenges facing entomologists in predicting and monitoring the impacts of climate change on insects. Future research needs to focus on the response characteristics and adaptive mechanisms of insects, and developing new control methods for insect pests through long - term monitoring, control experiments and predictive modeling.

  18. Fortification Challenges and Needs

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Experience in many parts of the developing world has shown thatfood fortification offers a cost-effective and sustainable solution to the problem of micronutrient malnutrition. Building on the advances in science and technology and backed by studies on the economic benefits of fortification programs, governments and industry are beginning to respond positively to the call of nutrition advocates to adopt fortification as a long-term strategy. On the other hand, formidable challenges still remain in many countries in Asia, constraining the widespread adoption of this strategy. The science and technology community needs to provide adequate scientific and technological information as basis for planning and decision making. The government faces the challenge of providing the enabling environment for all stakeholders to cooperate in the fortification effort. Industry faces the challenge of adapting its production system to the requirements of fortification in order that they can contribute to social objectives while pursuing their economic objectives. The international and bilateral aid agencies need to seek tried and innovative ways to support the multiple players of food fortification, as these players in turn face the challenges that confront them.

  19. Fortification Challenges and Needs

    Institute of Scientific and Technical Information of China (English)

    RODOLFOF.FLORENTINO

    2001-01-01

    Experience in many parts of the developing world has shown that food fortification offers a costeffective and sustainable solution to the problem of micronutrient malnutrition.Building on the advances in science and technology and backed by studies on the economic benefits of fortification programs,govenments and industry are beginning to respond positively to the call of nutrition advocates to adopt fortification as a long-term strategy.On the other hand,formidable challenges still remain in many countries in Asia,constraining the widespread adoption of this strategy,The science and technology community needs to provide adequate scientific and technological information as basis for planning and decision making,The governent faces the challenge of providing the enabling environment for all stakeholders to cooperate in the fortification effort.Industry faces the challenge of adapting its production system to the requirements of fortification in oreder that they can contribute to social bojectives while pursuing their economic objectives,The international and bilateral aid agencies need to seek tried and innovative ways to support the multiple players of food fortification,as these players in turn face the challenges that confront them.

  20. How Do I Teach English Learners? The Challenges Content Teachers Face--and What School Leaders Can Do to Support Them

    Science.gov (United States)

    Russell, Felice Atesoglu

    2016-01-01

    Content teachers responsible for the instruction of English learner students will perceive myriad challenges when it comes to English learner students in the mainstream. School leaders can play a pivotal role in supporting and mitigating some of these challenges by recognizing what some of the pitfalls and issues might be for content teachers…

  1. Geoconservation : international advancements and future challenges

    OpenAIRE

    Brilha, J. B.

    2011-01-01

    During the last two decades, geoconservation has been gradually entering into the geosciences’ community. Recently, Henriques et al. (2011) presented a theoretical framework justifying geoconservation as an emerging geoscience. Geological heritage – materialized in geosites properly managed – establishes multiple links with the society. In spite of this general positive trend, geoconservation faces some future challenges.

  2. Desafios enfrentados por agricultores familiares na produção de morango no Distrito Federal Challenges faced by smallholders in strawberry production in the Federal District, Brazil

    Directory of Open Access Journals (Sweden)

    Gilmar P Henz

    2010-09-01

    morango do DF mais eficiente e seletivo.In this article, I had highlighted the results of a survey carried out in 2009 on the situation and difficulties faced by strawberry growers, characterized as smallholders, in the Federal District (DF, Brazil. In addition, I discuss some alternatives to mitigate these problems. The most cited challenges identified by smallholders were, in order of importance: (1 incidence of pests and diseases; (2 strawberry plantlet acquisition; (3 packing costs; (4 need of intensive labor; and (5 high production costs. Based on these information, some possible measures to improve the social and economic status of the smallholders involved in the strawberry production in DF are: (a local production of plantlets, with sanitary quality and affordable costs, to reduce the dependence on other Brazilian States; (b a more intensive use of the several public and private universities, science and technology institutions and rural extension services available in DF to support the sector; (c creation of an association or cooperative to scale up production, access distinct market niches and strengthen the political influence of the sector; (d improve the postharvest handling system by adopting modern packing materials and refrigeration; (e adopt modern traceability tools, so as to increase the local strawberry added value and, therefore, access more demanding markets; (f implement and join the "Strawberry Integrated Production Program (PIMo", officially launched by the Brazilian Ministry of Agriculture, Livestock and Food Supply in 2006; (g survey the local strawberry market and consumer demands to develop a strategic marketing plan to serve the distinct market segments. The increasing consumers' demand for fruit quality and certified and residue free products will surely push the strawberry production system in DF into a scenario of efficiency and excellence.

  3. Thank You, Challenges!

    Institute of Scientific and Technical Information of China (English)

    陈晨; 陈传光

    2016-01-01

    A person may meet many challenges in his or her life.Some people think challenges are terrible.But I think they’re great.And I want to say,"Thank you,challenges!"For some people,it’s hard to face the challenges because they are afraid of failing in the end.However,it’s necessary for a person to face the challenges.Challenges are good to~①you.

  4. Opportunities and challenges to capturing the multiple potential benefits of REDD+ in a traditional transnational savanna-woodland region in West Africa.

    Science.gov (United States)

    Olsson, E Gunilla A; Ouattara, Syna

    2013-04-01

    The REDD+ scheme of the United Nations intends to offer developing countries financial incentives to reduce the rates of deforestation and forest degradation for reducing global CO2 emissions. This is combined with building carbon stocks in existing wooded ecosystems and fostering other soil, biodiversity and water conservation objectives. Successful application of REDD+ to the Xylophone Triangle of West Africa faces substantial challenges and risks to both meeting REDD+ objectives and to the local people's rights and livelihoods. The transnationality of the culturally coherent area requires collaboration of three national governments. The opportunities, however, are great to capitalize on the region's biodiversity, the well-developed traditional ecological knowledge and the use of local medicinal plants as an integral part of the agro-ecosystem. Possibilities open to, not only sequester carbon, but also to increase the resilience of the ecosystem and of independent rural livelihoods in the face of climate change and globalization.

  5. About Face

    Medline Plus

    Full Text Available Skip to Content Menu Closed (Tap to Open) Home Videos by Topic Videos by Type Search All ... What is AboutFace? Resources for Professionals Get Help Home Watch Videos by Topic Videos by Type Search ...

  6. About Face

    Medline Plus

    Full Text Available ... Home Videos by Topic Videos by Type Search All Videos PTSD Basics PTSD Treatment What is AboutFace? ... Watch Videos by Topic Videos by Type Search All Videos Learn More PTSD Basics PTSD Treatment What ...

  7. Multibiometrics for face recognition

    NARCIS (Netherlands)

    Veldhuis, Raymond; Deravi, Farzin; Tao, Qian

    2008-01-01

    Fusion is a popular practice to combine multiple sources of biometric information to achieve systems with greater performance and flexibility. In this paper various approaches to fusion within a multibiometrics context are considered and an application to the fusion of 2D and 3D face information is

  8. Multibiometrics for face recognition

    NARCIS (Netherlands)

    Veldhuis, Raymond N.J.; Deravi, Farzin; Tao, Q.

    Fusion is a popular practice to combine multiple sources of biometric information to achieve systems with greater performance and flexibility. In this paper various approaches to fusion within a multibiometrics context are considered and an application to the fusion of 2D and 3D face information is

  9. Face Forward

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Last November, surgeons in France successfully performed the world's first face transplant surgery. Ten days later, Chen Huanran in Beijing began soliciting patients who were ready to accept a face transplant, searching for China's first such patient through an advertisement on his website and other channels. Chen, chief orthopedic surgeon at the Plastic Surgery Hospital under the Chinese Academy of Medical Sciences, has conducted more than 300 transsexual operations and was considered one of the top com...

  10. Improving Response Rates among Students with Orthopedic and Multiple Disabilities

    Science.gov (United States)

    Wilkens, Christian P.; Kuntzler, Patrice M.; Cardenas, Shaun; O'Malley, Eileen; Phillips, Carolyn; Singer, Jacqueline; Stoeger, Alex; Kindler, Keith

    2014-01-01

    One challenge teachers of students with orthopedic and multiple disabilities face is providing sufficient time and opportunity to communicate. This challenge is universal across countries, schools, and settings: teachers want students to communicate because communication lies at the core of what makes us human. Yet students with orthopedic and…

  11. Transforming round pegs to fill square holes:Facing the challenge of forest inventories as tools of environmental policy for the 21st century

    Science.gov (United States)

    Victor A. Rudis

    1993-01-01

    Todays forest inventory specialist is challenged to combine inventories and analysis of timber with range recreation, soil, water, and wildlife resources, related human uses, and social and economic concerns.Lessons learned in adapting timber-oriented forest inventories toward holistic forest resources assessment are provided.Discussed are ways to maintain dialogue...

  12. Side-View Face Recognition

    NARCIS (Netherlands)

    Santemiz, Pinar; Spreeuwers, Luuk J.; Veldhuis, Raymond N.J.; Biggelaar , van den Olivier

    2011-01-01

    As a widely used biometrics, face recognition has many advantages such as being non-intrusive, natural and passive. On the other hand, in real-life scenarios with uncontrolled environment, pose variation up to side-view positions makes face recognition a challenging work. In this paper we discuss th

  13. Sparse Illumination Learning and Transfer for Single-Sample Face Recognition with Image Corruption and Misalignment

    OpenAIRE

    Zhuang, Liansheng; Chan, Tsung-Han; Yang, Allen Y.; Sastry, S. Shankar; Ma, Yi

    2014-01-01

    Single-sample face recognition is one of the most challenging problems in face recognition. We propose a novel algorithm to address this problem based on a sparse representation based classification (SRC) framework. The new algorithm is robust to image misalignment and pixel corruption, and is able to reduce required gallery images to one sample per class. To compensate for the missing illumination information traditionally provided by multiple gallery images, a sparse illumination learning a...

  14. Face Search at Scale.

    Science.gov (United States)

    Wang, Dayong; Otto, Charles; Jain, Anil K

    2016-06-20

    rsons of interest among the billions of shared photos on these websites. Despite significant progress in face recognition, searching a large collection of unconstrained face images remains a difficult problem. To address this challenge, we propose a face search system which combines a fast search procedure, coupled with a state-of-the-art commercial off the shelf (COTS) matcher, in a cascaded framework. Given a probe face, we first filter the large gallery of photos to find the top-k most similar faces using features learned by a convolutional neural network. The k retrieved candidates are re-ranked by combining similarities based on deep features and those output by the COTS matcher. We evaluate the proposed face search system on a gallery containing 80 million web-downloaded face images. Experimental results demonstrate that while the deep features perform worse than the COTS matcher on a mugshot dataset (93.7% vs. 98.6% TAR@FAR of 0.01%), fusing the deep features with the COTS matcher improves the overall performance (99.5% TAR@FAR of 0.01%). This shows that the learned deep features provide complementary information over representations used in state-of-the-art face matchers. On the unconstrained face image benchmarks, the performance of the learned deep features is competitive with reported accuracies. LFW database: 98.20% accuracy under the standard protocol and 88.03% TAR@FAR of 0.1% under the BLUFR protocol; IJB-A benchmark: 51.0% TAR@FAR of 0.1% (verification), rank 1 retrieval of 82.2% (closed-set search), 61.5% FNIR@FAR of 1% (open-set search). The proposed face search system offers an excellent trade-off between accuracy and scalability on galleries with millions of images. Additionally, in a face search experiment involving photos of the Tsarnaev brothers, convicted of the Boston Marathon bombing, the proposed cascade face search system could find the younger brother's (Dzhokhar Tsarnaev) photo at rank 1 in 1 second on a 5M gallery and at rank 8 in 7

  15. Facing the challenge of teaching emotions to individuals with low- and high-functioning autism using a new Serious game: a pilot study.

    Science.gov (United States)

    Serret, Sylvie; Hun, Stephanie; Iakimova, Galina; Lozada, Jose; Anastassova, Margarita; Santos, Andreia; Vesperini, Stephanie; Askenazy, Florence

    2014-01-01

    It is widely accepted that emotion processing difficulties are involved in Autism Spectrum Conditions (ASC). An increasing number of studies have focused on the development of training programs and have shown promising results. However, most of these programs are appropriate for individuals with high-functioning ASC (HFA) but exclude individuals with low-functioning ASC (LFA). We have developed a computer-based game called JeStiMulE based on logical skills to teach emotions to individuals with ASC, independently of their age, intellectual, verbal and academic level. The aim of the present study was to verify the usability of JeStiMulE (which is its adaptability, effectiveness and efficiency) on a heterogeneous ASC group. We hypothesized that after JeStiMulE training, a performance improvement would be found in emotion recognition tasks. A heterogeneous group of thirty-three children and adolescents with ASC received two one-hour JeStiMulE sessions per week over four weeks. In order to verify the usability of JeStiMulE, game data were collected for each participant. Furthermore, all participants were presented before and after training with five emotion recognition tasks, two including pictures of game avatars (faces and gestures) and three including pictures of real-life characters (faces, gestures and social scenes). Descriptive data showed suitable adaptability, effectiveness and efficiency of JeStiMulE. Results revealed a significant main effect of Session on avatars (ANOVA: F (1,32) = 98.48, P < .001) and on pictures of real-life characters (ANOVA: F (1,32) = 49.09, P < .001). A significant Session × Task × Emotion interaction was also found for avatars (ANOVA: F (6,192) = 2.84, P = .01). This triple interaction was close to significance for pictures of real-life characters (ANOVA: F (12,384) = 1.73, P = .057). Post-hoc analyses revealed that 30 out of 35 conditions found a significant increase after training. JeStiMulE appears

  16. 面孔多次与单次呈现对女性再认优势的调节%Multiple Times Appearance and Single Time Appearance of Faces Regulating Women's Recognition Advantage

    Institute of Scientific and Technical Information of China (English)

    蒋重清; 陈晓宇

    2015-01-01

    本研究采用"学习—再认"的范式,招募58名大学生作为参与者,研究不同频次的面孔呈现方式,对不同性别参与者的面孔再认成绩的影响.实验结果发现:加工阶段多次呈现的面孔的再认成绩好于单次呈现面孔的再认成绩;学习阶段面孔多次呈现条件下,女性的面孔再认成绩好于男性的面孔再认成绩.实验结果说明:在面孔呈现总时长相等的情况下,学习阶段多次呈现面孔,可以使个体对面孔进行多次编码,有利于随后的面孔再认;面孔再认成绩可能依赖于加工阶段对面孔编码的精细程度;相比于男性,女性的较好语言能力和较丰富的面孔经验有助于其在加工阶段对面孔进行精细加工,进而使其获得面孔再认优势.%Based on the"Learning-recognition" paradigm,the study recruited 58 university students (29 fe-males) taking part in the experiment to explore the influence of different facial appearance frequency on their facial recognition performance.The results showed that the facial recognition performance was better when faces were appeared multiple times than single time.And there were also an interaction between dif-ferent facial appearance frequency and the gender of participants on the facial recognition performance.In the condition of multiple times appearance of faces during learning,females' facial recognition performance was better than males'.The results suggested in the case that the total length of face appearance time was equal,multiple times appearance of faces during learning could make the individual to code face many times,which was conducive to the subsequent facial recognition.The facial recognition performance might rely on the precision stage of face encoding during learning.And compared with males,females' better a-bility of language and richer face experience were conducive to the precision processing of faces during learning and then made them gain face recognition advantage.

  17. About Face

    Medline Plus

    Full Text Available ... PTSD (posttraumatic stress disorder). Watch the intro This is AboutFace In these videos, Veterans, family members, and ... to hear what they have to say. What is PTSD? → How does PTSD affect loved ones? → Am ...

  18. About Face

    Medline Plus

    Full Text Available ... traumatic event — like combat, an assault, or a disaster — it's normal to feel scared, keyed up, or sad at first. But if it's been months or years since the trauma and you're not feeling better, you may have PTSD (posttraumatic stress disorder). Watch the intro This is AboutFace In ...

  19. 高等教育计算和信息技术学科面临的挑战%Challenges Facing Higher Education Computing and IT Departments

    Institute of Scientific and Technical Information of China (English)

    BECHKOUM Kamal

    2007-01-01

    Despite the growth of the IT industry and the high demand for IT skills university departments seem unable to attract enough student to cater for the needs of the profession. There seems to be a misconception about the difference between IT user skills and the discipline of Computing. This article attempts to do three things: 1) reinforce the view that a crisis of IT skills shortage is looming; 2) reiterate the fact that computing science is an exciting discipline that is central to the knowledge economy and that career prospects in IT-related jobs are very good despite the fears surrounding outsourcing and 3) suggest that HE computing departments must be flexible enough to embrace a two-facetted challenge: a) the changing landscape of IT Skills and b) the high hopes and aspirations of the first generation of our digital-native student community.

  20. 难愈性创面治疗进展与面临的挑战%Progress in treatment of refractory wound and its challenges we are facing

    Institute of Scientific and Technical Information of China (English)

    杨红明

    2016-01-01

    Till now,though great progress has been made in the treatment of refractory wound,severe challenges are still awaiting to be solved.The strategy of treatment is generally either non-surgical treatment or surgical treatment.Non-surgical treatment includes physical therapy,negative pressure wound therapy,growth factor therapy,stem cell transplantation,gene therapy,application of new biological dressing,application of skin tissue engineering,three-dimensional bio-printing technology,biological therapy,and Chinese herbal medicine therapy.Surgical treatment mainly includes skin graft transplantation and a variety of skin flap transplantation.To my mind,comprehensive therapy with concept of precision treatment strategy should be advocated for treatment of refractory wound.