The ATLAS Overview Weeks always provide a good opportunity to see the status and progress throughout the experiment, and the July week at Glasgow University was no exception. The setting, amidst the traditional buildings of one of the UK's oldest universities, provided a nice counterpoint to all the cutting-edge research and technology being discussed. And despite predictions to the contrary, the weather at these northern latitudes was actually a great improvement on the previous few weeks in Geneva. The meeting sessions comprehensively covered the whole ATLAS project, from the subdetector and TDAQ systems and their commissioning, through to offline computing, analysis and physics. As a long-time ATLAS member who remembers plenary meetings in 1991 with 30 people drawing detector layouts on a whiteboard, the hardware and installation sessions were particularly impressive - to see how these dreams have been translated into 7000 tons of reality (and with attendant cabling, supports and services, which certainly...
Tushar Bhatnagar; Jeremy Herr; Mitch McLachlan; Homer A. Neal
ATLAS Web Archives Web Archives of the ATLAS Overview Week in Glasgow are now available from the University of Michigan portal here. Archives of ATLAS Plenary Sessions, Workshops, Meetings, and Tutorials recorded over the past two years are available via the University of Michigan Lecture Portal. Other recent additions include the ROOT Workshop held at CERN on March 26-27, the Physics Analysis Tools Workshop held in Bergen, Norway on April 23-27, and the CTEQ Workshop: "Physics at the LHC: Early Challenges" held at Michigan State University on May 14-15. Viewing requires a standard Web browser with RealPlayer plug-in (included in most browsers automatically) and works on any major platform. Lectures can be viewed directly over the Web or downloaded locally. In addition, you will find access to a variety of general tutorials and events via the portal. Feedback & Suggestions Welcome Suggestions for events or tutorials to record in 2007, as well as feedback on existing archives, is always welcome...
A warm and early October afternoon saw the beginning of the 2005 ATLAS overview week, which took place Rue de La Montagne Sainte-Geneviève in the heart of the Quartier Latin in Paris. All visitors had been warned many times by the ATLAS management and the organisers that the premises would be the subject of strict security clearance because of the "plan Vigipirate", which remains at some level of alert in all public buildings across France. The public building in question is now part of the Ministère de La Recherche, but used to host one of the so-called French "Grandes Ecoles", called l'Ecole Polytechnique (in France there is only one Ecole Polytechnique, whereas there are two in Switzerland) until the end of the seventies, a little while after it opened its doors also to women. In fact, the setting chosen for this ATLAS overview week by our hosts from LPNHE Paris has turned out to be ideal and the security was never an ordeal. For those seeing Paris for the first time, there we...
Over 200 ATLAS participants gathered at Brookhaven National Laboratory during the first week of June for our annual overview week. Some system communities arrived early and held meetings on Saturday and Sunday, and the detector interface group (DIG) and Technical Coordination also took advantage of the time to discuss issues of interest for all detector systems. Sunday was also marked by a workshop on the possibilities for heavy ion physics with ATLAS. Beginning on Monday, and for the rest of the week, sessions were held in common in the well equipped Berkner Hall auditorium complex. Laptop computers became the norm for presentations and a wireless network kept laptop owners well connected. Most lunches and dinners were held on the lawn outside Berkner Hall. The weather was very cooperative and it was an extremely pleasant setting. This picture shows most of the participants from a view on the roof of Berkner Hall. Technical Coordination and Integration issues started the reports on Monday and became a...
The week already began on Saturday for a number of system and sub-system meetings, but got into full swing on the Sunday, with a marathon session on how to tackle the challenging task of commissioning the full ATLAS spectrometer. The seeds of lots of ideas have already germinated and should begin to flower soon. Simulation studies of cosmic ray fluxes (and even early experimental measurements in Pit 1) have shown useful rates for the pre-beam phase of commissioning, and single beam measurements will also offer useful opportunities, in particular for trigger timing. Commissioning is clearly a topic which will continue to grow in importance during the next few years. On Monday we were welcomed by our Czech hosts to the first "official" session of the Overview Week, held in the Department of Mechanical Engineering of the Czech Technical University, (CTU), the oldest Technical University in Europe. ATLAS (Prague) includes groups from the CTU, the even longer established Charles University and the Czech Acad...
The Physics session at the ATLAS overview week at Clermont-Ferrand will be certainly remembered by the presentation of Blaise Pascal's historical experiment repeat. And why not? He is the local hero and by the looks of his primitive measurements it does take a lot of guts to explain his results on the basis of air columns. He was also lucky that he did not have to simulate his results on modern day computers but used the Pascaline. Certainly a man ahead of his time. Of course that wasn't all. Surrounded by a chain of (luckily) extinct volcanoes, rolling hills, and superb views, Clermont-Ferrand provided the perfect backdrop for the physics discussions. It was once more seen that the physics of ATLAS is diverse and that it is healthy and doing well. Many people contributed to the success of the session. Fabiola started the session precisely at 14:00 with a summary of the most recent activities from the physics coordination. Somehow what got stuck in my mind was the very positive statistics on how many prese...
The first things that must be said are that the city of Freiburg is a very attractive location for such a meeting, encouraging a relaxed coming together of all sections of the ATLAS Community, and that the Week's activities were splendidly, (while unobtrusively), organised by our hosts, Karl Jakobs and Gregor Herten and their supporting team. The fine sunny weather contributed to our sense of well-being, of course, as did the quality of the local beer! (Some of our native English speaking colleagues were relieved to discover that what was described in restaurants and bars as 'Badisch' turned out, on the contrary, to be rather 'Good-ish' instead!!) The week began with pre-meetings of subgroups on Saturday and Sunday, and included lively discussions on how to commission the detector and on the nature and format of the ATLAS control room and its environs. These discussions were a clear indication of the optimism within the ATLAS community that physics is really beginning to appear on our horizon! During th...
As reported in the September 2004 ATLAS eNews, the Web Lecture Archive Project, WLAP, a collaboration between the University of Michigan and CERN, has developed a synchronized system for recording and publishing educational multimedia presentations, using the Web as medium. This year, the University of Michigan team has been asked to record and publish all ATLAS Plenary sessions, as well as a large number of Physics and Computing tutorials. A significant amount of this material has already been published and can be accessed via the links below. All lectures can be viewed on any major platform with any common internet browser, either via streaming or local download (for limited bandwidth). Please enjoy the lectures and send us a note at firstname.lastname@example.org to tell us what you think. The newly available WLAP items relating to ATLAS is the following: ATLAS Week Plenary, CERN, 2-3 October 2006 All previous WLAP lectures are also avilable on the web.
De Jong, P.; Gowdy, S.
Paul de Jong: "What a very nice city Stockholm in the summer turned out to be! The architecture, the relaxed style of the city and its islands and bridges, the terraces with people out on the streets until late at night made this a special trip. We visited many cool and trendy places, unfortunately many of those places are probably now a lot less cool and trendy after visits of so many physicists in shorts and white socks in sandals. A big applause for the organizers for a fine meeting, and getting us into the Stockholm city hall and the superb Wasa museum. (left) The Golden room of Stockholm City Hall. (right) Muriel was not the only one in the room entertaining noble dreams during the reception in the Golden Room of the Stockholm City Hall... ATLAS is a monstrously complicated piece of apparatus. It will be very impressive when it is finished and works, but there are so many places where things can go wrong. If I must name a single highlight of the week: I found the technical coordination of t...
Cohen, L; Dobson, H; McGuire, F
To establish whether there is a role for advertising in the promotion of the Breast Screening Programme and what the role of advertising might be. Four hundred and sixty questionnaires were completed by women attending their breast screening appointment. Quantitative and qualitative data were collected from the static unit at Calder Street and the mobile unit in Govan. The advertising (budget 30,000 Pounds) campaign ran over an eight week period in the Govan, Paisley Road West and Cardonald areas of Glasgow. Media used included press advertising, The Glasgow Underground, adshells, bus advertising (interiors) and poster distribution via local outlets. Forty-two per cent of the sample were aware of the campaign. Ninety-seven per cent liked the campaign images. Eighty eight per cent felt that breast screening should be advertised more. Screening uptake increased in the areas covered by the advertising campaign. Govan -58%-71% and Ibrox (Paisley Road West and Cardonald) -59%-61%. Women were very supportive of the role of advertising for the Breast Screening Programme. In particular they found the campaign images and messages reassuring, supportive and credible. Their views suggest that the role of advertising should be: To raise awareness of the service To make women more conscious of the benefits of screening To change public perceptions of the screening process However, it is recognised that a fully integrated approach is required for the promotion of the service to account for the improvement in uptake, as advertising cannot be expected to work in isolation.
Those of us who travelled on Saturday from CERN to the ATLAS Week in Clermont- Ferrand had an unusually long journey because of autoroute problems around Nantua, but arrived with a bang as a spectacular fireworks display lit up the local volcano in (simulated!) eruption. The Overview Week, which followed on from similarly successful Overview Weeks in Dubna and Brookhaven, was organised superbly by François Vazeille and members of the local ATLAS group, (who are more usually completely engrossed in construction of electronics etc. for the Tile Calorimeter). It began with an extremely warm welcome in more ways than one, since the temperature on Sunday reached a thirty-five year maximum of around thirty-seven degrees and made the initial sessions on Installation, DIG and some physics groups a bit hard on those of us from the cold Northern regions!! The local team had prepared a full agenda, both on the physics and on the social side, but allowed ample time for the informal discussions which are an essenti...
Full Text Available Similar problems can be identified in the rise, crisis, regeneration and planning of cities regardless of their geographical location. The aim of this paper is to highlight the problems and solutions that have these universal characteristics and are evident in the urban development of Glasgow in the past and today. As Glasgow's name includes the archaic word for 'green', the common interpretation of the city's name is 'dear green place' alluding to the green banks of the river Clyde. It seems that the urban planners of Glasgow in the 19th century were inspired by the city's name when they planned its future development. Around 1810, Glasgow was the second largest city in the United Kingdom, after London. As the city centre was densely built around 1840, planning of the expansion towards the west, and then towards the east and south, began. The expansion included plans for generous public gardens, tree-lined streets, private gardens for residents of multi-storey buildings, house gardens, green spaces for sport and recreation (tennis and bowling, and allotments. Today's generations enjoy these green spaces which were developed in the past. During the 19th century Glasgow became an important industrial centre renowned for shipbuilding and the railway industry. After the First World War these industries declined due to the increase of transport by cars and planes. At the beginning of the 20th century Glasgow had over 1 million inhabitants, but by 1950 the population had almost halved. The building facades were blackened by smoke from burning coal used for heating. As crime was rising, Glasgow's reputation became very poor. During the 1970s the burning of coal was forbidden, the heating switched to gas, and the cleaning of yellow and red stone facades began. During the 1980s and 1990s, regeneration along the Clyde began and is ongoing and expanding beyond the city centre. Several significant cultural manifestation were organized in the 1990s
The third and heaviest pair of quarks, 'beauty' (b) and 'top' (t), were the stars of the International Conference on High Energy Physics, held in Glasgow from 20-27 July, the 27th in the series of traditional biennial 'Rochester' meetings which dominate the particle physics calendar. With all major new results in agreement, in recent years these meetings have also become a festival for the 'Standard Model' of particle physics, and Glasgow was no exception
Cox, Francis E G
The period 1875-1925 was remarkable in the history of parasitology mainly for the elucidation of the life cycles of parasites causing important parasitic diseases and the incrimination of vectors in their transmission. These discoveries were made by a small number of scientists working in the tropics a number of whom were Scots. Sir Patrick Manson, the discoverer of the mosquito transmission of filarial worms, was instrumental in directly or indirectly encouraging other Scots including Douglas Argyll-Robertson, David Blacklock, David Bruce, David Cunningham, Robert Leiper, William Leishman, George Low, Muriel Robertson and Ronald Ross, who all made significant discoveries across a wide spectrum of tropical diseases. Among these, William Leishman, Robert Leiper and Muriel Robertson were all graduates of the University of Glasgow and their achievements in the fields of leishmaniasis, schistosomiasis, dracunculiasis and African sleeping sickness, together with subsequent developments in these fields, are the subjects of the ten papers in this Special Issue of Parasitology.
How Astronomy contributed to the educational enlightenment of Glasgow, to its society and to its commerce. The words 'Astronomy' and 'Glasgow' seem an incongruous juxtaposition, and yet the two are closely linked over 500 years of history. This is a tale of enlightenment and scientific progress at both institutional and public levels. Combined with the ambitions of civic commerce, it is a story populated with noteworthy personalities and intense rivalries.It is remarkable to realise that the first Astronomy teaching in the Glasgow 'Colledge' presented an Earth-centred Universe, prior to the Co
Minnis, Helen; Bryce, Graham; Phin, Louise; Wilson, Phil
Children in care have higher rates of mental health problems than the general population and placement instability contributes to this. Children are both most vulnerable to the effects of poor quality care and most responsive to treatment in the early weeks and months of life yet, in the UK, permanency decisions are generally not in place until around the age of four. We aimed to understand the components of an innovative system for assessing and intervening with maltreated children and their families developed in New Orleans and to consider how it might be implemented in Glasgow, UK. During and after a visit to New Orleans by a team of Glasgow practitioners, eight key interviews and meetings with New Orleans and Glasgow staff were audio-recorded. Qualitative analysis of verbatim transcripts identified key themes. Themes highlighted shared aspects of the context and attitudes of the two teams, identified gaps in the Glasgow service and steps that would be needed to implement a version of the New Orleans model in Glasgow. Our discussions with the New Orleans team have highlighted concrete steps we can take, in Glasgow, to make better decision-making for vulnerable children a reality.
Andrade, M.B.; Cole, E.F.; Evêncio Neto, J.; Silva, A.C.J.; Aleixo, G.A.S.; Cunha, A.L.T.
Com o objetivo de modificar a escala de coma de Glasgow pediátrica para utilização na medicina veterinária, foram utilizados 30 cães adultos com alterações neurológicas passíveis de avaliação da consciência. A escala modificada para cães foi aplicada em três momentos com intervalos de 48 horas entre eles, resultando em 90 eventos diversos. A escala foi aplicada para avaliação da abertura ocular (AO), da melhor resposta associada à vocalização (MRV) e da melhor resposta motora (MRM). Com a aná...
van Egmond, M M H T; van Heerbeek, N; Ter Haar, E L M; Rovers, M M
The validity of many measurement instruments frequently used in rhinology is unknown. This study describes clinimetric properties of well-known subjective and objective outcomes, i.e., the Glasgow Health Status Inventory, Glasgow Benefit Inventory, Peak Nasal Inspiratory Flow, and 4-Phase Rhinomanometry, in adults with nasal obstruction. Construct validity and responsiveness were determined in 111 patients. Inter-rater and intra-rater reliability were analysed in 30 patients. We assessed content validity by interviewing patients and ENT-surgeons; construct validity by comparing hypothesised associations to calculated correlations between the outcomes; inter-rater reliability by having two researchers perform objective measurements in the same patients; intra-rater reliability by having one rater administer all instruments twice within a two-week interval; and responsiveness by comparing patients scores at baseline and three months after septoplasty or non-surgical management. All instruments demonstrated adequate content validity, inter-, and intra-rater reliability. Analyses of construct validity yielded low Pearsons correlations between the subjective and objective outcomes. Comparing septoplasty to non-surgical management, only the Glasgow Health Status Inventory scores were different between the two groups (mean difference 10.4, 95% CI 6.9 - 13.9). All measurement instruments scored appropriately on content validity and reliability, but only the subjective GHSI scored well on responsiveness.
Mitric, Cristina; Ponette, Vincent
In twin pregnancies, elective cerclage placement based on obstetrical history or ultrasound findings has been shown to be ineffective and even harmful. There are currently no guidelines for the use of rescue cervical cerclage in twin pregnancies. The current report presents the case of a 33-year-old patient with monochorionic diamniotic twins (MCDA) found to have dilated cervix at 3.5cm with exposed membranes upon physical examination at 19 weeks and 3 days. An emergency McDonald cerclage was placed at 20 weeks and the patient carried the current pregnancy until 35weeks 6 days. Rescue cerclage represents an important option to consider in order to preserve twin pregnancies regardless of chorionicity. Copyright © 2017 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.
Cross, J.D.; Raie, R.M.; Smith, H.
A typical diet for people in the Glasgow area is analysed and an estimate is made of the daily intake of selenium for the average person (234 μg). Meat, poultry and bread products contribute 65% of the total selenium consumed. There is a significant loss of selenium on cooking but the concentration in the diet is high compared with the estimated requirement. Selenium levels in prepared infant foods, artificial milk and natural milk are reported. Those infants on artificial milk feeds have a selenium intake equivalent to that of adults (3 μg/kg) while those on natural milk or prepared infant foods have an intake of 6 μg/kg. Adult and infant tissue selenium levels are established and are shown to be in equilibrium with the diet. There is no concentration in man as a result of his position at the top of the food chain. Sudden infant death cannot be related to selenium levels in human tissue or diet. (author)
Smoking-cessation services should consider the culture of this ethnic minority population to improve cessation uptake. Further investigation of this community’s needs and expectations is needed to tailor smoking-cessation interventions for Chinese immigrants in Glasgow.
Emejulu, Jkc; Nkwerem, Spu; Ekweogwu, O C
Glasgow Coma Scale (GCS) is the most commonly used tool in assessing comatose patients. It is simple, easily communicable, and useful in prognostication and determination of the treatment modality in head injury. Unfortunately, a high percentage of clinicians who are not in the emergency or neurological services are not conversant with this life-saving tool. The objective of this study was to assess the level of knowledge of GCS among physicians practicing in a tertiary institution in South-East Nigeria, and to evaluate the call for a new and simpler scoring system. This study was carried out using the instrument of a structured-questionnaire in Nnamdi Azikiwe University Teaching Hospital Nnewi, a federal government tertiary health institution in South-East Zone of Nigeria, which is a 350-bed facility employing about 550 medical doctors of different cadres. A total of 139 questionnaires were distributed to the doctors practicing in the institution who consented to participating in the study. The questionnaires were completed at the point of their administration and completed questionnaires were retrieved on the spot, and data were collated, and analyzed with the Statistical Package for Social Sciences, SPSS version 17.0. Statistical significance was calculated with the chi square, P ≤ 0.5. The modal age group was 20-30 years 66 (48%), and most were resident doctors 99 (66.2%). One week prior to the questionnaire distribution, 56 (42.1%) had been actively involved in emergency care of patients, and 41 (30%) could not recall what GCS stood for. Medical and house officers showed a better knowledge of GCS. There was a poor knowledge of GCS among a good number of physicians practicing in our setting and hence, continuing medical education on GCS is strongly advocated.
From October 5th to October 9th about 400 physicists from the ATLAS Collaboration met in Barcelona (Catalonia) to discuss the status of the experiment. The event was organized by the Institut de Física d'Altes Energies (IFAE), a member of the ATLAS Collaboration. Besides the Scientific program, few social events were organized, such as Reception at the Palau de Pedralbes, a visit to the Fundacio Joan Miro and a social dinner at Maremagnunm hall.
May 20, 2014 ... Background: Glasgow Coma Scale (GCS) is the most commonly used tool in assessing comatose patients. It is simple, easily communicable, and useful in prognostication and determination of the treatment modality in head injury. Unfortunately, a high percentage of clinicians who are not in the emergency ...
When Spiderman admitted in a comic that he had been abused as a boy, then children realised they could share their own painful experiences, said a speaker at a conference on Incest and Rape, staged by the Royal College of Nursing Greater Glasgow branch.
William Spence; Lanyu Zhu
Introduction:\\ud Health related needs and services are stratified by ethnicity in UK. The Chinese community is Scotland’s second-largest minority ethnic group but a relatively under-researched one. This study aimed to explore the views and experiences of smoking cessation and related services among Chinese community members in Glasgow and to inform them about smoking cessation interventions.\\ud \\ud Methods:\\ud This cross-sectional study was conducted in 2016 using a qualitative research metho...
Zuccon, G.; Leelanupab, T.; Goyal, A.; Halvey, M.; Punitha, P.; Jose, J.M.
In this paper we describe the approaches adopted to generate the five runs submitted to ImageClefPhoto 2009 by the University of Glasgow. The aim of our methods is to exploit document diversity in the rankings. All our runs used text statistics extracted from the captions associated to each image in the collection, except one run which combines the textual statistics with visual features extracted from the provided images. \\ud The results suggest that our methods based on text captions signif...
Full Text Available This paper describes the results from a 12-month study of two prototype low energy dwellings built for Glasgow Housing Association (GHA. The houses are intended for mainstream and social tenure within Glasgow and contain a range of energy reducing features including one house with a thermally heavy clay block wall and one house using a conventional timber frame and both houses have sunspaces, Mechanical Ventilation with Heat Recovery (MVHR, solar thermal system and low energy lighting. The dwellings have been subject to an innovative monitoring strategy by MEARU, whereby test occupants (students recruited from the School of Architecture have been asked to inhabit the buildings for six two-week periods using occupancy ‘scripts’ that determine their internal behaviour. The scenarios thus simulate varying patterns of occupancy in both houses simultaneously and the performance of the houses can then been compared. Indications are that although the clay block house had a poorer thermal performance, it did have other qualitative advantages, and consumption differences could be eliminated by exploiting the thermal mass. The performance of the active systems, including the MVHR system, was found to be problematic, and specific scenarios were undertaken to explore the implications of this.
Egmond, M.M.H.T. van; Heerbeek, N. van; Haar, E.L.M. Ter; Rovers, M.M.
BACKGROUND: The validity of many measurement instruments frequently used in rhinology is unknown. This study describes clinimetric properties of well-known subjective and objective outcomes, i.e., the Glasgow Health Status Inventory, Glasgow Benefit Inventory, Peak Nasal Inspiratory Flow, and
Madsbad, S; Kielgast, U; Asmar, M
to the currently available agonists, exenatide BID and liraglutide QD. A greater reduction in haemoglobin A1c (HbA1c) and fasting plasma glucose was found with the once-weekly GLP-1 receptor agonists compared with exenatide BID, while the effect on postprandial hyperglycaemia was modest with the once-weekly GLP-1...... receptor agonist. The reduction in HbA1c was in most studies greater compared to oral antidiabetic drugs and insulin glargine. The reduction in weight did not differ between the short- and long-acting agonists. The gastrointestinal side effects were less with the once-weekly agonists compared...
Appleton, J.D.; Cave, M.R.; Wragg, J.
Predictive linear regression (LR) modelling between bioaccessible Pb and a range of total elemental compositions and soil properties was executed for the Glasgow, London, Northampton and Swansea urban areas in order to assess the potential for developing a national urban bioaccessible Pb dataset for the UK. LR indicates that total Pb is the only highly significant independent variable for estimating the bioaccessibility of Pb. Bootstrap resampling shows that the relationship between total Pb and bioaccessible Pb is broadly the same in the four urban areas. The median bioaccessible fraction ranges from 38% in Northampton to 68% in London and Swansea. Results of this study can be used as part of a lines of evidence approach to localised risk assessment but should not be used to replace bioaccessibility testing at individual sites where local conditions may vary considerably from the broad overview presented in this study. - Highlights: ► Total Pb is the only significant predictor for bioaccessible Pb in UK urban topsoils. ► Bootstrap resampling confirms relationship similar in four urban areas. ► Median bioaccessible fraction ranges from 38 to 68%. ► Results can be used for initial risk assessment in UK urban areas. - Total Pb is the only significant predictor for bioaccessible Pb in topsoils from four urban areas in the UK.
Full Text Available This airport substitutes the one at Renfrew, which had become inadequate for the modern volume of traffic. The new airport will handle the intense passenger traffic on the Glasgow London route, which by 1970 it is estimated will reach 970 passengers per hour. Arrangements have been made for a possible enlargement to double the present air traffic capacity of the airport, namely, a maximum of 32 aircraft per hour. The airport building houses everything related to the passengers and offices in the top part, and it has highly modern installations of all types, of which the following are outstanding: the electronic information desks, the bar which is fully air conditioned, and the hall. The general structure is of reinforced concrete, with precast flooring frameworks. The baggage hall has metallic loading tables. The building has a highly impressive external appearance, and is faced with slabs of concrete, whose fine texture has been the result of using carefully chosen formwork of specially grained timber. White slabs and dark brick have also been utilised.Se hizo en sustitución del de Renfrew, que había quedado inadecuado, y dirigirá el intenso movimiento de viajeros y transporte de la ruta Glasgow-Londres, que se calcula, para 1970, en 970 pasajeros a la hora. Por ello, se ha previsto una posible ampliación al doble, con capacidad para un máximo de 33 aviones. El edificio alberga todo lo relacionado con los pasajeros y las oficinas en la parte superior, disponiendo de modernísimas instalaciones de todo tipo, entre las que destacan: los tableros electrónicos y puestos de información, bar y restaurante con climatización total, etc. La estructura general es de hormigón armado con forjados prefabricados; en los muelles es metálica. El aspecto exterior, de una gran elegancia, está conseguido a base de placas de hormigón visto —con bella textura lograda con encofrados muy cuidados de madera rayada—, plaquetas prefabricadas blancas y
Whitelaw, Sandy; Coburn, Jonathan; Lacey, Marion; McKee, Martin J; Hill, Carol
A settings-based approach is now well-established in health promotion, initially undertaken in conventional places like schools and workplaces, but more recently being expressed in a wider range of what Torp et al. call 'everyday' settings. In this context, libraries have emerged as another potential setting whose ubiquity and accessibility suggests that they may be particularly effective in addressing health inequalities. Drawing on a case study-the Glasgow Macmillan Cancer Information and Support Services Library project-this paper reports on the potential for seeing 'libraries as settings' and in the context of a set of associated theoretical resources, specifically scrutinizes the nature of initiative implementation. Data were drawn from multiple sources: semi-structured interviews and focus groups with strategic partners and stakeholders, operational staff, project volunteers, service users and members of the general public. Qualitative data were complemented by quantitative insights from surveys with members of the partnership, libraries staff and volunteers. Despite some concerns associated with potentially hostile cultural and financial contexts that might threaten longer term sustainability, insights suggested that in pragmatic terms, the project was attracting sizable 'footfall' and successfully addressing a range of needs. Additionally, the formal implementation processes associated with project implementation were considered to have been highly successful in embedding the model into the library culture. In summary, there is evidence that libraries have the potential to be considered as supportive settings and could act as a model for an emergent vision of what libraries do. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: email@example.com.
Clarke, David; Kinns, Roger
The 1857 time ball machinery at the Glasgow Sailors' Home was supplied by Alexander McKenzie, mechanist, using a design that had much in common with the 1853 Edinburgh apparatus. It was operated using electrical connections to a mean time clock in the Home. This clock required adjustment by hand each day to compensate for its losing rate. Such manual intervention and lack of independent verification of accuracy under-mined the authority of the signal. The relative prestige of the Glasgow and Edinburgh Observatories was an important issue. There was no telegraphic link between Glasgow Observatory and the City until the end of 1863, but it had been demonstrated as early as October 1855 that a time ball could be dropped by telegraph from Edinburgh. Another Edinburgh initiative in September 1863 using time guns fired from Edinburgh caused offence in Glasgow and the trials were terminated in February 1864. Professor Grant, Director of Glasgow Observatory, argued successfully that a system of slave clocks controlled from Glasgow Observatory would be far superior to either a time ball or time guns which only provided a signal once per day. He won the debate in March 1864.
Lucas, Marjolein J.; Brouwer, Matthijs C.; van der Ende, Arie
Objective: In bacterial meningitis, a decreased level of consciousness is predictive for unfavorable outcome, but the clinical features and outcome in patients presenting with a minimal score on the Glasgow Coma Scale are unknown. Methods: We assessed the incidence, clinical characteristics, and outcome of patients with bacterial meningitis presenting with a minimal score on the Glasgow Coma Scale from a nationwide cohort study of adults with community-acquired bacterial meningitis in the Netherlands from 2006 to 2012. Results: Thirty of 1,083 patients (3%) presented with a score of 3 on the Glasgow Coma Scale. In 22 of 30 patients (73%), the minimal Glasgow Coma Scale score could be explained by use of sedative medication or complications resulting from meningitis such as seizures, cerebral edema, and hydrocephalus. Systemic (86%) and neurologic (47%) complications occurred frequently, leading to a high proportion of patients with unfavorable outcome (77%). However, 12 of 30 patients (40%) survived and 7 patients (23%) had a good functional outcome, defined as a score of 5 on the Glasgow Outcome Scale. Patients presenting with a minimal Glasgow Coma Scale score on admission and bilaterally absent pupillary light responses, bilaterally absent corneal reflexes, or signs of septic shock on admission all died. Conclusions: Patients with community-acquired bacterial meningitis rarely present with a minimal score on the Glasgow Coma Scale, but this condition is associated with high rates of morbidity and mortality. However, 1 out of 5 of these severely ill patients will make a full recovery, stressing the continued need for aggressive supportive care in these patients. PMID:25340065
May is VN Awareness Month, which aims to highlight the valuable work VNs do in practice. Here, Helen Russell, a registered veterinary nurse and co-joint venture partner (JVP) of Vets4Pets Byfleet, describes what she did over the course of one week recently. British Veterinary Association.
Palugniok, R.; Kochanska-Dziurowicz, A.A.
Background: Evaluation of the role of euthyroid sick syndrome and pituitary gland hormonal changes and the prognosis of patient mortality after severe brain injury. METHODS: The research was conducted on 65 patients with isolated severe brain injury. Blood samples were obtained as soon as possible after the injury and on the 1st, 2nd, 3rd, 5th and 7th day after the injury. Blood concentrations of T3, rT3, T4, FT4, TSH, and PRL were estimated. The patients' state of health was evaluated in the sixth hour after the injury, using Glasgow Coma Scale, and after 180 days, using the Glasgow Outcome Scale. Multidirectional correlation was sought between the concentrations of the estimated hormones and the score obtained in the Glasgow Coma Scale and Glasgow Outcome Scale. RESULTS: Cluster analysis showed that concentrations of the hormones in the patients who died are grouped in different clusters from those in the patients who survived. This proves that hormonal patterns are different in these groups. Statistically significant lower T3 concentrations were observed on the 3rd day in comparison with the 0 day. Cumulative proportion surviving was lower for the OP group in comparison with the NOP group and amounted to 0.57. CONCLUSIONS: In all patients covered by the research euthyroid sick syndrome was diagnosed. T3 concentration on the 3rd day after the injury together with the evaluation in Glasgow Coma Scale allows for more precise prognosis. (author)
Mace, A T M; Isa, A; Cooke, L D
This study aimed to ascertain the usefulness of the bone-anchored hearing aid and its impact on the quality of life of patients fitted in Glasgow between 1996 and 2006. The Entific Medical Systems questionnaire and the Glasgow Benefit Inventory were posted to patients in order to assess their satisfaction and quality of life changes. Sixty adult patients were identified, with a questionnaire response rate of 63 per cent. Thirty-two respondents (85 per cent) reported using their bone-anchored hearing aid for more than eight hours per day. Twenty-nine respondents (75 per cent) found their bone-anchored hearing aid to be generally better than their previous, conventional aid. Twenty-seven respondents (71 per cent) reported that their bone-anchored hearing aid improved their quality of life. The median total Glasgow Benefit Inventory score was +33.3. Bone-anchored hearing aid usage rates and satisfaction levels were high amongst patients in Glasgow. Glasgow Benefit Inventory indices were comparable to published findings from other centres. Despite this, bone-anchored hearing aid funding is still not universally available within the National Health Service in Scotland.
Methods: Five hundred and two nontraumatic cases being in the triage category 1 and 2 who were ≥18‑year‑old and who referred to ED were assessed prospectively. Reason of ... The mEWS and GAP scores and the mortality ratios of the cases were calculated by observing both in ED and 4‑week survivals of the patients.
Abstract. Background: Glasgow Coma Scale (GCS) is considered as a gold standard in estimating the prognosis of the comatose patient. The management of the patient relies heavily on this scale. The mechanism of injury must also be included in scor- ing of the GCS. Survival from strangulation is uncommon, and if it ...
Speirs Locks is being re-constructed as a new cultural quarter in Glasgow North, with urban boosters envisioning the unlikely, rundown and de-populated light industrial estate as a key site in the city's ongoing cultural regeneration strategy. Yet this creative place-making initiative, I argue, masks a post-political conjuncture based on urban speculation, displacement and the foreclosure of dissent. Post-politics at Speirs Locks is characterised by what I term ‘soft austerity urbanism’: seem...
Fordyce, F.M.; O Dochartaigh, B.E.O.; Lister, T.R.; Cooper, R.; Kim, A.; Harrison, I.; Vane, C.; Brown, S.E.
This report presents the results of an urban drainage geochemical survey carried out jointly by the British Geological Survey (BGS) and Glasgow City Council (GCC) during June 2003. 118 stream sediment and 122 surface water samples were collected at a sample density of 1 per 1 km2 from all tributaries draining into the River Clyde within the GCC administrative area. The study was carried out as part of the BGS systematic Geochemical Surveys of Urban Environments (GSUE) programme. Stream sed...
Nayebaghayee, Hossein; Afsharian, Tahmineh
Background: The study aimed to assess the relationship between computed tomography (CT) scan findings and Glasgow Coma Scale (GCS) score with the purpose of introducing GCS scoring system as an acceptable alternative for CT scan to clinically management of brain injuries in head trauma patients. Materials and Methods: This study was conducted on hospitalized patients with the complaints of head trauma. The severity of the head injury was assessed on admission by the GCS score and categorized ...
Cain and Hopkins' influential theory of British imperialism opted for a metropolitan-based model of explanation, rooted in the interests of a City-of-London-based class of ‘gentlemanly capitalists’, and discounting in the process events and experiences in the colonies and the significance of industrialization. By focusing on the simultaneous emergence of Bombay and Glasgow as modern, global ports in the second half of the nineteenth century, this article argues, in diametrical opposition, for...
This report attempts to determine whether improving the phonetic match between a lexicon used in speech synthesis and the speech of the speaker who provides the source for a synthetic voice improves the quality and authenticity of the synthetic voice. In order to explore this question, a survey is made of the literature describing the accent of urban Glasgow, and these data serve as the basis for the accent’s implementation in the Unisyn accent-independent lexicon system. After...
Bilgin, Sevil; Guclu-Gunduz, Arzu; Oruckaptan, Hakan; Kose, Nezire; Celik, Bülent
Fifty-one patients with mild (n = 14), moderate (n = 10) and severe traumatic brain injury (n = 27) received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score. Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury. PMID:25624828
Bilgin, Sevil; Guclu-Gunduz, Arzu; Oruckaptan, Hakan; Kose, Nezire; Celik, Bülent
Fifty-one patients with mild (n = 14), moderate (n = 10) and severe traumatic brain injury (n = 27) received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score. Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.
Bell, John; Bell, Simon
This dissertation, which encompasses the set of furniture and light fittings designed for use in Glasgow School of Art library has been produced in response to the desire for the complete recording and analysis of that space.
Louis Agassiz (1807-1873) and Charles Lyell (1797-1875) are widely regarded as the founders of Quaternary Science, and there is no doubt that they played their part: Agassiz in 1840 presented and promoted his case for the wide-scale fluctuations of glaciers, and Lyell, through his books and contacts, did much to introduce the subject which we now know as climate change. However there are a number of individuals who contributed to the founding of Quaternary Science who are not so readily recognised and a remarkable fact is that a significant proportion were men without academic training or background who come from, or worked in Glasgow or the adjacent region of central Scotland. First amongst the Glaswegians was James Smith (1782-1867) who, in 1836 presented a paper to the Geological Society of London (where it was duly ignored) in which he suggested, on the basis of fossils dredged from the bed of the Clyde and experience of sailing around Iceland, that the climate of Scotland had been as cold as that of Iceland in the recent past. In 1841, Charles Maclaren (1782-1866) a journalist from Edinburgh, but using information based on raised shorelines near Glasgow proposed what we now know as the glacio-eustatic theory in which the variations in glacier extent control the level of the sea. Perhaps the most important of all was James Croll (1821- 1890) who worked on the theory of ice ages, based on orbital forcing, while janitor at the Andersonian Institute and Museum in Glasgow between 1859-1867. This work was the true precursor to the Milankovitch theory which provides the explanation for the major predictable elements of climate change. Robert Jack (1845-1921) from Irvine, southwest of Glasgow, while doing fieldwork for the British Geological Survey near Loch Lomond close to Glasgow, described in 1874 evidence for non-glacial conditions between tills and clearly recognised that climate could change from glacial to temperate and then glacial climate, before returning to
The biennial 'Rochester' International Conferences on High Energy Physics which tick the rhythm of high energy physics progress reflect the dominance of the 'Standard Model' - the picture of electroweak and quark/gluon interactions in a simple framework of six weaklyinteracting particles (leptons) and six quarks. Despite its limited intellectual appeal, after a decade of intense probing the Standard Model still refuses to budge
Bethapudi, Sarath [County Durham Darlington Foundation NHS Trust, Durham (United Kingdom); Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Ritchie, David [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Greater Glasgow and Clyde Hospitals NHS Trust, Western Infirmary, Glasgow (United Kingdom); Bongale, Santosh [Glasgow 2014 Commonwealth Games, Immediate Care Department, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Royal Alexandra Hospital, Paisley (United Kingdom); Gordon, Jonny [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Glasgow (United Kingdom); MacLean, John [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); National Stadium Sports Medicine Centre, Glasgow (United Kingdom); Mendl, Liz [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom)
Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)
Bethapudi, Sarath; Ritchie, David; Bongale, Santosh; Gordon, Jonny; MacLean, John; Mendl, Liz
Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9% were magnetic resonance imaging (MRI) scans, 22% were diagnostic ultrasound (US) examinations, 33.1% were radiographs, 4.3% were computed tomography (CT) scans and 2.7% were imaging-guided interventional procedures. 88% of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events.
Bethapudi, Sarath; Ritchie, David; Bongale, Santosh; Gordon, Jonny; MacLean, John; Mendl, Liz
Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)
Dunnigan, M G; Glekin, B M; Henderson, J B; McIntosh, W B; Sumner, D; Sutherland, G R
In March 1979 the Greater Glasgow Health Board launched a campaign to reduce the high prevalence of rickets in Asian children in the city. A precampaign survey had shown that voluntary low dose vitamin D supplementation would reduce the prevalence of rickets in Asian children. A survey carried out two and three years after the launch of the official campaign also showed a reduction in the prevalence of rickets in children taking low dose supplements equivalent to about 2.5 micrograms (100 IU)...
Lazo, Edward; Smith, Rachel; Coates, Roger; Andersen, Ralph; Asano, Yoshihiro; Chapple, Claire-Louise; Faulkner, Keith; Hefner, Alfred; Hill, Marion; Jones, Rick; Larsson, Carl-Magnus; Liebenberg, Gert; Visage, Abrie; Liland, Astrid; McKinlay, Alastair; Menzel, Hans-Georg; Perks, Christopher; Rodriguez, Manuel; Schieber, Caroline; Shaw, Peter
The IRPA13 Congress took place from 14–18 May 2012 in Glasgow, Scotland, UK, and was attended by almost 1500 radiological protection professionals. The scientific programme of the Congress was designed to capture a snapshot of the profession’s views of the current state of knowledge, and of the challenges seen for the coming years. This paper provides a summary of these results of the Congress in twelve key scientific areas that served as the structural backbone of IRPA13. (memorandum)
Full Text Available Abstract It has previously been suggested that deprived neighbourhoods within modern cities have poor access to general amenities, for example, fewer food retail outlets. Here we examine the distribution of food retailers by deprivation in the City of Glasgow, UK. We obtained a list of 934 food retailers in Glasgow, UK, in 2007, and mapped these at address level. We categorised small areas (data zones into quintiles of area deprivation using the 2006 Scottish Index of Multiple Deprivation Income sub-domain score. We computed mean number of retailers per 1000 residents per data zone, and mean network distance to nearest outlet from data zone centroid, for all retailers combined and for each of seven categories of retailer separately (i.e. bakers, butchers, fruit and vegetable sellers, fishmongers, convenience stores, supermarkets and delicatessens. The most deprived quintile (of areas had the greatest mean number of total food retailers per 1000 residents while quintile 1 (least deprived had the least, and this difference was statistically significant (Chi-square p
Olszewski, Margaret Maria
In the 1860s, Dr. Louis Thomas Jérôme Auzoux introduced a set of papier-mâché teaching models intended for use in the botanical classroom. These botanical models quickly made their way into the educational curricula of institutions around the world. Within these institutions, Auzoux's models were principally used to fulfil educational goals, but their incorporation into diverse curricula also suggests they were used to implement agendas beyond botanical instruction. This essay examines the various uses and meanings of Dr. Auzoux's botanical teaching models at the universities of Glasgow and Aberdeen in the nineteenth century. The two main conclusions of this analysis are: (1) investing in prestigious scientific collections was a way for these universities to attract fee-paying students so that better medical accommodation could be provided and (2) models were used to transmit different kinds of botanical knowledge at both universities. The style of botany at the University of Glasgow was offensive and the department there actively embraced and incorporated ideas of the emerging new botany. At Aberdeen, the style of botany was defensive and there was some hesitancy when confronting new botanical ideas. Copyright © 2011 Elsevier Ltd. All rights reserved.
Fayol, P; Carrière, H; Habonimana, D; Preux, P-M; Dumond, J-J
The Glasgow Outcome Scale (GOS) is the most widely used outcome measure after traumatic brain injury. The GOS's reliability is improved by a structured interview. The two aims of this paper were to present a French version of the structured interview for the five-point Glasgow Outcome Scale and the extended eight-point GOS (GOSE) and to study their validity. The French version was developed using back-translation. Concurrent validity was studied by comparison with GOS/GOSE without structured interview. Inter-rater reliability was studied by comparison between assignments made by untrained head injury observers and trained head injury observers. Strength of agreement between ratings was assessed using the Kappa statistic. The French version and the guidelines for their use are given in the Appendix. Ratings were made for 25 brain injured patients and 25 relatives. Concurrent validity was good and inter-rater reliability was excellent. Using the structured interview for the GOS will give a more reliable assessment of the outcome of brain injured patients by French-speaking rehabilitation teams and a more precise assessment with the extended GOS.
Aglieri, Virginia; Watson, Rebecca; Pernet, Cyril; Latinus, Marianne; Garrido, Lúcia; Belin, Pascal
One thousand one hundred and twenty subjects as well as a developmental phonagnosic subject (KH) along with age-matched controls performed the Glasgow Voice Memory Test, which assesses the ability to encode and immediately recognize, through an old/new judgment, both unfamiliar voices (delivered as vowels, making language requirements minimal) and bell sounds. The inclusion of non-vocal stimuli allows the detection of significant dissociations between the two categories (vocal vs. non-vocal stimuli). The distributions of accuracy and sensitivity scores (d') reflected a wide range of individual differences in voice recognition performance in the population. As expected, KH showed a dissociation between the recognition of voices and bell sounds, her performance being significantly poorer than matched controls for voices but not for bells. By providing normative data of a large sample and by testing a developmental phonagnosic subject, we demonstrated that the Glasgow Voice Memory Test, available online and accessible from all over the world, can be a valid screening tool (~5 min) for a preliminary detection of potential cases of phonagnosia and of "super recognizers" for voices.
Laursen, Stig B; Dalton, Harry R; Murray, Iain A
BACKGROUND & AIMS: Upper gastrointestinal hemorrhage (UGIH) is a common cause of hospital admission. The Glasgow Blatchford score (GBS) is an accurate determinant of patients' risk for hospital-based intervention or death. Patients with a GBS of 0 are at low risk for poor outcome and could be man...... a protocol for outpatient management, based on one of these scores, could reduce hospital admissions by 15% to 20%.......BACKGROUND & AIMS: Upper gastrointestinal hemorrhage (UGIH) is a common cause of hospital admission. The Glasgow Blatchford score (GBS) is an accurate determinant of patients' risk for hospital-based intervention or death. Patients with a GBS of 0 are at low risk for poor outcome and could...... be managed as outpatients. Some investigators therefore have proposed extending the definition of low-risk patients by using a higher GBS cut-off value, possibly with an age adjustment. We compared 3 thresholds of the GBS and 2 age-adjusted modifications to identify the optimal cut-off value or modification...
Ritarwan, K.; Batubara, C. A.; Dhanu, R.
Pneumonia is one of the most frequent medical complications of a stroke. Despite the well-documented association of a stroke associated infections with increased mortality and worse long-term outcome, on the other hand, the limited data available on independent predictors of pneumonia in acute stroke patients in an emergency unit. To determine the independentrelationship between pneumonia and Glasgow Coma Scale assessment on acute stroke patients. The cohort retrospective study observed 55 acute stroke patients who stayed in intensive care unit Adam Malik General Hospital from January until August 2017. Pneumonia was more frequent in patients with Ischemic stroke (OR 5.40; 95% CI: 1.28 – 6.40, p=0.003), higher National Institute of Health Stroke Scale (NIHSS) (p=0.014) and lower Glasgow Coma Scale (p=0.0001). Analysis multivariate logistic regression identified NIHSS as an independent of predictors of pneumonia (95% CI : 1.047 – 1.326, p=0.001). Pneumonia was associated with severity and type of stroke and length of hospital stay. The severity of the deficits evaluated by the NIHSS was shown to be the only independent risk factor for pneumonia in acute stroke patients.
Full Text Available Abstract Background Access to healthy food is often seen as a potentially important contributor to diet. Policy documents in many countries suggest that variations in access contribute to inequalities in diet and in health. Some studies, mostly in the USA, have found that proximity to food stores is associated with dietary patterns, body weight and socio-economic differences in diet and obesity, whilst others have found no such relationships. We aim to investigate whether proximity to food retail stores is associated with dietary patterns or Body Mass Index in Glasgow, a large city in the UK. Methods We mapped data from a 'Health and Well-Being Survey' (n = 991, and a list of food stores (n = 741 in Glasgow City, using ArcGIS, and undertook network analysis to find the distance from respondents' home addresses to the nearest fruit and vegetable store, small general store, and supermarket. Results We found few statistically significant associations between proximity to food retail outlets and diet or obesity, for unadjusted or adjusted models, or when stratifying by gender, car ownership or employment. Conclusions The findings suggest that in urban settings in the UK the distribution of retail food stores may not be a major influence on diet and weight, possibly because most urban residents have reasonable access to food stores.
Andrade,M.B.; Cole,E.F.; Evêncio Neto,J.; Silva,A.C.J.; Aleixo,G.A.S.; Cunha,A.L.T.
Com o objetivo de modificar a escala de coma de Glasgow pediátrica para utilização na medicina veterinária, foram utilizados 30 cães adultos com alterações neurológicas passíveis de avaliação da consciência. A escala modificada para cães foi aplicada em três momentos com intervalos de 48 horas entre eles, resultando em 90 eventos diversos. A escala foi aplicada para avaliação da abertura ocular (AO), da melhor resposta associada à vocalização (MRV) e da melhor resposta motora (MRM). Com a aná...
Full Text Available Abstract Background There is a popular belief that out-of-home eating outlets, which typically serve energy dense food, may be more commonly found in more deprived areas and that this may contribute to higher rates of obesity and related diseases in such areas. Methods We obtained a list of all 1301 out-of-home eating outlets in Glasgow, UK, in 2003 and mapped these at unit postcode level. We categorised them into quintiles of area deprivation using the 2004 Scottish Index of Multiple Deprivation and computed mean density of types of outlet (restaurants, fast food restaurants, cafes and takeaways, and all types combined, per 1000 population. We also estimated odds ratios for the presence of any outlets in small areas within the quintiles. Results The density of outlets, and the likelihood of having any outlets, was highest in the second most affluent quintile (Q2 and lowest in the second most deprived quintile (Q4. Mean outlets per 1,000 were 4.02 in Q2, 1.20 in Q4 and 2.03 in Q5. With Q2 as the reference, Odds Ratios for having any outlets were 0.52 (CI 0.32–0.84 in Q1, 0.50 (CI 0.31 – 0.80 in Q4 and 0.61 (CI 0.38 – 0.98 in Q5. Outlets were located in the City Centre, West End, and along arterial roads. Conclusion In Glasgow those living in poorer areas are not more likely to be exposed to out-of-home eating outlets in their neighbourhoods. Health improvement policies need to be based on empirical evidence about the location of fast food outlets in specific national and local contexts, rather than on popular 'factoids'.
McLelland, Dorothy; Crawford, John
The Drumchapel Project was a joint exploratory project between Glasgow Caledonian University, a 1992 university, and Drumchapel High School, a secondary school in a deprived area of Glasgow. The initial aim was to explore ICT skill levels among the school pupils but an information literacy agenda emerged in the course of the Project. Focus groups…
Both Rotterdam’s Kop van Zuid and the Glasgow Harbour waterfront developments are examples of different forms of European urban entrepreneurial megaprojects. They are both situated on formerly vacant land in older industrial cities. In Rotterdam, the municipality has taken the initiative in
Hamilton, Robert; Turner, Robert
This paper considers how Hegel's philosophical idealism influenced the thinking and practical activities of four successive holders of the Chair of Moral Philosophy in the University of Glasgow between 1866 and 1927. It argues that their activities were shaped by Hegelian concepts of citizenship, which engendered a commitment to encouraging the…
Santos, Wesley Cajaíba; Vancini-Campanharo, Cássia Regina; Lopes, Maria Carolina Barbosa Teixeira; Okuno, Meiry Fernanda Pinto; Batista, Ruth Ester Assayag
To assess knowledge of nurses of emergency services and intensive care units about Glasgow Coma Scale. This cross-sectional analytical study included 127 nurses of critical units of an university hospital. We used structured interview with 12 questions to evaluate their knowledge about the scale. Association of Knowledge with professionals' sociodemographic variables were verified by the Fisher-test, χ2 and likelihood ratio. Most of participants were women mean aged 31.1 years, they had graduated more than 5 years previously, and had 1 to 3 years of work experience. In the assessment of best score possible for Glasgow scale (question 3) nurses who had graduate more than 5 years ago presented a lower percentage success rate (p=0.0476). However, in the question 7, which evaluated what interval of the scale indicated moderate severity of brain trauma injury, those with more years of experience had higher percentage of correct answers (p=0.0251). In addition, nurses from emergency service had more correct answers than nurses from intensive care unit (p=0.0143) in the same question. Nurses graduated for more than 5 years ago had a lower percentage of correct answers in question 7 (p=0.0161). Nurses with more work experience had a better score (p=0.0119) to identify how assessment of motor response should be started. Number of year since graduation, experience, and work at critical care units interfered in nurses' knowledge about the scale, which indicates the need of training. Avaliar o conhecimento de enfermeiros de unidades críticas, serviços de emergência e unidades de terapia intensiva em relação à escala de coma de Glasgow. Estudo transversal e analítico com 127 enfermeiros de unidades críticas de um hospital universitário. Utilizou-se entrevista estruturada com 12 questões que avaliaram conhecimento sobre a escala. Associação do conhecimento com variáveis sociodemográficas dos profissionais foi verificada pelo teste de Fisher, teste χ2 e razão de
Full Text Available Background: Patients with head injury continue to improve over time and a minimum follow-up of six months is considered necessary to evaluate outcome. However, this may be difficult to assess due to lack of follow-up. It is also well known that operated patients who return for cranioplasty usually have the best outcome. Aims and Objectives: To assess the outcome following severe head injury using cranioplasty as a surrogate marker for good outcome. Materials and Methods: This was a retrospective study carried out from January 2009 to December 2010. All patients with severe head injury who underwent decompressive craniectomy (DC in the study period were included. Patients who came back for cranioplasty in the same period were also included. Case records, imaging and follow up visit data from all patients were reviewed. Glasgow Coma Score (GCS on admission and Glasgow Outcome Score (GOS at discharge were assessed. Observations and Results: Of the 273 patients, 84.25% (n=230 were males and 15.75% (n= 43 were females. The mean age was 34.3 years (range 2-81 years, SD 16.817. The mean GCS on admission was 5.615 (range 3-8, SD 1.438. The in-hospital mortality was 54% (n=149. Good outcome (GOS of 4 or 5 at discharge was attained in 22% (n=60 patients. Sixty five patients returned for cranioplasty (with a GOS of 4 or 5 during the study period. There was no statistical difference in the number of patients discharged with good outcome and those coming back for cranioplasty in the study period (P>0.5. Patients who came back for cranioplasty were younger in age (mean age 28.815 years SD 13.396 with better admission GCS prior to DC (mean GCS 6.32 SD1.39. Conclusions: In operated severe head injury patients significant number of patients (24% in our study have excellent outcome. However, insignificant number of patients had further improvement to GOS 4 or 5 (good outcome from the time of initial discharge. This suggests that due to lack of intensive
Beaton, Fiona; Baird, Tracy-Anne; Clement, W Andrew; Kubba, Haytham
Tracheostomy techniques, indications and care are extensively covered in the literature. However, little is written about the process of removing the tracheostomy tube. At the Royal Hospital for Sick Children in Glasgow we use a stepwise ward-based protocol for safe tracheostomy decannulation. Our aim therefore was to review all the paediatric tracheostomy decannulations that we attempted over the last 3 years to evaluate our protocol, to determine our success rate and to see whether any modifications to the protocol are required. We reviewed all patients who had undergone ward decannulation between January 2012 and May 2015. We extracted data from clinical records including patient characteristics, indications for tracheostomy, timing of decannulation and success or failure of the process. The 45 children in the study underwent 57 attempts at decannulation during the study period. 25 were male (56%) and 20 were female (44%), and they were aged between 1 day and 16 years 6 months at the time of the original tracheostomy operation. 33 attempts were successful (58%). 10 children had more than one attempt at decannulation. Children were found to fail at every stage of the protocol, with the commonest point of failure being day 2 when the tracheostomy tube was capped. We have demonstrated that our current protocol for ward decannulation is effective and safe, and that all five days of the protocol are required. Crown Copyright © 2016. Published by Elsevier Ireland Ltd. All rights reserved.
Oosterwaal, Michiel; Carbes, Sylvain; Telfer, Scott; Woodburn, James; Tørholm, Søren; Al-Munajjed, Amir A; van Rhijn, Lodewijk; Meijer, Kenneth
Accurately measuring of intrinsic foot kinematics using skin mounted markers is difficult, limited in part by the physical dimensions of the foot. Existing kinematic foot models solve this problem by combining multiple bones into idealized rigid segments. This study presents a novel foot model that allows the motion of the 26 bones to be individually estimated via a combination of partial joint constraints and coupling the motion of separate joints using kinematic rhythms. Segmented CT data from one healthy subject was used to create a template Glasgow-Maastricht foot model (GM-model). Following this, the template was scaled to produce subject-specific models for five additional healthy participants using a surface scan of the foot and ankle. Forty-three skin mounted markers, mainly positioned around the foot and ankle, were used to capture the stance phase of the right foot of the six healthy participants during walking. The GM-model was then applied to calculate the intrinsic foot kinematics. Distinct motion patterns where found for all joints. The variability in outcome depended on the location of the joint, with reasonable results for sagittal plane motions and poor results for transverse plane motions. The results of the GM-model were comparable with existing literature, including bone pin studies, with respect to the range of motion, motion pattern and timing of the motion in the studied joints. This novel model is the most complete kinematic model to date. Further evaluation of the model is warranted.
Hong, Ickpyo; Li, Chih-Ying; Velozo, Craig A
The Glasgow Outcome Scale-Extended (GOSE) structured interview captures critical components of activities and participation, including home, shopping, work, leisure, and family/friend relationships. Eighty-nine community dwelling adults with mild-moderate traumatic brain injury (TBI) were recruited (average = 2.7 year post injury). Nine items of the 19 items were used for the psychometrics analysis purpose. Factor analysis and item-level psychometrics were investigated using the Rasch partial-credit model. Although the principal components analysis of residuals suggests that a single measurement factor dominates the measure, the instrument did not meet the factor analysis criteria. Five items met the rating scale criteria. Eight items fit the Rasch model. The instrument demonstrated low person reliability (0.63), low person strata (2.07), and a slight ceiling effect. The GOSE demonstrated limitations in precisely measuring activities/participation for individuals after TBI. Future studies should examine the impact of the low precision of the GOSE on effect size. © The Author(s) 2016.
Maurício, Sílvia Fernandes; da Silva, Jacqueline Braga; Bering, Tatiana; Correia, Maria Isabel Toulson Davisson
The association between nutritional status and inflammation was assessed in patients with colorectal cancer and to verify their association with complications during anticancer treatment. The agreement between the Subjective Global Assessment (SGA) and different nutritional assessment methods was also evaluated. A cross-sectional, prospective, and descriptive study was performed. The nutritional status was defined by the SGA and the severity of inflammation was defined by the Glasgow Prognostic Score (GPS). The complications were classified using the Common Toxicity Criteria, version 3. Anthropometric measurements such as body mass index, triceps skinfold, midarm circumference, midarm muscle area, and adductor pollicis muscle thickness were also performed, as were handgrip strength and phase angle. The chi-square test, Fisher exact test, Spearman correlation coefficient, independent t test, analysis of variance, Gabriel test, and κ index were used for the statistical analysis. P cancer (60.4 ± 14.3 y old) were included. The nutritional status according to the SGA was associated with the GPS (P nutritional assessment methods with the SGA, there were statistically significant differences. Malnutrition is highly prevalent in patients with colorectal cancer. The nutritional status was associated with the GPS. Copyright © 2013 Elsevier Inc. All rights reserved.
Nayebaghayee, Hossein; Afsharian, Tahmineh
The study aimed to assess the relationship between computed tomography (CT) scan findings and Glasgow Coma Scale (GCS) score with the purpose of introducing GCS scoring system as an acceptable alternative for CT scan to clinically management of brain injuries in head trauma patients. This study was conducted on hospitalized patients with the complaints of head trauma. The severity of the head injury was assessed on admission by the GCS score and categorized as mild, moderate, or severe head injury. Of all study subjects, 80.5% had GCS 13-15 that among those, 45% had GCS 15. Furthermore, 10.5% had GCS ranged 9-12 and 9% had GCS patients with abnormal CT findings, 33.0% underwent surgery that 61.1% categorized in mild head injury group, 13.9% categorized in moderate head injury group, and 22.2% categorized in severe head injury group. Of those with GCS equal to 15, only 27.0% underwent surgery. The use of GCS score for assessing the level of injury may not be sufficient and thus considering CT findings as the gold standard, the combination of this scoring system and other applicable scoring systems may be more applicable to stratify brain injury level.
The European Photovoltaic Solar Energy Conferences are dedicated to accelerating the impetus towards sustainable development of global PV markets. The 16th in the series, held in Glasgow UK, brought together more than 1500 delegates from 72 countries, and provided an important and vital forum for information exchange in the field. The Conference Proceedings place on record a new phase of market development and scientific endeavour in the PV industry, representing current and innovative thinking in all aspects of the science, technology, markets and business of photovoltaics. In three volumes, the Proceedings present some 790 papers selected for presentation by the scientific review committee of the 16th European Photovoltaic Solar Energy Conference. The Comprehensive range of topics covered comprises: Fundamentals, Novel Devices and New Materials. Thin Film Cells and Technologies. Space Cells and Systems. Crystalline Silicon Solar Cells and Technologies. PV Integration in Buildings. PV Modules and Components of PV Systems. Implementation, Strategies, National Programs and Financing Schemes. Market Deployment in Developing Countries. (author)
Mattar, Ihsan; Liaw, Sok Y; Chan, Moon F
The aim of this study was to examine nurses' self-confidence and attitudes towards the Glasgow Coma Scale (GCS). The GCS measures the depth and duration of impaired consciousness. However, there is an increasing evidence that problems are encountered in completing some aspects of the GCS. This descriptive correlational study recruited 114 Registered Nurses (RNs) in one acute care hospital in Singapore. A set of questionnaires were given to the participants. The questionnaire had three parts, which collected data on demographics, attitudes and self-confidence. Data analysis showed the type of clinical discipline (B=0.19), seniority in nursing (Staff Grade) (B=0.28) and higher attitude scores towards the GCS (B=0.41) were significant factors determining a nurse's confidence in using the GCS. A longer length of time working in a Neuroscience setting (B=0.21) and higher self-confidence scores (B=0.41) were significant factors determining a nurse's attitude towards the GCS. To ensure patient safety, the GCS has to be performed accurately. This study has shown there are differences in attitudes and self-confidence in using the GCS between nurses of different demographics, and that there are a variety of factors influencing their attitudes and confidence. Mentoring and educational interventions are suggested in order to reduce safety risks resulting from lower proficiency in using the GCS. © 2014 British Association of Critical Care Nurses.
Rosenbaum, Ralph K.; Anton, Assumpció; Bengoa, Xavier
Pesticides are applied to agricultural fields to optimise crop yield and their global use is substantial. Their consideration in life cycle assessment (LCA) is affected by important inconsistencies between the emission inventory and impact assessment phases of LCA. A clear definition of the delin......Pesticides are applied to agricultural fields to optimise crop yield and their global use is substantial. Their consideration in life cycle assessment (LCA) is affected by important inconsistencies between the emission inventory and impact assessment phases of LCA. A clear definition...... of the delineation between the product system model (life cycle inventory—LCI, technosphere) and the natural environment (life cycle impact assessment—LCIA, ecosphere) is missing and could be established via consensus building.A workshop held in 2013 in Glasgow, UK, had the goal of establishing consensus...... and creating clear guidelines in the following topics: (1) boundary between emission inventory and impact characterisation model, (2) spatial dimensions and the time periods assumed for the application of substances to open agricultural fields or in greenhouses and (3) emissions to the natural environment...
Freer, K; Waclawski, E
Just over a fifth of all deaths in Scotland occur in those under the age of 65. This study examined deaths in service in employees of the National Health Service Greater Glasgow and Clyde (NHS GG&C) Health Board over a 3-year period. To assess crude death rates by occupational group, the main causes of death and evidence of causes that could have been prevented or modified by lifestyle changes. Demographic details, occupational grouping and death certificate data were obtained for all NHS GG&C employees who died in service between 2007 and 2009. A total of 138 employees died in this period. The occupational groups in which most deaths occurred were support services (porters, domestic and catering staff; 35%) and nurses (34%). The commonest causes of death were lung cancer (15%), ischaemic heart disease (9%) and suicide (9%). The overall crude death rate was 1.2/1000 persons/year (females 1.0 and males 1.7) and was highest among support services employees (2.4) and lowest among medical staff (0.5). The relative risk of death in support services was significantly greater than the majority of occupational groups. These findings suggest health inequality within this workforce. The main causes of death identified in the support services group could potentially be modified through workplace risk factor screening and health promotion.
The program overview describes the following resources and facilities; laser facilities, main laser room, target room, energy storage, laboratory area, building support systems, general plant project, and the new trailer complex
First page Back Continue Last page Overview Graphics. Ciliary muscle contraction. Ciliary muscle contraction; Decrease in anterior chamber depth; Increase in lens thickness; changed anterior and posterior radius of curvature.
... About Us Information For… Media Policy Makers CDC Employees and Reasonable Accommodations (RA) Disability Overview Language: English (US) Español (Spanish) Recommend on Facebook Tweet Share Compartir Impairments, Activity Limitations, and Participation ...
Scenario Overview Our scenario today was utilized during mission validation of the U.S. Army Reserve Information Operations Command’s Detachment 52...Actions: Use retina on Mgmt machine to scan user subnet WTLF: # hosts unpatched (IPs:…) Highlights: Retina , Nessus 97 Scenario Overview (continued...on firewall (23, 37331, etc.) IH: • Run Retina scans (Findings?) 105 Scenario Wrap Up – Review Stage 2 CDAP: • Find unauthorized software
Alexandroff, A B; Flohr, C; Johnston, G A
This is a synopsis of the significant research and clinical papers presented at the British Association of Dermatologists meeting held during 7-10 July 2009 in Glasgow, U.K. The conference and satellite symposia highlighted the recent biological, epidemiological and therapeutic advances in dermatology. This report is not meant as a substitute for reading the conference proceedings and related references quoted in this article.
Cowley, Stephen Graham
The philosopher James Mylne (1757-1839) vindicated the rational powers of humanity against the sceptical and “common sense” philosophies of his Scottish predecessors and earned the trust of his contemporaries for his Whig politics. He and the largely neglected philosophy and political economy classes he taught in Glasgow clearly merited closer study. My thesis thus contains a biography of Mylne and interpretative essays on his lectures on moral philosophy and political economy ...
Silva, Silvia Cristina Fürbringer e; Sousa, Regina Marcia Cardoso de
Restrictions in the application of the Galveston Orientation and Amnesia Test and questionings about the relationship between conscience and post-traumatic amnesia motivated this study, which aims to identify, through the Glasgow Coma Scale scores, when to initiate the application of this amnesia test, as well to verify the relationship between the results of these two indicators. The longitudinal prospective study was carried at a referral center for trauma care in São Paulo - Brazil. The sa...
11th February 2011 - Member of the Parliament for Glasgow North and Shadow Secretary of State for Scotland A. McKechin MP signing the geust book with Adviser J. Ellis, University of Glasgow Principal A. Muscatelli and Engineering Department Head R. Saban.
11th February 2011 - Member of the Parliament for Glasgow North and Shadow Secretary of State for Scotland A. McKechin MP signing the geust book with Adviser J. Ellis, University of Glasgow Principal A. Muscatelli and Engineering Department Head R. Saban.
Jerraya, Hichem; Bousslema, Amine; Frikha, Foued; Dziri, Chadli
Upper gastrointestinal bleeding is a frequent cause for emergency hospital admission. Most severity scores include in their computation the endoscopic findings. The Glasgow-Blatchford score is a validated score that is easy to calculate based on simple clinical and biological variables that can identify patients with a low or a high risk of needing a therapeutic (interventional endoscopy, surgery and/ or transfusions). To validate retrospectively the Glasgow-Blatchford Score (GBS). The study examined all patients admitted in both the general surgery department as of Anesthesiology of the Regional Hospital of Sidi Bouzid. There were 50 patients, which the mean age was 58 years and divided into 35 men and 15 women. In all these patients, we calculated the GBS. Series were divided into 2 groups, 26 cases received only medical treatment and 24 cases required transfusion and / or surgery. Univariate analysis was performed for comparison of these two groups then the ROC curve was used to identify the 'Cut off point' of GBS. Sensitivity (Se), specificity (Sp), positive predictive value (PPV) and negative predictive value (NPV) with confidence interval 95% were calculated. The SGB was significantly different between the two groups (p VPN. Indeed, if GBS <7, we must opt for medical treatment to the risk of being wrong in only 5% of cases. The Glasgow-Blatchford score is based on simple clinical and laboratory variables. It can recognize in the emergency department the cases that require medical treatment and those whose support could need blood transfusions and / or surgical treatment.
Full Text Available OBJECTIVE To correlate Computed Tomography (CT findings with Glasgow Coma Scale (GCS in patients with acute traumatic brain injury attending in Chitwan Medical College teaching hospital Chitwan, Nepal. MATERIALS AND METHODS A cross-sectional study was performed among 50 patients of acute (less than24 hours cases of craniocerebral trauma over a period of four months. The patient’s level of consciousness (GCS was determined and a brain CT scan without contrast media was performed. A sixth generation General Electric (GE CT scan was utilized and 5mm and 10mm sections were obtained for infratentorial and supratentorial parts respectively. RESULT The age range of the patients was 1 to 75 years (mean age 35.6± 21.516 years and male: female ratio was 3.1:1. The most common causes of head injury were road traffic accident (RTA (60%, fall injury (20%, physical assault (12% and pedestrian injuries (8%. The distribution of patients in accordance with consciousness level was found to be 54% with mild TBI (GCS score 12 to 14, 28% with moderate TBI (GCS score 11 to 8 and 18% with severe TBI (GCS score less than 7. The presence of mixed lesions and midline shift regardless of the underlying lesion on CT scan was accompanied by lower GCS. CONCLUSION The presence of mixed lesions and midline shift regardless of the underlying lesion on CT scan were accompanied with lower GCS. Patients having single lesion had more GCS level than mixed level and mid line shift type of injury.DOI: http://dx.doi.org/10.3126/jcmsn.v10i2.12947 Journal of College of Medical Sciences-Nepal, 2014, Vol.10(2; 4-9
Caroline G Tai
Full Text Available Purpose: The modified Glasgow prognostic Score (mGPS incorporates C-reactive protein and albumin as a clinically useful marker of tumor behavior. The ability of the mGPS to predict metastasis in localized renal cell carcinoma (RCC remains unknown in an external validation cohort. Patients and Methods: Patients with clinically localized clear cell RCC were followed for 1 year post-operatively. Metastases were identified radiologically. Patients were categorized by mGPS score as low-risk (mGPS = 0 points, intermediate-risk (mGPS = 1 point and high-risk (mGPS = 2 points. Univariate, Kaplan-Meier and multivariate Cox regression analyses examined Recurrence -free survival (RFS across patient and disease characteristics. Results: Of the 129 patients in this study, 23.3% developed metastases. Of low, intermediate and high risk patients, 10.1%, 38.9% and 89.9% recurred during the study. After accounting for various patient and tumor characteristics in multivariate analysis including stage and grade, only mGPS was significantly associated with RFS. Compared with low-risk patients, intermediate- and high-risk patients experienced a 4-fold (hazard ratios [HR]: 4.035, 95% confidence interval [CI]: 1.312-12.415, P = 0.015 and 7-fold (HR: 7.012, 95% CI: 2.126-23.123 P < 0.001 risk of metastasis, respectively. Conclusions: mGPS is a robust predictor of metastasis following potentially curative nephrectomy for localized RCC. Clinicians may consider mGPS as an adjunct to identify high-risk patients for possible enrollment into clinical trials or for patient counseling
This report presents results of a Hydrogeochemical and Stream Sediment Reconnaissance (HSSR) of the Glasgow NTMS quadrangle, Montana. In addition to this abbreviated data release, more complete data are available to the public in machine-readable form. These machine-readable data, as well as quarterly or semiannual program progress reports containing further information on the HSSR program in general, or on the Los Alamos National Laboratory (LANL) portion of the program in particular, are available from DOE's Technical Library at its Grand Junction Area Office. Presented in this data release are location data, field analyses, and laboratory analyses of several different sample media. For the sake of brevity, many field site observations have not been included in this volume; these data are, however, available on the magnetic tape. Appendices A through C describe the sample media and summarize the analytical results for each medium. The data have been subdivided by one of the Los Alamos National Laboratory sorting programs of Zinkl and others (1981a) into groups of stream-sediment, stream-water, and ground-water samples. For each group which contains a sufficient number of observations, statistical tables, tables of raw data, and 1:1,000,000 scale maps of pertinent elements have been included in this report. Also included are maps showing results of multivariate statistical analyses. Information on the field and analytical procedures used by the Los Alamos National Laboratory during sample collection and analysis may be found in any HSSR data release prepared by the Laboratory and will not be included in this report
Lee, Sunpyo; Ahn, Ji Yong; Jung, Hwoon-Yong; Jung, Kee Wook; Lee, Jeong Hoon; Kim, Do Hoon; Choi, Kee Don; Song, Ho June; Lee, Gin Hyug; Kim, Jin-Ho; Kim, Seon-Ok
There is limited data on whether scoring systems can be used to predict clinical outcomes in patients with upper gastrointestinal bleeding due to Mallory-Weiss syndrome (MWS). We aimed to evaluate whether the Glasgow-Blatchford score (GBS) could be effective in predicting clinical outcomes of bleeding MWS and to investigate the predictive ability of the Forrest classification for rebleeding and assess the effective endoscopic modalities for bleeding control in MWS. From January 2004 to December 2012 168 patients were diagnosed with MWS in the Asan Medical Center Emergency Department. We analyzed their clinical outcomes, including endoscopic treatment, transfusion and admission as well as the rates of rebleeding and mortality using GBS and the Forrest classification, retrospectively. Endoscopic treatment was applied to patients. The GBS was significantly higher in patients treated with endoscopic therapy than in the conservative treatment group (6.8 ± 3.7 vs 5.1 ± 4.7, P = 0.011). In patients with a GBS of >6 the rates of endoscopic treatment and rebleeding and the need for transfusion and admission were significantly higher (all P < 0.05). The Forrest classification was able to predict recurrent bleeding (area under the receiver operating characteristic curve 0.723, 95% confidence interval 0.609-0.836, P = 0.025). Hemoclip-based therapy and band ligation achieved higher success rates than did injection therapy alone in preventing rebleeding (96.4%, 88.9% and 71.4%, P = 0.013). In MWS, GBS might be useful for predicting clinical outcomes and the Forrest classification in predicting recurrent bleeding. © 2016 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.
Michael J Proctor
Full Text Available Markers of the systemic inflammatory response, including C-reactive protein and albumin (combined to form the modified Glasgow Prognostic Score, as well as neutrophil, lymphocyte and platelet counts have been shown to be prognostic of survival in patients with cancer. The aim of the present study was to examine the prognostic relationship between these markers of the systemic inflammatory response and all-cause, cancer, cardiovascular and cerebrovascular mortality in a large incidentally sampled cohort.Patients (n = 160 481 who had an incidental blood sample taken between 2000 and 2008 were studied for the prognostic value of C-reactive protein (>10mg/l, albumin (>35mg/l, neutrophil (>7.5×109/l lymphocyte and platelet counts. Also, patients (n = 52 091 sampled following the introduction of high sensitivity C-reactive protein (>3mg/l measurements were studied. A combination of these markers, to make cumulative inflammation-based scores, were investigated.In all patients (n = 160 481 C-reactive protein (>10mg/l (HR 2.71, p35mg/l (HR 3.68, p3mg/l (n = 52 091. A combination of high sensitivity C-reactive protein (>3mg/l, albumin and neutrophil count predicted all-cause (HR 7.37, p<0.001, AUC 0.723, cancer (HR 9.32, p<0.001, AUC 0.731, cardiovascular (HR 4.03, p<0.001, AUC 0.650 and cerebrovascular (HR 3.10, p<0.001, AUC 0.623 mortality.The results of the present study showed that an inflammation-based prognostic score, combining high sensitivity C-reactive protein, albumin and neutrophil count is prognostic of all-cause mortality.
Reith, Florence Cm; Synnot, Anneliese; van den Brande, Ruben; Gruen, Russell L; Maas, Andrew Ir
The Glasgow Coma Scale (GCS) characterizes patients with diminished consciousness. In a recent systematic review, we found overall adequate reliability across different clinical settings, but reliability estimates varied considerably between studies, and methodological quality of studies was overall poor. Identifying and understanding factors that can affect its reliability is important, in order to promote high standards for clinical use of the GCS. The aim of this systematic review was to identify factors that influence reliability and to provide an evidence base for promoting consistent and reliable application of the GCS. A comprehensive literature search was undertaken in MEDLINE, EMBASE, and CINAHL from 1974 to July 2016. Studies assessing the reliability of the GCS in adults or describing any factor that influences reliability were included. Two reviewers independently screened citations, selected full texts, and undertook data extraction and critical appraisal. Methodological quality of studies was evaluated with the consensus-based standards for the selection of health measurement instruments checklist. Data were synthesized narratively and presented in tables. Forty-one studies were included for analysis. Factors identified that may influence reliability are education and training, the level of consciousness, and type of stimuli used. Conflicting results were found for experience of the observer, the pathology causing the reduced consciousness, and intubation/sedation. No clear influence was found for the professional background of observers. Reliability of the GCS is influenced by multiple factors and as such is context dependent. This review points to the potential for improvement from training and education and standardization of assessment methods, for which recommendations are presented. Copyright © 2017 by the Congress of Neurological Surgeons.
Ho, Weiguang; Stallard, Sheila; Doughty, Julie; Mallon, Elizabeth; Romics, Laszlo
Oncoplastic breast conservation surgery (OBCS) combines the principles of surgical oncology and plastic surgery. OBCS has now become a growing option for the treatment of breast cancer and forms a part of breast-conserving therapy (BCT). We sought to investigate and report our experience in two breast units in Glasgow (Victoria Infirmary and Western Infirmary) on volume replacement OBCS. Details of patients treated with volume replacement OBCS were identified from a prospectively recorded database from November 2010 to October 2015. The clinical records included in the oncoplastic dataset were analyzed for demographics, tumor, treatment characteristics, and recurrences. The data were analyzed for follow-up to determine the pattern and timing of recurrence up to April 2016. The primary outcome of this study was tumor-free margin resection rates, and the secondary outcomes were locoregional and distant recurrence rates as these correlate with the overall oncological safety of volume replacement oncoplastic breast surgery (OPBS). A total of 30 volume replacement oncoplastic breast conservation procedures have been carried out in this time period. The mean age of the former group was 51 years. Twice as many patients presented symptomatically than had tumors detected on screening. The mean preoperative tumor size on radiology was 25.4 mm. Patients underwent 13 thoracoepigastric flaps, 5 lateral intercostal artery perforator (LICAP) flaps, 2 thoracodorsal artery perforator (TDAP) flaps, 1 lateral thoracic artery perforator (LTAP) flap, 1 crescent flap volume replacement surgery, and 8 matrix rotations. Two patients had neoadjuvant chemotherapy. Fourteen patients had adjuvant chemotherapy, and all patients were treated with adjuvant radiotherapy. Twenty-two patients were treated with hormonal therapy and four patients were treated with Herceptin. The rate of incomplete excision was 10%. Median follow-up time was 48.5 months. Only one regional recurrence was detected
Wijdicks, Eelco F M; Kramer, Andrew A; Rohs, Thomas; Hanna, Susan; Sadaka, Farid; O'Brien, Jacklyn; Bible, Shonna; Dickess, Stacy M; Foss, Michelle
Impaired consciousness has been incorporated in prediction models that are used in the ICU. The Glasgow Coma Scale has value but is incomplete and cannot be assessed in intubated patients accurately. The Full Outline of UnResponsiveness score may be a better predictor of mortality in critically ill patients. Thirteen ICUs at five U.S. hospitals. One thousand six hundred ninety-five consecutive unselected ICU admissions during a six-month period in 2012. Glasgow Coma Scale and Full Outline of UnResponsiveness score were recorded within 1 hour of admission. Baseline characteristics and physiologic components of the Acute Physiology and Chronic Health Evaluation system, as well as mortality were linked to Glasgow Coma Scale/Full Outline of UnResponsiveness score information. None. We recruited 1,695 critically ill patients, of which 1,645 with complete data could be linked to data in the Acute Physiology and Chronic Health Evaluation system. The area under the receiver operating characteristic curve of predicting ICU mortality using the Glasgow Coma Scale was 0.715 (95% CI, 0.663-0.768) and using the Full Outline of UnResponsiveness score was 0.742 (95% CI, 0.694-0.790), statistically different (p = 0.001). A similar but nonsignificant difference was found for predicting hospital mortality (p = 0.078). The respiratory and brainstem reflex components of the Full Outline of UnResponsiveness score showed a much wider range of mortality than the verbal component of Glasgow Coma Scale. In multivariable models, the Full Outline of UnResponsiveness score was more useful than the Glasgow Coma Scale for predicting mortality. The Full Outline of UnResponsiveness score might be a better prognostic tool of ICU mortality than the Glasgow Coma Scale in critically ill patients, most likely a result of incorporating brainstem reflexes and respiration into the Full Outline of UnResponsiveness score.
Limson, Mel; Matyas, Marsha Lakes
Topics such as sports, exercise, health, and nutrition can make the science of physiology relevant and engaging for students. In addition, many lessons on these topics, such as those on the cardiovascular, respiratory, and digestive systems, align with national and state life science education standards. Physiology Understanding Week (PhUn…
Marc Armour, is a fourth-year vet student at the Royal Veterinary College. Now on rotations, he chose to spend a week doing EMS with the BVA's journals, which are published by BMJ. Here's how he got on. British Veterinary Association.
Full Text Available Objective: This cross-sectional study describes the characteristics of patients with an abnormal Glasgow Coma Scale (GCS in the prehospital setting.Methods: We reviewed existing prehospital care reports (PCRs in the San Mateo County, California, emergency medical services (EMS database from January 1 to December 31, 2007. Adults age 18 or greater with a documented GCS fit inclusion criteria. We excluded single and multisystem trauma patients, as well as patients in cardiac arrest, respiratory arrest, or listed as deceased from the study. We classified the remaining patients as a normal GCS of 15 or abnormal (defined as less than 15 at any time during paramedic contact, and then further sub-classified into mild (GCS 13-14, moderate (GCS 9-12 or severe (GCS 3-8.Results: Of the 12,235 unique prehospital care record in the database, 9,044 (73.9% met inclusion criteria, comprised of 2,404 (26.6% abnormal GCS patients and 6,640 (73.4% normal GCS patients. In the abnormal GCS category, we classified 1,361 (56.6% patients as mild, 628 (26.1% as moderate, and 415 (17.3% as severe. Where sex was recorded, we identified 1,214 (50.5% abnormal GCS patients and 2,904 (43.7% normal GCS patients as male. Mean age was 65.6 years in the abnormal GCS group and 61.4 in the normal GCS group (p<0.0001. Abnormal GCS patients were more likely to have a history of conditions known to be associated, such as alcohol abuse (odds ratio [OR] 2.3, 95% confidence interval [CI]=2.75-3.00, diabetes (OR 1.34, 95% CI=1.17-1.54, substance abuse (OR 1.6, CI=1.09-2.3, stroke/transient ischemic attack (OR 2.0, CI=1.64-2.5, and seizures (OR 3.0, CI=1.64-2.5. Paramedics established intravenous (IV access on 1,821 (75.7%, OR 1.94, CI=1.74-2.2 abnormal GCS patients and administered medications to 777 (32.3%, OR 1.01, CI=0.92-1.12. Compared to patients with normal GCS, patients with a mildly abnormal GCS were less likely to receive medications (OR 0.61, CI=0.53-0.70 while those with a
Ashraf M. Salama
Full Text Available Recently there has been a growing trend to encourage learning outside the classrooms, so-called ‘universities without walls.’ To this end, mechanisms for learning beyond the boundaries of classroom settings can provide enhanced and challenging learning opportunities. This paper introduces Appreciative Inquiry (AI as a mechanism that integrates various forms of inquiry into learning. AI is operationalized as a Walking Tour assessment project which was introduced as part of the class Cultural and Behavioural Factors in Architecture and Urbanism delivered at the Department of Architecture, University of Strathclyde – Glasgow where thirty-two Master of Architecture students were enrolled. The Walking Tour assessment involved the exploration of 6 factors that delineate key design characteristics in three retrofitted buildings in Glasgow: Theatre Royal, Reid Building, and The Lighthouse. Working in groups, students assessed factors that included context, massing, interface, wayfinding, socio-spatial, and comfort. Findings reveal that students were able to focus on critical issues that go beyond those adopted in traditional teaching practices while accentuating the value of introducing AI and utilizing the built environment as an educational medium. Conclusions are drawn to emphasize the need for structured learning experiences that enable making judgments about building qualities while effectively interrogating various characteristics.
McInnes, Rhona J; Wright, Charlotte; Haq, Shogufta; McGranachan, Margaret
To evaluate compliance with the World Health Organization's International Code of Marketing of Breast-milk Substitutes in primary care, after the introduction of strict local infant feeding guidelines. An audit form was sent to all community-based health professionals with an infant feeding remit. Walking tours were conducted in a random sample of community care facilities. Greater Glasgow Primary Care Division. (1) Primary-care staff with an infant feeding remit; (2) community health-care facilities. Contact with manufacturers of breast-milk substitutes (BMS) and BMS company personnel, free samples or incentives, and advertising of BMS. Contact with company personnel was minimal, usually unsolicited and was mainly to provide product information. Free samples of BMS or feeding equipment were rare but childcare or parenting literature was more prevalent. Staff voiced concerns about the lack of relevant information for bottle-feeding mothers and the need to support the mother's feeding choice. One-third of facilities were still displaying materials non-compliant with the Code, with the most common materials being weight conversion charts and posters. Contact between personnel from primary care and BMS companies was minimal and generally unsolicited. The presence of materials from BMS companies in health-care premises was more common. Due to the high level of bottle-feeding in Glasgow, primary-care staff stated a need for information about BMS.
Rosmari A.R.A. Oliveira
Full Text Available OBJECTIVE: Evaluate the Glasgow outcome scale (GOS at discharge (GOS-HD as a prognostic indicator in patients with traumatic brain injury (TBI. METHOD: Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored: GOS-HD (according to information from family members and GOS LATE (12 months after TBI. RESULTS: At discharge, the ERG showed: vegetative state (VS in 2 (4%, severe disability (SD in 27 (60%, moderate disability (MD in 15 (33% and good recovery (GR in 1 (2%. After 12 months: death in 5 (11%, VS in 1 (2%, SD in 7 (16%, MD in 9 (20% and GR in 23 (51%. Variables associated with poor outcome were: worse GOS-HD (p=0.03, neurosurgical procedures (p=0.008 and the kind of brain injury (p=0.009. CONCLUSION: The GOS-HD was indicator of prognosis in patients with severe TBI.
Full Text Available Public bicycle and car sharing schemes have proliferated in recent years and are increasingly part of the urban transport landscape. Shared transport options have the potential to support social inclusion by improving accessibility: these initiatives could remove some of the barriers to car ownership or bicycle usage such as upfront costs, maintenance and storage. However, the existing evidence base indicates that, in reality, users are most likely to be white, male and middle class. This paper argues that there is a need to consider the social inclusivity of sharing schemes and to develop appropriate evaluation frameworks accordingly. We therefore open by considering ways in which shared transport schemes might be inclusive or not, using a framework developed from accessibility planning. In the second part of the paper, we use the case study of Glasgow in Scotland to undertake a spatial equity analysis of such schemes. We examine how well they serve different population groups across the city, using the locations of bicycle stations and car club parking spaces in Glasgow, comparing and contrasting bike and car. An apparent failure to deliver benefits across the demographic spectrum raises important questions about the socially inclusive nature of public investment in similar schemes.
Following an increase in the number of accidents in 2008, the Safety Commission is organising a CERN safety week from 8 to 12 June for riders of bicycles, scooters and motorbikes. We invite you to take part in the programme, which will be held in the Main Building (Bldg. 500) and will consist of an exhibition, organised events and hands-on activities, including demonstrations of emergency braking, a driving simulator, simulation of what it feels like to drive under the influence of alcohol, demonstrations by the Fire Brigade, video projections, etc. There will also be a number of prizes to be won. Please sign up via your DSO.
Rossiter, Jonathan; Iida, Fumiya; Cianchetti, Matteo; Margheri, Laura
This book offers a comprehensive, timely snapshot of current research, technologies and applications of soft robotics. The different chapters, written by international experts across multiple fields of soft robotics, cover innovative systems and technologies for soft robot legged locomotion, soft robot manipulation, underwater soft robotics, biomimetic soft robotic platforms, plant-inspired soft robots, flying soft robots, soft robotics in surgery, as well as methods for their modeling and control. Based on the results of the second edition of the Soft Robotics Week, held on April 25 – 30, 2016, in Livorno, Italy, the book reports on the major research lines and novel technologies presented and discussed during the event.
Larsen, Lars Bjørn; Vesterager, Johan
sharing many of the characteristics of a virtual enterprise. This extended enterprise will have the following characteristics: The extended enterprise is focused on satisfying the current customer requirement so that it has a limited life expectancy, but should be capable of being recreated to deal....... One or more units from beyond the network may complement the extended enterprise. The common reference model for this extended enterprise will utilise GERAM (Generalised Enterprise Reference Architecture and Methodology) to provide an architectural framework for the modelling carried out within......This report provides an overview of the existing models of global manufacturing, describes the required modelling views and associated methods and identifies tools, which can provide support for this modelling activity.The model adopted for global manufacturing is that of an extended enterprise...
Wilson, R G
As Britain's industrial economy matured and the volume of administrative work increased, different kinds of clerical jobs and clerical careers became possible. Using examples from a variety of small- to medium-sized enterprises in Glasgow, this article will describe how the main functions of administrative work - financial, secretarial and managerial - were divided both horizontally and vertically in order to preserve secure, well-paid, "breadwinning" jobs for men, leaving routine secretarial work for women. The isolation of women in all-women enclaves carrying out shorthand and typing work and the subsequent devaluation of these as kinds of work were of primary importance in the creation of office work that was explicitly women's work.
Frame, Joanne; Watson, Janice; Thomson, Katie
This article reports on the project management and Culture Change Programme adopted by the NHS Greater Glasgow Health Board to deliver an electronic patient record (EPR) to support cardiology and stroke clinical services. To achieve its vision for the EPR (;to "really make a difference" to patient care by providing to the right person, the right information, under the right safeguards') the Board recognized that attending to social and organizational issues is at least of equal importance to addressing strictly technical concerns. Consequently, an ICT Culture Change Programme (ICT CCP) was devised and implemented to assist in the management of change, and in particular to facilitate a visionary clinical and cultural environment operating in conjunction with the evolving technical environment. In this article we describe the key components of this approach, outline the benefits we believe have accrued, and describe the steps being taken to build upon lessons learned.
Cairns, A M; Bissell, V; Bovill, C
To introduce and examine a pilot peer observation of teaching (POT) scheme within the Department of Paediatric Dentistry at Glasgow Dental School and its associated outreach centres. All tutors teaching paediatric dentistry were invited to be involved in evaluation of the POT scheme. Participants were randomly paired with a peer, who then observed their teaching and provided constructive feedback. For those consenting to be involved in the evaluation of the scheme, semi-structured, one-to-one interviews were carried out by the principal investigator. POT was found by all participants to be a beneficial process, reassuring those of their teaching styles and giving them ideas to adapt their teaching. POT is an effective method for engaging chair-side tutors in the reflection and development of their teaching practice via observations and scholarly discussion.
This has been a memorable week for CERN, starting with the award of a Special Fundamental Physics Prize and ending with the handover of the CERN Council Presidency from Michel Spiro to Agnieszka Zalewska. In between, the LHC team demonstrated its expertise with a successful pilot run with 25 nanosecond bunch spacing, a new application for Associate Membership was received, and we had good news on the budget. The award of the Fundamental Physics Prize, and the manner in which it was divided between ATLAS, CMS and the LHC, is fitting recognition of the efforts of the thousands of people who have contributed over many years to the success of our flagship scientific endeavour. In making the award, the Milner Foundation aims to raise the profile of fundamental physics and its value to society. The Fundamental Physics Prize comes hot on the heels of the European Physical Society’s first Edison Volta Prize, which Sergio Bertolucci, Steve Myers and I were honoured to accept on behalf of t...
Full Text Available History of present illness: A 35-year-old female presented to the ED with a Glasgow Coma Scale (GCS of 11. Per her boyfriend, the patient was having headaches for the past 3 weeks. She was initially taken to an outside hospital where her GCS was reported as 13. A non-contrast head computed tomography (CT revealed a large lobar intraparenchymal hemorrhage within the left frontal parietal lobe with midline shift. Upon examination, vitals were notable for blood pressure of 209/88mmHg, and her left pupil was fixed and dilated. The patient had extension of her right arm to noxious stimuli, paralysis of her right leg, and purposeful movement of the left arm and left leg. The patient was started on a nicardipine drip in the ED and subsequently taken to the operating room for a decompressive craniectomy. Significant findings: The patient’s head CT showed a significant area of hyperdensity consistent with an intracranial hemorrhage located within the left frontal parietal lobe (red arrow. Additionally, there is rightward midline shift up to 1.1cm (green arrow and entrapment of the right lateral ventricle (blue arrow. Discussion: Intraparenchymal hemorrhage (IPH is associated with high morbidity and mortality. Although the mortality for subarachnoid hemorrhage (SAH has declined steadily over the past several decades, the mortality for IPH mortality has not significantly.1 One of the most serious considerations when treating a patient with IPH is the management of intracranial pressure (ICP.2 Once an IPH is identified, immediate steps should be taken to bring ICP within acceptable levels including elevating the head of the bed to 30 degrees, sedation, and controlling hypertension with medications.2-3 Even with early and aggressive care, the prognosis for IPH remains poor; the 30-day mortality rate for IPH is estimated to be less than 50%, and a 2010 systematic review estimated only 12-39% of IPH patients achieve independent function.4-5 Predictors of
Galveston Orientation and Amnesia Test: applicability and relation with the Glasgow Coma Scale Galveston Orientation and Amnesia Test: aplicabilidad y relación con la Escala de Coma de Glasgow Galveston Orientation and Amnesia Test: aplicabilidade e relação com a Escala de Coma de Glasgow
Silvia Cristina Fürbringer e Silva
Full Text Available Restrictions in the application of the Galveston Orientation and Amnesia Test and questionings about the relationship between conscience and post-traumatic amnesia motivated this study, which aims to identify, through the Glasgow Coma Scale scores, when to initiate the application of this amnesia test, as well to verify the relationship between the results of these two indicators. The longitudinal prospective study was carried at a referral center for trauma care in São Paulo - Brazil. The sample consisted of 73 victims of blunt traumatic brain injury, admitted at this institution between January 03rd and May 03rd 2001. Regarding the applicability, the test could be applied in patients with a Glasgow Coma Scale score > 12; however, the end of post traumatic amnesia was verified in patients who scored > 14 on the scale. A significant relationship (r s = 0.65 was verified between these measures, although different kinds of relationship between the end of the amnesia and changes in consciousness were observed.Restricciones en la aplicación del Galveston Orientation and Amnesia Test y los cuestionamientos sobre la relación entre conciencia y amnesia post-traumática motivaron este estudio que visa identificar, a través de la puntuación de la Escala de Coma de Glasgow, el periodo más adecuado para la aplicación de la prueba de amnesia, y observar la relación entre los resultados de esos dos indicadores. El estudio prospectivo y longitudinal fue realizado en un centro de referencia para traumas en São Paulo - Brasil. El número fue de 73 victimas de trauma craneoencefálico contuso, internadas en esta institución en el periodo de 03/01 a 03/05/2001. Con relación a la aplicabilidad, la prueba puede ser aplicada en los pacientes con la Escala de Coma de Glasgow > 12, pero el término de la amnesia post-traumática fue observado en los pacientes con puntuación > 14 en la escala. Correlación significativa (rs = 0,65 fue observada entre esas
José Roberto Tude Melo
Full Text Available OBJECTIVE: To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS 15 and GCS 13/14. METHOD: Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008. RESULTS: 1888 patients were included. The mean age was 7.6±5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (pOBJETIVO: Identificar as principais diferenças entre os pacientes com Escala de Coma de Glasgow (GCS 15 e aqueles com escore 13/14. MÉTODO: Estudo realizado por meio da revisão de prontuários médicos de crianças vítimas de traumatismo craniencefálico leve, admitidas em Centro de Urgências Pediátricas nível I, durante um ano. RESULTADOS: Incluídas 1888 vítimas; idade média de 7,6±5,4 anos; 93,7% apresentaram pontuação 15 na GCS. Naqueles com pontuação 13/14, 46,2% (p<0,001 sofreram traumas múltiplos e 52,1% (p<0,001 apresentaram alterações na tomografia de crânio. Tratamento neurocirúrgico foi necessário em 6,7% dos pacientes com GCS 13/14 e 9,2% (p=0,001 apresentaram seqüelas neurológicas no momento da alta hospitalar. CONCLUSÃO: Crianças com escore 13/14 apresentam maior prevalência de traumas múltiplos, alterações na tomografia de crânio, necessidade de tratamento neurocirúrgico e internação em Unidade de Terapia Intensiva. Devemos ser cautelosos ao classificar crianças com pontuação 13/14 na GCS como vítimas de traumatismo craniano leve.
Pedersen, Christian Bonde; Sundbye, Filippa; Poulsen, Frantz Rom
Background The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods This retrospective study examined 202 patients who during a 2-year period...... from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information on patient age, sex, alcohol consumption, anticoagulant/antiplatelet treatment, history of head trauma, Glasgow coma scale (GCS), neurological symptoms, laterality of CSDH, and surgical technique...... was retrieved from patient charts. Results Overall, 27 out of 202 patients had a recurrence of CSDH and re-evacuation of the hematoma was performed. In all patients recurrence of neurological symptoms preceded the planned postoperative control brain CT 4 to 6 weeks after primary surgery. Conclusion Routinely...
Full Text Available Chun-Xiao Zhang,* Shu-Yi Wang,* Shuang-Qian Chen, Shuai-Long Yang, Lu Wan, Bin Xiong Department of Oncology, Zhongnan Hospital of Wuhan University, Hubei Key Laboratory of Tumor Biological Behaviors and Hubei Cancer Clinical Study Center, Wuhan, Hubei, People’s Republic of China *These authors contributed equally to this work Background: Glasgow prognostic score (GPS is widely known as a systemic inflammatory-based marker. The relationship between pretreatment GPS and gastric cancer (GC survival and clinicopathological features remains controversial. The aim of the study was to conduct a meta-analysis of published studies to evaluate the association between pretreatment GPS and survival and clinicopathological features in GC patients. Methods: We searched PubMed, Embase, MEDLINE, and BioMed databases for relevant studies. Combined analyses were used to assess the association between pretreatment GPS and overall survival, disease-free survival, and clinicopathological parameters by Stata Version 12.0. Results: A total of 14 studies were included in this meta-analysis, including 5,579 GC patients. The results indicated that pretreatment high GPS (HGPS predicted poor overall survival (hazard ratio =1.51, 95% CI: 1.37–1.66, P<0.01 and disease-free survival (hazard ratio =1.45, 95% CI: 1.26–1.68, P<0.01 in GC patients. Pretreatment HGPS was also significantly associated with advanced tumor–node–metastasis stage (odds ratio [OR] =3.09, 95% CI: 2.11–4.53, P<0.01, lymph node metastasis (OR =4.60, 95% CI: 3.23–6.56, P<0.01, lymphatic invasion (OR =3.04, 95% CI: 2.00–4.62, P<0.01, and venous invasion (OR =3.56, 95% CI: 1.81–6.99, P<0.01. Conclusion: Our meta-analysis indicated that pretreatment HGPS could be a predicative factor of poor survival outcome and clinicopathological features for GC patients. Keywords: Glasgow prognostic score, gastric cancer, survival, clinicopathological feature
Guida, A.; Dimitrijevic, B.; Pagliuca, A.
The research objective is to provide new qualitative information on the strength of reinforced concrete structures of two prominent examples of modern architecture by using innovative, non-invasive testing techniques. The first one is Lion Chambers in Glasgow (Scotland, United Kingdom) designed by the architects Salmon, Son and Gillespie and completed in 1907. It was the second example of the use of François Hennebique's reinforced concrete system in a building in Glasgow and one of the earliest in Britain. The second example is Duni Theatre in Matera (Southern Italy), designed by the architect Ettore Stella and completed in 1949. The tests on the internal reinforced concrete columns were undertaken by using "SonReb" (SONic + REBound) method that enables assessing the concrete resistance by combining the speed of ultrasound waves and the index of surface bounce through a scleorometric test. In fact, the sclerometer index only gives information regarding the surface layer of the building's structure. In fact, due to the effects of the natural ageing, catalysed by the presence of humidity, surface layers of concrete are affected over time by carbonatation, which increases surface rigidity, providing as a result a greatly "altered" rebound index (much greater than one would have under normal conditions). On the other hand, the ultrasound speed, on the contrary to resistance, is inversely proportional to the age of the concrete (this seems to be due to the cracks that occur and reduce the speed). The hardening process continues over time with a consequent increase in resistance, which diminishes with the passage of time. The paper provides the results of the tests run on the structure of the Lion Chambers and the Duni Theatre. The tests carried out are the basis of a diagnostic project that is possible to implement and monitor to guarantee a deeper knowledge, with the goal of attaining a level of thorough understanding aimed at the preservation of "Modern Architecture
Full Text Available Background: There are many mobile applications being developed to promote healthy lifestyles. Some use gamification as well as psychological behaviour change techniques (BCTs to increase engagement and potential impact on health behaviours. Despite growing research in this area, there is little evidence of game-based apps being rigorously evaluated ‘in the wild’ to explore the mechanisms through which they can achieve widespread user-engagement and health behaviour change. MyCity: Glasgow is a mobile app-based game that aims to use BCTs (self-monitoring of physical activity with daily goal setting and feedback, gamification principles (self-expression, achievement (e.g., quizzes, status and competition and GPS-based features (e.g., challenge trails to encourage users to physically visit locations around Glasgow to increase physical activity (PA and engagement with Glasgow during the period of the 2014 Commonwealth Games. Aim: To use an ‘in the wild’ evaluation to explore the potential and mechanisms of action of a mobile app-based game to increase users’ PA and engagement with their local area. Methods: MyCity: Glasgow was released on Google Play and Apple App Stores in early summer 2014, and real-time usage data logged for 3 months. A mixed-methods approach used quantitative android phone-logged data, an online user experience survey (N=56 and qualitative user interviews (n=11 to investigate uptake, use of behaviour change and gamification features, and impact on physical activity. Results: The app was downloaded 1096 times (android N=673; iOS N=423. Most users were aged 12-25 years (43.1% or 26-40 years (32.6%, with uptake declining with age; over half (51.5% described themselves as physically inactive at baseline. Almost a quarter (24.3% of daily activity goals were achieved; 3,907 quiz questions were attempted, over 72% of which were answered correctly. Survey respondents and interview participants endorsed the self-monitoring and
Estratégias de ensino-aprendizagem na enfermagem: análise pela Escala de Coma de Glasgow Estrategias de enseñanza y aprendizaje en enfermería: análisis por la Escala de coma de Glasgow Teaching-learning strategies in nursing: analysis using the Glasgow Coma Scale
Ana Beatriz Pinto da Silva Morita
Full Text Available Usando como tema a Escala de Coma de Glasgow (ECGl, este estudo objetivou analisar e verificar a retenção do conhecimento frente às estratégias de ensino-aprendizagem e autoaprendizado oferecidas, e verificar o grau de conhecimento adquirido neste processo e a possível associação entre ser ou não aluno que trabalha na enfermagem. Estudo descritivo de abordagem quantitativa. Participaram 62 alunos regularmente matriculados no primeiro semestre do 4º ano de enfermagem. As estratégias de ensino-aprendizagem utilizadas foram: aula expositiva com diapositivos e videoteipe e texto-base. Dos participantes, 41,9% eram trabalhadores na enfermagem; 61,3% informaram ter cuidado de pacientes com alteração do nível de consciência, com predomínio no grupo em que trabalha. Houve incremento estatisticamente significante no percentual de acerto após a aula expositiva e o videoteipe, não havendo alteração no resultado após o autoaprendizado. Não houve diferença no grau de conhecimento adquirido entre os grupos.Usando como tema la Escala de Coma de Glasgow (ECGl, este estudio objetivó analizar y verificar la retención del conocimiento frente a las estrategias de enseñanza aprendizaje y auto aprendizaje ofrecidas; y, verificar el grado de conocimiento adquirido en ese proceso y la posible asociación entre ser o no alumno que trabaja en enfermería. Estudio descriptivo de abordaje cuantitativo. Participaron 62 alumnos regularmente matriculados en el primer semestre del 4ºaño de enfermería. Las estrategias de enseñanza aprendizaje utilizadas fueron: clase expositiva con diapositivas y videotape y texto base. De los participantes, 41,9% eran trabajadores de enfermería; 61,3% informaron haber cuidado de pacientes con alteración del nivel de conciencia, con predominio en el grupo que trabaja. Hubo un incremento estadísticamente significativo en el porcentaje de aciertos después de la clase expositiva e videotape, no hubo alteración en
Escala de coma de Glasgow e qualidade de vida pós-trauma cranioencefálico Escala de coma de Glasgow y calidad de vida post-trauma craneoencefálico Glasgow Coma Scale and quality of life after traumatic brain injury
Cristina Helena Costanti Settervall
Full Text Available OBJETIVO: Avaliar o desempenho de diferentes escores da Escala de Coma de Glasgow (ECGl observados nas primeiras 72 horas pós trauma perante a qualidade de vida e mudança percebida do estado de saúde, após um ano do evento traumático. MÉTODOS: Estudo de abordagem quantitativa, observacional, longitudinal, descritivo e correlacional com vítimas de trauma cranioencefálico contuso (TCEC avaliadas, diariamente durante a internação hospitalar, e após um ano por meio do Medical Outcome Study 36-item Short Form Health Survey (SF-36. RESULTADOS: sob as curvas Reciever Operator Characteristics dos valores da ECGl referentes à mudança percebida do estado de saúde não apresentaram diferença significativa e variaram de 0,63 a 0,71. Correlação, estatisticamente significante, porém fraca, foi observada entre os escores da ECGl e alguns dos domínios do SF-36. CONCLUSÃO: Verificou-se que os diferentes valores da ECGl apresentaram limitações para que fossem aplicados na prática clínica para estimar as consequências do TCEC a longo prazo.OBJETIVO: Evaluar el desempeño de diferentes escores de la Escala de Coma de Glasgow (ECGl observados en las primeras 72 horas post trauma frente a la calidad de vida y cambio percibido en el estado de salud, después de un año del evento traumático. MÉTODOS: Estudio de abordaje cuantitativo, observacional, longitudinal, descriptivo y correlacional realizado con víctimas de trauma craneoencefálico contuso (TCEC evaluadas, diariamente durante el internamiento hospitalario, y después de un año por medio del Medical Outcome Study 36-item Short Form Health Survey (SF-36. RESULTADOS: bajo las curvas Reciever Operator Characteristics de los valores de la ECGl referentes al cambio percibido en el estado de salud no presentaron diferencia significativa y variaron de 0,63 a 0,71. Correlación, estadísticamente significativa, no obstante débil, fue observada entre los escores de la ECGl y algunos de los
In-hospital mortality and the Glasgow Coma Scale in the first 72 hours after traumatic brain injury Escala de Coma de Glasgow en las primeras 72 horas postrauma encefalocraneano y mortalidad hospitalaria Escala de Coma de Glasgow nas primeiras 72 horas após trauma cranioencefálico e mortalidade hospitalar
Cristina Helena Costanti Settervall
Full Text Available This study verifies and compares the performance of three different scores obtained in the Glasgow Coma Scale (GCS in the first 72 hours post trauma in predicting in-hospital mortality. The studied scores included those obtained after initial care was provided at the hospital, and the worst and best scores obtained in the scale in the first 72 hours post trauma. The scale’s predictive ability was assessed by the Receiver Operator Characteristic (ROC curve. A total of 277 victims with different severity levels of blunt traumatic brain injuries were studied. The performance of the three scores that were analyzed to predict hospital mortality was moderate (0.74 to 0.79 and the areas under the curve did not present statistically significant differences. These findings suggest that any of the three studied scores can be applied in clinical practice to estimate the outcome of victims with blunt traumatic brain injuries, taking into consideration the instrument’s moderate discriminatory power.El estudio tiene como objetivos verificar y comparar el desempeño de puntajes de la Escala de Coma de Glasgow (ECGl observados en las primeras 72 horas postrauma para predecir la mortalidad hospitalaria. Los valores analizados fueron los puntajes obtenidos después de la atención inicial intra-hospitalaria, además de los peores y mejores resultados de la escala en las primeras 72 horas postrauma. La capacidad de predicción de los puntajes de la ECGl para el Estado Vital a la Salida Hospitalaria fue evaluada, utilizando la curva Reciever Operator Characteristic. Fueron estudiadas 277 víctimas, con trauma encefalocraneano contuso de diferentes gravedades. El desempeño de los puntajes de la ECGl para el estado vital a la salida hospitalaria fue moderado (0,74 a 0,79 y las áreas bajo la curva no presentaron diferencia significativa. Los resultados sugieren que cualquiera de los tres valores de la ECGl analizados pueden ser aplicados en la práctica cl
Evans, Christopher Charles Douglas; Brison, Robert J; Howes, Daniel; Stiell, Ian G; Pickett, William
Prehospital airway management for adult trauma patients remains controversial. We sought to review the frequency that paramedic non-drug assisted intubation or attempted intubation is performed for trauma patients in Ontario, Canada, and determine its association with mortality. We conducted a retrospective cohort study using the Ontario Trauma Registry's Comprehensive Data Set for 2002-2009. Eligible patients were greater than 16 years of age, had an initial Glasgow Coma Score of less than 9 and were cared for by ground-based non-critical care paramedics. The primary outcome was mortality. Outcomes were compared between patients undergoing prehospital intubation versus basic airway management. Logistic regression analyses were used to quantify the association between prehospital intubation and mortality. Of the 2229 patients included in the analysis, 671 (30.1%) underwent prehospital intubation. Annual rates of prehospital intubation declined from 33.7% to 14.0% (ptrendtrauma is being performed less frequently in Ontario, Canada. Within our study population, paramedic non-drug assisted intubation or attempted intubation was associated with a heightened risk of mortality.
Sánchez-Sánchez, M M; Sánchez-Izquierdo, R; Sánchez-Muñoz, E I; Martínez-Yegles, I; Fraile-Gamo, M P; Arias-Rivera, S
The Glasgow coma scale (GCS) is a common tool used for neurological assessment of critically ill patients. Despite its widespread use, the GCS has some limitations, as sometimes different observers may value differently the same response. To evaluate the interobserver agreement, among intensive care nurses with a minimum of 3 years experience, both in the overall estimate of GCS and for each of its components. Prospective observational study including 110 neurological and/or neurosurgical patients conducted in a critical care unit of 18 beds, from October 2010 until December 2012. Registered variables: Demographic characteristics, reason for admission, overall GCS and its components. The neurological evaluation was conducted by a minimum of 3 nurses. One of them applied an algorithm and consensual assessment technique and all, independently, valued response to stimuli. Interobserver agreement was measured using the intraclass correlation coefficient (ICC) for a confidence interval (CI) of 95%. The study was approved by the Ethics Committee for Clinical Trails. The intraclass correlation coefficient (confident interval) for scale was: Overall GCS: 0.989 (0.985-0.992); ocular response: 0.981 (0.974-0.986); verbal response: 0.971 (0.960-0.979); motor response: 0.987 (0.982-0.991). In our cohort of patients we observed a high level of consistency in the application of both the GCS as in each of its components. Copyright © 2013 Elsevier España, S.L. y SEEIUC. All rights reserved.
Dharmajaya, R.; Sari, D. K.; Ganie, R. A.
Primary and secondary brain injury may occur with severe traumatic brain injury. Secondary traumatic brain injury results in a more severe effect compared to primary traumatic brain injury. Therefore, prevention of secondary traumatic brain injury is necessary to obtain maximum therapeutic results and accurate determination of prognosis and better quality of life. This study aimed to determine accurate and noninvasive prognostic factors in patients with severe traumatic brain injury. It was a cohort study on 16 subjects. Intracranial pressure was monitored within the first 24 hours after traumatic brain injury. Examination of Brain-Derived Neurotrophic Factor (BDNF) and S100B protein were conducted four times. The severity of outcome was evaluated using Glasgow Outcome Scale (GOS) three months after traumatic brain injury. Intracranial pressure measurement performed 24 hours after traumatic brain injury, low S100B protein (6.16pg/ml) 48 hours after injury indicate good prognosis and were shown to be significant predictors (pquality of GOS. The conclusion is patient with a moderate increase in intracranial pressure Intracranial pressure S100B protein, being inexpensive and non-invasive, can substitute BDNF and intracranial pressure measurements as a tool for determining prognosis 120 hours following traumatic brain injury.
Baratloo, Alireza; Shokravi, Masumeh; Safari, Saeed; Aziz, Awat Kamal
The Full Outline of Unresponsiveness (FOUR) score was developed to compensate for the limitations of Glasgow coma score (GCS) in recent years. This study aimed to assess the predictive value of GCS and FOUR score on the outcome of multiple trauma patients admitted to the emergency department. The present prospective cross-sectional study was conducted on multiple trauma patients admitted to the emergency department. GCS and FOUR scores were evaluated at the time of admission and at the sixth and twelfth hours after admission. Then the receiver operating characteristic (ROC) curve, sensitivity, specificity, as well as positive and negative predictive value of GCS and FOUR score were evaluated to predict patients' outcome. Patients' outcome was divided into discharge with and without a medical injury (motor deficit, coma or death). Finally, 89 patients were studied. Sensitivity and specificity of GCS in predicting adverse outcome (motor deficit, coma or death) were 84.2% and 88.6% at the time of admission, 89.5% and 95.4% at the sixth hour and 89.5% and 91.5% at the twelfth hour, respectively. These values for the FOUR score were 86.9% and 88.4% at the time of admission, 89.5% and 100% at the sixth hour and 89.5% and 94.4% at the twelfth hour, respectively. Findings of this study indicate that the predictive value of FOUR score and GCS on the outcome of multiple trauma patients admitted to the emergency department is similar.
Drach, Patricia; Krüger, Eduardo L; Emmanuel, Rohinton
This study investigates the joint effect of atmospheric conditions and urban morphology, expressed as the Sky View Factor (SVF), on intra-urban variability. The study has been carried out in Glasgow, UK, a shrinking city with a maritime temperate climate type, and findings could guide future climate adaptation plans in terms of morphology and services provided by the municipality to overcome thermal discomfort in outdoor settings. In this case, SVF has been used as an indicator of urban morphology. The modified Pasquill-Gifford-Turner (PGT) classification system was adopted for classifying the temperature monitoring periods according to atmospheric stability conditions. Thirty two locations were selected on the basis of SVF with a wide variety of urban shapes (narrow streets, neighbourhood green spaces, urban parks, street canyons and public squares) and compared to a reference weather station during a total of twenty three transects during late spring and summer in 2013. Maximum daytime intra-urban temperature differences were found to be strongly correlated with atmospheric stability classes. Furthermore, differences in air temperature are noticeable in urban canyons, with a direct correlation to the site's SVF (or sky openness) and with an inverse trend under open-air conditions. Copyright © 2018 Elsevier B.V. All rights reserved.
Freilich, Drew A; Penna, Frank J; Nelson, Caleb P; Retik, Alan B; Nguyen, Hiep T
Since its inception, robot assisted laparoscopic pyeloplasty has rapidly become the minimally invasive surgical intervention of choice for treating ureteropelvic junction obstruction at our institution. The large initial investment in robot assisted surgery is frequently justified by its association with improved optics and instrument articulation, decreased postoperative pain, shorter length of hospitalization and improved cosmesis. However, there are no data specifically showing patient satisfaction with robot assisted laparoscopic pyeloplasty compared to traditional open surgery. A previously validated satisfaction survey (Glasgow Children's Benefit Inventory) with 14 additional questions specifically addressing postoperative satisfaction was mailed to all parents (as patient proxy) of children who had undergone open or robot assisted laparoscopic pyeloplasty between January 2006 and December 2008. A total of 78 parents responded (response rate 70%). All responses achieving statistical significance favored robot assisted laparoscopic pyeloplasty. Parents of children who underwent robot assisted laparoscopic pyeloplasty reported significantly higher satisfaction with "overall life," confidence, self-esteem, burden of postoperative followup and size of incision scar. Parent satisfaction was greater with robot assisted laparoscopic pyeloplasty than with open surgery regarding amount of cosmesis and recovery. Interestingly the differences in satisfaction were not as large as anticipated, suggesting the impact of confounding factors such as age and preoperative parental expectations. Future large-scale prospective studies using validated surveys specific to pediatric surgery are needed to elucidate further the true benefits of minimally invasive surgical technology such as robot assistance. Copyright 2010 American Urological Association. Published by Elsevier Inc. All rights reserved.
Full Text Available We present the Glasgow Parallel Reduction Machine (GPRM, a novel, flexible framework for parallel task-composition based many-core programming. We allow the programmer to structure programs into task code, written as C++ classes, and communication code, written in a restricted subset of C++ with functional semantics and parallel evaluation. In this paper we discuss the GPRM, the virtual machine framework that enables the parallel task composition approach. We focus the discussion on GPIR, the functional language used as the intermediate representation of the bytecode running on the GPRM. Using examples in this language we show the flexibility and power of our task composition framework. We demonstrate the potential using an implementation of a merge sort algorithm on a 64-core Tilera processor, as well as on a conventional Intel quad-core processor and an AMD 48-core processor system. We also compare our framework with OpenMP tasks in a parallel pointer chasing algorithm running on the Tilera processor. Our results show that the GPRM programs outperform the corresponding OpenMP codes on all test platforms, and can greatly facilitate writing of parallel programs, in particular non-data parallel algorithms such as reductions.
Ho, Eu Chin; Monksfield, Peter; Egan, Elizabeth; Reid, Andrew; Proops, David
To investigate whether the fitting of bilateral Bone-anchored Hearing Aid (BAHA) would result in any additional improvement in patients' quality of life (QOL) over and above what we would experience from the fitting of a single-sided BAHA. Retrospective, anonymized, cross-sectional postal survey using the Glasgow Benefit Inventory (GBI). Tertiary referral center. All 93 adult patients who had been using bilateral BAHA for more than 6 months. Hearing rehabilitation using bilateral BAHA. These include the GBI benefit scores across the following domains: "overall benefit," "general health benefit," "physical health benefit," and "social benefit." Comparison of GBI scores against other otological interventions including single-sided BAHA. Response rate was 76%. Ninety-two percent of patients reported improvement in QOL. Positive QOL improvement scores were reported across all domains. Overall GBI benefit score was +ve 38. This is higher than the benefit scores reported by patients with single-sided BAHA, although this may not be statistically significant. After fitting the second BAHA, patients may report additional improvement in their QOL (of a smaller magnitude) over and above the initial improvement in their QOL after fitting of their first BAHA. In fact, the overall benefit score for bilateral BAHA seem to be close to that for cochlear implantation.
Anna Christina Rast
Full Text Available The Glasgow Prognostic Score (GPS is useful for predicting long-term mortality in cancer patients. Our aim was to validate the GPS in ED patients with different cancer-related urgency and investigate whether biomarkers would improve its accuracy. We followed consecutive medical patients presenting with a cancer-related medical urgency to a tertiary care hospital in Switzerland. Upon admission, we measured procalcitonin (PCT, white blood cell count, urea, 25-hydroxyvitamin D, corrected calcium, C-reactive protein, and albumin and calculated the GPS. Of 341 included patients (median age 68 years, 61% males, 81 (23.8% died within 30 days after admission. The GPS showed moderate prognostic accuracy (AUC 0.67 for mortality. Among the different biomarkers, PCT provided the highest prognostic accuracy (odds ratio 1.6 (95% confidence interval 1.3 to 1.9, P<0.001, AUC 0.69 and significantly improved the GPS to a combined AUC of 0.74 (P=0.007. Considering all investigated biomarkers, the AUC increased to 0.76 (P<0.001. The GPS performance was significantly improved by the addition of PCT and other biomarkers for risk stratification in ED cancer patients. The benefit of early risk stratification by the GPS in combination with biomarkers from different pathways should be investigated in further interventional trials.
The aim of this paper is to outline how and why a private-sector, purpose-built hospital designed to attract overseas medical tourists to Glasgow in the early 1990s, did develop into a centre of medical excellence – but one wholly owned and managed by the National Health Service Scotland (NHS Scotland), as a Special Health Board Hospital and not as a centre for medical tourism.
Mott, J.A.; Pereyaslov, D.; Jorgensen, P.; Brown, C.S.; Martirosyan, L.; Meerhoff, T.
This overview of influenza data from the WHO European Region from weeks 40/2010 through week 3/2011 has been submitted for consideration during the WHO Northern Hemisphere Vaccine Strain Selection Meeting, to be held on 14-17 February, 2011, in Geneva. The 2010/2011 influenza season arrived 8-10
Clinical overview is explored at four emergency departments (EDs) during the introduction of a new IT system to support hereof. Important aspects of clinical overview are described for the clinical practice and for the further development of the IT system....
Alexander, D.; Hauck, K.
Solar Week is a week-long set of games and activities allowing students to interact directly with solar science and solar scientists. Solar Week was developed as a spin-off of the highly successful Yohkoh Public Outreach Project (YPOP). While YPOP provided access to solar images, movies and activities, the main goal of Solar Week was to enhance the participation of women, who are under-represented in the physical sciences. Solar Week achieves this by providing young women, primarily in grades 6-8, with access to role models in the sciences. The scientists participating in Solar Week are women from a variety of backgrounds and with a variety of scientific expertise. In this paper, our aim is to provide some insight into developing activity-based space science for the web and to discuss the lessons-learned from tailoring to a specific group of participants.
Glavind, Julie; Kindberg, S F; Uldbjerg, N
To investigate whether elective caesarean section before 39 completed weeks of gestation increases the risk of adverse neonatal or maternal outcomes.......To investigate whether elective caesarean section before 39 completed weeks of gestation increases the risk of adverse neonatal or maternal outcomes....
Social Security Administration — Weekly reports of workloads processed in the Wilkes Barre Data Operation Center. Reports on quantities of work received, processed, pending and average processing...
Ignjatović Ristić, Dragana; Cohen, Dan; Obradović, Andrea; Nikić-Đuričić, Katarina; Drašković, Marija; Hinić, Darko
The inconsistency in clinician and patient ratings of clozapine-induced side effects underscore the need to supplement clinician-based estimates of side effects with patient-reported ones. The main aims of the study are validation of the Glasgow antipsychotic side-effects scale for clozapine (GASS-C) in Serbian inpatients/outpatients with schizophrenia or schizo-affective disorder and recommendations for its future use, based on common and rare clozapine-associated side-effects. The GASS-C was administered to 95 outpatients/inpatients diagnosed with schizophrenia, schizoaffective, or chronic psychotic disorder. The scale showed good overall reliability, with an internal consistency coefficient of α = 0.84, an average retest coefficient of rho = 0.76, and a Spearman-Brown coefficient of validity of 0.81. Side effects were absent or mild in 64.2% of the patients, moderate in 31.6%, severe in 4.2%; 14% of the subjects considered their symptoms distressing. The most commonly reported side-effects were drowsiness, thirst, frequent urination, and dry mouth. Women reported more side effects than men, and patients not in a relationship reported significantly fewer side effects than patients in a relationship. Results indicate a weak positive correlation (rho = 0.231; p = .025) between severity of side effects and clozapine dose. The GASS-C showed good psychometric characteristics in clinical population of patients on clozapine. In future studies, clozapine serum concentrations should be measured when using the GASS-C to monitor side effects.
Escala de Coma de Glasgow: subestimação em pacientes com respostas verbais impedidas Escala de Coma de Glasgow: subestimación en pacientes con respuestas verbales impedidas Glasgow Coma Scale: underestimation in patients with verbal responses impeded
Maria Sumie Koizumi
Full Text Available Questão freqüente no uso da Escala de Coma de Glasgow (ECGl, na fase aguda, em pacientes internados devido ao trauma crânio-encefálico (TCE é a subestimação decorrente de situações impeditivas como intubação endotraqueal/traqueostomia, sedação e edema palpebral. O objetivo deste estudo foi identificar e determinar a subestimação na pontuação total da ECGl quando se utiliza a pontuação 1 nas situações de impedimento para a sua avaliação. A amostra estudada foi de 76 pacientes internados com TCE no Hospital das Clínicas da FMUSP. Em 42 (55,3% pacientes, não havia impedimentos e foram realizadas 136 avaliações. Em 34 (44,7%, havia impedimentos caracterizados por intubação ou traqueostomia, podendo estar ou não associados com edema palpebral e sedação, e o total de avaliações foi de 310. A pontuação nesses pacientes total variou de 3 a 11, com os escores mais freqüentes de 3 e 6. Pelos valores estimados pela regressão linear, a partir das pontuações obtidas em AO e MRM foram obtidas as seguintes subestimações: média=1,03 ±1,36, mediana=0,54 (intubação ou traqueostomia; média=0,40 ±0,79, mediana=0,00 (intubação ou traqueostomia + sedação; média=0,57 ±0,96, mediana=0,27 (intubação ou traqueostomia + sedação + edema palpebral. Conclui-se que, no TCE grave, a pontuação total da ECGl fixando a MRV em 1, embora subestimada, encontra-se próxima da real.Cuestionamiento frecuente en el uso de la Escala de Coma de Glasgow (ECG, en la fase aguda, en pacientes internados debido al trauma craneoencefalico es la subestimación decorrient de situaciones impeditivas como intubación endotraqueal/traqueostomía, sedación y edema palpebral. El objetivo de ese estudio fue identificar y determinar la subestimación en la puntuación total de la ECG cuando es utilizada la puntuación 1 en las situaciones de impedimiento para su avaliación. La muestra estudiada fue de 76 pacientes internados por TEC en el
Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units Uso de la escala de braden y de glasgow para identificar el riesgo de úlceras de presión en pacientes internados en un centro de terapia intensiva Uso da escala de braden e de glasgow para identificação do risco para úlceras de pressão em pacientes internados em centro de terapia intensiva
Luciana Magnani Fernandes
Full Text Available Pressure ulcers remain a major health issue for critical patients. The purpose of this descriptive and exploratory study was to analyze the risk factors for the development of pressure ulcers in patients hospitalized at an intensive care unit of a university hospital. Patients were assessed through the Braden scale to determine the risk for the development of pressure ulcers and to identify individual risks, and the Glasgow scale was used to assess their consciousness. It was found that the risks associated with pressure ulcer development were: low scores on the Braden Scale on the first hospitalization day and low scores on the Glasgow scale. The results showed that these tools can help nurses to identify patients at risk, with a view to nursing care planning.Las ulceras de presión todavía representan un gran problema de salud en pacientes críticos. Este estudio, descriptivo y exploratorio, tuvo como objetivo evaluar los factores de riesgo para el desarrollo de la úlcera de presión presentes en pacientes internados en un centro de terapia intensiva de un hospital universitario. Los pacientes fueron evaluados utilizando la escala de Braden para determinar el riesgo de desarrollo de úlceras de presión e identificación de factores de riesgo individuales y con la escala de Glasgow para evaluar el nivel de conciencia. Se encontró que los factores de riesgo asociados al desarrollo de úlcera de presión fueron: las bajas puntuaciones de la Escala de Braden en el primer día de internación y las bajas puntuaciones de la escala de Glasgow. Los resultados confirmaron que estos instrumentos pueden ayudar al enfermero a identificar pacientes en riesgo y a planificar la asistencia.Úlceras de pressão ainda representam grande problema de saúde em pacientes críticos. Este estudo, descritivo e exploratório, objetivou avaliar os fatores de risco para o desenvolvimento de úlcera de pressão presentes em pacientes internados em um centro de
Jiang, Ai-Gui; Chen, Hong-Lin; Lu, Hui-Yu
Glasgow Prognostic Score (GPS) has been reported as a powerful prognostic tool for patients with advanced non–small cell lung cancer (NSCLC). The aim of this study was to assess the relationship between GPS and prognosis related tumor markers in patients with advanced NSCLC. We included 138 advanced NSCLC patients and twenty healthy controls in the study. GPS was calculated by combined serum C-reactive protein (CRP) and albumin. Three serum tumor markers, which included cytokeratin 19 fragment antigen 21-1 (CYFRA21–1), carcinoembryonic antigen (CEA) and tissue polypeptide specific antigen (TPS), were detected by enzyme-linked immunosorbent assay (ELISA). GPS and tumor markers were all assessed before chemotherapy. All patients received at least 2 courses of cisplatin-based chemotherapy. After that, 2 to 5 years follow-up was conducted. Median levels of CYFRA21–1 were 1.5 ng/ml (0.1–3.1 ng/ml) in healthy controls, and 4.6 ng/ml (0.7–35.2 ng/ml) in GPS 0 advanced NSCLC, 11.2 ng/ml (0.4–89.2) ng/ml in GPS 1 advanced NSCLC, and 15.7 ng/ml (2.9–134.6 ng/ml) in GPS 2 advanced NSCLC, respectively. Median levels of CYFRA21-1 were higher in NSCLC patients than in healthy controls, and CYFRA21-1 increased gradually according to GPS category in NSCLC patients (P < 0.05). Similar results were found for median levels of CEA and TPS in healthy controls and NSCLC patients (P < 0.05). In NSCLC patients, positive correlations were found between CYFRA21-1 and GPS, CEA and GPS, TPS and GPS. The Spearman’s rank correlation coefficient were 0.67 (P < 0.05), 0.61 (P < 0.05) and 0.55 (P < 0.05), respectively. Survival analyses showed GPS was an independent prognostic factor for advanced NSCLC. CYFRA21-1(>3.3 ng/ml) and TPS (>80 U/l) were related with the prognosis of advanced NSCLC by univariate analyses, but multivariate analyses showed CYFRA21-1, TPS and CEA were not the independent prognostic factors for advanced NSCLC. Our results showed GPS were positive correlated
Full Text Available Background and Purposes: Stroke is still one of a leading health-care problem in industrial country and in the developing country. Spontaneous Intra-cerebral Hemorrhage accounts for 30–60% of all stroke admissions into a hospital. Presence of intra-cerebral hemorrhage is considered a poor prognostic factor due to the resultant obstruction to the mass effect following the presence of blood resulting in raised intracranial pressure. While the craniotomy procedure failed to show more benefits over functional outcome, a less invasive and quicker surgical decompression might improve the outcome. Neuroendoscopy is one of promising optional on minimal invasive treatment for spontaneous intra-cerebral hemorrhage. Material and Methods: We evaluated Glasgow Outcome Score and clinical outcome of patients with Spontaneous Intra-cerebral Hemorrhage who underwent modified neuroendoscopic surgery and craniotomy. Randomized control trial was performed during 27 months in 43 patients. Twenty-five patients treated with neuroendoscopy surgery and 18 patients with craniotomy. The removal of intra-cerebral hemorrhage was done by a modified neuroendoscopic transparent sheath made of silastic material, derived from pieces of thoracic tube No. 21F as a conduit working channel. Results: We analyzed statistically, clinical outcome assessment and Glasgow Outcome Scale 6 months post operative follow-up period. The mortality rate was significantly higher by Pearson chi-square methods, in craniotomy group n=12 (63.2% compared with neuroendoscopy group, n=7 (36.8% (p<.005. Patients with Glasgow Outcome Scale score 3–5 was higher in neuroendoscopy group, n=18 (75% compared with craniotomy group n=6 (25%. The survival rate analyzed by Kaplan Meier methods, found that patients in the neuroendoscopy group were a significantly longer survival rate compare with the craniotomy group during 6 months post operative follow-up period. Conclusions: Treatment of spontaneous
Cristina Helena Costanti Settervall
As consequências do trauma cranioencefálico contuso incluem além da mortalidade, alterações físicas, cognitivas e comportamentais que alteram a qualidade de vida das vítimas pós-trauma. A Escala de Coma de Glasgow é reconhecida na literatura científica, como um indicador com potencial para estimar o prognóstico das vítimas de trauma cranioencefálico contuso e tem sido extensivamente estudada para prever resultados a curto e longo prazos. No entanto, por tratar-se de um índice fisiológico, su...
DiSessa, Andrea A.; And Others
Presented is an overview of "Boxer," a multipurpose computational user-friendly medium, the focus of this special issue presenting research involving its use. With its roots in LOGO, the design of Boxer is described and an overview of the articles in the issue is given. (MDH)
Augusto, P.; Sobrinho, J. L.
The outreach programme Semanas da Astronomia (Astronomy Weeks) is held in late spring or summer on the island of Madeira, Portugal. This programme has been attracting enough interest to be mentioned in the regional press/TV/radio every year and is now, without doubt, the astronomical highlight of the year on Madeira. We believe that this programme is a good case study for showing how to attract the general public to astronomy in a small (population 250 000, area 900 km2) and fairly isolated place such as Madeira. Our Astronomy Weeks have been different each year and have so far included exhibitions, courses, talks, a forum, documentaries, observing sessions (some with blackouts), music and an astro party. These efforts may contribute towards putting Madeira on the map with respect to observational astronomy, and have also contributed to the planned installation of two observatories in the island.
Fabiana Lenharo Morgado; Luiz Antônio Rossi
OBJETIVO: Determinar a correlação da escala de coma de Glasgow, fatores causais e de risco, idade, sexo e intubação orotraqueal com os achados tomográficos em pacientes com traumatismo cranioencefálico. MATERIAIS E MÉTODOS: Foi realizado estudo transversal prospectivo de 102 pacientes, atendidos nas primeiras 12 horas, os quais receberam pontuação segundo a escala de coma de Glasgow e foram submetidos a exame tomográfico. RESULTADOS: A idade média dos pacientes foi de 37,77 ± 18,69 anos, com ...
Johnston, C. Conrad; Slemenda, Charles
An overview of osteoporosis, its types, causes, diagnosis, and treatment is presented. Risk factors and bone mass measurement are also discussed. This article serves as an introduction to a symposium on osteoporosis containing five other articles in this issue. (MT)
Briefing charts from presentation on a EURO HAWK project overview; an airborne system with stand-off capability for wide-area intelligence, surveillance and reconnaissance meeting European NATO countries' ISR requirements...
... necessitated by crowns and bridges. Bonding involves the attachment of tooth-colored fillings to natural teeth with ... Drugs Mentioned In This Article Generic Name Select Brand Names tetracycline ACHROMYCIN V Tooth Disorders Overview of ...
This overview emphasizes the amount of electric power that could be provided by wind power rather than traditional fossil fuels. New wind power markets, advances in technology, technology transfer, and wind resources are some topics covered in this publication
Overview of the Vehicle Technologies Program including external assessment and market view; internal assessment, program history and progress; program justification and federal role; program vision, mission, approach, strategic goals, outputs, and outcomes; and performance goals.
A brief overview is given of weapon test site decontamination activities carried out by Nevada Operations Office. Tabulated data is given of event name, date, location, year of cleanup, and radioisotopes that were present, activity levels, and cost of cleanup
This presentation covers the high points of the Human Reliability Program, including certification/decertification, critical positions, due process, organizational structure, program components, personnel security, an overview of the US DOE reliability program, retirees and academia, and security program integration.
During the week of 6-12 October 2003 the IAEA organized a Research Coordination Meeting on 'Relationship between lower Respiratory Tract Infection, Gastroesophageal reflux and bronchial Asthma in children' at Hospital San Ignacio in Bogota. Besides there were four workshops in Bogota; workshops on Bone infection and Bone scan in Pediatric ortopaedics at Hospital Militar and Fundacion CardioInfantil, a workshop for Nuclear Medicine Technologists and a workshop on Sentinel Lymph Node mapping and Surgical Gamma Probe Application at Institute of Oncology. A nuclear cardiology workshop was organized in Medellin, and finally crowning them all was the 9th Congress of the Colombian Association of Nuclear Medicine at Cali from 10-12 October, 2003; probably the largest and best Colombian nuclear medicine congress every held in the country. A workshop was also organized in Cali for nuclear medicine technologists in conjunction with the Annual Convention. It was a mix of IAEA's Technical Cooperation and Regular Budget activities along with the activities of Colombian Association of Nuclear Medicine, bringing in absolute synergy to galvanize the entire nuclear medicine community of the country. The week saw nuclear medicine scientists from more than 20 IAEA Member States converging on Colombia to spread the message of nuclear medicine, share knowledge and to foster International understanding and friendship among the nuclear medicine people of the world
Sapey-Triomphe, Laurie-Anne; Moulin, Annie; Sonié, Sandrine; Schmitz, Christina
Sensory sensitivity peculiarities represent an important characteristic of Autism Spectrum Disorders (ASD). We first validated a French language version of the Glasgow Sensory Questionnaire (GSQ) (Robertson and Simmons in J Autism Dev Disord 43(4):775-784, 2013). The GSQ score was strongly positively correlated with the Autism-Spectrum Quotient (AQ) (r = 0.81, p < 10 -6 , n = 245). We further examined sensory profiles of groups with high versus low AQ. The high AQ group scored higher at the GSQ than the low AQ group for every sensory modality. Moreover, the high AQ group showed greater consistency in their patterns of hypersensitivity and hyposensitivity between sensory modalities, and stronger correlations between hyper and hyposensitivity. Results are discussed in the context of theories accounting for atypical sensory perception in ASD.
Eduardo Leite Krüger
Full Text Available O estudo da sensação de conforto térmico em espaços abertos deve ser entendido como primordial para o planejamento climaticamente adequado de áreas urbanas. Através do aumento da atratividade das àreas abertas e do incentivo às atividades ao ar livre, o planejamento urbano norteado do pelas preferências térmicas da população torna-se um agente facilitador do uso desses espaços. O presente trabalho analisa a sensação térmica de moradores de Glasgow, Reino Unido, localizada em região temperada, comparando respostas obtidas por meio de entrevistas estruturadas a índices utilizados pela meteorologia (Wind Chill e THSW e em estudos de conforto (PET e PMV. Os dados foram coletados em 19 campanhas de monitoramento, no período do inverno ao verão de 2011. Para a coleta de dados, foi utilizada uma estação Davis Vantage Pro2, contendo sensores de temperatura e umidade relativa, anemômetro e piranômetro. Foi confeccionado um termômetro de globo, utilizado para obtenção da temperatura radiante média (TRM, equipado com um data logger (Tinytag-TGP-4500. Os resultados indicam que os índices THSW e PET foram os que mais se aproximaram da resposta térmica dos entrevistados, podendo ser aplicados no entendimento das condições do clima na cidade e entorno de Glasgow.
Full Text Available Due to a problem of identification, how to estimate the distinct effects of age, time period and cohort has been a controversial issue in the analysis of trends in health outcomes in epidemiology. In this study, we propose a novel approach, partial least squares (PLS analysis, to separate the effects of age, period, and cohort. Our example for illustration is taken from the Glasgow Alumni cohort. A total of 15,322 students (11,755 men and 3,567 women received medical screening at the Glasgow University between 1948 and 1968. The aim is to investigate the secular trends in blood pressure over 1925 and 1950 while taking into account the year of examination and age at examination. We excluded students born before 1925 or aged over 25 years at examination and those with missing values in confounders from the analyses, resulting in 12,546 and 12,516 students for analysis of systolic and diastolic blood pressure, respectively. PLS analysis shows that both systolic and diastolic blood pressure increased with students' age, and students born later had on average lower blood pressure (SBP: -0.17 mmHg/per year [95% confidence intervals: -0.19 to -0.15] for men and -0.25 [-0.28 to -0.22] for women; DBP: -0.14 [-0.15 to -0.13] for men; -0.09 [-0.11 to -0.07] for women. PLS also shows a decreasing trend in blood pressure over the examination period. As identification is not a problem for PLS, it provides a flexible modelling strategy for age-period-cohort analysis. More emphasis is then required to clarify the substantive and conceptual issues surrounding the definitions and interpretations of age, period and cohort effects.
Full Text Available Marjan Mokhtare, Vida Bozorgi, Shahram Agah, Mehdi Nikkhah, Amirhossein Faghihi, Amirhossein Boghratian, Neda Shalbaf, Abbas Khanlari, Hamidreza Seifmanesh Colorectal Research Center, Rasoul Akram Hospital, Tehran, Iran Background: Various risk scoring systems have been recently developed to predict clinical outcomes in patients with upper gastrointestinal bleeding (UGIB. The two commonly used scoring systems include full Rockall score (RS and the Glasgow-Blatchford score (GBS. Bleeding scores were assessed in terms of prediction of clinical outcomes in patients with UGIB. Patients and methods: Two hundred patients (age >18 years with obvious symptoms of UGIB in the emergency department of Rasoul Akram Hospital were enrolled. Full RS and GBS were calculated. We followed the patients for records of rebleeding and 1-month mortality. A receiver operating characteristic curve by using areas under the curve (AUCs was used to statistically identify the best cutoff point. Results: Eighteen patients were excluded from the study due to failure to follow-up. Rebleeding and mortality rate were 9.34% (n=17 and 11.53% (n=21, respectively. Regarding 1-month mortality, full RS was better than GBS (AUC, 0.648 versus 0.582; P=0.021. GBS was more accurate in terms of detecting transfusion need (AUC, 0.757 versus 0.528; P=0.001, rebleeding rate (AUC, 0.722 versus 0.520; P=0.002, intensive care unit admission rate (AUC, 0.648 versus 0.582; P=0.021, and endoscopic intervention rate (AUC, 0.771 versus 0.650; P<0.001. Conclusion: We found the full RS system is better for 1-month mortality prediction while GBS system is better for prediction of other outcomes. Keywords: full Rockall score, Glasgow-Blatchford score, gastrointestinal bleeding, mortality, prognosis
Kremmyda, Lefkothea-Stella; Papadaki, Angeliki; Hondros, George; Kapsokefalou, Maria; Scott, Jane A
The diets of University students, particularly those living away from the family home, are characterised by a number of undesirable practices such as meal skipping, frequent snacking and low intakes of fruits and vegetables. This study aimed to identify the extent to which the previously reported negative changes in the eating habits of Greek students living in Glasgow were the result of rapid dietary acculturation (the 'Glasgow effect'), and the extent to which these changes were the result of living away from the family home for the first time. Using a self-administered questionnaire, we assessed the diets before and after commencing university of Greek students living in the family home (n=43) or away from home either in Greece (n=37) or in Glasgow (n=55). No significant changes were observed in the diets of students who continued to live at home after starting university. Significant changes observed only in the students living in Glasgow were decreases in consumption frequency of fresh fruits, meat and cheese, and increases in consumption of snack foods. These changes were attributed to rapid dietary acculturation. Young Greek adults faced difficulties in maintaining a traditional Mediterranean diet after leaving the family home, particularly after moving to a Northern European environment.
This has been a busy week for the CERN Council, and there is much to report. Firstly, I’m pleased to say that Council approved the Organization’s Medium Term Plan, and with it the budget for financial year 2010. In a time of global recession, this is a strong vote of confidence from the Member States. This meeting of Council provided an opportunity for the working group on the scientific and geographical enlargement of CERN to set out a roadmap towards its final report, which is to be made at Council’s December session this year. One part of the process over the coming months is to bring the major players in particle physics from beyond the European region into the discussion, ensuring that the working group’s recommendations lead to an optimum position for CERN and European particle physics in the global context. An indicator of the continuing attractiveness of CERN is the fact that Council has received four new applications...
Bartlett, J.F.; Bobbitt, J.S.; Kramper, B.J.; Lahey, T.E.; MacKinnon, B.A.; West, R.E.
This paper presents an overview of the EPICS control system at FERMILAB. EPICS is a distributed, multi-user, interactive system for the control and monitoring of particle beamlines at a high-energy experimental physics laboratory. The overview discusses the operating environment of the control system, the requirements which determined the design decisions, the hardware and software configurations, and plans for the future growth and enhancement of the present system. This paper is the first of three related papers on the EPICS system. The other two cover (1) the system structure and user interface and (2) RSX implementation issues
Bartlett, J.F.; Bobbitt, J.S.; Kramper, B.J.; Lahey, T.E.; MacKinnon, B.A.; West, R.E.
This paper presents an overview of the EPICS control system at FERMILAB. EPICS is a distributed, multi-user, interactive system for the control and monitoring of particle beamlines at a high-energy experimental physics laboratory. The overview discusses the operating environment of the control system, the requirements which determined the design decisions, the hardware and software configurations, and plans for the future growth and enhancement of the present system. This paper is the first of three related papers on the EPICS system. The other two cover (1) the system structure and user interface and (2) RSX implementation issues.
Li, Kathy K; Penrice, Glillian M; Gunson, Rory N
This report describes an outbreak of hepatitis A virus linked to a nursery which affected a total of 10 individuals. Active case finding, using oral fluid testing, helped identify asymptomatic cases. Nucleotide sequencing showed that all cases were caused by the same virus, which was most similar to HAV strains circulating Zimbabwe. Interestingly, an asymptomatic child had recently returned from visiting family in that country. Standard infection control procedures and vaccination of contacts successfully contained the outbreak. Only one patient developed hepatitis A despite having been vaccinated a week before symptoms began. This hepatitis A outbreak scenario may become more common as the numbers of international travellers and immigrants increase in the UK. It highlights the importance of recommending HAV vaccination to foreign nationals and their families who are travelling to countries endemic for hepatitis A. Copyright © 2015. Published by Elsevier B.V.
Doran, D.G.; Schiffgens, J.O.
Concepts and an overview of radiation displacement damage modeling and annealing kinetics are presented. Short-term annealing methodology is described and results of annealing simulations performed on damage cascades generated using the Marlowe and Cascade programs are included. Observations concerning the inconsistencies and inadequacies of current methods are presented along with simulation of high energy cascades and simulation of longer-term annealing
Thompson, Douglas Earl
This article is an overview of the open source audio-editing and -recording program, Audacity. Key features are noted, along with significant features not included in the program. A number of music and music technology concepts are identified that could be taught and/or reinforced through using Audacity.
... are here Home > Types of Cancer > Breast Cancer Breast Cancer This is Cancer.Net’s Guide to Breast Cancer. Use the menu below to choose the Overview/ ... social workers, and patient advocates. Cancer.Net Guide Breast Cancer Introduction Statistics Medical Illustrations Risk Factors and Prevention ...
Caveny, Leonard H.; Allen, Douglas M.
This is an overview of the Ballistic Missile Defense Organization (BMDO) Photovoltaic Program. Areas discussed are: (1) BMDO advanced Solar Array program; (2) Brilliant Eyes type satellites; (3) Electric propulsion; (4) Contractor Solar arrays; (5) Iofee Concentrator and Cell development; (6) Entech linear mini-dome concentrator; and (7) Flight test update/plans.
Weimar, P.W.L.; Kerkkamp, J.S.F.; Wiel, R.A.N.; Meiller, P.P.; Bos, J.G.H.
With this book TNO provides an overview of topics related to Miniature Unmanned Aerial Vehicles (MUAVs). Both novices and experts may find this publication valuable. The Netherlands Organisation for Applied Scientific Research TNO conducts research on UAVs and MUAVs, see for example , on the
Barth, Danielle; Evans, Nicholas
This paper provides an overview of the design and motivation for creating the Social Cognition Parallax Interview Corpus (SCOPIC), an open-ended, accessible corpus that balances the need for language-specific annotation with typologically-calibrated markup. SCOPIC provides richly annotated data, focusing on functional categories relevant to social…
... Español Text Size Email Print Share Overview of Infectious Diseases Page Content Article Body I nfectious diseases are ... worms Last Updated 11/21/2015 Source Immunizations ＆ Infectious Diseases: An Informed Parent's Guide (Copyright © 2006 American Academy ...
This article provides a brief overview of 9 religions: Christianity, Judaism, Jehovah's Witnesses, The Church of Jesus Christ of Latter-Day Saints, Christian Science, Islam, Hinduism, Sikhism, and Buddhism. Basic information on the origins, language, naming practices, diet, personal hygiene, and dress requirements is provided. For additional information, Web sites for each of these religions are also provided.
Hood, Florence F.
This overview of futurism defines it as a movement believing that a positive future world may be created through wise decision-making and futuristic planning. Present societal conditions have provided an impetus for a futuristic focus, and various authors, think tanks, techniques, and organizations have contributed to the wide acclaim and respect…
Flippo, Kirk Adler [Los Alamos National Laboratory
The Powerpoint presentation provides an overview of High-Energy Density (HED) Physis, ICF and Burning Plasma research programs at Los Alamos National Lab. in New Mexico. Work in nuclear diagnostics is also presented, along with a summary of collaborations and upcoming projects.
Strawhacker, MaryAnn Tapper
Examines the school nurse's role in multidisciplinary planning and development of violence prevention strategies in the school and community, offering an overview of school violence; risk factors for youth violence (gender, age, race, ethnicity, behavior, family, school, and community); risk factors for school shootings; and implications for…
Wernet, Mark; Wroblewski, Adam; Locke, Randy; Georgiadis, Nick
This presentation provides an overview of experiments conducted at NASA GRC to provide turbulent flow measurements needed for new turbulence model development and validation. The experiments include particle image velocimetry (PIV) and hot-wire measurements of mean flow velocity and temperature fields, as well as fluctuating components.
Full Text Available No abstract available. Article truncated at 150 words. A 40 year-old woman with adult attention deficit hyperactive and bipolar 1 disorder presents with an altered mental status. Per her family, she had been non-verbal, with reduced oral intake, confusion and sedated for the past three days. Per her husband, she had episodes of diarrhea and abdominal discomfort. She was on multiple medications including ramelteon 8mg nightly, atomoxetine 40mg daily, hydroxyzine 25mg twice daily, bupropion 75mg twice daily and risperidone 2mg daily with recent addition of lithium ER 1200mg/daily started one month prior to presentation with unknown adherence. Upon arrival, vital signs were within normal limits. Physical exam revealed an overweight Caucasian woman with a significant coarse tremor visible at rest, restlessness and diaphoresis. Neurological examination was limited by patient hesitancy, however, it did not demonstrate focal deficits except for altered consciousness with Glasgow Coma Scale of 10. Notable laboratory findings were Na+ 134 mEq/L, K+ 3.2 mEq/L, and ...
Marcus, Vincent; Duboucher, Peggy; Ben Maid, Atika; Devaux, Jeremy; Nicklaus, Doris; Calvet, Melanie; Poupard, Christophe; Pourquier, Francois-Xavier; Vicard, Augustin; Monnoyer-Smith, Laurence
This official publication proposes a detailed overview of the situation of environmental taxation in France. It first gives a general overview by discussing some key figures, by recalling the chronology of the main environmental taxation arrangements, and by discussing lessons learned from French and foreign experiments for an efficient, acceptable and consistent taxation. The second part proposes a detailed presentation of environmental taxation by distinguishing its main themes and objectives: struggle against climate change, reduction of air pollution and water pollution, and wastes, preservations and development of resources from biodiversity (soil artificialization, sustainable management of fauna and flora), efficient use of non renewable resources and of water (water resources, energetic and mineral raw materials). For each of these themes, the report presents the environmental problematic, and the existing arrangements, and proposes some elements of international comparison. The last part proposes a list of all environmental taxes
Bassi, G.; Agoh, T.; Dohlus, M.; Giannessi, L.; Hajima, R.; Kabel, A.; Limberg, T.; Quattromini, M.
Coherent synchrotron radiation (CSR) effects play an important role in accelerator physics. CSR effects can be negative (emittance growth in bunch compressors and microbunching instability) or positive (production of CSR in a controlled way). Moreover, CSR is of interest in other fields such as astrophysics. Only a few simple models have been solved analytically. This motivates the development of numerical procedures. In this review article we overview different numerical methods to study CSR effects
Md. Firoj Ali; Rafiqul Zaman Khan
Decrease in hardware costs and advances in computer networking technologies have led to increased interest in the use of large-scale parallel and distributed computing systems. Distributed computing systems offer the potential for improved performance and resource sharing. In this paper we have made an overview on distributed computing. In this paper we studied the difference between parallel and distributed computing, terminologies used in distributed computing, task allocation in distribute...
Alberti, S.; Amorim, P.; Arnoux, G.; Asp, E.; Behn, R.; Bernard, M.; Blanchard, P.; Bortolon, A.; Bottino, A.; Camenen, Y.; Coda, S.; Curchod, L.; Duval, B.; Fable, E.; Fasoli, A.; Fundameski, W.; Furno, I.; Garcia, E.O.; Gnesin, S.; Goodman, T.; Graves, J.; Gudozhnik, A.; Gulejova, B.; Henderson, M.; Hogge, J. Ph.; Horáček, Jan; Joye, B.; Karpushov, A.; Klimanov, I.; Laqua, H.; Lister, J. B.; Llobet, X.; Madeira, T.; Marinoni, A.; Marki, J.; Martin, Y.; Maslov, M.; Moret, J.-M.; Mueck, A.; Naulin, V.; Nielsen, A.H.; Pavlov, I.; Piffl, Vojtěch; Pitts, R.A.; Pitzschke, A.; Pochelon, A.; Porte, L.; Rasmussen, J.J.; Sauter, O.; Scarabosio, A.; Shidara, H.; Schlatter, C.; Sushkov, A.; Tonetti, G.; Tran, M. Q.; Turri, G.; Udintsev, V.; V´eres, G.; Volpe, F.; Weisen, H.; Zabolotsky, A.; Zuchkova, A.; Zucca, C.
Roč. 48, č. 3 (2008), s. 1-10 ISSN 0029-5515 Institutional research plan: CEZ:AV0Z20430508 Keywords : overview highlights * tokamak TCV * energy and momentum transport * edge physics * H-mode physics * electron cyclotron heating * electron cyclotron current drive physics * density peaking * density peaking Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.730, year: 2008 http://stacks.iop.org/NF/48/034001
Spencer, Duane E
This article is an overview of the field of forensic odontology, highlighting historical cases, with an emphasis on California cases, and briefly discussing some of the current techniques and issues in the field. As with all fields of dentistry, forensic odontology is adapting to new methodologies, changes in techniques, research findings and legal issues. Today's dentist who works in the forensic arena must face and understand these changes and advancements.
A broad overview of different types of research and type reactors is provided in this paper. Reactor designs and operating conditions are briefly described for four reactors. The reactor types described include swimming pool reactors, the High Flux Isotope Reactor, the Mark I TRIGA reactor, and the Advanced Neutron Source reactor. Emphasis in the descriptions is placed on safety-related features of the reactors. 7 refs., 7 figs., 2 tabs
Clark, Jamie C.
This program evaluation assessed the feasibility and effectiveness of a free No Child Left Inside (NCLI) week-long outdoor program to coincide with the Utah state-designated No Child Left Inside Week. The pilot program was implemented at the community level in Cache Valley, Utah, in 2012. Families attended eleven activities throughout the week that included hands-on experience and participation. A community BioBlitz was also planned as a conclusion to the week. Survey results demonstrate incr...
Full Text Available Introduction: Traumatic brain injury (TBI is a leading cause of death and disability all over the world. It is associated with diversities of outcomes including cognitive deficits. The worse cognitive outcome is often associated with more severe degree of TBI as measured by initial Glasgow Coma Scale (GCS score. Materials and Methods: Present study compared the cognitive function of TBI patients having initial GCS score 9-10 with those having the initial GCS score 11-12. The assessment on Postgraduate Institute battery of brain dysfunction was conducted when the patients came for their follow-up visit at a tertiary health care facility between 6 months and 12 months of sustaining TBI. Results: There was moderate degree of cognitive dysfunction in the group with initial GCS score of 9-10 and no dysfunction in the group with initial GCS score of 11-12. Conclusion: The initial GCS score of 10 may be critical to predict cognitive deficits among TBI patients during 6-12 months of recovery period.
Courcier, E A; Mellor, D J; Thomson, R M; Yam, P S
The objectives of the study were to investigate whether owners were able to assign the correct body shape to their dog and to assess the dog and owner level factors associated with incorrect owner assessment of dog body shape. Six hundred and eighty questionnaires were administered to dog owners in 5 first opinion practices around Glasgow during July 2007. At the same time, the interviewer and owner assessed the body shape of each dog. The interviewer assessment of body shape was taken as the gold standard. Incorrect owner assessment of dog body shape (misperception) was divided into two groups: underestimation and overestimation. Multinomial logistic regression and classification and regression trees (CART) were used to assess risk factors associated with each type of misperception. Misperception of dog body shape was present in 44.1% of owners with underestimation (i.e. the owner considered the animal to have a leaner body shape from the gold standard assessment) being the most common form of misperception. Risk factors identified by both multinomial logistic regression and CART were gender of owner, age of the dog and dog body shape. The classification tree appeared to have improved predictive ability when compared to the multinomial model. Copyright © 2011 Elsevier B.V. All rights reserved.
Severe head injured patients presenting with Glasgow Coma Scale (GCS) score of 3 have been hesitated to treat aggressively. We analyzed present status of patients with GCS score of 3 from the Project 2004 in the Japan Neurotrauma Data Bank. Among 1,101 cases registered, 805 cases with GCS score of 8 or less on admission. Of those, 215 cases with GCS score of 3 were classified the survival group (51 cases) and the dead group (164 cases) and compared each group. These results showed that the characteristics associated with favorable outcome including absence of cardiopulmonary arrest, no abnormality of pupil findings, stable condition of respiration and circulation, serum glucose level (less than 184 mg/dl), absence of initial CT findings including skull base fracture, pneumocephalus and subarachnoid hemorrhage, no serious extracranial injures including Injury Severity Scale score of less than 25, critic al care including intracranial pressure monitoring and temperature management. We suggest that it is important to treat brain and systemic problems aggressively in severe head injured patients with GCS score of 3. (author)
Sepahvand, Elham; Jalali, Rostam; Mirzaei, Maryam; Ebrahimzadeh, Farzad; Ahmadi, Mahnaz; Amraii, Esmail
Glasgow Coma Scale (GCS) is the most applied tool for classifying intensity of coma and predicting patient outcomes with traumatic brain injuries. The present study was conducted with the aim of comparing two criteria of Full Outline of UnResponsiveness (FOUR) scale and GCS in predicting prognosis in patients with traumatic brain injuries. In this prospective study, 198 patients with traumatic brain injuries were investigated. FOUR and GCS criteria for each patient were determined by four well-educated nurses. The area under receiver operating characteristic (ROC) curve was determined for in-hospital mortality outcomes. Of all patients, 65.2% survived and 34.8% died, and FOUR had correctly predicted 82% of them. FOUR had 0.76 sensitivity and GCS had a sensitivity 0.85. Mean scores for mortality and survival rates were 4.59±2.36 and 10.71±2.24 in GCS, and 3.15±3.52 and 12.77±2.43 in FOUR, respectively. The area under ROC curve was 0.961 for FOUR and 0.928 for GCS. The area under the curve was high for FOUR in scores 6 and 7, and for GCS in scores 5 and 6. FOUR score is a valuable, sensitive and specific diagnostic criterion for predicting outcomes in patients with traumatic brain injuries.
In this interview, Gerald Weeks shares his expertise on the topic of infidelity and couples counseling. Dr. Weeks defines infidelity, presents assessment strategies for treating the issue of infidelity, and discusses an intersystemic model for infidelity treatment when counseling couples. Dr. Weeks also provides insight into common mistakes made…
FERNANDES, Luciana Magnani; CALIRI, Maria Helena Larcher
Pressure ulcers remain a major health issue for critical patients. The purpose of this descriptive and exploratory study was to analyze the risk factors for the development of pressure ulcers in patients hospitalized at an intensive care unit of a university hospital. Patients were assessed through the Braden scale to determine the risk for the development of pressure ulcers and to identify individual risks, and the Glasgow scale was used to assess their consciousness. It was found that the r...
Full Text Available Gambling activities are popular as a form of recreation and have been a source of income for many people worldwide. Although gambling has been common across continents and time, and a subset of individuals experience problems with gambling. This review attempts to provide an overview of problem gambling for clinicians who are likely to encounter such patients in their practice. The review discusses the relevance, nosology, and epidemiology of gambling. We also discuss the associated comorbidities and principles of management of pathological gambling.
An overview of the exotic pentaquark states is provided, from early searches in $KN$ scattering experiments in the 1970’s to the now-debunked $\\Theta^+(1540)$ in the early 2000’s, to the discovery two resonances consistent with pentaquark states by LHCb in 2015. We review the full angular analysis of $\\Lambda^0_b \\to J/ \\psi K^-p$ that led to affirmation of the resonant nature of the $P^+_c (4450)$ and $P^+_c (4380)$ pentaquark candidates. We summarize the latest results, ongoing work and future prospects for other pentaquark searches at LHCb.
Sakuma, Thais H; Maibach, Howard I
Oily skin (seborrhea) is a common cosmetic problem that occurs when oversized sebaceous glands produce excessive amounts of sebum giving the appearance of shiny and greasy skin. This paper overviews the main concepts of sebaceous gland anatomy and physiology, including the biosynthesis, storage and release of sebum, as well as its relationship to skin hydration and water barrier function. We also address how skin oiliness may vary according to diet, age, gender, ethnicity and hot humid climates. The deeper understanding of this skin type provides the opportunity to better guide patients regarding skin care and also assist in the development of sebosuppressive agents. Copyright © 2012 S. Karger AG, Basel.
Jašek, Roman; Králík, Lukáš; Nožička, Jakub
The paper presents the reader into the issue of ITIL (R) and provides it as a basic overview of the concepts, terminology and philosophyof IT Service management. All this information is contained in 5 key ITIL (R) publications on around 1400 pages. The aim therefore is a brief summary of the issue, which also serves as an introduction to the following articles (Differences Between ITIL (R) v2 and ITIL (R) v3, ITIL (R) and Information Security, ITIL (R) Tools and ITIL (R) Implementation).
Full Text Available The Sanctions Seminar held on November 19 was organized by LexisNexis Russia in cooperation with ANO Pericles.The Seminar theme was ‘Economic Sanctions Overview: Due Diligence and AML Procedures.’ In the course of the seminar, practicing lawyers, compliance and AML professionals had the opportunity to interact on the scope of US A and EU Sanctions and their impact on global business transaction, as well as get a better understanding of the due diligence procedures necessary in order to comply with a such complex environment.
Souza, J.A.M. de.
The Brazilian energy overview compared with the rest of the world is presented, as well as the current situation and prospects for the future. In a first part, the evalution from the past through the present time is considered, and in a second part, attention is given on the future prospects for Brazil and the different countries in connection with the energy field. It is expected that the current per capita energy consumption in Brazil, in all of its various forms, now totalling 6 million kcal/inh, will reach at least 22 million kcal/inh toward the end of this century
Ransdorf, Angela; Satzinger, Viktoria
The "Wiedner Gymnasium" is an academic high school with two branches: one focusses on languages and the other one on science. In the language branch the students learn at least three languages; one of which is Latin, whereas the students of the scientific branch can learn geometrical drawing and have to attend a scientific laboratory throughout the last four upper classes. As incentive highlights the language classes have a one week's school trip to France, Italy or Spain at the beginning of their 7th form in order to attend a language school and to practice their language skills. As a counterbalance, there was introduced the "marine biological week" several years ago, in which the students of the scientific branch take part whilst their colleagues have their language trips. The marine biological week takes place in Rovinj, Croatia. A team of biologists and divers leads through a programme, by which the students get an overview of different habitats, their conditions and the different ways of adaptation organisms find. Thus, they also become acquainted with several species of animals and plants which are characteristic for this area. They become familiar with some methods of scientific work and also get to know some of the problems marine ecosystems are confronted with. They also learn a little bit if the Mediterranean history and culture. Back in school all the findings are reviewed and brought into an ecological context. The insights can be used for many other topics, too, such as e.g. evolution. This week has proved to be a good start as well for the topic of ecology as for learning to think scientifically in general. So, you can call it a pivot for the scientific branch of our school.
Kurc, Erol; Sanioglu, Soner; Ozgen, Ayca; Aka, Serap Aykut; Yekeler, Ibrahim
The aim of this study is to evaluate the validity of the Glasgow aneurysm score (GAS) and Hardman index in patients operated on because of ruptured abdominal aortic aneurysm (rAAA), and determining preoperative risk factors that affect in-hospital mortality. One hundred one patients operated on to repair a rAAA within the last 10 years were included. The GAS and Hardman index were calculated for each patient separately. The relation between in-hospital mortality and the Hardman index and GAS was analyzed by means of the receiver-operator characteristic (ROC) curve. Univariate and multivariate methods of analyses were used to determine preoperative risk factors. Average age was 69 ± 8, and in-hospital mortality rate was 51.5%. Analysis of the ROC curve showed that the Hardman index had an area under the curve (AUC) = 0.71 (95% confidence interval [CI], 0.593-0.800, P = 0.0002) for predicting in-hospital mortality. The GAS had an AUC = 0.77 (95% CI, 0.680-0.851, P age more than 63 years (odds ratio [OR], 4.4; 95% CI, 1.17-16.49, P = 0.028); loss of consciousness (OR, 9.33; 95% CI, 1.94-44.86, P = 0.005); creatinine higher than 1.7 mg/dL (OR, 5.52; 95% CI, 1.92-15.85, P = 0.001); and pH lower than 7.31 (OR, 3.77; 95% CI, 1.18-11.99, P = 0.024). In conclusion, the Hardman index and GAS have a significant correlation with in-hospital mortality rates. Nevertheless, a high score does not necessarily correspond with a definite mortality. This is why scoring systems could not be considered as the sole criterion for choosing patients for this study. Clinical experience was still the leading factor in deciding against or in favor of surgery.
José Manuel Recio-Ramírez
Full Text Available Objectives: To assess the ability of the Glasgow Blatchford Score (GBS system to identify the need for urgent upper gastrointestinal endoscopy (UGIE in patients with upper gastrointestinal bleeding (UGIB. Methods: An observational, retrospective study was carried out in all patients attended at the ER for suspected UGIB in one year. Patients were split into two categories -high-risk (>2 and low-risk (≤2- by means of the GBS system. Results: A total of 60 patients were included. Of these, 46 were classified as "high-risk" (> 2 and 14 as "low-risk" (≤ 2 subjects. The characteristics of patients in the low-risk group included: Mean age: 46.6 ± 13.7 (18-88 years. Males/females: 7/7. Urgent endoscopy revealed: normal (50%; n = 7; esophagitis (21.4%; n = 3; gastritis (14.2%; n = 2; Mallory-Weiss syndrome (7.1%; n = 1; non-bleeding varices (7.1%; n = 1. The characteristics of patients in the high-risk group included: Mean age: 68.7 ± 19.8 (31-91 years. Males/females: 30/16. Digestive endoscopy revealed: Gastric/duodenal ulcer (56.52%; n = 26; normal (17.39%; n = 8; esophagitis (8.69%; n = 4; gastritis (8.69%; n = 4; angioectasia (4.34%; n = 2; bleeding varices (4.34%; n = 2. Low-risk patients exhibited no lesions requiring urgent management during endoscopy, and the sensitivity of the GBS scale for high-risk UGIB detection was found to be 100% (95% CI: 86.27%, 99.71%, with a specificity of 48.28% (95% CI: 29.89, 67.1%. Conclusions: The GBS scale seems to accurately identify patients with low-risk UGIB, who may be managed on an outpatient basis and undergo delayed upper GI endoscopy at the outpatient clinic.
Rundhaug, Nils Petter; Moen, Kent Gøran; Skandsen, Toril; Schirmer-Mikalsen, Kari; Lund, Stine B; Hara, Sozaburo; Vik, Anne
The influence of alcohol is assumed to reduce consciousness in patients with traumatic brain injury (TBI), but research findings are divergent. The aim of this investigation was to study the effects of different levels of blood alcohol concentration (BAC) on the Glasgow Coma Scale (GCS) scores in patients with moderate and severe TBI and to relate the findings to brain injury severity based on the admission CT scan. In this cohort study, 265 patients (age range 16-70 years) who were admitted to St. Olavs University Hospital with moderate and severe TBI during a 7-year period were prospectively registered. Of these, 217 patients (82%) had measured BAC. Effects of 4 BAC groups on GCS score were examined with ordinal logistic regression analyses, and the GCS scores were inverted to give an OR > 1. The Rotterdam CT score based on admission CT scan was used to adjust for brain injury severity (best score 1 and worst score 6) by stratifying patients into 2 brain injury severity groups (Rotterdam CT scores of 1-3 and 4-6). Of all patients with measured BAC, 91% had intracranial CT findings and 43% had BAC > 0 mg/dl. The median GCS score was lower in the alcohol-positive patients (6.5, interquartile range [IQR] 4-10) than in the alcohol-negative patients (9, IQR 6-13; p brain injury itself seemed to overrun the depressing effect of the alcohol on the CNS. This finding is in agreement with the assumption of many clinicians in the emergency situation.
Ehrlich, Peter F; Brown, J Kristine; Sochor, Mark R; Wang, Stewart C; Eichelberger, Martin E
Motor vehicle crashes account for more than 50% of pediatric injuries. Triage of pediatric patients to appropriate centers can be based on the crash/injury characteristics. Pediatric motor vehicle crash/injury characteristics can be determined from an in vitro laboratory using child crash dummies. However, to date, no detailed data with respect to outcomes and crash mechanism have been presented with a pediatric in vivo model. The Crash Injury Research Engineering Network is comprised of 10 level 1 trauma centers. Crashes were examined with regard to age, crash severity (DeltaV), crash direction, restraint use, and airbag deployment. Multiple logistic regression analysis was performed with Injury Severity Score (ISS) and Glasgow Coma Scale (GCS) as outcomes. Standard age groupings (0-4, 5-9, 10-14, and 15-18) were used. The database is biases toward a survivor population with few fatalities. Four hundred sixty-one motor vehicle crashes with 2500 injuries were analyzed (242 boys, 219 girls). Irrespective of age, DeltaV > 30 mph resulted in increased ISS and decreased GCS (eg, for 0-4 years, DeltaV 30: ISS = 19.5, GCS = 10.6; P 15) injuries than did backseat passengers (odds ratio, 1.7; 95% confidence interval, 0.7-3.4). A trend was noted for children younger than 12 years sitting in the front seat to have increased ISS and decreased GCS with airbag deployment but was limited by case number. A reproducible pattern of increased ISS and lower GCS characterized by high severity, lateral crashes in children was noted. Further analysis of the specific injuries as a function and the crash characteristic can help guide management and prevention strategies.
Full Text Available There is still a controversy among the neurologists whether brain CT scan must be performed on the mild head trauma patients. This study was executed to find out the correlation between the brain CT scan image findings and its clinical impairment among the mild head trauma patients with Glasgow coma scale (GCS score of 13 to 15. The study was a retrospective study by analyzing the uniform medical records of the head trauma patients hospitalized at the Neurology ward of Dr. Cipto Mangunkusumo Hospital within the period of 1999 to 2001. During that period 1,663 patients were hospitalized due to head trauma, and 1,166 of them (70.1 % were suffered from mild head trauma patients with GCS score of 13-15. Among those with brain CT scan examinations (N: 271, the neurological abnormalities were found on 144 (53.1% of patients, consisted of cerebral edema (11,4%, intracerebral hemorrhage (5.5%, epidural hemorrhage (16.2%, subdural hemorrhage (18.1%, subarachnoid hemorrhage (5.5%, and combination (13.8%. The further analysis showed that cranial nerves disturbance, amnesia, loss of conciousness for more than 10 minutes, and vomiting are significantly correlated to the brain CT scan abnormality. Combination of the above four clinical signs and symptoms have sensitivity of 90 % in predicting brain insults. This findings may be used as a simple set of clinical criteria for identifying mild head trauma patients who need undergo CT scan examination. (Med J Indones 2004; 13: 156-60 Keywords: mild head injury, brain CT scan
Uchino, Y.; Saeki, N.; Yamaura, A.; Okimura, Y.; Tanaka, M.
Objective. The purpose of this study is to examine the relation between Glasgow coma scale (GCS) score and findings on computed tomography (CT) and magnetic resonance (MR) imaging of patients with mild head injury presenting GCS Scores between 13 and 15. Methods. Data were collected from all consecutive patients with mild head injury who were referred to our hospital between July 1 and October 31, 1999. All patients were recommended to undergo CT and MR imaging examinations. Patients younger than 14 years of age were excluded. Results. Ninety patients were recruited into this study. CT scans were obtained in 88 patients and MR imaging were obtained in 65 patients. Of those 90 patients, 2 patients scored 13 points, 5 scored 14 points and 83 (92.2 %) 15 points. Patients with GCS score of 13 points demonstrated parenchymal lesions an both CT and MR imaging. Those with 14 points revealed absence of parenchymal abnormality an CT, but presence of parenchymal lesions an MR imaging. Patients in advanced age (chi square test, p < 0.0001), and those with amnesia (p = 0005, not significant), although scoring 15 points, revealed a tendency to abnormal intracranial lesions on CT scans. Conclusion. It is doubtful whether patients with GCS score 13 should be included in the mild head injury category, due to obvious brain damage on CT scans. MR imaging should be performed on patients with GCS score 14, since the parenchymal lesions are not clearly demonstrated an CT scans. Even if patients scored GCS 15, patients which amnesia or of advanced age should undergo CT scans at minimum, and MR imaging when available. (author)
Full Text Available To investigate the performance of hematoma shape, hematoma size, Glasgow coma scale (GCS score, and intracerebral hematoma (ICH score in predicting the 30-day mortality for ICH patients. To examine the influence of the estimation error of hematoma size on the prediction of 30-day mortality.This retrospective study, approved by a local institutional review board with written informed consent waived, recruited 106 patients diagnosed as ICH by non-enhanced computed tomography study. The hemorrhagic shape, hematoma size measured by computer-assisted volumetric analysis (CAVA and estimated by ABC/2 formula, ICH score and GCS score was examined. The predicting performance of 30-day mortality of the aforementioned variables was evaluated. Statistical analysis was performed using Kolmogorov-Smirnov tests, paired t test, nonparametric test, linear regression analysis, and binary logistic regression. The receiver operating characteristics curves were plotted and areas under curve (AUC were calculated for 30-day mortality. A P value less than 0.05 was considered as statistically significant.The overall 30-day mortality rate was 15.1% of ICH patients. The hematoma shape, hematoma size, ICH score, and GCS score all significantly predict the 30-day mortality for ICH patients, with an AUC of 0.692 (P = 0.0018, 0.715 (P = 0.0008 (by ABC/2 to 0.738 (P = 0.0002 (by CAVA, 0.877 (P<0.0001 (by ABC/2 to 0.882 (P<0.0001 (by CAVA, and 0.912 (P<0.0001, respectively.Our study shows that hematoma shape, hematoma size, ICH scores and GCS score all significantly predict the 30-day mortality in an increasing order of AUC. The effect of overestimation of hematoma size by ABC/2 formula in predicting the 30-day mortality could be remedied by using ICH score.
Bonny, G.; Malerba, L.
In this report an overview on interatomic potentials is given. This overview is by no means complete and it has merely the intention to give the reader an idea of where interatomic potentials come from, as well as to provide the basic ideas behind some commonly used methods for deriving interatomic potentials for molecular dynamics applications. We start by giving a short introduction about the concept of interatomic potential in the framework of quantum mechanics, followed by a short description of commonly used methods for deriving semi-empirical interatomic potentials. After some short theoretical notions on each method, some practical parameterizations of commonly used potentials are given, including very recent ones. An effort has been made to classify existing approaches within a rational and consequent scheme, which is believed to be of use for a thorough comprehension of the topic. Although these approaches can be used in a variety of different materials, we will only discuss the practical cases of metals. Following this, some widespread ad hoc modification of the general methods are discussed. The report is concluded by a generalization of the methods to multi-component materials, in particular metallic alloys. (author)
... National Park Week, 2013 By the President of the United States of America A Proclamation For generations... something to be used up, but as a treasure to be passed on. During National Park Week, we celebrate the..., the National Park Service will make that opportunity available to everyone by offering free admission...
Adams, Helen R.
Founded in 1982, Banned Books Week is celebrated annually during the last week in September and will be observed from September 26-October 3 in 2009. The event acknowledges Americans' right to read the books of their choice regardless of whether the ideas, language, or images are controversial. This annual observance of banned books is a good…
... Victims and Survivors of Terrorism, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register... From the Federal Register Online via the Government Publishing Office ] Part II The President Proclamation 8498--National Park Week, 2010 Proclamation 8499--National Crime Victims' Rights Week, 2010...
Poison Prevention Week Council, Washington, DC.
This collection of materials for parents, early childhood workers, the elderly, and anyone in situations requiring safeguards against poisoning, spans the years 1993 and 1994 and is intended to promote National Poison Prevention Week. The materials included are: (1) the 31-page, illustrated report on National Poison Prevention Week for 1993,…
Cramer, Ken; Pschibul, Rebecca
The present study investigated the time usage and levels of perceived stress, academic workload, and recreation time for 177 students at the University of Windsor before, during, and after Fall Reading Week (FRW). Over a three-week span (at various times of the day), students received a message to their smartphone to complete a 20-second survey…
Research in BMIs has grown rapidly in the last few years. However, little attention has been paid to the overall system behavior, most published work being focused on the signal classification (i.e., translation) stage. More recently an increasing amount of work has been centred around the feature selection stage that precedes translation. The emphasis in feature selection and translation has stemmed from the large number of researchers with a machine learning or pattern recognition background who have recently joined the field. While there is an important contribution to BMIs, two crucial elements have not been sufficiently explored: the selection of suitable mental tasks and feedback protocols. This review presents an overview of BMIs and its main elements, with a focus on why each stage is important for the overall performance of such systems.
Cason, Jana; Cohn, Ellen R
The spring 2014 issue of the International Journal of Telerehabilitation (IJT) contains four informative and timely policy articles: (1) an invited commentary describing the exploratory process underway within physical therapy to create licensure portability for physical therapists, (2) an analysis of state telehealth laws and regulations for occupational therapy and physical therapy, (3) an overview of telehealth evidence and key telehealth policy issues in occupational therapy, and (4) the World Federation of Occupational Therapists' (WFOT) Position Statement on Telehealth. This issue also contains original research evaluating the feasibility of providing pediatric dysphagia treatment via telepractice, a clinical report of student learning outcomes associated with an innovative experiential learning assignment involving (international) teleconsultation in a Master of Science in Occupational Therapy (MSOT) curriculum, a book review, and announcements from the American Telemedicine Association.
Cason, Jana; Cohn, Ellen R.
The spring 2014 issue of the International Journal of Telerehabilitation (IJT) contains four informative and timely policy articles: (1) an invited commentary describing the exploratory process underway within physical therapy to create licensure portability for physical therapists, (2) an analysis of state telehealth laws and regulations for occupational therapy and physical therapy, (3) an overview of telehealth evidence and key telehealth policy issues in occupational therapy, and (4) the World Federation of Occupational Therapists’ (WFOT) Position Statement on Telehealth. This issue also contains original research evaluating the feasibility of providing pediatric dysphagia treatment via telepractice, a clinical report of student learning outcomes associated with an innovative experiential learning assignment involving (international) teleconsultation in a Master of Science in Occupational Therapy (MSOT) curriculum, a book review, and announcements from the American Telemedicine Association. PMID:25945216
The Agency for Health Research and Quality funded the Electronic Data Methods Forum (EDM Forum) to share the experiences and learnings from 11 research teams funded through three different grant programs, each of which involve the use of electronic clinical data in Comparative Effectiveness Research and Patient-Centered Outcomes Research. This overview is meant to describe the context in which the EDM forum was created and to introduce the set of papers in this supplement to Medical Care that describe the challenges and approaches to the use of electronic clinical data in the three key areas of analytic methods, clinical informatics and data governance. The participants in the EDM Forum are providing innovative approaches to generate information that can support the building of a "learning health care system." The compilation of papers presented in this supplement should serve as a resource to others working to develop the infrastructure for collecting, validating and using electronic data for research.
An overview of the situation of particle physics at the end of 1985 is given. It includes the following topics: ideas which have been tested or will soon be tested such as the standard model based on the symmetry group SUsub(C)(3)xSUsub(L)(2)xU(1), light Higgs and preons; theoretical ideas whose time has not yet come (basically because no accelerators are being constructed to test them) such as N=1 supersymmetry and N=1 supergravity right-handed weak currents, extended supergravities and superstring models; ideas for which non-accelerator and passive experiments have been mounted such as proton decay, nn-bar oscillations, neutrino masses and oscillations, monopoles and dark matter
This publication issued by the Swiss Federal Office of Energy (SFOE) presents an overview of advances made in energy research in Switzerland in 2003. In the report, the heads of various programmes present projects and summarise the results of research in four main areas: Efficient use of energy, renewable energies, nuclear energy and energy policy fundamentals. Energy-efficiency is illustrated by examples from the areas of building, traffic, electricity, ambient heat and combined heat and power, combustion, fuel cells and in the process engineering areas. In the renewable energy area, projects concerning energy storage, photovoltaics, solar chemistry and hydrogen, biomass, small-scale hydro, geothermal energy and wind energy are presented. Work being done on nuclear safety and disposal regulations as well as controlled thermonuclear fusion are discussed
'H2@Scale' is an opportunity for wide-scale use of hydrogen as an intermediate that carries energy from various production options to multiple uses. It is based on identifying and developing opportunities for low-cost hydrogen production and investigating opportunities for using that hydrogen across the electricity, industrial, and transportation sectors. One of the key production opportunities is use of low-cost electricity that may be generated under high penetrations of variable renewable generators such as wind and solar photovoltaics. The technical potential demand for hydrogen across the sectors is 60 million metric tons per year. The U.S. has sufficient domestic renewable resources so that each could meet that demand and could readily meet the demand using a portfolio of generation options. This presentation provides an overview of the concept and the technical potential demand and resources. It also motivates analysis and research on H2@Scale.
Using available information from the published literature and material obtained from a network of contacts, a short introductory overview of international developments in the field of retrievability of emplaced nuclear waste was produced for the Swedish National Siting Coordinator for Nuclear Waste Disposal. This examined the issue in terms of a number of basic questions: Definition, Need, Design Implications, Safeguards for Fissile Material, Public Acceptability and Safety Assessment. The report was submitted in February 1999, and acted as a catalyst for the organisation of an international seminar by KASAM, the Swedish National Council for Nuclear Waste (these proceedings). This paper describes the report contents, and points to the invited papers at the seminar which expand on and update the limited descriptions in the original report. (author)
Tzafestas, Spyros G
This volume explores the ethical questions that arise in the development, creation and use of robots that are capable of semiautonomous or autonomous decision making and human-like action. It examines how ethical and moral theories can and must be applied to address the complex and critical issues of the application of these intelligent robots in society. Coverage first presents fundamental concepts and provides a general overview of ethics, artificial intelligence and robotics. Next, the book studies all principal ethical applications of robots, namely medical, assistive, socialized and war roboethics. It looks at such issues as robotic surgery, children-robot and elderly-robot therapeutical/social interactions and the use of robots, especially autonomous lethal ones, in warfare. In addition, a chapter also considers Japanese roboethics as well as key intercultural and robot legislation issues. Overall, readers are provided with a thorough investigation into the moral responsibility (if any) of autonomous ro...
Davis, Stacy C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Diegel, Susan W. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Moore, Sheila A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Boundy, Robert G. [Roltek, Inc., Clinton, TN (United States)
Each week the U.S. Department of Energy s Vehicle Technology Office (VTO) posts a Fact of the Week on their website: http://www1.eere.energy.gov/vehiclesandfuels/ . These Facts provide statistical information, usually in the form of charts and tables, on vehicle sales, fuel economy, gasoline prices, and other transportation-related trends. Each Fact is a stand-alone page that includes a graph, text explaining the significance of the data, the supporting information on which the graph was based, and the source of the data. A link to the current week s Fact is available on the VTO homepage, but older Facts (back to 2009) are archived and still available at: http://energy.gov/eere/vehicles/current-and-past-years-facts-week. Each Fact of the Week website page includes a link to an Excel file. That file contains the data from the Supporting Information section of the page so that researchers can easily use data from the Fact of the Week in their work. Beginning in August of 2015, a subscription list is available on the DOE website so that those interested can sign up for an email to be sent each Monday which includes the text and graphic from the current week s Fact. This report is a compilation of the Facts that were posted during calendar year 2015. The Facts were created, written and prepared by staff in Oak Ridge National Laboratory's Center for Transportation Analysis.
Varano, Paul; Cabrera, Keven I; Kuppermann, Nathan; Dayan, Peter S
Little data exist to guide the management of children with cerebral contusions after minor blunt head trauma. We therefore aimed to determine the risk of acute adverse outcomes in children with minor blunt head trauma who had cerebral contusions and no other traumatic brain injuries on computed tomography (i.e., isolated cerebral contusions). We conducted a secondary analysis of a public use data set originating from a prospective cohort study performed in 25 PECARN (Pediatric Emergency Care Applied Research Network) emergency departments of children younger than 18 years with blunt head trauma resulting from nontrivial injury mechanisms and with Glasgow Coma Scale (GCS) scores of 14 or 15. In this analysis, we included only children with isolated cerebral contusions. We defined a normal mental status as a GCS score of 15 and no other signs of abnormal mental status. Acute adverse outcomes included intubation longer than 24 hours because of the head trauma, neurosurgery, or death from the head injury. Of 14,983 children with GCS scores of 14 or 15 who received cranial computed tomography scans in the parent study, 152 (1.0%; 95% confidence interval, 0.8-1.2%) had cerebral contusions, of which 54 (35.8%) of 151 with available data were isolated. The median age of those with isolated cerebral contusions was 9 years (interquartile range, 1-13); 31 (57.4%) had a normal mental status. Of 36 patients with available data on isolated cerebral contusion size, 34 (94.4%) were described as small. 43 (79.6%) of 54 patients with isolated cerebral contusions were hospitalized, including 16 (29.6%) of 54 to an intensive care unit. No patients with isolated cerebral contusions died, were intubated longer than 24 hours for head trauma, or required neurosurgery (95% confidence interval for all outcomes, 0-6.6%). Children with small isolated cerebral contusions after minor blunt head trauma are unlikely to require further acute intervention, including neurosurgery, suggesting that
Thornton Lukar E
Full Text Available Abstract Background Previous studies have provided mixed evidence with regards to associations between food store access and dietary outcomes. This study examines the most commonly applied measures of locational access to assess whether associations between supermarket access and fruit and vegetable consumption are affected by the choice of access measure and scale. Method Supermarket location data from Glasgow, UK (n = 119, and fruit and vegetable intake data from the ‘Health and Well-Being’ Survey (n = 1041 were used to compare various measures of locational access. These exposure variables included proximity estimates (with different points-of-origin used to vary levels of aggregation and density measures using three approaches (Euclidean and road network buffers and Kernel density estimation at distances ranging from 0.4 km to 5 km. Further analysis was conducted to assess the impact of using smaller buffer sizes for individuals who did not own a car. Associations between these multiple access measures and fruit and vegetable consumption were estimated using linear regression models. Results Levels of spatial aggregation did not impact on the proximity estimates. Counts of supermarkets within Euclidean buffers were associated with fruit and vegetable consumption at 1 km, 2 km and 3 km, and for our road network buffers at 2 km, 3 km, and 4 km. Kernel density estimates provided the strongest associations and were significant at a distance of 2 km, 3 km, 4 km and 5 km. Presence of a supermarket within 0.4 km of road network distance from where people lived was positively associated with fruit consumption amongst those without a car (coef. 0.657; s.e. 0.247; p0.008. Conclusions The associations between locational access to supermarkets and individual-level dietary behaviour are sensitive to the method by which the food environment variable is captured. Care needs to be taken to ensure robust and conceptually
...--National Former Prisoner of War Recognition Day, 2012 #0; #0; #0; Presidential Documents #0; #0; #0;#0...-class education for every child to an economy built to last. During National Volunteer Week, we pay...
Effectiveness of Self Instructional Module on Knowledge and Skills Regarding Use of Glasgow Coma Scale in Neurological Assessment of Patients among Nurses Working in Critical Care Units of KLE Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum
Full Text Available Background: The brain is the central unit that controls all the functions of our body. The brain cannot function all by its self without the neurons. The proper functioning of the brain and its relationship with the world is known as consciousness. The level of consciousness is the sensitive and reliable indicator of the patients neurological status. The alteration in the consciousness helps to determine if there is any damage in the nervous system that can occur even without visible damage to the head. There are numerous tools used to determine level of consciousness. The most common tool used to determine level of consciousness is the Glasgow Coma Scale (GCS. It was used with ease and helped to standardize clinical observations of the patients with impaired consciousness. A proper neurological assessment using the Glasgow Coma Scale is the essential part of nursing care. It is very essential for the nurse to have knowledge and skills about neurological assessment and the Glasgow Coma Scale.Hence the present study to evaluate the effectiveness of Self Instructional Module (SIM on knowledge and skill regarding Glasgow Coma Scale was undertaken. Aim and Objectives: 1]To assess the knowledge and skills regarding the use of Glasgow Coma Scale in neurological assessment of patients among the staff nurses. 2] To determine the effectiveness of the Self Instructional Module on knowledge and skills regarding the GCS in neurological assessment of patients. 3] To find association between the pre test knowledge and skills scores and demographic variables. 4] To find the correlation between the knowledge score sand the skills scores regarding the GCS in neurological assessment of patients. Material and Methods: The study was evaluative in nature. A purposive sampling technique was used for the study. A total of 55 staff nurses working in Critical Care Units of KLES Hospital and MRC,Belgaum were selected for the study. A structured questionnaire and an
Fabiana Lenharo Morgado
Full Text Available OBJETIVO: Determinar a correlação da escala de coma de Glasgow, fatores causais e de risco, idade, sexo e intubação orotraqueal com os achados tomográficos em pacientes com traumatismo cranioencefálico. MATERIAIS E MÉTODOS: Foi realizado estudo transversal prospectivo de 102 pacientes, atendidos nas primeiras 12 horas, os quais receberam pontuação segundo a escala de coma de Glasgow e foram submetidos a exame tomográfico. RESULTADOS: A idade média dos pacientes foi de 37,77 ± 18,69 anos, com predomínio do sexo masculino (80,4%. As causas foram: acidente automobilístico (52,9%, queda de outro nível (20,6%, atropelamento (10,8%, queda ao solo ou do mesmo nível (7,8% e agressão (6,9%. No presente estudo, 82,4% dos pacientes apresentaram traumatismo cranioencefálico de classificação leve, 2,0% moderado e 15,6% grave. Foram observadas alterações tomográficas (hematoma subgaleal, fraturas ósseas da calota craniana, hemorragia subaracnoidea, contusão cerebral, coleção sanguínea extra-axial, edema cerebral difuso em 79,42% dos pacientes. Os achados tomográficos de trauma craniano grave ocorreram em maior número em pacientes acima de 50 anos (93,7%, e neste grupo todos necessitaram de intubação orotraqueal. CONCLUSÃO: Houve significância estatística entre a escala de coma de Glasgow, idade acima de 50 anos (p < 0,0001, necessidade de intubação orotraqueal (p < 0,0001 e os achados tomográficos.
The overview of the Systematic Approach to Training (SAT) was presented, with particular emphasis given to the applied model (versus the theoretical model) and to the involvement of plant management. Discussion included the benefits and advantages of applied SAT compared to the conventional approach, (which likely was not systematic in nature). For example, formal structured on-the-job training (OJT) was compared to the traditional ''Come, I show you'' form of OJT. Each of the five phases of SAT - analysis, design, development, implementation, and evaluation - was presented and with a focus on two aspects of SAT. First, SAT is a dynamic continuous not discrete model; and second, two phases are critical to the overall success of SAT implementation - analysis (especially needs analysis) and evaluation (especially feedback). These two phases are absolutely essential to ensure the ''self-correcting'' attribute of the SAT model. Finally, examples of problems that could occur if the SAT model fails or weakens; for instance, if OJT becomes unstructured, or if training materials are not kept current
Full Text Available Marfan's syndrome is an autosomal dominant condition with an estimated prevalence of one in 10,000 to 20,000 individuals. This rare hereditary connective tissue disorder affects many parts of the body. The diagnosis of Marfan's syndrome is established in accordance with a review of the diagnostic criteria, known as the Ghent nosology, through a comprehensive assessment largely based on a combination of major and minor clinical manifestations in various organ systems and the family history. Aortic root dilation and mitral valve prolapse are the main presentations among the cardiovascular malformations of Marfan's syndrome. The pathogenesis of Marfan's syndrome has not been fully elucidated. However, fibrillin-1 gene mutations are believed to exert a dominant negative effect. Therefore, Marfan's syndrome is termed a fibrillinopathy, along with other connective tissue disorders with subtle differences in clinical manifestations. The treatment may include prophylactic β-blockers and angiotensin II-receptor blockers in order to slow down the dilation of the ascending aorta, and prophylactic aortic surgery. Importantly, β-blocker therapy may reduce TGF-β activation, which has been recognized as a contributory factor in Marfan's syndrome. The present article aims to provide an overview of this rare hereditary disorder.
Sharma, Ujjawal; Pal, Deeksha; Prasad, Rajendra
Alkaline phosphatase (ALP; E.C.3.I.3.1.) is an ubiquitous membrane-bound glycoprotein that catalyzes the hydrolysis of phosphate monoesters at basic pH values. Alkaline phosphatase is divided into four isozymes depending upon the site of tissue expression that are Intestinal ALP, Placental ALP, Germ cell ALP and tissue nonspecific alkaline phosphatase or liver/bone/kidney (L/B/K) ALP. The intestinal and placental ALP loci are located near the end of long arm of chromosome 2 and L/B/K ALP is located near the end of the short arm of chromosome 1. Although ALPs are present in many mammalian tissues and have been studied for the last several years still little is known about them. The bone isoenzyme may be involved in mammalian bone calcification and the intestinal isoenzyme is thought to play a role in the transport of phosphate into epithelial cells of the intestine. In this review, we tried to provide an overview about the various forms, structure and functions of alkaline phosphatase with special focus on liver/bone/kidney alkaline phosphatase.
Chen, Jiang-Fan; Lee, Chien-fei; Chern, Yijuang
Adenosine is a naturally occurring nucleoside that is distributed ubiquitously throughout the body as a metabolic intermediary. In the brain, adenosine functions as an important upstream neuromodulator of a broad spectrum of neurotransmitters, receptors, and signaling pathways. By acting through four G-protein-coupled receptors, adenosine contributes critically to homeostasis and neuromodulatory control of a variety of normal and abnormal brain functions, ranging from synaptic plasticity, to cognition, to sleep, to motor activity to neuroinflammation, and cell death. This review begun with an overview of the gene and genome structure and the expression pattern of adenosine receptors (ARs). We feature several new developments over the past decade in our understanding of AR functions in the brain, with special focus on the identification and characterization of canonical and noncanonical signaling pathways of ARs. We provide an update on functional insights from complementary genetic-knockout and pharmacological studies on the AR control of various brain functions. We also highlight several novel and recent developments of AR neurobiology, including (i) recent breakthrough in high resolution of three-dimension structure of adenosine A2A receptors (A2ARs) in several functional status, (ii) receptor-receptor heterodimerization, (iii) AR function in glial cells, and (iv) the druggability of AR. We concluded the review with the contention that these new developments extend and strengthen the support for A1 and A2ARs in brain as therapeutic targets for neurologic and psychiatric diseases. © 2014 Elsevier Inc. All rights reserved.
The Integrated Medical Model (IMM) Project represents one aspect of NASA's Human Research Program (HRP) to quantitatively assess medical risks to astronauts for existing operational missions as well as missions associated with future exploration and commercial space flight ventures. The IMM takes a probabilistic approach to assessing the likelihood and specific outcomes of one hundred medical conditions within the envelope of accepted space flight standards of care over a selectable range of mission capabilities. A specially developed Integrated Medical Evidence Database (iMED) maintains evidence-based, organizational knowledge across a variety of data sources. Since becoming operational in 2011, version 3.0 of the IMM, the supporting iMED, and the expertise of the IMM project team have contributed to a wide range of decision and informational processes for the space medical and human research community. This presentation provides an overview of the IMM conceptual architecture and range of application through examples of actual space flight community questions posed to the IMM project.
Spin physics activities at medium and high energies became significantly active when polarized targets and polarized beams became accessible for hadron-hadron scattering experiments. My overview of spin physics will be inclined to the study of strong interaction using facilities at Argonne ZGS, Brookhaven AGS (including RHIC), CERN, Fermilab, LAMPF, an SATURNE. In 1960 accelerator physicists had already been convinced that the ZGS could be unique in accelerating a polarized beam; polarized beams were being accelerated through linear accelerators elsewhere at that time. However, there was much concern about going ahead with the construction of a polarized beam because (i) the source intensity was not high enough to accelerate in the accelerator, (ii) the use of the accelerator would be limited to only polarized-beam physics, that is, proton-proton interaction, and (iii) p-p elastic scattering was not the most popular topic in high-energy physics. In fact, within spin physics, [pi]-nucleon physics looked attractive, since the determination of spin and parity of possible [pi]p resonances attracted much attention. To proceed we needed more data beside total cross sections and elastic differential cross sections; measurements of polarization and other parameters were urgently needed. Polarization measurements had traditionally been performed by analyzing the spin of recoil protons. The drawbacks of this technique are: (i) it involves double scattering, resulting in poor accuracy of the data, and (ii) a carbon analyzer can only be used for a limited region of energy.
Le Ngoc Ha
In the past 2 decades, nuclear medicine has dramatically developed and been widely used in cardiology. In developed countries, nuclear cardiology techniques have represented from 25% to over 30% of the activities in nuclear medicine department and it becomes Nuclear Cardiology. This overview outlines the applications and the roles of nuclear medicine techniques in diagnosis and treatment of cardiovascular diseases. SPECT myocardial perfusion scintigraphy (MPS) is an accurate technique in diagnosis of coronary artery disease (CAD). The sensitivity and specificity for detection of CAD averaged 85% - 90% and 75% - 80% respectively. PET using Rubidium-82, N-13-ammonia improved significantly the sensitivity and specificity (89 - 95% and 86 - 100% respectively). Myocardial perfusion scintigraphy is also an excellent tool for predicting of CAD. The scintigraphic techniques using Thallium-201 and 99m Tc-sestamibi or tetrofosmin, F18-FDG PET allow to differentiate hibernation to myocardial scars, assessment of myocardial viability for the post myocardial infarction patients who benefit significantly from revascularization. Radionuclide Angiography is widely used in evaluating ventricular wall motion, left and right ventricular systolic and diastolic functions. Infarct Avid Imaging using 99m Tc-pyrophosphate, antimyosin antibody, glucarate contributes to confirm acute myocardial infarction patients who unable to identify with the conventional diagnostic techniques. (author)
Evans, K. Jr.
MEDM, which is derived from Motif Editor and Display Manager, is the primary graphical user interface to the EPICS control system and has also been used for other control systems. MEDM has two modes of operation, EDIT and EXECUTE. In its EDIT mode it provides the drawing tools needed to design control screens for operator interfaces. In its EXECUTE mode it manages those screens to communicate with the control system. MEDM provides a set of interface objects that falls into three main categories: (1) Monitors, such as text, meters, and plots; (2) Controllers, such as buttons, menus, and sliders; and (3) Drawing Objects, such as lines, rectangles, and images. Each of these objects has many options, allowing for the development of screens ranging from simple to quite sophisticated. MEDM has been developed over the last decade, primarily at Argonne National Laboratory, and is a large, well tested, extensively used program. It runs on most flavors of UNIX, VMS, and Windows 95/98/NT. It has been used to design thousands of control screens, such as the one shown in Fig. 1, at the Advanced Photon Source and other sites around the world. This paper presents an overview of MEDM and its features
Full Text Available As cloud computing is gaining acclaim as a cost-effective alternative to acquiring processing resources for corporations, scientific applications and individuals, various challenges are rapidly coming to the fore. While academia struggles to procure a concise definition, corporations are more interested in competitive advantages it may generate and individuals view it as a way of speeding up data access times or a convenient backup solution. Properties of the cloud architecture largely preclude usage of existing practices while achieving end-users’ and companies’ compliance requires considering multiple infrastructural as well as commercial factors, such as sustainability in case of cloud-side interruptions, identity management and off-site corporate data handling policies. The article overviews recent attempts at formal definitions of cloud computing, summarizes and critically evaluates proposed delimitations, and specifies challenges associated with its further proliferation. Based on the conclusions, future directions in the field of cloud computing are also briefly hypothesized to include deeper focus on community clouds and bolstering innovative cloud-enabled platforms and devices such as tablets, smart phones, as well as entertainment applications.
Wiercinski, Floyd J
An overview of calcium is presented including introduction, pre-history, chronology of the research recorded in the literature, discussion, summary, recent references, literature cited, acknowledgments, and appendix. Elemental calcium began with the Earth's formation. Calcium was used for utilitarian purposes in B.C. times. In the 12th and 13th centuries A.D., calcium oxide was formed by roasting limestone to form calcium carbonate. A test for calcium was found in the 17th century, and "stones" were observed in humans (see appendix). In the 19th century, calcium was isolated and chemically identified by electrolysis, and later in that century calcium was found to be needed in a physiological solution similar to the ionic content of blood. In the 20th century it was found that, in the absence of calcium, living cells pulled away from one another. Anesthesia was produced by massive injection of magnesium salts into a mammal-conciousness could be restored by the addition of calcium, which neutralized the magnesium. Finally, calcium out of control in necrosis has an invasive action. Calcium antagonists and their mode of action were described in 1986.
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Argentina. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Brazil. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is India. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Slovenia. The site is designed to be dynamic. Updates to the overviews will be made as need and resource s permit
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Mexico. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Romania. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit
Jensen, Lotte Groth
Summary This PhD dissertation contributes with a sociological perspective on the creation of clinical overview in daily clinical practice among physicians at hospitals. The issue about creating clinical overview originated from a change in media, when one of the five Danish regions decided...... to change from a paper-based patient record to an Electronic Patient Record (EPR). The change in media had the effect that some physicians found it difficult to create overview over patient information and the patient’s illness history. This challenge caused the design of the present PhD study, which...... will be to investigate the creation of overview in daily clinical practice among physicians and analyse the processes involved in this creation. The primary focus will be on practice and the work that is accomplished in daily clinical practice among physicians at hospitals. By this focus, the dissertation will render...
Brochure offers an overview of the Federal Energy Management Program (FEMP), which provides agencies and organizations with the information, tools, and assistance they need to achieve their energy-related requirements and goals through specialized initiatives.
Ramapriyan, H. K.
Over the last 10-15 years, significant advances have been made in information management, there are an increasing number of individuals entering the field of information management as it applies to Geoscience and Remote Sensing data, and the field of informatics has come to its own. Informatics is the science and technology of applying computers and computational methods to the systematic analysis, management, interchange, and representation of science data, information, and knowledge. Informatics also includes the use of computers and computational methods to support decision making and applications. Earth Science Informatics (ESI, a.k.a. geoinformatics) is the application of informatics in the Earth science domain. ESI is a rapidly developing discipline integrating computer science, information science, and Earth science. Major national and international research and infrastructure projects in ESI have been carried out or are on-going. Notable among these are: the Global Earth Observation System of Systems (GEOSS), the European Commissions INSPIRE, the U.S. NSDI and Geospatial One-Stop, the NASA EOSDIS, and the NSF DataONE, EarthCube and Cyberinfrastructure for Geoinformatics. More than 18 departments and agencies in the U.S. federal government have been active in Earth science informatics. All major space agencies in the world, have been involved in ESI research and application activities. In the United States, the Federation of Earth Science Information Partners (ESIP), whose membership includes over 180 organizations (government, academic and commercial) dedicated to managing, delivering and applying Earth science data, has been working on many ESI topics since 1998. The Committee on Earth Observation Satellites (CEOS)s Working Group on Information Systems and Services (WGISS) has been actively coordinating the ESI activities among the space agencies.The talk will present an overview of current efforts in ESI, the role members of IEEE GRSS play, and discuss
Cirillo, William M.; Earle, Kevin D.; Goodliff, Kandyce E.; Reeves, J. D.; Stromgren, Chel; Andraschko, Mark R.; Merrill, R. Gabe
NASA s Constellation Program employs a strategic analysis methodology in providing an integrated analysis capability of Lunar exploration scenarios and to support strategic decision-making regarding those scenarios. The strategic analysis methodology integrates the assessment of the major contributors to strategic objective satisfaction performance, affordability, and risk and captures the linkages and feedbacks between all three components. Strategic analysis supports strategic decision making by senior management through comparable analysis of alternative strategies, provision of a consistent set of high level value metrics, and the enabling of cost-benefit analysis. The tools developed to implement the strategic analysis methodology are not element design and sizing tools. Rather, these models evaluate strategic performance using predefined elements, imported into a library from expert-driven design/sizing tools or expert analysis. Specific components of the strategic analysis tool set include scenario definition, requirements generation, mission manifesting, scenario lifecycle costing, crew time analysis, objective satisfaction benefit, risk analysis, and probabilistic evaluation. Results from all components of strategic analysis are evaluated a set of pre-defined figures of merit (FOMs). These FOMs capture the high-level strategic characteristics of all scenarios and facilitate direct comparison of options. The strategic analysis methodology that is described in this paper has previously been applied to the Space Shuttle and International Space Station Programs and is now being used to support the development of the baseline Constellation Program lunar architecture. This paper will present an overview of the strategic analysis methodology and will present sample results from the application of the strategic analysis methodology to the Constellation Program lunar architecture.
Prassinos, Peter G.; Lyver, John W., IV; Bui, Chinh T.
Risk assessment is used in many industries to identify and manage risks. Initially developed for use on aeronautical and nuclear systems, risk assessment has been applied to transportation, chemical, computer, financial, and security systems among others. It is used to gain an understanding of the weaknesses or vulnerabilities in a system so modification can be made to increase operability, efficiency, and safety and to reduce failure and down-time. Risk assessment results are primary inputs to risk-informed decision making; where risk information including uncertainty is used along with other pertinent information to assist management in the decision-making process. Therefore, to be useful, a risk assessment must be directed at specific objectives. As the world embraces the globalization of trade and manufacturing, understanding the associated risk become important to decision making. Applying risk assessment techniques to a global system of development, manufacturing, and transportation can provide insight into how the system can fail, the likelihood of system failure and the consequences of system failure. The risk assessment can identify those elements that contribute most to risk and identify measures to prevent and mitigate failures, disruptions, and damaging outcomes. In addition, risk associated with public and environment impact can be identified. The risk insights gained can be applied to making decisions concerning suitable development and manufacturing locations, supply chains, and transportation strategies. While risk assessment has been mostly applied to mechanical and electrical systems, the concepts and techniques can be applied across other systems and activities. This paper provides a basic overview of the development of a risk assessment.
Davis, Stacy Cagle [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Williams, Susan E. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Moore, Sheila A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Boundy, Robert Gary [Roltek, Inc., Clinton, TN (United States)
Each week the U.S. Department of Energy s Vehicle Technology Office (VTO) posts a Fact of the Week on their website: http://www1.eere.energy.gov/vehiclesandfuels/ . These Facts provide statistical information, usually in the form of charts and tables, on vehicle sales, fuel economy, gasoline prices, and other transportation-related trends. Each Fact is a stand-alone page that includes a graph, text explaining the significance of the data, the supporting information on which the graph was based, and the source of the data. A link to the current week s Fact is available on the VTO homepage, but older Facts are archived and still available at: http://www1.eere.energy.gov/vehiclesandfuels/facts/. This report is a compilation of the Facts that were posted during calendar year 2013. The Facts were written and prepared by staff in Oak Ridge National Laboratory's Center for Transportation Analysis.
Full Text Available Background: The most widely used methods of describing traumatic brain injury (TBI are the Glasgow Coma Scale (GCS and the Abbreviated Injury Scale (AIS. Recent evidence suggests that presenting GCS in older patients may be higher than that in younger patients for an equivalent anatomical severity of TBI. This study aimed to assess these observations with a propensity-score matching approach using the data from Trauma Registry System in a Level I trauma center. Methods: We included all adult patients (aged ≥20 years old with moderate to severe TBI from 1 January 2009 to 31 December 2016. Patients were categorized into elderly (aged ≥65 years and young adults (aged 20–64 years. The severity of TBI was defined by an AIS score in the head (AIS 3‒4 and 5 indicate moderate and severe TBI, respectively. We examined the differences in the GCS scores by age at each head AIS score. Unpaired Student’s t- and Mann–Whitney U-tests were used to analyze normally and non-normally distributed continuous data, respectively. Categorical data were compared using either the Pearson chi-square or two-sided Fisher’s exact tests. Matched patient populations were allocated in a 1:1 ratio according to the propensity scores calculated using NCSS software with the following covariates: sex, pre-existing chronic obstructive pulmonary disease, systolic blood pressure, hemoglobin, sodium, glucose, and alcohol level. Logistic regression was used to evaluate the effects of age on the GCS score in each head AIS stratum. Results: The study population included 2081 adult patients with moderate to severe TBI. These patients were categorized into elderly (n = 847 and young adults (n = 1234: each was exclusively further divided into three groups of patients with head AIS of 3, 4, or 5. In the 162 well-balanced pairs of TBI patients with head AIS of 3, the elderly demonstrated a significantly higher GCS score than the young adults (14.1 ± 2.2 vs. 13.1 ± 3
Tarun Kumar Dutta
Full Text Available Rabies is a fatal disease caused by rabies virus, a neurotropic virus and a prototype of Lyssavirus of Rhabdoviridae family. It is transmitted to human beings through infected saliva of dogs and cats during bite. Dog is the cause of more than 90% of human rabies in India. The incubation period is 4-8 weeks (but it may vary from 5 days to 7 years. There are two clinical types of rabies - encephalitic (furious and paralytic (dumb types. In the encephalitic (furious form, the principal malfunction is in the brain stem and limbic system. Patient has hydrophobia in the full-blown form, but the mind remains clear till the end. Death occurs within a week after the onset of symptoms. Paralytic rabies resembles Guillain-Barre syndrome. Diagnosis is mostly clinical. However, direct fluorescent antibody test is used to identify the antigen in skin biopsy from the nape of neck. In the postmortem specimen, demonstration of Negri bodies in the brain confirms the diagnosis. Anti-rabies vaccine is used for pre- and post-exposure prophylaxis. The commonly used intramuscular (IM regimen is being superseded by intradermal (ID vaccine because it makes the treatment economical. Whereas touching of animal or lick on intact skin does not require vaccination, any transdermal bite with bleeding requires immediate administration of rabies immunoglobulin (RIG and simultaneous vaccination with a tissue culture vaccine (TCV. Minor abrasion without bleeding may require only vaccination and no RIG. Rabies human monoclonal antibody (RMAb is the newest entry in the prophylaxis of rabies which may ultimately replace RIG. Prognosis is grave since there are just six reports of survivors. Treatment is mainly palliative with heavy sedation and/or therapeutic coma (Milwaukee protocol.
ID 12 15 18 21 24. Time (Weeks). Figure 5: Effects of I. gabonensis on mean corpuscular volume (MCV) of normal rabbits. Values carrying notations are statistically different from control at p<0.05. ©CMS UNIBEN [MBR zo12=11(2) ...
Alaska State Dept. of Education, Juneau. Div. of Adult and Vocational Education.
The aim of these materials is to interest students in jobs related to Alaska's natural resources. They coordinate with the Sea Week curriculum and the Alaska vocational state model curriculum in renewable natural resources in agriculture. Each of the 2-page career profiles includes a brief description of a person's job along with that person's…
... Proclamation Fires, whether caused by people or nature, can have devastating effects. Hundreds of thousands of... practice fire safety throughout the year. This year's Fire Prevention Week theme, ``Protect Your Family... mowing dry grasses to two inches or less, and by clearing brush, leaves, green grass, and lumber from...
... full resources of the Federal Government behind America's businesses, large and small, and help them... Trade Week, 2011 By the President of the United States of America A Proclamation American businesses embody the ingenuity and entrepreneurship that has defined our Nation since its founding, and they...
... small business owners acquire loans and hire workers. This week, we celebrate the role of entrepreneurs.... They are the backbone of our Nation's economy, they employ tens of millions of workers, and, in the..., and gives entrepreneurs the security they need to innovate and take risks. We have also enacted new...
... historic trade agreements and enforcing trade rights so American workers can compete on a level playing... creates jobs and grows our economy. During World Trade Week, we recognize workers, growers, and entrepreneurs nationwide who share that ambition, and we rededicate ourselves to advancing it in the year ahead...
..., educational, and child care support for families throughout the country. This year, I was proud to sign the... communities, shaping the development of our society, instilling values in us, and impacting our lives with... National Family Week, we recognize the importance of the family unit in helping all Americans reach their...
... college graduates of any country across the globe by the year 2020. Educators and school employees must... democracy, and to succeed in college, career, and life. This week, let us reaffirm the importance of... sixteenth day of November, in the year of our Lord two thousand ten, and of the Independence of the United...
through inertial fusion energy (IFE) research and (2) to maintain a competitive US economy through new development of technologies of interest for government and industrial use, including Laboratory Directed Research and Development (LDRD). This Overview is divided into sections that include Target Physics and Technology, Laser Science and Optics Technology, the National Ignition Facility, and Inertial Fusion Energy/New Technologies. These sections summarize the findings within the many articles written for refereed journals and the ICF Quarterly Report, and also discuss important results from FY 1996 that have not been covered explicitly in the articles
Full Text Available RESUMO Objetivou-se correlacionar a necessidade de resgate analgésico pós-operatório por meio das escalas analógica visual (EVA, de Glasgow, Colorado e Melbourne, por meio de um avaliador experiente (AE e outro não experiente (ANE, em cadelas submetidas à mastectomia unilateral total. Foram utilizadas 24 cadelas, hígidas, internadas 24 horas antes do procedimento cirúrgico, para avaliação do seu comportamento, com o auxílio das escalas descritas acima no momento basal (M0. Foram pré-medicadas com acepromazina e morfina (0,02 e 0,5mg/kg e induzidas à anestesia geral com propofol (4mg/kg, mantidas em plano anestésico com CAM de isoflurano 1%. A manutenção analgésica transoperatória foi realizada com cetamina e fentanil (10µg/kg/min e 10µg/kg/h. As demais avaliações ocorreram em uma, duas, quatro, seis, oito, 12 e 24 horas de pós-operatório, sendo os resgates realizados com morfina (0,5mg/kg, pela via intramuscular, quando fosse observada uma pontuação maior ou igual a 50, seis, dois e nove pontos, respectivamente, para as escalas descritas, quando observada pelo AE e quando ao menos duas das escalas demonstrassem esses valores. Houve aumento dos escores de dor do M1 ao M12 para o AE e para o ANE para a EVA. Na análise de Colorado, maiores pontuações de dor ocorreram em relação ao M0 entre o M2 e o M8 para o AE e do M1 ao M12 para o ANE. Na análise de Glasgow, maiores escores foram detectados entre o M1 e o M12 para o AE e do M1 ao M24 para o ANE. E para a de Melbourne, maiores valores foram observados do M1 e do M24 para o AE e o ANE. A melhor correlação entre as escalas foi de 0,775 entre Glasgow e Colorado e entre os avaliadores de 0,925 para a Glasgow. Conclui-se que a escala de Glasgow apresentou-se mais sensível para detectar resgates analgésicos em cadelas submetidas à mastectomia total unilateral, que a inexperiência do avaliador não compromete a qualidade das avaliações de dor e sugere-se reduzir a
Labarca, Jaime A.; Wagar, Elizabeth A.; Grasmick, Ann E.; Kokkinos, Heidi M.; Bruckner, David A.
To determine the benefit of a 4-week incubation for mycology cultures, we evaluated all positive cultures during the fourth week of incubation in a 1-year period. Of 3,855 positive mycology cultures (yeast, 82%; molds, 18%), 62 (1.6%) were positive during the fourth week (yeast, 42%; molds, 58%). Only 15 of the 62 cultures (24%) were considered clinically relevant (2 isolates from invasive fungal infection and 13 isolates from cutaneous mycosis). With the exception of those from skin samples, isolates recovered during the fourth week are rarely important for patient care. PMID:9817896
Full Text Available In a 71-year-old patient with bilateral open-angle glaucoma, intracorneal blood was found after a canaloplasty procedure in the right eye. Six weeks after surgery on ultrasound biomicroscopy examination, liquified blood and blood clots could be observed nasally in the deep corneal stroma close to the Descemet′s membrane. The intracorneal blood was washed out with balanced saline solution following deep corneal incision and lamellar dissection. Descemet′s membrane was reattached with air injection into the anterior chamber. Two months later, visual acuity improved to 20/50, intraocular pressure was 16 mm Hg without medication and confocal microscopy showed deep stromal folds and limited endothelial cell loss. Viscoelastic entering the cornea at Schwalbe′s line and reflux of blood from the collector channels to Schlemm′s canal can account for corneal hematoma. Even six weeks after canaloplasty, successful blood removal could be fulfilled without rupturing the Descemet′s membrane.
Davis, Stacy Cagle [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Diegel, Susan W. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Moore, Sheila A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Boundy, Robert Gary [Roltek, Inc., Clinton, TN (United States)
Each week the U.S. Department of Energy’s Vehicle Technology Office (VTO) posts a Fact of the Week on their website: http://www1.eere.energy.gov/vehiclesandfuels/ . These Facts provide statistical information, usually in the form of charts and tables, on vehicle sales, fuel economy, gasoline prices, and other transportation-related trends. Each Fact is a stand-alone page that includes a graph, text explaining the significance of the data, the supporting information on which the graph was based, and the source of the data. A link to the current week’s Fact is available on the VTO homepage, but older Facts are archived and still available at: http://www1.eere.energy.gov/vehiclesandfuels/facts/. This report is a compilation of the Facts that were posted during calendar year 2013. The Facts were written and prepared by staff in Oak Ridge National Laboratory's Center for Transportation Analysis.
Section Media & Publications; Tél. 73830; Media & Publication Section; ETT Division; Tel. 73830
As Thursday 7 September is a Holiday (Jeûne genevois), material for publication in Weekly Bulletin nr 37/2000, to appear on Friday 8 September and covering the week of Monday 11 September, should reach us one day earlier than usual, I.E. by noon on Monday 4 September. Thank for your understanding.
Antonella Del Rosso
Last week, Semiconductor – the winners of the Collide@CERN Ars Electronica award for 2015 – and artists Francesco Mariotti and José-Carlos Mariátegui visited CERN and met the scientists. Ruth Jarman (left) and Joe Gerhardt (right) of Semiconductor with Peter Jenni, one of the scientists they met during their visit to ATLAS. Just a few weeks ago, Ruth Jarman and Joe Gerhardt, two English artists collaborating under the name Semiconductor, were awarded the Collide@CERN Ars Electronica prize for 2015. Last week, they came on their first visit to CERN to meet the scientists and select their scientific partner in preparation for their residency. They will soon begin a two-month residency at CERN before going to Linz (Austria), where they will spend a month at the Ars Electronica Futurelab. During their residency, the artists aim to create a digital artwork elaborating on the n...
Chew, Lita; Chuen, Vivianne Shih Lee
Docetaxel-based chemotherapy will remain clinically relevant and many of our patients will continue to receive the drug. In a recent phase 2 study of docetaxel 35 mg/m2 (weekly) in patients with metastatic breast cancer, the incidence of grade 3 cutaneous toxicity is 19%. The skin toxicity observed consists of limb/palmar-plantar erythematous reactions, or fixed-plaque erythrodysesthesia. Case series or reports have reported varied manifestations of skin reactions and include erythema multiforme, nail changes (onycholysis, pigmentation, paronychia), scleroderma, supravenous discoloration, radiation recall dermatitis, and flagellate erythema. We would like to report four patients with cutaneous reactions resulting from weekly administration of docetaxel. All cases are heavily pre-treated patients, receiving docetaxel as second or third line therapy. The cutaneous reactions occur at cycle 5. The time between chemotherapy to development of skin lesions is from 1 to 7 days. Lesions usually resolve with desquamation leaving behind areas with hyper-pigmentation or hypo-pigmentation over a period of 2 to 3 weeks. The management strategies include hand elevation, warm or cold compresses, topical and/or systemic antibiotics, topical and/or systemic corticosteroids, and cessation of drug. There is a need for a systematic approach to manage these cutaneous reactions. Oncology trained pharmacists play vital roles in assessing, managing, documenting and patient education.
The DOE Office of Fossil Energy maintained a web site that was meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consisted of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There were also more than 30 Country Energy Overviews at the web site -- each of these was a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Bolivia.
An overview of tools and methods for the reconstruction of high-boost top quark decays at the LHC is given in this report. The focus is on hadronic decays, in particular an overview of the current status of top quark taggers in physics analyses is presented. The most widely used jet substructure techniques, normally used in combination with top quark taggers, are reviewed. Special techniques to treat pileup in large cone jets are described, along with a comparison of the performance of several boosted top quark reconstruction techniques.
Estudio de validación diagnóstica de la escala de Glasgow-Blatchford para la predicción de mortalidad en pacientes con hemorragia digestiva alta en un hospital de Lima, Perú (junio 2012-diciembre 2013)
Cassana, Alessandra; Scialom, Silvia; Segura, Eddy R; Chacaltana, Alfonso
Antecedentes y propósito del estudio: la hemorragia digestiva alta es una causa importante de ingreso hospitalario y constituye la principal emergencia gastroenterológica, con una tasa de mortalidad de hasta el 14%. En el Perú no existen estudios sobre el uso de la escala de Glasgow-Blatchford para predecir mortalidad por hemorragia digestiva alta. El objetivo de este estudio es realizar la validación externa de la escala de Glasgow-Blatchford y establecer su mejor punto de corte para predeci...
Wound dressing and wound management are key words in current wound treatment. An unmanageably high number of products causes more confusion than clarification. Under continuous cost pressure in healthcare services, the choice of adequate wound management for long-term wound treatment, especially concerning chronic wounds, is crucial. This article presents an overview of the available wound dressings.
There are over 16,000 species of pyraloid or snout moths worldwide and many are pests of crops and stored products. The purpose of this video is twofold: to provide an overview of the current, modern classification of snout moths and to provide tools using morphology to identify adult snout moths t...
Eslami, Hassan; Eshow, Michelle
Dynamic Weather Routes Architecture Overview, presents the high level software architecture of DWR, based on the CTAS software framework and the Direct-To automation tool. The document also covers external and internal data flows, required dataset, changes to the Direct-To software for DWR, collection of software statistics, and the code structure.
Overview of Combined Heat+Power PowerElectricity Natural Gas Heat + Cooling Natural Gas or Biogas ...Fuel Cell Technologies Program eere.energy.gov Source: US DOE 10/2010 Biogas Benefits: Preliminary Analysis Stationary fuel...with the national grid. Source: US DOE 1/2011 6 | Fuel Cell Technologies Program eere.energy.gov Biogas Resource Example
Tullney, Marco; van Wezenbeek, Wilma
Slides of an overview presentation given at a CESAER workshop on Open Access, February 2nd, 2017, in Brussels Cover major routes to more open access as discussed in the Task Force Open Science of CESAER: (national) open access strategies open access mandates open access incentives open access awareness open access publishing open access infrastructure
Najera, Larry [Los Alamos National Laboratory
Materials provide an overview of the Weapons Engineering Tritium Facility (WETF) as introductory material for January 2011 visit to SRS. Purpose of the visit is to discuss Safety Basis, Conduct of Engineering, and Conduct of Operations. WETF general description and general GTS program capabilities are presented in an unclassified format.
Eisma, Maarten C.; Stroebe, Margaret S.
This contribution provides an overview of rumination (i.e., thinking repetitively and recurrently about negative events and/or negative emotions) in adjustment to bereavement. First, we summarise a growing literature on rumination and mental health outcomes of bereavement. Next, we compare two main
Adams, J.M.; Alladio, F.; Altmann, H.
An overview is given of experimental results obtained on JET during 1988, and in particular of results at high total power input into plasmas with various configurations. An account is given of the various interpretations of these results and some of the difficulties encountered are related. The progress is summarised in terms of the projected D-T performance. (author)
An overview of selected energy-related data for the United States, for each state, and for the District of Columbia is presented. Included are the quantities of energy produced and consumed, estimates of fuel reserves, the value of nonrenewable fuels produced by type, energy expenditures, and consumer prices. Also provided for each state are selected demographic and energy-related information that have been ranked and expressed as a percent of the national total. This overview provides a ready reference and a quick access to selected state energy information and state rankings for various socioeconomic and energy items. The State Energy Overview is arranged in five sections. The first section presents United States totals and an overview of state rankings. The second depicts data for the 50 states and the District of Columbia. The glossary presents definitions germane to this publication and the fourth section describes methodology and includes remarks concerning the information and methods used to estimate 1982 consumption numbers. The fifth section presents sources of data and information for this publication. A summary of each section is included.
Gevarter, W. B.
An overview of computer vision is provided. Image understanding and scene analysis are emphasized, and pertinent aspects of pattern recognition are treated. The basic approach to computer vision systems, the techniques utilized, applications, the current existing systems and state-of-the-art issues and research requirements, who is doing it and who is funding it, and future trends and expectations are reviewed.
Pakseresht, Sedighe; Pourshaban, Farzane; khalesi, Zahra Bostani
Introduction The ideal nourishment for the first 12 months of a child?s life comes from breastfeeding its mother?s milk, and maternal self-efficacy is one factor which affects breastfeeding duration. Therefore, the present study aimed to compare the maternal breastfeeding self-efficacy during the first week and sixth-week postpartum. Methods This descriptive, analytical study was conducted on 767 women referring to the Family Health Research Center of Rasht in 2014. Mothers were selected thro...
Full Text Available Bronchogenic cysts are congenital foregut malformations forming from abnormal budding of the bronchial tree between the 4th and 6th weeks of embryonic development. While identified primarily in children, the cysts are often asymptomatic and may not be identified until adulthood. Most (70% are within the middle mediastinum and contain fluid or proteinaceous material. When involving the parenchyma, they generally do not communicate with the tracheobronchial tree. Communication with the airways may develop following infection, procedures, or trauma and may result in lesions with an air-fluid level (Figures 1 and 2. Bronchogenic cysts may be complicated by infection, bleeding, fistula formation, or most concerning, by malignant transformation. Unless the cyst contains air, it may manifest as a solitary pulmonary nodule on plain radiographs. Computed tomography or T2-weighted MRI images are used to confirm the diagnosis.
Full Text Available A 59 year old female was admitted to the ICU with hypoxemic respiratory failure and a clinical picture of ARDS (Figure 1, requiring intubation and mechanical ventilation. She underwent bone marrow and renal transplantation several years prior for multiple myeloma and myeloma kidney, respectively. She had been restarted on lenalidomide one month prior to presentation. She was also taking tacrolimus, mycophenolate, prophylactic antimicrobials, warfarin for deep venous thrombosis, and aspirin for coronary artery disease. Emergent bronchoscopy with bronchoalveolar lavage revealed progressively bloodier specimens (Figure 2 consistent with diffuse alveolar hemorrhage (DAH. Further work-up was negative for vasculitis. Her lenalidomide, anticoagulation, and trimethoprim/sulfamethoxazole was stopped. She was started on high dose steroids and improved over 2 weeks.
Full Text Available A 71 year-old man with chronic obstructive pulmonary disease (COPD presents to the emergency department complaining of dyspnea after recent admission for pneumonia. Chest CT shows a low density collection in the right lung suggesting necrosis (Figure 1. A CT obtained 1 week after admission (Figure 2 shows progression to empyema. Management of empyema can be difficult. If the fluid cannot be removed with a therapeutic thoracentesis, a chest tube should be inserted and consideration be given to the intrapleural instillation of fibrinolytics (1. If the loculated effusion persists, the patient should be subjected to video-assisted thoracoscopic surgery. If the lung cannot be expanded with this procedure, a full thoracotomy with decortication should be performed. The definitive procedure should be performed within fourteen days.
We give an overview of recent exciting achievements of deep reinforcement learning (RL). We discuss six core elements, six important mechanisms, and twelve applications. We start with background of machine learning, deep learning and reinforcement learning. Next we discuss core RL elements, including value function, in particular, Deep Q-Network (DQN), policy, reward, model, planning, and exploration. After that, we discuss important mechanisms for RL, including attention and memory, unsuperv...
An overview of the analysis of core-disruptive accidents is given. These analyses are for the purpose of understanding and predicting fast reactor behavior in severe low probability accident conditions, to establish the consequences of such conditions and to provide a basis for evaluating consequence limiting design features. The methods are used to analyze core-disruptive accidents from initiating event to complete core disruption, the effects of the accident on reactor structures and the resulting radiological consequences are described
The United States Defense Threat Reduction Agency (DTRA) has supported a series of high explosive calibration experiments that were conducted in the Degelen Mountain area of the Semipalatinsk Test Site (STS) in the Republic of Kazakhstan (ROK). This paper will provide an overview of the second and third tests of this series which have been designated Omega-2 and Omega-3. Omega-2 was conducted on Saturday, September 25, 1999 and Omega-3 on Saturday, July 29, 2000. (author)
Crockett, Scott [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
A general overview of the Equation of State (EOS) Project will be presented. The goal is to provide the audience with an introduction of what our more advanced methods entail (DFT, QMD, etc.. ) and how these models are being utilized to better constrain the thermodynamic models. These models substantially reduce our regions of interpolation between the various thermodynamic limits. I will also present a variety example of recent EOS work.
Schwartz, Ronald H
A fundamental property of the immune system is its ability to mediate self-defense with a minimal amount of collateral damage to the host. The system uses several different mechanisms to achieve this goal, which is collectively referred to as the "process of immunological tolerance." This article provides an introductory historical overview to these various mechanisms, which are discussed in greater detail throughout this collection, and then briefly describes what happens when this process fails, a state referred to as "autoimmunity."
This is the first of a series of briefings which discuss the sustainable development issues raised by legal arrangements for the protection of foreign investment. The briefings are based on legal research by IIED and its partners. The goal is to provide accessible but accurate information for human rights, development and environmental organisations working on issues raised by foreign investment in low- and middle-income countries. Briefing 1 provides a general overview of key issues.
Full Text Available Antiviral drug development has been slow due to many factors. One such factor is the difficulty to block the viral replication in the cell without adversely affecting the host cell metabolic activity. Most of the antiviral compounds are analogs of purines and pyramidines. Currently available antiviral drugs mainly inhibit viral nucleic acid synthesis, hence act only on actively replicating viruses. This article presents an overview of some of the commonly used antiviral agents in clinical ophthalmology.
Qamili, Enkelejda; Ottavianelli, Giuseppe; Olsen, Nils
The ESA Swarm satellites, launched in November 2013, carry on-board instuments devoted to measure extremely accurate data necessary to improve our understanding of Earth’s magnetic field. The Swarm instrument package is made by two magnetometers (one vector and one scalar), one Electric field...... Instrument (EFI), one Accelerometer and one GPS reciever. This presentation aims at providing an extensive overview of the magnetic instrument status, magnetic data availability and quality....
August 2017 will mark the 75th anniversary of the establishment of the United States Army's Manhattan Engineer District, which oversaw the development and deployment of the first generation of nuclear weapons during World War II. In this talk I give an overview of the Manhattan Project, touching on its historical context, genesis, organization, facilities, accomplishments, challenges encountered, and legacies. I will also comment briefly on some of its lesser-known aspects and the persistent popular mythologies that still surround it.
Aileen G. Bacudio; Xiaohong Yuan; Bei-Tseng Bill Chu; Monique Jones
Penetration testing is a series of activities undertaken to identify and exploit security vulnerabilities. It helps confirm the effectiveness or ineffectiveness of the security measures that have been implemented. This paper provides an overview of penetration testing. It discusses the benefits, the strategies and the methodology of conducting penetration testing. The methodology of penetration testing includes three phases: test preparation, test and test analysis. The test phase involves ...
Mahendra R.R Raj
The importance of waste disposal management is a very essential and integral part of any health care system. Health care providers have been ignorant or they did not essentially know the basic aspect of the importance and effective management of hospital waste.This overview of biomedical waste disposal/management gives a thorough insight into the aspects of the guidelines to be followed and adopted according to the international WHO approved methodology for a cleaner, disease-free, and health...
Jolly, Susie; Reeves, Hazel; Piper, Nicola
Abstract. Over the past four decades total numbers of international migrants have more than doubled but the percentage of the world population migrating has remained fairly constant. There are now 175 million international migrants worldwide or approximately 3.5 per cent of the global population – about half of whom are women, despite the common misconception that men are the migrants. This Overview Report on Gender and Migration takes a broad approach to migration – it looks at the gender dy...
Full Text Available No abstract available. Article truncated at 150 words. A 95-year-old woman with a past medical history of breast cancer and mastectomy presented with fevers, cough productive of sputum and progressive dyspnea for 2 weeks. She denies any recent travel or sick contacts but has bird at home since last 10 years. She was afebrile but tachypneic with respiratory rate of 25 and sPO2 of 86% on room air. Her initial chest examination reveals coarse rhonchi in both lungs. Labs were significant for a sodium of 118 mEq/L, leukocytosis to 18,000 cells/mcL without peripheral eosinophilia. Arterial blood gas showed pO2 of 55 mm Hg, pCO2 of 48 mm Hg and pH of 7.44. An initial chest X-ray was positive for extensive bilateral pulmonary infiltrates predominantly in the mid and lower lungs with areas of airspace consolidation. Her urine Streptococcus pneumoniae antigen was negative as well as rapid influenza and a respiratory syncytial virus panel. The high resolution thoracic CT …
In May, you will discover a redesigned CERN Bulletin. Starting with the first May issue (No. 19-20/2006), the format of the CERN Bulletin will change completely. The page layout will be more attractive, reminiscent of a proper newspaper, with pictograms to identify the different sections. The information provided will also be more visible. The Bulletin was much in need of a makeover as its current layout dates back to 1976! The introduction of the new format will coincide with the introduction of a new means of distribution. You will still receive the elctronic version of the Bulletin every week directly on your computer. However, in order to avoid the waste from the dozens of copies that linger unread in people's mailboxes, the paper version will be available at a series of distribution points around the Laboratory. You will find the Bulletin along with the Staff Association newsletter at the cafeteria closest to your office. The Bulletin will be available from the following distribution points: On the M...
Full Text Available No abstract available. Article truncated after 150 words. A 69-year-old woman, a current smoker, with very severe chronic obstructive pulmonary disease and prior atypical mycobacterium, was found unresponsive by her family and intubated in the field by emergency medical services for respiratory distress. Her CT thorax showed severe emphysematous disease, apical bullous disease, and a large left upper lobe cavitation with debris (Figure 1. She was treated with broad-spectrum antibiotics and anti-fungal medications. Hemoptysis was never seen. Sputum cultures over a span of two weeks repeatedly showed Aspergillus fumigatus and outside medical records confirmed the patient had a known history of stable aspergilloma not requiring therapy. Aspergillomas usually arises in cavitary areas of the lung damaged by previous infections. The fungus ball is a combination of colonization by Aspergillus hyphae and cellular debris. Individuals with aspergillomas are usually asymptomatic or have mild symptoms (chronic cough and do not require treatment unless it begins to invade into the cavity ...
Trudel, Guy; Zhou, Jian; Uhthoff, Hans K.
Prolonged immobilization reduces passive range of motion of joints creating joint contractures. Whether and to what extent these iatrogenic contractures can be reduced is unknown. We raised three questions using an animal model: What degree of contracture remains at the end of a defined remobilization period? Do contractures in sham-operated and immobilized joints differ? What is the contribution of the posterior knee capsule in limiting knee extension? We immobilized one knee of 11 adult male rats in flexion to induce a joint contracture; 10 control animals underwent a sham operation. After 8 weeks, the internal fixation device was removed, and the animals were allowed to resume unrestricted activity for 4 weeks at the end of which the knee range of motion was measured with standardized torques. The mean flexion contracture was higher in the immobilized group (51.9° ± 2.8°) than in the sham-operated group (18.9° ± 2.1°). Eighty-eight percent of the contractures remained in the immobilized group after dividing skin and muscle, suggesting an important contribution of the posterior knee capsule in limiting knee mobility. Based on our preliminary study the range of motion of rat knees immobilized for 8 weeks remained substantially reduced after a 4-week period of unassisted remobilization. PMID:18299947
Poole, Heather; Khan, Ayesha; Agnew, Michael
More and more Canadian post-secondary institutions are introducing a fall break into their term calendars. In 2015, a full week fall break was introduced at our university in order to enhance academic performance and improve mental health amongst students. Our interdisciplinary team surveyed undergraduate students at our university about their…
The fourth and final issue of The Alan Guttmacher Institute's 1992 State Reproductive Health Monitor: Legislation Proposals and Actions chronicles and summarized reproductive health-related legislation introduced and acted on in the 50 states in 1992, covering abortion, family planning services, sex education, teenage pregnancy, adoption, infertility, maternal and infant care, and sexually transmitted diseases/AIDS. Arkansas, Montana, Nevada, North Dakota, Oregon, and Texas did not convene. Abortion legislation involved parental consent/notice, informed consent and waiting periods, funding, abortion/reproductive rights, abortion bans, RU-486, clinic harassment, insurance coverage, reporting requirements, fetal research/remains, postviability abortion, sex selection, clinic licensing, spousal notification, conscience clauses, counseling and referrals, feticide, and proposals for promoting "alternatives to abortion." Family planning services, sex education, teenage pregnancy, Norplant welfare reform, infertility services, surrogacy contracts, perinatal drug and alcohol abuse and family and medical leave was also covered as was HIV testing, consent, and notification, education and prevention strategies, treatment, insurance coverage, and discrimination.
This section describes the activities and accomplishments of the DOE research and development program offices. The Office of Energy Research (ER) manages fundamental science and basic energy research programs in several areas: high-energy physics; nuclear physics; the physical, biological, and mathematical sciences; magnetic fusion energy; and environmental and health effects. ER also supports many scientific user facilities that are used by universities and private-sector researchers and manages the DOE Small Business Innovation Research (SBIR) program and the R ampersand D Laboratory Technology Transfer Program. Brief descriptions of technology transfer accomplishments in each of these areas are given
Feemster, Kristen A
At the World Economic Forum in 2010, The Gates Foundation announced the “Decade of Vaccines,” a $10 billion commitment to increase access to existing and new childhood vaccines. It is estimated that this effort could save 6.4 million lives and avert 426 million illnesses [1, 2] Achieving these goals will require a significant effort among global health agencies, non-governmental organizations, industry and national governments to support vaccine development and ensure a strong infrastructure ...
Slide 17 · Superimposition · Fig. 8: Drawings of animals in a Bhimbetka rock shelter (superimposition) (Auditorium Cave) · Fig. 9: Impressions of hand palm in a rock shelter panel (superimposition) · Analysis Spatial · Absolute Dating Techniques · Fig. 10: Paintings of animals on the ceiling of a rock shelter in IGRMS campus.
Fig. 1: Distribution of rock art areas in W. Europe and N. Africa [from Course Book (Archaeology 258-1/ 358-1) on Rock Art published by the University of New England 1990] · Slide 6 · Fig. 2: Important Rock Art sites in India · Fig. 3: Some important rock art sites in Madhya Pradesh · Fig. 4: Rock art sites in and around Bhopal.
A basic premise of seismic design practice is that structures and equipment designed for large, infrequent, design level earthquake motions will safely withstand the more frequent, smaller motions they may experience during their functional life. Moreover, based on experience data, there appears to be wide agreement among earthquake engineers that small-magnitude earthquakes (smaller than about M5.0) pose a negliable threat of damage to structures and equipment that have good seismic design and engineering. However, analytical approaches for engineering characterization of this lower-bound earthquake have not been developed. Largely this is because there has not, up to now, been a perceived need to do so. Moreover, because small earthquakes historically have not caused damage to well-engineered components, field investigations to determine their effects generally are not conducted. As a result, a robust earthquake experience data base, marking the earthquake magnitude corresponding to the onset of damage, has not been developed. The need to establish a lower-bound magnitude has now arisen in the context of probabilistic seismic hazard and risk assessments, where a limit on magnitude must be defined below which the contribution from smaller quakes is not considered. This workshop addresses the engineering characterization of small-magnitude earthquakes with a focus on developing technical bases for determining the lower-bound magnitude for probabilistic seismic hazard and risk computations at nuclear power generating plant sites, principally those located in the eastern U.S.. These facilities typically are designed for broad-band ground motion spectra which have spectral amplifications representative of large-magnitude earthquakes, and to conservative seismic design criteria
Full text: In spite of rather poor financing (18% lower than in the preceding year), we ended the year 2002 with 335 scientific publications in journals listed by the Philadelphia Institute for Science Information. Our most outstanding results are given below. Further progress was achieved in the studies of the see-saw mechanism and the structure of the neutrino mass matrix. A realistic model was proposed for masses and mixing between three active neutrinos assuming a large hierarchy for the Dirac masses of neutrinos, and the degenerate mass spectrum for the right-handed Majorana masses. A natural consequence of the model is the small size of the mixing angle Θ 13 . The masses of the active neutrinos are predicted to be about 3 meV, 7 meV and 50 meV respectively. So far, the theoretical predictions have been in agreement with all recent experimental results on neutrino oscillation including the KAMLAND experiment. Successful studies contained in the area of the energy dependence of particle multiplicities in central Au + Au collisions. Similarities to particle production in the p - p and e + e - collision in a broad energy range up to 200 GeV per nucleon or lepton pair were found, what indicating a common string breaking mechanism for particle production. The dependence on pseudorapidity and centrality of the collective flow of charged particles in the Au + Au collision at √s NN = 130 GeV was determined. The importance of those quantities for testing various QCD models of heavy ion collisions was indicated. A precise test of CP violation in the process of B 0 decay to φ+K 0 S was performed using the Belle detector. Wide applicability of the thermal model of particle production in relativistic heavy ion collisions was established. Inclusion of hadron resonance decays and of the hydrodynamic flow velocity allowed us to describe cross - sections for all mesons and baryons with one freezout temperature T chemical = T kinetic = 165 MeV, which was an important result. The value of the baryonic chemical potential consistently decreases down to the value of μ B = 29 MeV at the collision energy √s NN = 200 GeV for the Au + Au system. The time scale of the thermal multifragmentation of 197 Au nuclei induced by a fast proton of the energy of 8.1 GeV was established. It was proved that it is a fast process, with characteristic decay time τ of the order of 10 -22 s. The first observation of the Jacobi shape transition accompanying the fast rotation of the 46 Ti nucleus was made. For the first time, non-hem iron was found in the low - spin state of Fe 2+ which indicates that NHFe initiates the cyclic transport of electrons in photosystem II. The result was published in Applied Organometallic Chemistry. The medium T-matrix theory was developed for superfluid nuclear matter. This new theoretical achievement was published in Phys. Rev. C. Using the ''ab initio'' method for structure calculation of the FeBO 3 compound, a special phase transition with spatial group symmetry unchanged, was found for the metal - isolator and magnetic - nonmagnetic cases. The advantage of the ''ab initio'' method is that the phase transition can be studied in the region of pressure values often difficult to access experimentally. A high level of the concentration of Pu and Am was found in sculls of prehistoric fossil animals. Legal accreditation for measuring individual radiation doses was granted to our second laboratory. Together with the laboratory for scaling and legalizing portable dosimeters, it should resume public services in 2003, hopefully providing some additional income for the Institute. Two doctors obtained their habilitation degrees, and three Associate Professors became full Professors. A group of laboratories from different departments formed a Centre of Excellence in the field of the Quality of Life, which was approved by the European Union. This may help us to obtain additional money for research as well. The Henryk Niewodniczanski prize was given to Dr Beata Ziaja-Motyka for her achievements in the new field of structure studies of complicated biological objects with femtosecond pulses of soft X-rays from free - electron laser.The High Energy Physics Group occupying in the old building belonging to the University of Mining and Metallurgy at Kawiory 26 was finally accommodated in the refurbished comfortable building on the main campus of the Institute at Radzikowskiego 152. The Institute successfully continued many international collaborations, of which the leading were ATLAS, ALICE, and LHCB at CERN, ZEUS and H1 at DESY, Phobos and Brahms at RHIC (BNL), COSY-11 and GeM at Juelich, GANIL at Caen, as well al FAZA at JINR (Dubna). The Institute hosted seven international conferences, one national conference and one NATO Training School. Let me thank my colleagues and co - workers for their great effort in concluding the year 2002 with great success. (author)
Weishut, D J
In the last decade it has become clear that impairment of the psychological well-being of homosexuals has its origin in a society that discriminates and stigmatizes homosexuality. The article provides some basic information on homosexuality and continues with an overview of current knowledge on attitudes toward homosexuality. It gives special attention to the situation of homosexuality in Israel. Limited knowledge on the situation in Israel suggests that although there is an increase in tolerance toward homosexuality, it is not universally accepted and prejudice is common.
Mahendra R.R Raj
Full Text Available The importance of waste disposal management is a very essential and integral part of any health care system. Health care providers have been ignorant or they did not essentially know the basic aspect of the importance and effective management of hospital waste.This overview of biomedical waste disposal/management gives a thorough insight into the aspects of the guidelines to be followed and adopted according to the international WHO approved methodology for a cleaner, disease-free, and healthier medical services to the populace, i.e., to the hospital employees, patients, and society.
Future opportunities for Canadian petroleum producers and the impact of competition for a share of the US export market on the Canadian oil industry were discussed. An overview of the market in PADD II, the US mid-continent, as seen from the Ashland Petroleum Company's perspective, was presented. Ashland is the fourth largest importer of Canadian crude. The company firmly believes that despite only slight increases in demand, Canadian supply to the US mid-continent will grow by taking significant market share from Mexican, Venezuelan and Gulf coast competitors
Lumpkin, A. H.
An overview of particle and photon beam bunch length measurements is presented in the context of free-electron laser (FEL) challenges. Particle-beam peak current is a critical factor in obtaining adequate FEL gain for both oscillators and self-amplified spontaneous emission (SASE) devices. Since measurement of charge is a standard measurement, the bunch length becomes the key issue for ultrashort bunches. Both time-domain and frequency-domain techniques are presented in the context of using electromagnetic radiation over eight orders of magnitude in wavelength. In addition, the measurement of microbunching in a micropulse is addressed
This paper has been written to provide a non-technical overview of modern decision theory and to identify some of the major ways in which decision theory is relevant to the nuclear waste issue. It concludes that the use of decision theory in the nuclear waste issue should be further developed, and more sophisticated tools should be made used of. In particular, the application of models for uncertainty and for collective decision-making is warranted, and the same applies to models that include the earlier phases of the decision-making process. (92 refs.)
Full Text Available Bearingless induction motors combining functions of both torque generation and noncontact magnetic suspension together have attracted more and more attention in the past decades due to their definite advantages of compactness, simple structure, less maintenance, no wear particles, high rotational speed, and so forth. This paper overviews the key technologies of the bearingless induction motors, with emphasis on motor topologies, mathematical models, and control strategies. Particularly, in the control issues, the vector control, independent control, direct torque control, nonlinear decoupling control, sensorless control, and so forth are investigated. In addition, several possible development trends of the bearingless induction motors are also discussed.
Pulse power modulators are electronic devices to provide, high voltage, high current, power bursts. Ideally, a modulator, with the means to shape and control the pulses, acts as a switch between a high voltage power supply and its load. This article gives an overview of the pulse power modulators: starting with the basics of pulse and modulation, it covers modulation topologies, different types of modulators, major subsystems and pulse measurement techniques. The various applications of pulse power modulators and the recent trends have been included at the end. (author)
Chapman, Jay P. [Pipeline Systems Incorporated (PSI), Belo Horizonte, MG (Brazil); Lima, Rafael; Pinto, Daniel; Vidal, Alisson [Ausenco do Brasil Engenharia Ltda., Nova Lima, MG (Brazil). PSI Div.
Slurry pipelines represent an economical and environmentally friendly transportation means for many solid materials. This paper provides an over-view of the technology, its evolution and current Brazilian activity. Mineral resources are increasingly moving farther away from ports, processing plants and end use points, and slurry pipelines are an important mode of solids transport. Application guidelines are discussed. State-of-the-Art technical solutions such as pipeline system simulation, pipe materials, pumps, valves, automation, telecommunications, and construction techniques that have made the technology successful are presented. A discussion of where long distant slurry pipelines fit in a picture that also includes thickened and paste materials pipe lining is included. (author)
This paper will present a general overview of the requirements of the Superconducting Super Collider (SSC) accelerators. Each accelerator in the injector chain will be discussed separately, followed by a discussion of the collider itself. In conclusion, the top level requirements of the overall accelerator system will be presented. For each accelerator, the primary operating parameters will be presented in tabular form. A brief narrative discussion of the principal technical features of each machine will be given. Finally, the principal technical design challenges for the machine will be noted, together with the currently planned solution to these challenges
This presentation is an overview of transportation as it relates to one specific type of material, low specific activity (LSA) material. It is the predominant type of material that fits into the low-level waste category. An attempt is made to discuss how LSA is regulated, setting forth the requirements. First the general scheme of regulations are reviewed. In addition future changes in the regulations which will affect transportation of LSA materials and, which quite likely, will have an impact on R and D needs in this area are presented
Diamond, P.H.; Itoh, K.; Itoh, S.-I.; Hahm, T.S.
Zonal flows, by which we mean azimuthally symmetric band-like shear flows, are ubiquitous phenomena in nature and the laboratory. It is now widely recognized that zonal flows are a key constituent in virtually all cases and regimes of drift wave turbulence, indeed, so much so that this classic problem is now frequently referred to as 'drift wave-zonal flow turbulence'. In this theory overview, we present new viewpoints and unifying concepts which facilitate understanding of zonal flow physics, via theory, computation and their confrontation with the results of laboratory experiment. Special emphasis is placed on identifying avenues for further progress. (author)
Full Text Available Zehirlenme nedeniyle gönderilen olgularda, hayati tehlike kavramının değerlendirilmesinde; kişinin yoğun bakım tedavisi görüp görmediği, yoğun bakımda kaldığı süre, antidot tedavisi uygulanıp uygulanmadığı ve varsa ölçülmüş olan madde dozu kriter olarak kullanılmaktadır. Glasgow Koma Skalası (GKS, beyin fonksiyonlarını ölçen, genellikle kranyoserebral yaralanmak hastalarda koma derecesini güvenilir bir şekilde değerlendirmeye yarayan bir indekstir. GKS’nın mortalité ile korelasyonu bulunmaktadır. Bu çalışmada GKS bulguları tanımlanan ve bu tanımlar ışığında GKS hesaplanan olgularda skalanın hayati tehlike kararı açısından kullanılabilirliğinin tartışılması amaçlandı. 1999-2000 yılları arasında Adli Tıp Kurumu 5. İhtisas Kurulu’na zehirlenme nedeni ile gönderilen olgular, klasik hayati tehlike kriterleri ve göz hareketleri, konuşma,sözel cevap, motor cevap olmak üzere, GKS kriterleri açısından ret-rospektif olarak değerlendirildi. Çalışmamızda toplam 647 zehirlenme olgusu içerisinden hayati tehlike bulunup bulunmadığı sorulan 359 olgu arasından GKS belirtilmiş olan ve/veya mevcut verilerle GKS’sı saptanabilen 30 olgu irdelenmiştir. Diğer olgularda ise klinik bilgiler ve hasta öyküsü yeterince kaydedilmediğinden skala değerlendirilememiştir. Bu çalışma sonucunda, zehirlenme olguları için oluşturulacak modifiye bir GKS formunun her sağlık biriminde kullanılmasının yakın bir hedef olması gerektiği düşünülmüştür. Anahtar kelimeler: Glasgow koma skalası, hayati tehlike, zehirlenme
Hertzum, Morten; Simonsen, Jesper
In Denmark emergency departments are newly established and still in a process of devising their procedures and technology support. Electronic whiteboards are a means of supporting clinicians in creating and maintaining the overview necessary to provide quality treatment of patients. The concrete...... meaning of the notion of overview is, however, fussy. To explore the notion of overview and how it might be affected by whiteboards, we conducted a survey at two emergency departments and, for reasons of comparison, a pediatric department. Our results indicate that respondents consider the information...... on their dry-erase whiteboards important to their overview and that they are positive toward the introduction of electronic whiteboards. At the emergency departments, the phy-sicians’ and nurses’ overall perception of their overview correlates with different subcomponents of overview, suggesting differences...
Simpson, Lewis Edward
This course, Waste Generation Overview Live (COURSE 23263), provides an overview of federal and state waste management regulations, as well as Los Alamos National Laboratory (LANL) policies and procedures for waste management operations. The course covers the activities involved in the cradle-to-grave waste management process and focuses on waste characterization, waste compatibility determinations and classification, and the storage requirements for temporary waste accumulation areas at LANL. When you have completed this course, you will be able to recognize federal, state, and LANL environmental requirements and their impact on waste operations; recognize the importance of the cradle-to-grave waste management process; identify the roles and responsibilities of key LANL waste management personnel (e.g., Waste Generator, Waste Management Coordinator, Waste Stream Profile approver, and Waste Certification Official); characterize a waste stream to determine whether it meets the definition of a hazardous waste, as well as characterize the use and minimum requirements for use of acceptable knowledge (AK) for waste characterization and waste compatibility documentation requirements; and identify the requirements for setting up and managing temporary waste accumulation areas.
Simpson, Lewis Edward [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
This course, Waste Generation Overview Live (COURSE 23263), provides an overview of federal and state waste management regulations, as well as Los Alamos National Laboratory (LANL) policies and procedures for waste management operations. The course covers the activities involved in the cradle-to-grave waste management process and focuses on waste characterization, waste compatibility determinations and classification, and the storage requirements for temporary waste accumulation areas at LANL. When you have completed this course, you will be able to recognize federal, state, and LANL environmental requirements and their impact on waste operations; recognize the importance of the cradle-to-grave waste management process; identify the roles and responsibilities of key LANL waste management personnel (e.g., Waste Generator, Waste Management Coordinator, Waste Stream Profile approver, and Waste Certification Official); characterize a waste stream to determine whether it meets the definition of a hazardous waste, as well as characterize the use and minimum requirements for use of acceptable knowledge (AK) for waste characterization and waste compatibility documentation requirements; and identify the requirements for setting up and managing temporary waste accumulation areas.
Catestatin, vasostatin, cortisol, temperature, heart rate, respiratory rate, scores of the short form of the Glasgow composite measure pain scale and visual analog scale for stress and pain behavior in dogs before and after ovariohysterectomy.
Srithunyarat, Thanikul; Höglund, Odd V; Hagman, Ragnvi; Olsson, Ulf; Stridsberg, Mats; Lagerstedt, Anne-Sofie; Pettersson, Ann
The stress reaction induced by surgery and associated pain may be detrimental for patient recovery and should be minimized. The neuropeptide chromogranin A (CGA) has shown promise as a sensitive biomarker for stress in humans. Little is known about CGA and its derived peptides, catestatin (CST) and vasostatin (VS), in dogs undergoing surgery. The objectives of this study were to investigate and compare concentrations of CGA epitopes CST and VS, cortisol, body temperature, heart rate, respiratory rate, scores of the short form of the Glasgow composite measure pain scale (CMPS-SF) and visual analog scales (VAS) for stress and pain behavior in dogs before and after ovariohysterectomy. Thirty healthy privately owned female dogs admitted for elective ovariohysterectomy were included. Physical examination, CMPS-SF, pain behavior VAS, and stress behavior VAS were recorded and saliva and blood samples were collected before surgery, 3 h after extubation, and once at recall 7-15 days after surgery. Dogs were premedicated with morphine and received carprofen as analgesia for 7 days during the postoperative period. At 3 h after extubation, CMPS-SF and pain behavior VAS scores had increased (p behavior VAS scores, temperature, respiratory rate (p dogs subjected to ovariohysterectomy. To further evaluate CST and VS usefulness as pain biomarkers, studies on dogs in acute painful situations are warranted.
Vinod K Khurana
Full Text Available An 8-week-old infant presented with 7 weeks history of nail involvement and discoloration. Lesions started over the middle fingernail of right hand at 1 week of age, spreading over to other nails within 2 weeks. Only two nails of the feet were spared. On KOH examination, fungal hyphae were seen and culture showed growth of Trichophyton rubrum. The purpose is to report the earliest case of onychomycosis having multiple nail involvement of fingers and toes (18 nails.
.pdf version of the Open Data/Open Access Week poster. Illustrator version: http://figshare.com/articles/Open_Data_poster_for_Open_Access_Week/828596 Combined fileset here: http://figshare.com/articles/Open_Data_Poster_for_Open_Access_Week/828597
Adobe Illustrator (.ai) version of the Open Data/Open Access week poster. PDF version: http://figshare.com/articles/Open_Data_Poster_for_Open_Access_Week/828595 Combined fileset here: http://figshare.com/articles/Open_Data_Poster_for_Open_Access_Week/828597
Smith, Carl B.
This booklet shows parents how to help their children develop a number of strategies for understanding words by working together on a methodical, 12-week program of word study. Sections of the booklet describe the program week by week. The techniques described are: Read and Use Context; Search for Synonyms, Antonyms, Homonyms; Learn Important…
Meilman, Philip W.; And Others
Reports a study that examined the average number of alcoholic drinks that college students (N=44,433) consumed per week. Surveys indicated that most students drank little or no alcohol on an average weekly basis. Only about 10% of the students reported consuming an average of 15 drinks or more per week. (SM)
... March 23, 2011 Part III The President Proclamation 8638--National Poison Prevention Week, 2011 #0; #0..., 2011 National Poison Prevention Week, 2011 By the President of the United States of America A... cases, these tragic incidents are preventable. During National Poison Prevention Week, I encourage all...
Supasyndh, Ouppatham; Satirapoj, Bancha; Seenamngoen, Sudarat; Yongsiri, Somchai; Choovichian, Punbuppa; Vanichakarn, Supat
Multiple lines of evidence have indicated that the dose of hemodialysis (HD) affects patient outcome. According to K-DOQI, daily spKt/V > 1.2 predicts the morbidity and mortality among thrice-weekly HD. However in developing countries, about three-fourths of end stage renal disease patients undergo twice-weekly HD. No data studied the outcome and nutritional status between twice- and thrice-weekly HD patients. To compare the nutritional parameters in twice- and thrice-weekly HD patients who had weekly Kt/V > 3.6. The cross-sectional study was performed in the HD unit of the National Kidney Foundation of Thailand. One hundred and forty two informed consent HD patients were enrolled in the present study. Nutritional status was evaluated following a HD treatment by bioelectrical impedance analysis. All patients were interviewed for three-day food record and data were analyzed by Inmucal software program. Sixty patients had thrice-weekly HD and 82 patients were on twice-weekly HD. The characteristics and duration of dialysis of both groups were similar except age. Duration of dialysis in thrice-weekly HD group was 82.64 +/- 50 82 and twice-weekly HD group was 68.92 +/- 31.49 months. The mean age of the thrice-weekly HD group and twice-weekly HD group patients were 47.78 +/- 9.89 and 41.63 +/- 10.47 years, respectively (p nutrition parameters except daily energy intake which was lower in the thrice-weekly HD group than twice-weekly HD group (19.21 +/- 6.42 vs. 25.02 +/- 7.70 kcal/kg/day, p patients with delivered weekly Kt/V > 3.6, nutritional status of patients undergoing twice-weekly HD are not different from that of thrice-weekly HD patients. Higher energy intake in twice-weekly HD patients might be the explanation.
Foley, A; Hillier, S; Barnard, R
To determine whether high-intensity, progressive gym-based exercise performed once a week is as effective as twice weekly for maintaining both subjective and objective outcomes in older adults post discharge from a metropolitan day rehabilitation centre (DRC). Randomised controlled trial. Community-based exercise centre for older adults, located in Metropolitan Adelaide, South Australia. 21 men and 85 women who completed the DRC programme were assessed and randomly allocated to a study group. The two experimental interventions were gym-based exercise programmes (including resistance, aerobic, flexibility and balance training) varying only in frequency of delivery: either once or twice a week, directly compared with usual care (control). Lower limb strength (one-repetition maximum), balance (Berg Balance Scale), physical function (gait speed, 30-s chair stand test, timed up and go test (primary outcome) and 6-min walk test), self-reported pain (Glasgow Pain Questionnaire), activities of daily living (Barthel Index and Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire), perceived benefits of and barriers to exercise (Exercise Benefits Barriers Scale), quality of life (Assessment of Quality of Life Questionnaire) and exercise frequency preference. Most of the outcomes (69%, 11/16) were maintained over the intervention period with no significant group effects detected between the two intervention groups or compared to the control group. Physical activity levels recorded in the control group showed a significant proportion of participants were actively exercising once weekly. A per-protocol analysis was undertaken to take this potential contamination effect into account. This showed that the control group participants, who did not exercise, did not maintain outcomes to the extent of the intervention groups, with significant group-by-time effects detected between the two intervention groups and the control group. Most of all
Spearing, Dane Robert [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Safeguards Science and Technology Group (NEN-1)
These are slides from a facility overview presentation for visiting agencies to Los Alamos National Laboratory (LANL). The TA-55 Plutonium Facility (PF-4) is discussed in detail. PF-4 is a unique resource for US plutonium programs. The basic design is flexible and has adapted to changing national needs. It is a robust facility with strong safety and security implementation. It supports a variety of national programs. It will continue for many years into the future. Sigma is then discussed in detail, which handles everything from hydrogen to uranium. It has been in long term service to the Nation (nearly 60 years). It has a flexible authorization basis to handle almost the entire periodic table. It has a wide breadth of prototyping and characterization capabilities. It has integrated program and line management.
Full Text Available Scar formation is an inevitable consequence of wound healing from either a traumatic or a surgical intervention. The aesthetic appearance of a scar is the most important criteria to judge the surgical outcome. An understanding of the anatomy and wound healing along with experience, meticulous planning and technique can reduce complications and improve the surgical outcome. Scar revision does not erase a scar but helps to make it less noticeable and more acceptable. Both surgical and non-surgical techniques, used either alone or in combination can be used for revising a scar. In planning a scar revision surgeon should decide on when to act and the type of technique to use for scar revision to get an aesthetically pleasing outcome. This review article provides overview of methods applied for facial scar revision. This predominantly covers surgical methods.
An overview of the various tritium research and operational activities in Canada is presented. These activities encompass tritium processing and recovery, tritium interactions with materials, and tritium health and safety. Many of these on-going activities form a sound basis for the tritium use and handling aspects of the ITER project. Tritium management within the CANDU heavy water reactor, associated detritiation facilities, research and development facilities, and commercial industry and improving the understanding of tritium behaviour in humans and the environment remain the focus of a long-standing Canadian interest in tritium. While there have been changes in the application of this knowledge and experience over time, the operating experience and the supporting research and development continue to provide for improved plant and facility operations, an improved understanding of tritium safety issues, and improved products and tools that facilitate tritium management. (author)
Najam, Z.; Khan, M.I.
Solar thermal power is a relatively new technology and a fine arrangement for the provision of Electrical Energy and Clean Energy in general .The concentrated solar offers a viable option for the Sunny Zones of the world. The efficiency of the System depends on a few factors like Area, Intensity of Sunlight, Type of receiver, Hybridisation etc. Solar Thermal Systems employ lenses or mirrors to focus a large area of sunlight onto a small area. Electrical power is produced when the concentrated light is impugned onto photovoltaic cell made surfaces or used to heat a transfer fluid for a conventional power plant. In this paper we give a brief overview of a baseline Solar Thermal Power Plant, Technological details, Cost and Benefit analysis, a glimpse of solar thermal power and future of solar thermal power. (author)
De Bruyn, Alexandre; Martin, Darren P; Lefeuvre, Pierre
Initially designed to infer evolutionary relationships based on morphological and physiological characters, phylogenetic reconstruction methods have greatly benefited from recent developments in molecular biology and sequencing technologies with a number of powerful methods having been developed specifically to infer phylogenies from macromolecular data. This chapter, while presenting an overview of basic concepts and methods used in phylogenetic reconstruction, is primarily intended as a simplified step-by-step guide to the construction of phylogenetic trees from nucleotide sequences using fairly up-to-date maximum likelihood methods implemented in freely available computer programs. While the analysis of chloroplast sequences from various Vanilla species is used as an illustrative example, the techniques covered here are relevant to the comparative analysis of homologous sequences datasets sampled from any group of organisms.
In its early days, PIXE analysis was confined mainly to very thin biological and aerosol deposit specimens. Now the technique has expanded so that thick-specimen analysis is routine, using both micro-beam and external beam methodologies; concomitantly PIXE has demonstrated its value in new application areas such as archaeometry and mineralogy. The talk will survey these newer application areas of thick-specimen analysis, giving examples and providing a general overview of analytical accuracy and limit of detection; it will also discuss the computer techniques used in fitting complex spectra. Parallels and contrasts between PIXE and electron probe microanalysis will be brought out, with emphasis on the complementarity of the two techniques
Kairouz, Sebastien; Hashash, Jana; Kabbara, Wadih; McHayleh, Wassim; Tabbara, Imad A
Dendritic cell neoplasms are rare tumors that are being recognized with increasing frequency. They were previously classified as lymphomas, sarcomas, or histiocytic neoplasms. The World Health Organization (WHO) classifies dendritic cell neoplasms into five groups: Langerhans' cell histiocytosis, Langerhans' cell sarcoma, Interdigitating dendritic cell sarcoma/tumor, Follicular dendritic cell sarcoma/tumor, and Dendritic cell sarcoma, not specified otherwise (Jaffe, World Health Organization classification of tumors 2001; 273-289). Recently, Pileri et al. provided a comprehensive immunohistochemical classification of histiocytic and dendritic cell tumors (Pileri et al., Histopathology 2002;59:161-167). In this article, a concise overview regarding the pathological, clinical, and therapeutic aspects of follicular dendritic, interdigitating dendritic, and Langerhans' cell tumors is presented.
De Castro, J.F.M.
The overall objective of this desk study is to get an overview of the most relevant liquid biofuels especially in the African context, and more specifically in the Netherlands' relevant partner countries. The study will focus on biofuels for transport, but will also consider biofuels for cooking and power generation. Biogas as the result of anaerobic fermentation which can be used for cooking, lighting and electricity generation will not be considered in this study. Liquid biofuels are usually divided into alcohols that are used to substitute for gasoline and oils that are used to substitute for diesel and are often called Biodiesel, and this division will be followed in this study. In chapter 2 we will analyse several aspects of the use of alcohols particularly ethanol, in chapter 3 the same analysis will be done for oils, using as example the very promising Jatropha oil. In chapter we will analyse socio-economic issues of the use of these biofuels
The management of wastewater sludge from wastewater treatment plants represents one of the major challenges in wastewater treatment today. The cost of the sludge treatment amounts to more that the cost of the liquid in many cases. Therefore the focus on and interest in sludge minimization is steadily increasing. In the paper an overview is given for sludge minimization (sludge mass reduction) options. It is demonstrated that sludge minimization may be a result of reduced production of sludge and/or disintegration processes that may take place both in the wastewater treatment stage and in the sludge stage. Various sludge disintegration technologies for sludge minimization are discussed, including mechanical methods (focusing on stirred ball-mill, high-pressure homogenizer, ultrasonic disintegrator), chemical methods (focusing on the use of ozone), physical methods (focusing on thermal and thermal/chemical hydrolysis) and biological methods (focusing on enzymatic processes). (author)
Furtado, Guilherme H; Nicolau, David P
The rapidly escalating prevalence of antimicrobial resistance is a global concern. This reduced susceptibility to currently available antimicrobial agents coupled with the progressive shortage of newly approved compounds is a worrisome situation. Major problems are encountered for a growing number of Gram-positive (i.e., Staphylococcus aureus, Streptococcus pneumoniae, Enterococcus spp.) and Gram-negative pathogens (i.e., Pseudomonas aeruginosa, Acinetobacter baumannii, Klebsiella pneumoniae). We provide an overview of bacterial resistance focusing on the most common pathogens responsible for infection in both the community and healthcare settings. In addition, several strategies to curb antimicrobial resistance are also discussed. It is increasingly evident that without the introduction of novel antimicrobial agents, a return to the clinical outcomes associated with the pre-antibiotic era are inevitable.
Witoff, Robert J.; Doody, David F.
At the time of this reporting, there are 2,589 rich mobile devices used at JPL, including 1,550 iPhones and 968 Blackberrys. Considering a total JPL population of 5,961 employees, mobile applications have a total addressable market of 43 percent of the employees at JPL, and that number is rising. While it was found that no existing desktop tools can realistically be replaced by a mobile application, there is certainly a need to improve access to these desktop tools. When an alarm occurs and an engineer is away from his desk, a convenient means of accessing relevant data can save an engineer a great deal of time and improve his job efficiency. To identify which data is relevant, an engineer benefits from a succinct overview of the data housed in 13+ tools. This need can be well met by a single, rich, mobile application that provides access to desired data across tools in the ops infrastructure.
Hartley, D M; Nelson, N P; Arthur, R R; Barboza, P; Collier, N; Lightfoot, N; Linge, J P; van der Goot, E; Mawudeku, A; Madoff, L C; Vaillant, L; Walters, R; Yangarber, R; Mantero, J; Corley, C D; Brownstein, J S
Internet biosurveillance utilizes unstructured data from diverse web-based sources to provide early warning and situational awareness of public health threats. The scope of source coverage ranges from local media in the vernacular to international media in widely read languages. Internet biosurveillance is a timely modality that is available to government and public health officials, healthcare workers, and the public and private sector, serving as a real-time complementary approach to traditional indicator-based public health disease surveillance methods. Internet biosurveillance also supports the broader activity of epidemic intelligence. This overview covers the current state of the field of Internet biosurveillance, and provides a perspective on the future of the field. © 2013 The Authors Clinical Microbiology and Infection © 2013 European Society of Clinical Microbiology and Infectious Diseases.
Cicoli, Michele; Quevedo, Fernando
We present an overview of inflationary models derived from string theory focusing mostly on closed string moduli as inflatons. After a detailed discussion of the η-problem and different approaches to address it, we describe possible ways to obtain a de Sitter vacuum with all closed string moduli stabilised. We then look for inflationary directions and present some of the most promising scenarios where the inflatons are either the real or the imaginary part of Kaehler moduli. We pay particular attention on extracting potential observable implications, showing how most of the scenarios predict negligible gravitational waves and could therefore be ruled out by the Planck satellite. We conclude by briefly mentioning some open challenges in string cosmology beyond deriving just inflation. (orig.)
Reitz, O Ed; Anderson, Mary Ann
Nursing turnover in health care organizations is a considerable problem that needs to be reframed within the context of "nurse retention" and "job embeddedness" (JE). A construct from the business literature, JE has been associated with "retention" or "antiwithdrawal." Conversely, turnover encompasses the process of quitting. This distinction is significant. JE represents a mediating construct between various "on-the-job" (organizational) factors, "off-the-job" (community) factors, and employee retention. This article presents an overview of JE including the dimensions, the related concepts of turnover and retention, and associated research. JE may be used to develop specific nurse-retention strategies following careful organizational and community assessment. With the current and looming nursing shortage, perhaps it is time for health care institutions to consider the adaptation of JE tenets. Copyright © 2011 Elsevier Inc. All rights reserved.
This is the 1994 overview for the Photovoltaic Energy Program. The topics of this overview include cooperative research projects to improve PV systems and develop pre-commercial prototypes of new PV products, expanding understanding of the fundamental mechanisms governing the formation and performance of PV materials, and helping US industry enhance its leadership position in the PV market.
Hornbæk, Kasper Anders Søren; Hertzum, Morten
Overview is a frequently used notion and design goal in information-visualization research and practice. However, it is difficult to find a consensus on what an overview is and to appreciate its relation to how users understand and navigate an information space. We review papers that use the noti...
González-Fernández, Marlís; Ottenstein, Lauren; Atanelov, Levan; Christian, Asare B.
Dysphagia affects the vast majority of acute stroke patients. Although it improves within 2 weeks for most, some face longstanding swallowing problems that place them at risk for pneumonia, malnutrition, dehydration, and significantly affect quality of life. This paper discusses the scope, the disease burden, and the tools available for screening and formal evaluation of dysphagia. The most common and recently developed treatment interventions that might be useful in the treatment of this pop...
[Spanish versions of the Simplified Motor Score and the Glasgow Coma Scale in out-of-hospital treatment of head injury in adults: a preliminary study of each scale's ability to predict adverse events].
Roca, Guillem; Mayol, Sergi; García, Esteban; Casajuana, Edgar; Quintana, Salvador
To determine the ability of the modified (Spanish) version of the Simplified Motor Score (mSMS) to predict adverse events during hospitalization and to compare its predictive ability to that of the Glasgow Coma Scale (GCS) in adults with head injuries treated outside the hospital. Observational study of retrospective cohorts including all patients over the age of 14 years attended for head injuries occurring within 24 hours of treatment by an advanced life-support unit staffed by nurses between May 1, 2013, and May 1, 2014. The mSMS was a translation of the English original, created through a process of discussions of direct and back translations to arrive at consensus. Out-of-hospital patient records were searched to find GCS and mSMS scores. To predict the ability of each scale to predict brain injuries, neurosurgery, intubation, and/or inhospital death, we calculated the area under the receiving operator characteristic curves (AUCs). Of the total of 115 head-injury patients attended, 64 met the inclusion criteria. The mean (SD) age was 47 (24) years. Twelve (18.8%) patients developed some form of adverse event during hospitalization; 91.6% had brain damage, 58.3% required intubation, 8.3% required surgery, and 41.6% died. The AUC for the GCS was 0.907 (95% CI, 0.81-1.00; P<.001); the AUC for the mSMS was 0.796 (95% CI, 0.64-0.95; P=.001). Although the ability of the mSMS to predict in-hospital adverse outcomes is good, it is inferior to the GCS in adults with head injuries attended outside the hospital.
Common intensive care scoring systems do not outperform age and glasgow coma scale score in predicting mid-term mortality in patients with spontaneous intracerebral hemorrhage treated in the intensive care unit.
Fallenius, Marika; Skrifvars, Markus B; Reinikainen, Matti; Bendel, Stepani; Raj, Rahul
Intensive care scoring systems are widely used in intensive care units (ICU) around the world for case-mix adjustment in research and benchmarking. The aim of our study was to investigate the usefulness of common intensive care scoring systems in predicting mid-term mortality in patients with spontaneous intracerebral hemorrhage (ICH) treated in intensive care units (ICU). We performed a retrospective observational study including adult patients with spontaneous ICH treated in Finnish ICUs during 2003-2012. We used six-month mortality as the primary outcome of interest. We used logistic regression to customize Acute Physiology and Chronic Health Evaluation (APACHE) II, Simplified Acute Physiology Score (SAPS) II and Sequential Organ Failure Assessment (SOFA) for six-month mortality prediction. To assess the usefulness of the scoring systems, we compared their discrimination and calibration with two simpler models consisting of age, Glasgow Coma Scale (GCS) score, and premorbid functional status. Totally 3218 patients were included. Overall six-month mortality was 48%. APACHE II and SAPS II outperformed SOFA (area under the receiver operator curve [AUC] 0.83 and 0.84, respectively, vs. 0.73) but did not show any benefit over the simpler models in terms of discrimination (AUC 0.84, p > 0.05 for all models). SAPS II showed satisfactory calibration (p = 0.058 in the Hosmer-Lemeshow test), whereas all other models showed poor calibration (p predictive ability of APACHE II and SAPS II comes from their age and GCS score components. SOFA performed significantly poorer than the other models and is not applicable as a prognostic model for ICH patients. All models displayed poor calibration, highlighting the need for improved prognostic models for ICH patients. The common intensive care scoring systems did not outperform a simpler model based on only age and GCS score. Thus, the use of previous intensive care scoring systems is not warranted in ICH patients.
Mercer, Stewart W; Fitzpatrick, Bridie; Grant, Lesley; Chng, Nai Rui; O'Donnell, Catherine A; Mackenzie, Mhairi; McConnachie, Alex; Bakhshi, Andisheh; Wyke, Sally
'Social prescribing' can be used to link patients with complex needs to local (non-medical) community resources. The 'Deep End' Links Worker Programme is being tested in general practices serving deprived populations in Glasgow, Scotland. To assess the implementation and impact of the intervention at patient and practice levels. Study design : Quasi-experimental outcome evaluation with embedded theory-driven process evaluation in 15 practices randomized to receive the intervention or not. Complex intervention : Comprising a practice development fund, a practice-based community links practitioner (CLP), and management support. It aims to link patients to local community organizations and enhance practices' social prescribing capacity. Study population : For intervention practices, staff and adult patients involved in referral to a CLP, and a sample of community organization staff. For comparison practices, all staff and a random sample of adult patients. Sample size : 286 intervention and 484 comparator patients. Outcomes : Primary patient outcome is health-related quality of life (EQ-5D-5L). Secondary patient outcomes include capacity, depression/anxiety, self-esteem, and healthcare utilization. Practice outcome measures include team climate, job satisfaction, morale, and burnout. Outcomes measured at baseline and 9 months. Processes : Barriers and facilitators to implementation of the programme and possible mechanisms through which outcomes are achieved. Analysis plan : For outcome, intention-to-treat analysis with differences between groups tested using mixed-effects regression models. For process, case-study approach with thematic analysis. This evaluation will provide new evidence about the implementation and impact of social prescribing by general practices serving patients with complex needs living in areas of high deprivation.
Bell, Thomas L.; Rosenfeld, Daniel; Kim, Kyu-Myong
We have examined summertime 1998 2009 U.S. lightning data from the National Lightning Detection Network (NLDN) to look for weekly cycles in lightning activity. As was found by Bell et al. (2008) for rain over the southeast U.S., there is a significant weekly cycle in afternoon lightning activity that peaks in the middle of the week there. The weekly cycle appears to be reduced over population centers. Lightning activity peaks on weekends over waters near the SE U.S. The statistical significance of weekly cycles over the western half of the country is generally small. We found no evidence of a weekly cycle of synoptic-scale forcing that might explain these patterns. The lightning behavior is entirely consistent with the explanation suggested by Bell et al. (2008) for the cycles in rainfall and other atmospheric data from the SE U.S., that aerosols can cause storms to intensify in humid, convectively unstable environments.
Bibring, J. P.; Boehnhardt, H.
The Philae lander onboard ESA Rosetta mission is planned to land November 11, 2014 on comet 67P/Churyumov-Gerasimenko. Before and during landing, descent, touch-down, then the days and weeks thereafter, campaigns of scientific measurements will be performed, involving the 10 instruments onboard, i.e. APXS, CIVA, CONSERT, COSAC, MUPUS, PTOLEMY, ROLIS, ROMAP, SD2 and SESAME. An overview of these activities will be provided and the first results from the Philae instruments presented and discussed.
Full Text Available Air pollution is defined as a phenomenon harmful to the ecological system and the normal conditions of human existence and development when some substances in the atmosphere exceed a certain concentration. In the face of increasingly serious environmental pollution problems, scholars have conducted a significant quantity of related research, and in those studies, the forecasting of air pollution has been of paramount importance. As a precaution, the air pollution forecast is the basis for taking effective pollution control measures, and accurate forecasting of air pollution has become an important task. Extensive research indicates that the methods of air pollution forecasting can be broadly divided into three classical categories: statistical forecasting methods, artificial intelligence methods, and numerical forecasting methods. More recently, some hybrid models have been proposed, which can improve the forecast accuracy. To provide a clear perspective on air pollution forecasting, this study reviews the theory and application of those forecasting models. In addition, based on a comparison of different forecasting methods, the advantages and disadvantages of some methods of forecasting are also provided. This study aims to provide an overview of air pollution forecasting methods for easy access and reference by researchers, which will be helpful in further studies.
Full Text Available Radial magnetic bearings (RMBs are one of the most commonly used magnetic bearings. They are used widely in the field of ultra-high speed and ultra-precise numerical control machine tools, bearingless motors, high speed flywheels, artificial heart pumps, and molecular pumps, and they are being strengthened and extended in various important areas. In this paper, a comprehensive overview is given of different bearing topologies of RMBs with different stator poles that differ in their construction, the driving mode of electromagnets, power consumption, cost, magnetic circuits, and symmetry. RMBs with different poles and couplings between the two bearing axes in the radial direction responsible for cross-coupling generation are compared. In addition, different shaped rotors are compared, as the performances of magnetic bearing-rotor systems are of great concern to rotor constructions. Furthermore, the parameter design methods, the mathematical models and control strategies of the RMBs are described in detail. From the comparison of topologies, models and control methods for RMBs, the advantages, disadvantages and utilizable perspectives are also analyzed. Moreover, several possible development trends of the RMBs are discussed. Keywords: Radial magnetic bearings (RMBs, Topologies, Mathematical mode, Control strategies, Development trends
An overview of the FTU results during the period 1998-2000 is presented. FTU has operated up to the nominal parameters (B=8T, I=1.6MA) with good reliability. Using the high-speed, multiple pellet injection system in 8T/1.25MA discharges a phase lasting a few energy confinement time has been achieved with improved confinement properties with peaked density profiles (n=4x10 20 m -3 ), T e ∼T i and Z eff ∼1.3. Up to 14 keV of electron temperature have been obtained at high density using electron cyclotron resonance heating (ECRH) on the current ramp. The transport analysis shows a very low electron heat transport in the region with flat/hollow safety factor profile. Synergy studies have been performed with simultaneous injection of lower hybrid and electron cyclotron waves in 7.2T discharges, well above the ECRH resonance. Clear evidence has been obtained of electron cyclotron wave absorption by the lower hybrid produced electron tails. Stabilisation of m=2 tearing modes has been obtained using ECRH, with subsequent improvement of the energy confinement. Ion Bernstein wave injection in high magnetic field (B=8T) plasmas has shown the reduction of the electron thermal conductivity in the region inside the absorption radius possibly due to the formation of an internal transport barrier. (author)
Full Text Available Big data is a data beyond the storage capacity and beyond the processing power is called big data. Big data term is used for data sets its so large or complex that traditional data it involves data sets with sizes. Big data size is a constantly moving target year by year ranging from a few dozen terabytes to many petabytes of data means like social networking sites the amount of data produced by people is growing rapidly every year. Big data is not only a data rather it become a complete subject which includes various tools techniques and framework. It defines the epidemic possibility and evolvement of data both structured and unstructured. Big data is a set of techniques and technologies that require new forms of assimilate to uncover large hidden values from large datasets that are diverse complex and of a massive scale. It is difficult to work with using most relational database management systems and desktop statistics and visualization packages exacting preferably massively parallel software running on tens hundreds or even thousands of servers. Big data environment is used to grab organize and resolve the various types of data. In this paper we describe applications problems and tools of big data and gives overview of big data.
Ashley, Larry L; Boehlke, Karmen K
Throughout the course of history, gambling has been a popular activity across most cultures. In the United States, gambling has transitioned from early acceptance to prohibition to widespread proliferation. For most, gambling is a relaxing and recreational activity; however, for some individuals gambling becomes more than harmless fun. The most severe form of gambling, pathological gambling, is recognized as a mental health disorder. Pathological gambling is currently classified as an impulse control disorder in the DSM-IV-TR, but it shares many important features with substance use disorders, especially in terms of diagnostic criteria, clinical course, and treatment. Consequently, the DSM-V Task Force has suggested that pathological gambling be reclassified and included in a new category entitled "Addiction and Related Disorders." The category would include both substance-related and non-substance/behavioral addictions. This article provides a general overview of some of the available literature regarding pathological gambling and includes the presentation of a number of relevant topics including etiology, risk factors, comorbidity, prevention, and treatment. However, as with most complex, multifaceted, and multidimensional phenomena, more research is needed in order to improve both prevention and treatment efforts for pathological gambling.
This paper presents an overview of recent experimental progress towards understanding H-mode transition physics and scaling. Terminology and techniques for studying H-mode are reviewed and discussed. The model of shear E x B flow stabilization of edge fluctuations at the L-H transition is gaining wide acceptance and is further supported by observations of edge rotation on a number of new devices. Observations of poloidal asymmetries of edge fluctuations and dephasing of density and potential fluctuations after the transition pose interesting challenges for understanding H-mode physics. Dedicated scans to determine the scaling of the power threshold have now been performed on many machines. A clear B t dependence is universally observed but dependence on the line averaged density is complicated. Other dependencies are also reported. Studies of the effect of neutrals and error fields on the power threshold are under investigation. The ITER threshold database has matured and offers guidance to the power threshold scaling issues relevant to next-step devices. (author)
Bai, Lu; Wang, Jianzhou; Ma, Xuejiao; Lu, Haiyan
Air pollution is defined as a phenomenon harmful to the ecological system and the normal conditions of human existence and development when some substances in the atmosphere exceed a certain concentration. In the face of increasingly serious environmental pollution problems, scholars have conducted a significant quantity of related research, and in those studies, the forecasting of air pollution has been of paramount importance. As a precaution, the air pollution forecast is the basis for taking effective pollution control measures, and accurate forecasting of air pollution has become an important task. Extensive research indicates that the methods of air pollution forecasting can be broadly divided into three classical categories: statistical forecasting methods, artificial intelligence methods, and numerical forecasting methods. More recently, some hybrid models have been proposed, which can improve the forecast accuracy. To provide a clear perspective on air pollution forecasting, this study reviews the theory and application of those forecasting models. In addition, based on a comparison of different forecasting methods, the advantages and disadvantages of some methods of forecasting are also provided. This study aims to provide an overview of air pollution forecasting methods for easy access and reference by researchers, which will be helpful in further studies.
Jose Antonio Garrido-Cardenas
Full Text Available The first sequencing of a complete genome was published forty years ago by the double Nobel Prize in Chemistry winner Frederick Sanger. That corresponded to the small sized genome of a bacteriophage, but since then there have been many complex organisms whose DNA have been sequenced. This was possible thanks to continuous advances in the fields of biochemistry and molecular genetics, but also in other areas such as nanotechnology and computing. Nowadays, sequencing sensors based on genetic material have little to do with those used by Sanger. The emergence of mass sequencing sensors, or new generation sequencing (NGS meant a quantitative leap both in the volume of genetic material that was able to be sequenced in each trial, as well as in the time per run and its cost. One can envisage that incoming technologies, already known as fourth generation sequencing, will continue to cheapen the trials by increasing DNA reading lengths in each run. All of this would be impossible without sensors and detection systems becoming smaller and more precise. This article provides a comprehensive overview on sensors for DNA sequencing developed within the last 40 years.
An overview of current theories of planetary formation, with emphasis on giant planets is presented. The most detailed models are based upon observation of our own Solar System and of young stars and their environments. Terrestrial planets are believe to grow via pairwise accretion until the spacing of planetary orbits becomes large enough that the configuration is stable for the age of the system. According to the prevailing core instability model, giant planets begin their growth by the accumulation of small solid bodies, as do terrestrial planets. However, unlike terrestrial planets, the growing giant cores become massive enough that they are able to accumulate substantial amounts of gas before the protoplanetary disk disspates. The primary questions regarding the core instability model is whether planets with small cores can accrete gaseous enveloples within the lifetimes of gaseous protoplanetary disks. The main alternative giant planet formation model is the disk instability model, in which gaseous planets form directly via gravitational instabilities within protoplanetary disks. Formation of giant planets via gas instability has never been demonstrated for realistic disk conditions. Moreover, this model has difficulty explaining the supersolar abundances of heavy elements in Jupiter and Saturn, and it does not explain the orgin of planets like Uranus and Neptune.
Noor, S.; Latif, A.; Jan, M.
A large part of the biomass is used for non-commercial purposes and mostly for cooking and heating, but the use is not sustainable, because it destroys soil-nutrients, causes indoor and outdoor pollution, adds to greenhouse gases, and results in health problems. Commercial use of biomass includes household fuelwood in industrialized countries and bio-char (charcoal) and firewood in urban and industrial areas in developing countries. The most efficient way of biomass utilization is through gasification, in which the gas produced by biomass gasification can either be used to generate power in an ordinary steam-cycle or be converted into motor fuel. In the latter case, there are two alternatives, namely, the synthesis of methanol and methanol-based motor fuels, or Fischer-Tropsch hydrocarbon synthesis. This paper deals with the technological overview of the state-of-the-art key biomass-conversion technologies that can play an important role in the future. The conversion routes for production of Heat, power and transportation fuel have been summarized in this paper, viz. combustion, gasification, pyrolysis, digestion, fermentation and extraction. (author)
De Moortel, I
The idea of exploiting observed oscillations as a diagnostic tool for determining the physical conditions of the coronal plasma was first suggested several decades ago (Roberts et al. 1984 Astrophys. J. 279, 857). Until recently, the application of this idea has been very limited by a lack of high-quality observations of coronal oscillations. However, during the last few years, this situation has changed dramatically, especially due to space-based observations by the Solar and Heliospheric Observatory and the Transition Region and Coronal Explorer and waves and oscillations have now been observed in a wide variety of solar structures, such as coronal loops, polar plumes and prominences. This paper will briefly summarize MHD wave theory, which forms the basis for coronal seismology, as well as present an overview of the variety of recently observed waves and oscillations in the solar corona. The present state of coronal seismology will also be discussed. Currently, the uncertainty associated with the obtained parameters is still considerable and, hence, the results require a cautious interpretation. However, these examples do show that coronal seismology is rapidly being transformed from a theoretical possibility to a viable technique.
Taylor, G. R.
The effects of spaceflight and analogues of spaceflight are discussed here and in nine accompanying articles. In this summary we present spaceflight studies with human subjects, animal subjects, and cell cultures and we review ground-based systems used to model the observed effects of spaceflight on the immune system. Human paradigms include bed rest, academic or psychological stress, physical stress, hypobaric or high altitude stress, and confinement. Animal models include antiorthostatic and orthostatic suspension, hypobarism, and confinement. The ten manuscripts in this collection were selected to provide a summary that should give the reader an overview of the various activities of spaceflight immunology researchers throughout the history of space travel. This manuscript identifies the major contributors to the study of spaceflight immunology, explains what types of studies have been conducted, and how they have changed over the years. Also presented is a discussion of the unusual limitations associated with spaceflight research and the efforts to develop appropriate ground-based surrogate model systems. Specific details, data, and mechanistic speculations will be held to a minimum, because they will be discussed in depth in the other articles in the collection.
Full Text Available The aim of this review was to extract information of the book Medicinal Plants in Folk Tradition: An Ethnobotany of Britain & Ireland published in 2004 by Allen and Hatfield, to give an overview of plants with medicinal potential and their applications. This study attempts to attest, observe and comment on the diversity of plants, as well as the accompanying information which inevitably is vital for the future development of herbal medicines for human therapy. Initially, the information in relation to medicinal plants in Ireland only was extracted from the above-mentioned book and organised in tables. Afterwards, it was analysed through the construction of maps and the positioning of each piece of information in specific geographical regions of the country. Its division into provinces was taken into consideration as well as into counties within the provinces. These maps and graphs illustrate the most predominantly reported botanical families identified and utilised (Asteraceae, Scrophulariaceae and Lamiaceae, and to the most frequently cited medicinal uses were attributed to topical applications. As a result we can see that the uses of traditional medicines vary among these different geographical areas of the country. Not only different uses were reported but also different plants used to treat the same condition, or different conditions treated with the same plant depending on the county. Various phytopharmaceuticals date back several decades and despite the existing evolving technology, without a doubt herbal medicines can and still do provide exceptional and efficacious outcomes like many of the conventional remedies available today.
Allsopp, David J.; Dibsdall, Ian M.
This paper will present an overview and early results of the QinetiQ Portable Humanitarian Mine Detector project, funded by the UK Treasury Capital Modernization Fund. The project aims to develop a prototype multi-sensor man-portable detector for humanitarian demining, drawing on experience from work for UK MoD. The project runs from July 2000 to October 2002. The project team have visited mined areas and worked closely with a number of demining organizations and a manufacturer of metal detectors used in the field. The primary objective is to reduce the number of false alarms resulting from metallic ground clutter. An analysis of such clutter items found during actual demining has shown a large proportion to be very small when compared with anti-personnel mines. The planned system integrates: a lightweight multi-element pseudo-random-code ground penetrating radar array; a pulse induction metal detector and a capacitive sensor. Data from the GPR array and metal detector are fused to provide a simple audio-visual operator interface. The capacitive sensor provides information to aid processing of the radar responses and to provide feedback to the operator of the position of the sensors above the ground. At the time of presentation the project should be in the final stages of build, prior to tests and field trials, which QinetiQ hope to carry out under the International Test and Evaluation Project (ITEP) banner.
Kruk, Jeffrey; WFIRST Formulation Science Working Group, WFIRST Project Team
The Wide-Field InfraRed Survey Telescope (WFIRST) will be the next Astrophysics flagship mission to follow JWST. The observatory payload consists of a Hubble-size telescope aperture with a wide-field NIR instrument and a coronagraph operating at visible wavelengths and employing state-of-the-art wavefront sensing and control. The Wide-field instrument is optimized for large area NIR imaging and spectroscopic surveys, with performance requirements driven by programs to study cosmology and exoplanet detection via gravitational microlensing. All data will be public immediately, and a substantial guest observer program will be supported.The WFIRST Project is presently in Phase A, with a transition to Phase B expected in early to mid 2018. Candidate observing programs are under detailed study in order to inform the mission design, but the actual science investigations will not be selected until much closer to launch. We will present an overview of the present mission design and expected performance, a summary of Project status, and plans for selecting the observing programs.
DOD is executing environmental restoration projects in accordance with compliance regulations from many federal agencies. With the passage of amendments to the Superfund law in 1986 that stated a preference for treatment instead of disposal, demand developed for alternative methods that provided more permanent and less costly solutions for dealing with contaminated materials. The Army files environmental impact statements on major programs and specific projects that are currently affecting, or have the potential to affect the environment. Personnel conducting those studies may find it helpful to learn about current environmental assessment methods and the outcomes of previous environmental studies. The Army currently spends almost 2.4% of its total budget on environmental programs. As the future budget picture continues to decline, new technologies offer the potential to provide a lower cost means of achieving the same level of environmental protection. This paper will provide an overview of environmental restoration planning and procedures, discuss information capabilities available on the Internet, provide summaries of recent technological literature and field studies; and identifies areas of informational 'gaps'. It concludes by urging closer ties between industry and the Army, as well as the need to pursue new and innovative techniques to solve old problems. (author)
Obi, Yoshitsugu; Eriguchi, Rieko; Ou, Shuo-Ming; Rhee, Connie M.; Kalantar-Zadeh, Kamyar
© 2015 S. Karger AG, Basel. Background: The 2006 Kidney Disease Outcomes Quality Initiative guidelines suggest twice-weekly or incremental hemodialysis for patients with substantial residual kidney function (RKF). However, in most affluent nations de novo and abrupt transition to thrice-weekly hemodialysis is routinely prescribed for all dialysis-naïve patients regardless of their RKF. We review historical developments in hemodialysis therapy initiation and revisit twice-weekly hemodialysis a...
Sobstyl, Michał; Ząbek, Mirosław
Tardive dystonia (TD) represents a side effect of prolonged intake of dopamine receptor blocking compounds. TD can be a disabling movement disorder persisting despite available medical treatment. Deep brain stimulation (DBS) has been reported successful in this condition although the number of treated patients with TD is still limited to small clinical studies or case reports. The aim of this study was to present the systematical overview of the existing literature regarding DBS for intractable TD. A literature search was carried out in PudMed. Clinical case series or case reports describing the patients with TD after DBS treatment were included in the present overview. Literature search revealed 19 articles reporting 59 individuals operated for TD. GPi was the target in 55 patients, while subthalamic nucleus (STN) was the target in the remaining 4. In most studies the motor part of Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) was improved by more than 80% when compared to preoperative BFMDRS scores. The performed literature analysis indicates that bilateral GPi DBS is an effective treatment for disabling TD. The response of TD to bilateral GPi DBS may be very rapid and occurs within days/weeks after the procedure. The efficacy of bilateral GPi DBS in TD patients is comparable to results achieved in patients with primary generalized dystonia. Copyright © 2016 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.
Brattwall, M; Warrén Stomberg, M; Rawal, N; Segerdahl, M; Jakobsson, J; Houltz, E
patients' own assessment of recovery after ambulatory surgery has not been well studied. The aim was to study patients' self-assessed recovery, the occurrence and time course of post-operative problems in relation to the type of ambulatory surgery. a questionnaire was filled in by 355 patients at five time points: pre-operative, first day at home, 1, 2 and 4 weeks post-operatively. Consecutive patients who underwent either inguinal hernia repair (IHR), arthroscopic procedures (AS) or cosmetic breast augmentation (CBA) were included. unplanned return to hospital was rare (3/355). Health care contacts were noted for 9% of the patients during the first week; a total of 70 contacts occurred during the entire period. Pain was the most frequently reported symptom; 40% of the patients reported pain or mobility problems at 1 week, 28% after 2 weeks and 20% after 4 weeks. Pre-operative pain was associated with an increased level of pain during the early post-operative course, in the recovery room and at 1 week post-operatively. IHR was associated with an overall rapid recovery, while AS patients experienced a slower restitution. All AS patients who reported pain after 4 weeks had reported pain problems already pre-operatively. Pain was not present pre-operatively in the CBA group, but was common at 1 and 2 post-operative weeks and was still reported by 11% at 4 weeks. self-assessed recovery was found to cover several weeks with procedure-specific recovery patterns. Pain and mobility impairment were still frequently reported 4 weeks post-operatively. 2010 The Acta Anaesthesiologica Scandinavica Foundation.
... in the brain or the eye. Treatment Option Overview Key Points There are different types of treatment ... of radiation therapy: External radiation therapy uses a machine ... thinking, learning, problem solving, speech, reading, writing, and memory. Clinical ...
... Polio Wellness Retreats For Health Professionals The Late Effects of Polio: An Overview FRENCH | GERMAN | PORTUGUESE POLIOMYELITIS ( ... largest and most inclusive category is called Late Effects of Polio or Polio Sequelae and is defined ...
Myers, Steven Charles [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
This presentation discusses the fundamentals of gamma and neutron detection; presents an overview of the DOE Triage and JTOT Programs, gamma, and neutron signatures in select measurements; and offers a detector demonstration.
Sheng, S; Veers, P.
This paper provides an overview of wind turbine drivetrain condition monitoring based on presentations from a condition monitoring workshop organized by the National Renewable Energy Laboratory in 2009 and on additional references.
Three documents constitute the executive summary series in Data Package III: this document (Documentation Overview and Tables of Contents (E001)) plus the AVLIS Production Plant Executive Summary (E010) and the AVLIS Production Plant Overall Design Report (E020). They provide progressively greater detail on the key information and conclusions contained within the data package. The Executive Summary and Overall Design Report present summaries of each Data Package III document. They are intended to provide a global overview of AVLIS Production Plant deployment including program planning, project management, schedules, engineering design, production, operations, capital cost, and operating cost. The purpose of Overview and Tables of Contents is threefold: to briefly review AVLIS goals for Data Package III documentation, to present an overview of the contents of the data package, and to provide a useful guide to information contained in the numerous documents comprising the package
Burdick, G. M.
This presentation will give an overview of the Project Prometheus Program (PPP, formerly the Nuclear Systems Initiative, NSI) and the Jupiter Icy Moons Orbiter (JIMO) Project (a component of PPP), a mission to the three icy Galilean moons of Jupiter.
The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is the Czech Republic. The site is designed to be dynamic. Updates to the overviews will be made as need an d resources permit
Full Text Available Approximate Bayesian computation techniques, also called likelihood-free methods, are one of the most satisfactory approach to intractable likelihood problems. This overview presents recent results since its introduction about ten years ago in population genetics.
Kekelia, B.; Ramishvili, G.; Shanidze, N. [PA Government Services (PA Consulting Group), Tbilisi (Georgia)
This paper provides an overview of current state and future development prospects for solar energy technologies in Georgia. It gives a brief description of climatic and geographical location advantages/drawbacks of the country and provides the authors' views on possibilities for various solar energy applications in the given area. It also gives an overview of currently used technologies and companies present on the Georgian market. (orig.)
Nielsen, Thorkild; Kristensen, Niels Heine; Hansen, Mette Weinreich
Nielsen T, Kristensen NH, Hansen MW (2004): Overview of Organic Marketing Initiatives in Europe. Chapter in: Organic Marketing Initiatives and Rural Development. Volume 7, from the OMIaRD project. University of Wales, Aberystwyth, UK. ISBN: 0-9543279-7-1......Nielsen T, Kristensen NH, Hansen MW (2004): Overview of Organic Marketing Initiatives in Europe. Chapter in: Organic Marketing Initiatives and Rural Development. Volume 7, from the OMIaRD project. University of Wales, Aberystwyth, UK. ISBN: 0-9543279-7-1...
Kuļešovs, Ivans; Arnicane, Vineta; Arnicans, Guntis; Borzovs, Juris
There are many different views on software testing co-exist even within the borders of one organization. That is why we have decided to prepare software testing overview on metalevel indicating main influencers that make this difference. While gathering the details about meta-level elements we have performed some structuring of elements from lower level of software testing such as testing oracles and testing approaches, methods, and techniques. The overview preparation has resu...
Simpson, Lewis Edward [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
This course, Waste Generation Overview Refresher (COURSE 21464), provides an overview of federal and state waste management regulations, as well as Los Alamos National Laboratory (LANL) policies and procedures for waste management operations. The course covers the activities involved in the cradle-to- grave waste management process and focuses on waste characterization, waste compatibility determinations and classification, and the storage requirements for temporary waste accumulation areas at LANL.
Alladio, F.; Angelini, B.; Apicella, M.L.
An overview over the Frascati Tokamak Upgrade results during the period 1996-1998 is presented. Most of the activity has been devoted to the investigation of the electron heat transport with flat/nonmonotonic safety factor profiles. Up to 14 keV of electron temperature have been obtained using electron cyclotron resonance heating (ECRH) on the current ramp. The transport analysis shows a very low electron heat transport in the region with flat/monotonic safety factor profile. The electron thermal conductivity is strongly dependent on the MHD activity and it drops to values of the order 0.1m 2 /s in the absence of MHD fluctuations. Upon varying the resonance position in steady state conditions the effect of the ECRH on the sawtooth stabilization has been also investigated. Lower hybrid current drive studies have been performed in order to investigate the dependence of the current drive efficiency with density. Previous results of the Alcator C tokamak pointed out that at high density rather low efficiency values were obtained. The investigation carried out on FTU shows that such a result can be explained as due to the electron temperature dependence of the current drive efficiency. No degradation of the current drive efficiency is indeed observed on FTU even at density values of the order 1020m -3 . Ion Bernstein wave (IBW) heating studies have been also carried out in order to check the behaviour of wave-plasma coupling which is found in agreement with linear theory. Finally, impurity transport studies have been carried out. It has been possible to have a direct measurement of the flux of Mo33 which turns out to be in agreement with the expectation of quasilinear theory. (author)
Ward, E N; Pal, R
For almost a century, the resolution of optical microscopy was thought to be limited by Abbé's law describing the diffraction limit of light. At the turn of the millennium, aided by new technologies and fluorophores, the field of optical microscopy finally surpassed the diffraction barrier: a milestone achievement that has been recognized by the 2014 Nobel Prize in Chemistry. Many super-resolution methods rely on the unique photophysical properties of the fluorophores to improve resolution, posing significant limitations on biological imaging, such as multicoloured staining, live-cell imaging and imaging thick specimens. Structured Illumination Microscopy (SIM) is one branch of super-resolution microscopy that requires no such special properties of the applied fluorophores, making it more versatile than other techniques. Since its introduction in biological imaging, SIM has proven to be a popular tool in the biologist's arsenal for following biological interaction and probing structures of nanometre scale. SIM continues to see much advancement in design and implementation, including the development of Image Scanning Microscopy (ISM), which uses patterned excitation via either predefined arrays or raster-scanned single point-spread functions (PSF). This review aims to give a brief overview of the SIM and ISM processes and subsequent developments in the image reconstruction process. Drawing from this, and incorporating more recent achievements in light shaping (i.e. pattern scanning and super-resolution beam shaping), this study also intends to suggest potential future directions for this ever-expanding field. © 2017 The Authors Journal of Microscopy © 2017 Royal Microscopical Society.
Angelini, B.; Apicella, M.L.; Romanelli, F.
An overview of the FTU results during the period 2000-2002 is presented. Long duration Internal Transport Barriers have been obtained on FTU with combined injection of Lower Hybrid and Electron Cyclotron waves in 5T/0.5MA discharges. The ITB phase lasts about ten energy confinement times and is characterised by an energy confinement time up to 1.6 times the ITER97L-mode scaling. Up to 11keV are achieved at 0.9x10 20 m -3 central density. ITB studies using IBW injection have been also continued up to 8T/0.8MA. The Lower Hybrid system has operated at full power allowing to complete the current drive studies at ITER relevant densities. At these density values the electrons and ions are coupled and an increase in the ion temperature is clearly observed. Preliminary sign of enhanced Current Drive efficiency has been obtained in combined injection of Electron Cyclotron and Lower Hybrid waves at magnetic field values lower than the resonant field. Pellet optimisation studies have been performed in order to test the conditions under which a quasi steady state confinement improvement can be obtained and impurity accumulation can be avoided. Ohmic discharges generally exhibit a confinement time in agreement with the ITER97 L-mode scaling. Transient confinement improvement is observed for duration less than one energy confinement time. Radiation Improved mode studies have been started thanks to the recently inserted boronization system which has allowed to reduce the radiated power. Confinement improvement with Neon injection has been observed in 6T/0.9MA discharges. Transport studies on profile stiffness and MHD studies of fast reconnection and snakes will be also presented. (author)
Prospero, J.M.; Charlson, R.J.; Mohnen, V.; Jaenicke, R.; Delany, A.C.; Moyers, J.; Zoller, W.; Rahn, K.
Aerosols could play a critical role in many processes which impact on our lives either indirectly (e.g., climate) or directly (e.g., health). However, our ability to assess these possible impacts is constrained by our limited knowledge of the physical and chemical properties of aerosols, both anthropogenic and natural. This deficiency is attributable in part to the fact that aerosols are the end product of a vast array of chemical and physical processes. Consequently, the properties of the aerosol can exhibit a great deal of variability in both time and space. Furthermore, most aerosol studies have focused on measurements of a single aerosol characteristic such as composition or size distribution. Such information is generally not useful for the assessment of impacts because the degree of impact may depend on the integral properties of the aerosol, for example, the aerosol composition as a function of particle size. In this overview we discuss recent work on atmospheric aerosols that illustrates the complex nature of the aerosol chemical and physical system, and we suggest strategies for future research. A major conclusion is that man has had a great impact on the global budgets of certain species, especially sulfur and nitrogen, that play a dominant role in the atmospheric aerosol system. These changes could conceivably affect climate. Large-scale impacts are implied because it has recently been demonstrated that natural and pollutant aerosol episodes can be propagated over great distances. However, at present there is no evidence linking anthropogenic activities with a persistent increase in aerosol concentrations on a global scale. A major problem in assessing man's impact on the atmospheric aerosol system and on global budgets is the absence of aerosol measurements in remote marine and continental areas
Toraman, N F; Ayceman, N
To examine the effects of age on functional fitness after six weeks of detraining. Elderly subjects, aged 60-86 years, completed a nine week multicomponent exercise training programme. They performed the senior fitness test every two weeks during the six week detraining period, and the responses of 12 young-old subjects (YO, aged 60-73 years) and nine older subjects (O, aged 74-86 years) were compared. Functional fitness improved during the exercise training period. Performances in the chair stand and six minute walk for the O group had significantly declined compared with post-training values after two weeks of detraining (pdetraining in both of the groups (pdetraining compared with after four weeks of detraining (pdetraining were lower extremity flexibility after two and four weeks of detraining, and agility/dynamic balance after six weeks of detraining. Changes in lower extremity flexibility, up and go, and six minute walk performances in response to six weeks of detraining are affected by age in elderly adults.
Before the training program of supinated legs of navicular drop test subjects, static balance and dynamic balance was measured with a force platform. The experimental group carried out exercises program for 8 weeks with a frequency of three times a week on the area of weak muscles and stretched legs, and the control ...
... Affordable Care Act became law last year, insurance companies could deny coverage to women due to previous... May 11, 2011 Part V The President Proclamation 8670--National Women's Health Week, 2011 Proclamation... ] Proclamation 8670 of May 6, 2011 National Women's Health Week, 2011 By the President of the United States of...
ABSTRACT: A stochastic model to study weekly rainfall pattern has been presented in this paper. The Markovian .... The value Pijrepresents the probability that the process will, when in state i,next make .... Denotes the initial state vector, then our First order Markov Chain Model for weekly rainfall amount pattern prediction in ...
Ferrari, Rodrigo; Kruel, Luiz Fernando Martins; Cadore, Eduardo Lusa; Alberton, Cristine Lima; Izquierdo, Mikel; Conceição, Matheus; Pinto, Ronei Silveira; Radaelli, Régis; Wilhelm, Eurico; Bottaro, Martim; Ribeiro, Jorge Pinto; Umpierre, Daniel
This study compared the effects of different weekly training frequencies on the cardiovascular and neuromuscular adaptations induced by concurrent training in previously trained elderly. After 20weeks of combined strength and endurance training, twenty-four healthy elderly men (65±4 years) were randomly placed into two frequency training groups: strength and endurance training performed twice a week (SE2, n=12); or, strength and endurance training performed three times per week (SE3, n=12). The interventions lasted 10 weeks and each group performed identical exercise intensity and volume per session. Before and after the exercise training, one maximum repetition test (1RM), isometric peak torque (PT), maximal surface electromyographic activity (EMG), as well as muscle thickness (MT) were examined. Additionally, peak oxygen uptake (VO(2peak)), maximum aerobic workload (W(max)), first and second ventilatory thresholds (VT1 and VT2) were evaluated. There were significant increases in upper and lower-body 1RM, MT, VO(2peak), VT1 and VT2, with no differences between groups. There were no changes after training in maximal EMG and isometric peak torque. W(max) was improved only in SE3. After 10 weeks of training, twice weekly combined strength and endurance training leads to similar neuromuscular and cardiovascular adaptations as three times per week, demonstrating the efficiency of lower frequency of concurrent training in previously trained elderly men. © 2013.
... information on hurricane hazards and details on how to secure buildings and belongings is available at www... coastal areas of our Nation to share information about hurricane preparedness and response to help save... Hurricane Preparedness Week, 2011 Proclamation 8680--National Safe Boating Week, 2011 Proclamation 8681...
Adams, Helen R.
The purpose of "Choose Privacy Week" is to encourage a national conversation to raise awareness of the growing threats to personal privacy online and in day-to-day life. The 2016 Choose Privacy Week theme is "respecting individuals' privacy," with an emphasis on minors' privacy. A plethora of issues relating to minors' privacy…
Armour, Katherine S.
This study investigated the effect of weekly progress reports on the academic achievement of seventh grade language arts students. It also investigated the effects of weekly progress reports on locus of control attribution and the relationship between academic achievement and locus of control attribution. The study took place in a suburban school…
... breakfast and lunch may consume more than half their daily calories at school. The Healthy, Hunger-Free Kids... eliminate hunger during the school day by increasing the number of eligible children enrolled in school meal... Lunch Week,'' and has requested the President to issue a proclamation in observance of this week. [[Page...
... Business Week, 2013 Proclamation 8995--World Elder Abuse Awareness Day, 2013 Proclamation 8996--Father's..., we have focused on making Government work better for business through initiatives like Startup... of June 14, 2013 National Small Business Week, 2013 By the President of the United States of America...
... more health problems at birth and later in life than babies born later. Being pregnant 39 weeks gives your baby's body all the time it needs to grow. Here's why your baby needs 39 weeks: Important organs, like his brain, lungs and liver, get the time they need ...
... crime and property crime, we must also fight white-collar crime and protect its victims, including those... National Crime Victims' Rights Week, 2010 By the President of the United States of America A Proclamation..., emotional, and psychological pain of past offenses. This week, we renew our commitment to supporting crime...
This study focused on the estimation of genetic relationships between weekly live weights and sexual maturity of male and female Japanese quail. The live body weight data of a laying-type quail line over time were collected from hatching to six weeks of age. Sexual maturity was determined as the day of production of ...
... medical services, receive fair treatment, and make healthy choices. During National Women's Health Week... lives of women. Regular exercise, coupled with a nutritious diet, helps prevent heart disease, obesity... Part III The President Proclamation 8516--National Women's Health Week, 2010 Proclamation 8517...
... Part IV The President Proclamation 8472--National Influenza Vaccination Week, 2010 #0; #0; #0..., 2010 National Influenza Vaccination Week, 2010 By the President of the United States of America A... hospitalization or even death. We know that influenza vaccination is the best way to protect ourselves against the...
... Maritime Week Tugboat Races, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of enforcement of... Maritime Week Tugboat Races in Elliott Bay, WA from 12 p.m. until 4:30 p.m. on May 11, 2013. This action is... these types of races which includes large wakes. During the enforcement period, no person or vessel may...
... Maritime Week Tugboat Races, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of enforcement of... Maritime Week Tugboat Races in Elliott Bay, WA from 12 p.m. through 4:30 p.m. on May 14, 2011. This action... associated with these types of races which includes large wakes. During the enforcement period, no person or...
... Maritime Week Tugboat Races, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of enforcement of... Maritime Week Tugboat Races in Elliott Bay, WA from 12 p.m. through 4:30 p.m. on May 12, 2012. This action... associated with these types of races which includes large wakes. During the enforcement period, no person or...
... Maritime Week Tugboat Races, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of enforcement of... Maritime Week Tugboat Races in Elliott Bay, WA on May 8, 2010. This action is necessary to ensure the safety of all participants and spectators from the inherent dangers associated with these types of races...
The 10 regression models used were: Linear; Logarithmic; Inverse; Quadratic; Cubic; Compound; Power; Sigmoidal; Growth; and Exponential equation. The results showed that Orpington breed had higher body weight than Sussex chicken for most weeks. Male chicks were generally higher in weekly body weight from 4 to 8 ...
Turner, Amanda M.; Owings, Matt; Schwane, James A.
Investigated whether a 6-week regimen of plyometric training would improve running economy. Data were collected on 18 regular but not highly trained distance runners who participated in either regular running training or plyometric training. Results indicated that 6 weeks of plyometric training improved running economy at selected speeds in this…
... Vol. 77 Wednesday, No. 206 October 24, 2012 Part III The President Proclamation 8891--National Character Counts Week, 2012 Proclamation 8892--National Forest Products Week, 2012 #0; #0; #0; Presidential... involvement. We must instill in them the creativity and imagination it takes to envision a dream, and the...
... Charter Schools Week, 2011 By the President of the United States of America A Proclamation In communities across our country, successful public charter schools help put children on the path to academic... of students, parents, teachers, and administrators. During National Charter Schools Week, we...
Lioma, Christina; Macdonald, C.; Plachouras, V.
-independent evidence, in the form of prior probabilities. In the Enterprise track, we test our new voting model for expert search. Our experiments focus on the need for candidate length normalisation, and on how retrieval performance can be enhanced by applying retrieval techniques to the underlying ranking...
Full Text Available Neonatal pustular eruption is a group of disorders characterized by various forms of pustulosis seen in first 4 weeks of life. Its presentation is often similar with some subtle differences, which can be further established by few simple laboratory aids, to arrive at a definite diagnosis. Given their ubiquitous presentation, it is sometimes difficult to differentiate among self-limiting, noninfectious, pustular dermatosis such as erythema toxicum neonatorum, transient neonatal pustular melanosis, miliaria pustulosa, etc., and potentially life threatening infections such as herpes simplex virus and varicella zoster virus infections. This review article tries to address the chronological, clinical, morphological, and histological differences among the various pustular eruptions in a newborn, in order to make it easier for a practicing dermatologist to diagnose and treat these similar looking but different entities of pustulation with a clear demarcation between the physiological benign pustular rashes and the infectious pustular lesions.
Improved efficacy of intramuscular weekly administration of clodronate 200 mg (100 mg twice weekly) compared with 100 mg (once weekly) for increasing bone mineral density in postmenopausal osteoporosis.
Frediani, Bruno; Bertoldi, Ilaria; Pierguidi, Serena; Nicosia, Antonella; Picerno, Valentina; Filippou, Georgios; Cantarini, Luca; Galeazzi, Mauro
Clodronate is a bisphosphonate used for the treatment of postmenopausal osteoporosis and all conditions characterized by excess bone resorption. We have previously reported that intramuscular (IM) therapy with clodronate at a dose of 100 mg/week displays significant effects on bone mineral density (BMD) although a plateau effect is observed after 1 year of treatment. Previous reports indicate that the densitometric effects of bisphosphonates directly correlate with the drug dosage and suggest that using IM clodronate at doses higher than 100 mg/week may result in improved efficacy. However, to the best of our knowledge, this has never been proved. The primary endpoint of the study was the effect on BMD of IM clodronate 100 mg once weekly or 100 mg twice weekly in patients with postmenopausal osteoporosis. The incidence of non-traumatic vertebral fractures and adverse events was also reported. The present study was a randomized, open-label, parallel-group trial conducted between January 2007 and December 2009 in the Osteoporosis and Osteoarticular Instrumental Diagnosis Centre (University of Siena, Siena, Italy). The study involved 60 women, aged 57-78 years, with a history of postmenopausal osteoporosis for more than 5 years. Patients were randomized to receive IM clodronate 100 mg once weekly (Group A, 30 patients) or 100 mg twice weekly (Group B, 30 patients), for 2 years. Significant increases compared with baseline in BMD were observed for both groups at 1 and 2 years, with significantly higher increases for Group B compared with Group A. Group B displayed a BMD increase (± SD) at the lumbar spine of +4.0 % (± 2.1) and +5.9 % (± 2.0) at 1 and 2 year(s), respectively, compared with +2.8 % (± 1.7) and +3.5 % (± 2.2), respectively, observed for Group A. Similarly, Group B showed better performance compared with Group A for BMD increase at the femoral neck, with an observed increase of +3.5 % (± 1.7) and +5.4 % (± 1.8) at 1 and 2 year(s), respectively
... Twice-Weekly Yoga Classes Offer Similar Low-Back Pain Relief in Low-Income Minority Populations Share: © Photodisc Results of an NCCAM-funded study found that once-weekly yoga classes relieved pain, improved function, and reduced the need for pain ...
Muehsam, David; Chevalier, Gaétan; Barsotti, Tiffany
Advances in biophysics, biology, functional genomics, neuroscience, psychology, psychoneuroimmunology, and other fields suggest the existence of a subtle system of “biofield” interactions that organize biological processes from the subatomic, atomic, molecular, cellular, and organismic to the interpersonal and cosmic levels. Biofield interactions may bring about regulation of biochemical, cellular, and neurological processes through means related to electromagnetism, quantum fields, and perhaps other means of modulating biological activity and information flow. The biofield paradigm, in contrast to a reductionist, chemistry-centered viewpoint, emphasizes the informational content of biological processes; biofield interactions are thought to operate in part via low-energy or “subtle” processes such as weak, nonthermal electromagnetic fields (EMFs) or processes potentially related to consciousness and nonlocality. Biofield interactions may also operate through or be reflected in more well-understood informational processes found in electroencephalographic (EEG) and electrocardiographic (ECG) data. Recent advances have led to the development of a wide variety of therapeutic and diagnostic biofield devices, defined as physical instruments best understood from the viewpoint of a biofield paradigm. Here, we provide a broad overview of biofield devices, with emphasis on those devices for which solid, peer-reviewed evidence exists. A subset of these devices, such as those based upon EEG- and ECG-based heart rate variability, function via mechanisms that are well understood and are widely employed in clinical settings. Other device modalities, such a gas discharge visualization and biophoton emission, appear to operate through incompletely understood mechanisms and have unclear clinical significance. Device modes of operation include EMF-light, EMF-heat, EMF-nonthermal, electrical current, vibration and sound, physical and mechanical, intentionality and nonlocality
D. M. Murphy
Full Text Available Data from the Interagency Monitoring of Protected Visual Environments (IMPROVE network of aerosol samplers and NOAA monitoring sites are examined for weekly cycles. At remote and rural sites, fine particle elemental carbon, crustal elements, and coarse particle mass had pronounced (up to 20% weekly cycles with minima on Sunday or Monday. Fine particle organic carbon and mass had smaller amplitude cycles, also with Sunday or Monday minima. There was no statistically significant weekly cycle in fine particle sulfate despite a 5 to 15% weekly cycle in power plant SO2 emissions. Although results for nitrate may be more susceptible to sampling artifacts, nitrate also showed a pronounced weekly cycle with an amplitude similar to elemental carbon. The only species found with a weekend maximum was Pb, probably from general aviation on weekends. Aerosol optical properties at NOAA monitoring sites were consistent with the IMPROVE chemical data, with significant weekly cycles in aerosol light absorption but not light scattering. These results support a large role of diesel emissions in elemental carbon aerosol over the entire United States and suggest that a large fraction of the airborne soil dust is anthropogenic. They also suggest that studies of weekly cycles in temperature, cloudiness, precipitation, or other meteorological variables should look for causes more in light-absorbing particles and possible ice nucleation by dust rather than sulfate or total aerosol. There are also implications for personal exposure and epidemiological studies of aerosol health effects.
Chen, Melissa J; Hou, Melody Y; Hsia, Jennifer K; Cansino, Catherine D; Melo, Juliana; Creinin, Mitchell D
To evaluate whether a department policy changing the scheduling of the postpartum visit from 6 weeks to 2-3 weeks after delivery is associated with higher long-acting reversible contraception initiation at the postpartum visit. We conducted a quasiexperimental before-after study to evaluate long-acting reversible contraception initiation, specifically an intrauterine device or contraceptive implant, at the postpartum visit between women scheduled for follow-up at 6 weeks (before policy change) and 2-3 weeks after delivery (after policy change). Secondary outcomes included postpartum visit completion, overall contraception initiation at the postpartum visit, overall contraceptive use at 6 months after delivery, and repeat pregnancies by 6 months postpartum. We obtained delivery and postpartum information using the electronic medical record and contacted participants 3 and 6 months after delivery to assess contraception use and repeat pregnancies. We enrolled 586 participants between December 2014 and November 2015, of whom 512 women (256 in each cohort) continued to meet eligibility criteria after delivery. Long-acting reversible contraception initiation rates at the postpartum visit were lower in the 2- to 3-week (16.5%, 95% CI 12.2-21.8) compared with the 6-week group (31.1%, 95% CI 25.2-37.7, Pcontraception initiation was higher in the 2- to 3-week group (27.3%, 95% CI 21.9-33.4) compared with the 6-week group (15.8%, 95% CI 11.5-21.4, Pcontraceptive use patterns at 6 months postpartum. No intrauterine device perforations or expulsions were observed in women who underwent insertion at 2-3 weeks postpartum. Five pregnancies were reported in each cohort by 6 months after delivery. Scheduling a visit at 2-3 weeks after delivery was not associated with increased long-acting reversible contraception initiation at this visit despite higher postpartum visit attendance.
Kimura, Akio; Tanaka, Noriko
The shock index (SI), defined as heart rate (HR) divided by systolic blood pressure (SBP), is reported to be a more sensitive marker of shock than traditional vital signs alone. In previous literature, use of the reverse shock index (rSI), taken as SBP divided by HR, is recommended instead of SI for hospital triage. Among traumatized patients aged > 55 years, SI multiplied by age (SIA) might provide better prediction of early post-injury mortality. Separately, the Glasgow Coma Scale (GCS) score has been shown to be a very strong predictor. When considering these points together, rSI multiplied by GCS score (rSIG) or rSIG divided by age (rSIG/A) could provide even better prediction of in-hospital mortality. This retrospective, multicenter study used data from 168,517 patients registered in the Japan Trauma Data Bank for the period 2006-2015. We calculated areas under receiver operating characteristic curves (AUROCs) to measure the discriminant ability by comparing those of SI (or rSI), SIA, rSIG, and rSIG/A for in-hospital mortality and for 24-h blood transfusion. The highest ROC AUC (AUROC), 0.901(0.894-0.908) for in-hospital mortality in younger patients (aged < 55 years), was seen for rSIG. In older patients (aged ≥ 55 years), the AUROC of rSIG/A, 0.845(0.840-0.850), was highest for in-hospital mortality. However, the difference between rSIG and rSIG/A was slight and did not seem to be clinically important. rSIG also had the highest AUROC of 0.745 (0.741-749) for 24-h blood transfusion. rSIG ((SBP/HR) × GCS score) is easy to calculate without the need for additional information, charts or equipment, and can be a more reliable triage tool for identifying risk levels in trauma patients.
Full Text Available Abstract Background Repeated data collection is desirable when monitoring fluctuating conditions. Mobile phones can be used to gather such data from large groups of respondents by sending and receiving frequently repeated short questions and answers as text messages. The analysis of repeated data involves some challenges. Vital issues to consider are the within-subject correlation, the between measurement occasion correlation and the presence of missing values. The overall aim of this commentary is to describe different methods of analyzing repeated data. It is meant to give an overview for the clinical researcher in order for complex outcome measures to be interpreted in a clinically meaningful way. Methods A model data set was formed using data from two clinical studies, where patients with low back pain were followed with weekly text messages for 18 weeks. Different research questions and analytic approaches were illustrated and discussed, as well as the handling of missing data. In the applications the weekly outcome “number of days with pain” was analyzed in relation to the patients’ “previous duration of pain” (categorized as more or less than 30 days in the previous year. Research questions with appropriate analytical methods 1: How many days with pain do patients experience? This question was answered with data summaries. 2: What is the proportion of participants “recovered” at a specific time point? This question was answered using logistic regression analysis. 3: What is the time to recovery? This question was answered using survival analysis, illustrated in Kaplan-Meier curves, Proportional Hazard regression analyses and spline regression analyses. 4: How is the repeatedly measured data associated with baseline (predictor variables? This question was answered using generalized Estimating Equations, Poisson regression and Mixed linear models analyses. 5: Are there subgroups of patients with similar courses of pain
National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Coral Reef Watch distributes Degree Heating Week products using a combination of the POES AVHRR Global Area Coverage data, and data from a climatological...
IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a crosssectional study to determine the ...
.... Doctors also recommend maintaining a healthy diet, not smoking, and wearing sunglasses or suitable eye protection when playing sports or performing household chores and yard work. This week, I encourage all...
... sustenance they need to focus and excel. With the Healthy, Hunger-Free Kids Act, we expanded access to school... October each year as ``National School Lunch Week'' and has requested the President to issue a...
... Program. This groundbreaking program has prevented hunger and promoted education by enabling our young... October each year as ``National School Lunch Week,'' and has requested the President to issue a...
... examples of integrity, and moral courage, but it is our task as parents, community members, and leaders to.... This week, we reaffirm our commitment to helping our children turn away from bullying, harassment, and...
Näitus "Uus Põhjamaade moeillustratsioon" Rotermanni kvartalis 18. sept.-ni. Osalejad Eestist, Soomest ja Rootsist loetletud. Näituse kujundaja Tuuli Aule. Väljapaneku loovjuhi Toomas Volkmanni selgitus. Tallinn Fashion Week'i põhiprogrammist
... respiratory specimens testing positive for influenza viruses in clinical laboratories during the week ending April 21 was 8. ... percent of specimens testing positive for influenza in clinical laboratories ranged from 2.7% to 16.9%. During ...
Full Text Available Renal replacement therapy (RRT options and practice varies in countries worldwide and is influenced by patients' choice, nephrologists' practice patterns, health system, payer practice, public policy, and socioeconomic factors. In India, hemodialysis (HD remains the dominant RRT modality, and the practice is largely influenced by socioeconomics of the region of practice since third party payer is limited. Resource stretch to maximize outcome benefit is essential and HD session twice weekly is an improvized and cost-effective clinical practice. However, within the country, the patient characteristics, practice patterns, and outcomes of twice-weekly HD compared against patients dialyzed thrice weekly remain unclear. We did a retrospective analysis of patients who underwent twice- and thrice-weekly HD in a single center under similar settings. The patients on thrice a week dialysis were older and with a higher proportion of diabetics and were insured by private payers. Weight gain, ultrafiltration rates, blood pressures, and hemoglobin remained more favorable in the thrice-weekly patients. There was no significant difference in the hospitalization rates or mortality rates in the two groups. Patients who undergo twice-weekly HD have poorer intermediate measures of the outcome; although, morbidity and survival were not different in a small study population with short follow-up. The small sample size and the short duration of follow-up may limit the scope of findings of our study.
Obi, Yoshitsugu; Eriguchi, Rieko; Ou, Shuo-Ming; Rhee, Connie M; Kalantar-Zadeh, Kamyar
The 2006 Kidney Disease Outcomes Quality Initiative guidelines suggest twice-weekly or incremental hemodialysis for patients with substantial residual kidney function (RKF). However, in most affluent nations de novo and abrupt transition to thrice-weekly hemodialysis is routinely prescribed for all dialysis-naïve patients regardless of their RKF. We review historical developments in hemodialysis therapy initiation and revisit twice-weekly hemodialysis as an individualized, incremental treatment especially upon first transitioning to hemodialysis therapy. In the 1960's, hemodialysis treatment was first offered as a life-sustaining treatment in the form of long sessions (≥10 hours) administered every 5 to 7 days. Twice- and then thrice-weekly treatment regimens were subsequently developed to prevent uremic symptoms on a long-term basis. The thrice-weekly regimen has since become the 'standard of care' despite a lack of comparative studies. Some clinical studies have shown benefits of high hemodialysis dose by more frequent or longer treatment times mainly among patients with limited or no RKF. Conversely, in selected patients with higher levels of RKF and particularly higher urine volume, incremental or twice-weekly hemodialysis may preserve RKF and vascular access longer without compromising clinical outcomes. Proposed criteria for twice-weekly hemodialysis include urine output >500 ml/day, limited interdialytic weight gain, smaller body size relative to RKF, and favorable nutritional status, quality of life, and comorbidity profile. Incremental hemodialysis including twice-weekly regimens may be safe and cost-effective treatment regimens that provide better quality of life for incident dialysis patients who have substantial RKF. These proposed criteria may guide incremental hemodialysis frequency and warrant future randomized controlled trials. © 2015 S. Karger AG, Basel.
Homma, Akihiro; Inamura, Naoya; Oridate, Nobuhiko
The most common chemoradiotherapy regimen is high-dose (100 mg/m 2 ) three-weekly cisplatin with concomitant radiotherapy; however, this protocol is associated with acute and late toxicities. Here, we reviewed the dose intensity and toxicity for concomitant weekly cisplatin and radiotherapy in patients with head and neck cancer. Fifty-three patients with untreated head and neck cancer were enrolled and evaluated at our institution from April 2006 to April 2010. Weekly cisplatin (40 mg/m 2 ) was given on weeks 1, 2, 3, 5, 6 and 7 with radiotherapy, which comprised a standard dose of 70 Gy delivered in 35 daily fractions over 7 weeks. Fifty-one patients (96.2%) received the full dose of radiotherapy, while the course was disrupted by adverse events in two. Over the course of the chemotherapy, 31 patients (58.5%) received more than 200 mg/m 2 cisplatin. The toxicity was manageable in all except one patient, who died of sepsis after completing treatment. The 2-year overall survival rate and local progression-free rate for all patients were 93.7% and 88.0%, respectively. The primary site showed a complete response in 52 patients (98.1%) and a partial response in 1 patient (1.9%). The primary disease was well controlled by chemoradiotherapy in 47 patients (88.7%). Weekly cisplatin could be easier to manage than three-weekly cisplatin, because patients can be monitored more regularly for toxicity allowing the schedule to be altered if required. This regimen appears to be a suitable alternative to three-weekly high-dose cisplatin with concomitant radiotherapy. (author)
Moriwaki, M.; )
INPRO (International Project on Innovative Nuclear Reactors and Fuel Cycles) was initiated in the year 2000 following a resolution of the General Conference of the IAEA in order to provide a forum for discussion of experts and policy makers on all aspects of nuclear energy planning as well as on the development and deployment of innovative nuclear energy systems (INS). It brings together technology holders, users and potential users to consider jointly the international and national actions required for achieving desired innovations in nuclear reactors and fuel cycles, and it pays particular attention to the needs of developing countries. Since its initiation, INPRO has kept growing as an international project on INS, and as of August 2006 it has 26 members including major technology holder countries and technology user and potential user countries.In July 2006, INPRO had achieved a major milestone, which is finalizing Phase 1 and starting a new stage, Phase 2 with endorsement by INPRO steering committee. Phase 1 can be characterized as INPRO methodology development stage. The INPRO methodology is a methodology to assess if a given INS can fulfil demands to be a sustainable energy option in the 21st century, in a holistic way. The INPRO methodology's holistic approach includes seven areas in its sustainability assessment: Economics, Safety, Environment, Waste Management, Proliferation Resistance, Physical Protection and Infrastructure. The demands of the methodology on INS form a hierarchy consisting of Basic Principles (BPs), User Requirements (URs) and Criteria (CR). The main achievement of Phase 1 is to define BPs, URs and CR in all seven areas (summarized as TECDOC 1434) with application tests performed by INPRO Members and create a draft manual to guide how to assess INS with INPRO methodology in a practical manner. Seven chapters of the draft manual (Overviews, Economics, Safety on nuclear power plants, Safety on fuel cycle facilities, Environment, Waste
Conforti, Domenico; Guerriero, Francesca; Guido, Rosita; Cerinic, Marco Matucci; Conforti, Maria Letizia
Week Hospital is an innovative inpatient health care organization and management, by which hospital stay services are planned in advance and delivered on week-time basis to elective patients. In this context, a strategic decision is the optimal clinical management of patients, and, in particular, devising efficient and effective admission and scheduling procedures, by tackling different requirements such as beds' availability, diagnostic resources, and treatment capabilities. The main aim is to maximize the patient flow, by ensuring the delivery of all clinical services during the week. In this paper, the optimal management of Week Hospital patients is considered. We have developed and validated an innovative integer programming model, based on clinical resources allocation and beds utilization. In particular, the model aims at scheduling Week Hospital patients' admission/discharge, possibly reducing the length of stay on the basis of an available timetable of clinical services. The performance of the model has been evaluated, in terms of efficiency and robustness, by considering real data coming from a Week Hospital Rheumatology Division. The experimental results have been satisfactory and demonstrate the effectiveness of the proposed approach.
Daubney, Michael; Bateman, Anthony
This paper provides an overview of mentalization-based therapy (MBT). Multiple strands of research evidence converge to suggest that affect dysregulation, impulsivity and unstable interpersonal relationships are core features of borderline personality disorder (BPD). The MBT approach to BPD attempts to provide a theoretically consistent way of conceptualising the inter-relationship of these features. MBT makes mentalizing a core focus of therapy and was initially developed for the treatment of BPD in routine clinical services, delivered in group and individual modalities. This article provides a brief overview of mentalizing and its relevance to BPD, provides an overview of MBT and notes a number of current trends in MBT. MBT provides clinicians with an empirically supported approach to BPD and its treatment. Whilst mentalizing is viewed as an integrative framework for therapy, more knowledge is needed as to which of the therapies are of most benefit for individual patients. © The Royal Australian and New Zealand College of Psychiatrists 2015.
Hala Mohamed El-Shenshawy
Conclusions: Efficacy was similar between the weekly regimen and the standard regimen of carboplatin and paclitaxel for elderly patients with advanced NSCLC and may be advantageous based on its favorable tolerability profile.
Creatinine Triglycerides Creatine kinase (CK) Urea nitrogen (BUN) Urine specimens were collected in Weeks -1, 2, 4, 8 and 13, and during the recovery period...Globulin (calculated) Glucose Haptoglobin Lactate dehydrogenase (LDH) Inorganic phosphorus Potassium Sodium Page 11 ®SM tr? Contract No.: DAMD17-92...but not females in Week 2 (Tables 7.13 and 7.14). This was supported by increased levels of bilirubin in the urine of these animals and in mid dose
A A Vorobyeva
Full Text Available The article describes the five-factor model (FFM, giving an overview of its history, basic dimensions, cross-cultural research conducted on the model and highlights some practical studies based on the FFM, including the studies on job performance, leader performance and daily social interactions. An overview of the recent five-factor theory is also provided. According to the theory, the five factors are encoded in human genes, therefore it is almost impossible to change the basic factors themselves, but a person's behavior might be changed due to characteristic adaptations which do not alter personality dimensions, only a person's behavior.
Clark, Ashley Erin; Adamian, Maria; Taylor, Jacquelyn Y
Epigenetic changes to the genome are biochemical alterations to the DNA that do not change an individual's genome but do change and influence gene expression. The nursing profession is qualified to conduct and integrate epigenetic-focused nursing research into practice. This article discusses current epigenetic nursing research, provides an overview of how epigenetic research relates to nursing practice, makes recommendations, and provides epigenetic online resources for nursing research. An overview of major epigenetic studies in nursing (specific to childbirth studies, preeclampsia, metabolic syndrome, immunotherapy cancer, and pain) is provided, with recommendations on next steps. Copyright © 2013 Elsevier Inc. All rights reserved.
Dingsøyr, Torgeir; Dybå, Tore; Moe, Nils Brede
Agile software development is an important topic in software engineering and information systems. This chapter provides a characterization and definition of agile software development, an overview of research through a summary of existing overview studies, an analysis of the research literature so far, and an introduction to the main themes of this book. The first part of the book provides foundations and background of agile development. The second part describes findings from studies of agile methods in practice. The third part identifies principal challenges and discusses new frontiers that agile development methods will meet in the future.
Marchesi, I.H.; Konstantinov, L.V.
As stated in this overview of IAEA nuclear information activities the Agency's role in information services is rapidly evolving and multifaceted. The Agency maintains more than 200 computerized files of information. Some 60 of these are part of systems directly related to nuclear activities. Some of these are briefly profiled in this overview such as INIS, the IAEA Nuclear Data Programme, the IAEA Incident Reporting System, the IAEA Energy and Economic Databank, the IAEA Power Reactor Information System, the Nuclear Fuel Cycle Information System, and the International Uranium Geology Information System. Future directions are pointed out. Different ways to upgrade information systems are listed
John W. Farrell III
Full Text Available Background: Previous investigations have shown that muscular endurance resistance training (MERT is conducive in improving the onset of blood lactate accumulation (OBLA. However, the metabolic response and time course for adaption is still unclear. Objective: The aims of the current study were to evaluate and track the metabolic response to an individual session of MERT as well as to assess performance adaptations of supplementing an aerobic exercise training program with four weeks of MERT. Methods: Seventeen aerobically active men were randomly assigned to either the experimental (EX or control group (CON, 9 EX and 8 CON. Baseline measures included a graded exercise test (GXT and 1-repetition maximum (1RM testing for leg press (LP, leg curl (LC, and leg extension (LE. CON continued their regular aerobic activity while the EX supplemented their regular aerobic exercise with 4 weeks of MERT. Results: No significant group differences were observed for all pre-training variables. Following four weeks of training no significant differences in cardiorespiratory or metabolic variables were observed for either group. However, significant improvements in LC and LE 1-RM were observed in EX compared to CON. Substantial accumulations in blood lactate were observed following each MERT session. Conclusion: Four weeks of MERT did not improve cardiorespiratory or metabolic variables, but did significantly improve LC and LE. MERT was also observed to induce a blood lactate response similar to that of HIIT. These findings suggest greater than four weeks is need to see metabolic adaptations conducive for improved aerobic performance using MERT.
Davis, Stacy Cagle [ORNL; Diegel, Susan W [ORNL; Moore, Sheila A [ORNL; Boundy, Robert Gary [ORNL
Each week the U.S. Department of Energy s Vehicle Technology Office (VTO) posts a Fact of the Week on their website: http://www1.eere.energy.gov/vehiclesandfuels/ . These Facts provide statistical information, usually in the form of charts and tables, on vehicle sales, fuel economy, gasoline prices, and other transportation-related trends. Each Fact is a stand-alone page that includes a graph, text explaining the significance of the data, the supporting information on which the graph was based, and the source of the data. A link to the current week s Fact is available on the VTO homepage, but older Facts are archived and still available at: http://www1.eere.energy.gov/vehiclesandfuels/facts/. This report is a compilation of the Facts that were posted during calendar year 2012. The Facts were written and prepared by staff in Oak Ridge National Laboratory's Center for Transportation Analysis.
Alexandra Arteaga Fernández
Full Text Available Hemophagocytic syndrome is a life-threatening disease characterized by the uncontrolled activation of macrophages, resulting in hemophagocytosis of blood cells in the bone marrow. A 20-year-old gravida at 23-week and 5-day gestation was admitted to hospital to evaluate fever up to 104°F of unknown origin, moderate cytopenia, and elevated levels of liver enzymes. Bone marrow biopsy confirmed hemophagocytic syndrome, and polymerase chain reaction came back positive for Mycobacterium tuberculosis. Supportive care and tuberculosis treatment resulted in clinical improvement. At 27 weeks and 5 days, premature rupture of the membranes occurred, and because of the high probability of reactivating the hemophagocytic syndrome, a cesarean section was performed at 29-week and 2-day gestation. Hemophagocytic syndrome is an uncommon disease which rarely appears during pregnancy. Early diagnosis and treatment can save both maternal and fetal lives.
Jensen, Jesper Lundbye; Christensen, Mark Schram; Petersen, Tue Hvass
It is well established that motor experience is associated with structural and functional plasticity within the central nervous system. It is less well investigated to which extent disuse relating to immobilization is also associated with plastic neuronal changes. The objective of this study...... was to examine the effect of 2 weeks of immobilization on corticospinal excitability using transcranial magnetic stimulation (TMS) and to investigate blood flow changes in the sensorimotor cortex during ankle movement using functional magnetic resonance imaging (fMRI). 12 healthy volunteers had the left ankle...... and foot immobilized by a cast for 2 weeks. TMS and fMRI testing was performed on 2 separate days before immobilization, on the day of cast removal and 2 weeks of recovery. fMRI was accomplished with a Siemens Trio 3T scanner and fMRI time series were obtained during both active and passive ankle movement...
Andersen, Torben Gustav; Fusari, Nicola; Todorov, Viktor
We study short-term market risks implied by weekly S&P 500 index options. The introduction of weekly options has dramatically shifted the maturity profile of traded options over the last five years, with a substantial proportion now having expiry within one week. Such short-dated options provide...... a direct way to study volatility and jump risks. Unlike longer-dated options, they are largely insensitive to the risk of intertemporal shifts in the economic environment. Adopting a novel semi-nonparametric approach, we uncover variation in the negative jump tail risk which is not spanned by market...... volatility and helps predict future equity returns. Incidents of tail shape shifts coincide with mispricing of standard parametric models for longer-dated options. As such, our approach allows for easy identification of periods of heightened concerns about negative tail events that are not always "signaled...
Bolasco, Piergiorgio; Caria, Stefania; Egidi, Maria Francesca; Cupisti, Adamasco
The start of dialysis treatment is a critical step in the care management of chronic renal failure patients. When hemodialysis is performed three times a week, rapid loss of kidney function and of urine volume output generally occur and this represents an unfavorable prognostic factor. Instead, reducing frequency of hemodialysis sessions, as well as peritoneal dialysis, can contribute to a lesser decrease of residual renal function. Unfortunately, the existing protocols for an incremental hemodialysis approach are not particularly common and they are generally limited to a twice a week hemodialysis schedule. In addition to clinical and economic reasons, an incremental approach to ESRD also contributes to better social and psychological adaptation by the patients to the dramatic change in living conditions linked to the maintenance dialysis treatment. In patients who have attitude for low-protein nutritional therapy, a once weekly dialysis schedule combined with low-protein, low-phosphorus, normal to high energy diet in the remaining six days of the week can be implemented in selected patients. In our experience, this kind of program produced important clinical results and reduction in costs and hospitalization. When compared with a three times a week dialysis schedule, a greater protection of residual renal function and of urine volume output, lower increase in 2 microglobulin, better control of phosphorus and less consumption of phosphate binders and erythropoietin were observed. Careful clinical monitoring and nutrition is essential for the safety and optimization of infrequent hemodialysis. Long-term follow-up analysis shows favorable effects on the overall survival. Furthermore, twice a week hemodialysis is not the only option for an incremental approach of dialysis commencing. In patients who have a good attitude for low-protein nutritional therapy, its arrangement with a program of once weekly dialysis represents a real and effective alternative.
Following the tradition, the activities of the seven new units created in 1997 on the basis of the former Department of High Energy Physics are presented under a common header, they are: Department of Particle Theory (Dept 5); Department of Leptonic Interactions (Dept 11); Department of Hadron Structure (Dept 12); Department of High Energy Nuclear Interactions (Dept 13); The ALICE Experiment Laboratory (NAL); The ATLAS Experiment Laboratory (NAT); High Energy Physics Detector Construction Group (PBD). The research covers a variety of problems of the experimental and theoretical high energy particle physics: the hadronic and leptonic interactions with nucleons and nuclei (characteristics of particle production, including heavy quark physics), e + e - interactions and tests of the Standard Model (also radiative corrections), ultrarelativistic heavy ion interactions and search for the quark-gluon plasma, as well as the spectra, composition and interactions of high energy cosmic ray particles. Research on detectors and accelerator components as well as the development of the apparatus for the high energy physics experiments at future accelerators: LHC (CERN, Geneva), RHIC (Brookhaven), B-Factory (KEK, Tsukuba) and TESLA (DESY) is also presented. The technology of new materials with unique properties such as carbon-carbon composites is also worked on from the point of view of their application in high energy physics experiments. The Division is located in a separate building on the campus of the University of Mining and Metallurgy (UMM). This location, close to the Jagiellonian University (JU), facilitates the collaboration with the latter and with the UMM. The joint weekly seminars carried out for nearly 40 years prove this long term tradition. A substantial part of the activities is teaching and training students from the academic community in Cracow. Joint research, teaching and academic training in the high energy physics are carried out within the M. Miesowicz
Miller, David N.; Eckert, Tanya L.
Youth suicidal behavior continues to be a significant national problem in need of urgent attention by school personnel. The purpose of this introductory article to the special series is to provide an overview of youth suicidal behavior, including research-based information on demographic data; risk factors and warning signs; and where, when, and…
This article briefly and very generally explores some of the developments in the field of biblical spirituality over the past six decades by analysing and discussing some seminal publications on the theme of discernment. It begins the overview with the articles on discernment and discretion in the Dictionnaire de Spiritualité.
Straessner, Arno; The ATLAS collaboration
The ATLAS and CMS calorimeter electronics will be upgraded for the HL-LHC data taking phase to cope with higher event pile-up and to allow improved trigger strategies. This presentations gives an overview of the ongoing developments for the CMS barrel calorimeters and the ATLAS LAr and Tile calorimeters.
... 49 Transportation 7 2010-10-01 2010-10-01 false Overview. 659.13 Section 659.13 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAIL FIXED GUIDEWAY SYSTEMS; STATE SAFETY OVERSIGHT Role of the State Oversight Agency § 659.13...
... TENANT BASED ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Rent and Housing Assistance Payment § 982.501 Overview. (a) This subpart describes program requirements concerning the housing assistance payment and rent to owner. These requirements apply to the Section 8 tenant-based program. (b) There are two types...
Li, Shu; The ATLAS collaboration
Proceeding for the conference plenary talk at HEPMAD16, Madagascar on the topic of "Overview of Exotic Physics at ATLAS" (ATL-PHYS-SLIDE-2016-807 https://cds.cern.ch/record/2225222) Deadline: 16/12/2016 (could be postponed for some days later upon request as recently suggested by the conference organizer)
Allwinkle, Sam; Cruickshank, Peter
The following offers an overview of what it means for cities to be "smart." It draws the supporting definitions and critical insights into smart cities from a series of papers presented at the 2009 Trans-national Conference on Creating Smart(er) Cities. What the papers all have in common is their desire to overcome the all too often…
We present a brief overview of the longitudinal spin physics program in the PHENIX experiment at the Relativistic Heavy Ion Collider at BNL. The main goal is to study the longitudinal spin structure of the proton with strongly interacting probes at high energy to resolve the long standing 'spin crisis'. The latest results from PHENIX are presented. (author)
Kurtz, S.; Wohlgemuth, J.; Yamamichi, M.; Sample, T.; Kelly, G.; Govind, R.
The presentation provides an overview of PVQAT: International PV Quality Assurance Task Force - historical perspective, projects, climate - specific (use - environment -specific) durability testing, consistency of manufacturing, system verification, IECRE vs PVQAT, how to become involved, current status and multiyear targets, goals for today.
McKinney, Joseph R.
Provides a brief overview of the legal structure within which teacher collective bargaining takes place. Explores the following legal issues that are most commonly litigated: right to organize, fair share, scope of bargaining, impasse resolution, strikes, grievance procedures, and judicial review of arbitration awards. (MLF)
Oct 31, 2014 ... A comprehensive overview and some of the theoretical attempts towards understanding heavy flavour hadron spectroscopy are presented. Apart from the conventional quark structure (quark, antiquarks structure for the mesons and three-quarks structure of baryons) of hadrons, multiquark hadrons the ...
Abstract. A comprehensive overview and some of the theoretical attempts towards understand- ing heavy flavour hadron spectroscopy are presented. Apart from the conventional quark structure. (quark, antiquarks structure for the mesons and three-quarks structure of baryons) of hadrons, multi- quark hadrons the hadron ...
Jordan, Dirk; Kurtz, Sarah
The way a PV module fails may depend not only on its design and the materials used in its construction, but also on the weather it experiences, the way it is mounted, and the quality control during its manufacture. This presentation gives an overview of Field Experience - what degradation rates and what lifetimes are being observed in various regions.
Angerami, Aaron; The ATLAS collaboration
Overview of ATLAS results for IS2014 conference. The role of initial state dynamics including geometry and nuclear PDF modifications in Pb+Pb and p+Pb observables are discussed. ATLAS measurements inclusive electroweak boson production, jet production and flow observables are used to constrain the initial geometry in Pb+Pb collisions and highlight future directions in understanding p+Pb collisions.
The Left Dislocation construction is a typologically universal phenomenon that has received detailed analysis, from both formal and functional perspectives, in a number of genetically and areally diverse languages. The present paper aims to provide a general overview of this cross-linguistic research with a concentration ...
pp. 235–245. High energy nuclear collisions: Theory overview. R J FRIES. Cyclotron Institute and Department of Physics and Astronomy, Texas A&M University,. 3366 TAMU, College Station TX 77845, USA. Physics Department, RIKEN/BNL Research Center, Brookhaven National Laboratory,. Upton NY 11973-5000, USA.
Bechmann, Andreas; Berg, Jacob; Courtney, Michael
The Bolund experiment is a measuring campaign performed in 2007 and 2008. The aim of the experiment is to measure the flow field around the Bolund hill in order to provide a dataset for validating numerical flow models. The present report gives an overview of the whole experiment including...
Zigler, Edward F.; Bishop-Josef, Sandra J.
In this updated version of their chapter from "Children's Play: The Roots of Reading" (published by ZERO TO THREE in 2004), the authors describe the recent attack on play, in both early childhood and elementary education. They provide a historical overview of the contentious relationship between play and cognitive development. The authors stress…
This article offers a short commentary on the "state of play" in early childhood music education research to accompany the articles published in this special issue. It provides an international overview of recent research trends in this field, with examples drawn from Europe, the Americas, Asia, the Middle East, East and South Africa and…
An overview is given of current activities and planned research efforts of the US Nuclear Regulatory Commission (NRC) HTGR Safety Program. On-going research at Brookhaven National Laboratory, Oak Ridge National Laboratory, Los Alamos National Laboratory, and Pacific Northwest Laboratory are outlined. Tables include: HTGR Safety Issues, Program Tasks, HTGR Computer Code Library, and Milestones for Long Range Research Plan
Ajayi, R. I.
This paper by the Technical Director of the FRPS gives a presentation on the broad objective and overviews of the workshop. The growing use of radioactivity in industrial and scientific applications and research and the importance of radiation protection are presented. Cognisance is given to harmful levels of exposure
Kovac, James S.
Provides an overview to an organization which is considering the initiation of a plan to share gains with its workers. Defines productivity, explains the benefits of improved productivity, examines a number of approaches to sharing productivity gains with workers, compares individual incentive plans with gain sharing plans, and finally, briefly,…
The aim of the present article is to present an overview of the recently published 5th version of the DSM. After a brief historic of the different versions of the DSM since the third edition, the main features of the classification were presented followed by the particularities of the fifth version.
physics pp. 611-614. MiniBooNE overview and status. P KAsPER (for the BooNE Collaboration). Fermilab, P.O. Box 500, Batavia, IL 60510-0500, USA. Abstract. Recent discoveries in the neutrino sector have opened a new frontier in high- energy physics and cosmology. Evidence from neutrino oscillation experiments from.
... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Overview. 2635.601 Section 2635.601 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES... from particular matters affecting the financial interests of a prospective employer when an employee's...
Deepak, B. S.; Subash, T. S.; Narmatha, V. J.; Anamika, T.; Snehil, T. K.; Nandini, D. B.
This review provides an overview of the relevance of imaging techniques such as, computed tomography, cone beam computed tomography, and ultrasound, to endodontic practice. Many limitations of the conventional radiographic techniques have been overcome by the newer methods. Advantages and disadvantages of various imaging techniques in endodontic practice are also discussed. PMID:22530184
Schmaling, Constanze H.
This article gives an overview of dictionaries of African sign languages that have been published to date most of which have not been widely distributed. After an introduction into the field of sign language lexicography and a discussion of some of the obstacles that authors of sign language dictionaries face in general, I will show problems…
This paper summarizes the robotics and automation activities at the Savannah River Laboratory and the Savannah River Plant. The purpose is to provide an overview to facilitate the exchange of technology between various sites involved in development and production work for the Department of Energy. Throughout the paper references are made to assigned project engineers so that they may be contacted directly
This geographic information system has been developed as part of Forestry Canada's Eastern Quebec Forestry Program for woodlot owners in eastern Quebec. The goal was to provide private woodlot operators with a management system that uses the most advanced technology available. This booklet provides an overview of this system, explaining how the system can be used.
The aim of this Comment is to provide for the nonexpert a descriptive overview, colored with a certain amount of personal prejudice, of the basic ideas underlying the Kaluza-Klein approach to unification, and a very brief survey of some of the more recent developments. The treatment is nonmathematical in the extreme. (author)
Hirst, Jonathan D; Glowacki, David R; Baaden, Marc
Here we provide an introduction and overview of current progress in the field of molecular simulation and visualization, touching on the following topics: (1) virtual and augmented reality for immersive molecular simulations; (2) advanced visualization and visual analytic techniques; (3) new developments in high performance computing; and (4) applications and model building.
Sims, Jon A.
An overview of the design of a mission to three large moons of Jupiter is presented. the Jupiter Icy Moons Orbiter (JIMO) mission uses ion thrusters powered by a nuclear reactor to transfer from Earth to Jupiter and enter a low-altitude science orbit around each of the moons.
This paper presents an overview of the use of leak-before-break (LBB) analysis for EPR reactors. EPR is an evolutionary Nuclear Island of the 4 loop x 1500 Mwe class currently in the design phase. Application of LBB to the main coolant lines and resulting design impacts are summarized. Background information on LBB analysis in France and Germany is also presented.
Van Arsdall, P.
This overview introduces the NIF Integrated Control System (ICCS) architecture. The design is abstract to allow the construction of many similar applications from a common framework. This summary lays the essential foundation for understanding the model-based engineering approach used to execute the design.
... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OIL POLLUTION ACT REGULATIONS NATURAL RESOURCE DAMAGE ASSESSMENTS Introduction § 990.12 Overview. This part describes three phases of a natural resource..., is described in subpart D of this part. The Restoration Planning Phase, during which trustees...
Smets, S.; Debal, P.; Conte, V.; Alaküla, M.; Santini, D.; Duvall, M.; Winkel, R.; Badin, F.
Several electric energy storage systems exist with different principles and characteristics. On the other hand, there are also various hybrid electric vehicles with specific requirements. This paper gives an overview of the advantages/disadvantages and practical aspects of battery technologies and
Larsen, Ann D.; Hannerz, Harald; Møller, Simone V.
Objectives: The aims of this study were to (i) investigate the association between night work or long work weeks and the risk of accidental injuries and (ii) test if the association is affected by age, sex or socioeconomic status. Methods: The study population was drawn from the Danish version...... of the European Labour Force Survey from 1999-2013. The current study was based on 150 438 participants (53% men and 47% women). Data on accidental injuries were obtained at individual level from national health registers. We included all 20-59-year-old employees working ≥32 hours a week at the time...
In The Long Week-End Wilfred Bion focuses on his emotional distress during the first twenty-one years of his life. Rarely employing psychoanalytic terminology, he attempts to explore his emotional experience directly, struggling to find a language that could capture the complexity of inner life. Central to The Long Week-End is his desire to communicate how easily he could feel unintelligent, inept, weak, ashamed, guilty, angry, frightened, and cowardly in various settings. This self-criticism at times undermines his theoretical stance in this work, as he emphasizes the importance of doubt and uncertainty when attempting to comprehend most dimensions of experience.
The Weekly Bulletin publication team has prepared a questionnaire that finally allows you to say all you think, good or bad, about CERN's in-house journal. The aim of this survey is to improve the Bulletin and make it more readable and more practical. In short, we want it to be more useful to you! We will be publishing the results of this survey in a few weeks' time. Between now and then we invite you to fill out the web form, or the form just before the last page of this issue. Just 5 minutes of your time!
Cominsky, Lynn R.; Prasad, K.; Simonnet, A.; John, K.; McLin, K.; Hill, L.
Sonoma State University Education and Public Outreach presents Epo's Chronicles: a weekly web comic about Epo, a sentient spaceship/observatory and its humanoid companion, Alkina. Follow the adventures of Epo and Alkina as they explore the Universe and try to discover their origins. The comic employs a fictional story line incorporating both recent and classic scientific discoveries from NASA missions while educating the young and the young at heart in a creative and engaging way. Each weekly "eposode” is translated into French, Italian and Spanish, and is accompanied by supporting information including glossary entries, multi-media clips, and links to additional resources. Visit Epo's Chronicles at: http://eposchronicles.com
... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Calculating your due date Ovulation calendar Order bereavement materials News Moms Need Blog Stories & Media ...
First page Back Continue Last page Overview Graphics. Introduction and Overview of the Symposium Anil Kumar (Indian Institute of Science, Bangalore). Symposium on Quantum Computing and Quantum Information. Notes:
Owens, Michelle Y; Thigpen, Brad; Parrish, Marc R; Keiser, Sharon D; Sawardecker, Sandip; Wallace, Kedra; Martin, James N
To evaluate maternal-newborn outcomes with immediate or expectantly managed preeclampsia first diagnosed at 34-37 weeks. Late preterm patients with preeclampsia without severe features were randomly assigned to immediate delivery (n=94) or expectant management (n = 75) until 37 weeks gestation or earlier if severe features developed. Data were analyzed by appropriate tests for continuous or categorical outcomes with differences considered significant if p managed developed severe features of preeclampsia within 72 hours versus 3% in the immediately delivered group (p preeclampsia significantly lessens her development of severe features without significantly increasing newborn risks. For the expectantly managed late preterm patient with preeclampsia, close surveillance for the first 72 hours following diagnosis and twice weekly thereafter appears prudent.
competing ferro- and antiferromagnetic interactions give rise to phase transitions which have been studied by means of static and dynamic magnetometry. For two series Gd T Mg (T= Ag, Au, Pd and Pt) and R Pd In (R = Gd, Tb, Dy, Ho, and Er) the temperatures and the types of phase transitions have been determined. Solid solutions of orthoferrites and orthogallates have been investigated wthin a joint project with the Academy of Mining and Metallurgy. Substitution of the Fe +3 ions in the distorted perovskite structure by the nonmagnetic ions of Al +3 and Ga +3 results in substantial shift of the compensation point and of the spontaneous spin reorientation region. A new subject in our studies is a search for molecular and polymeric systems (organic and organometallic) showing cooperative magnetic phenomena. Among the different compounds (synthesized in the Institute of Chemistry of the Jagiellonian University) the most interesting one is Cu 4 (H 2 O) 4 [W(CN) 8 ] 4 . The compound has been found to be a soft ferromagnet with T c = 34 K. Our Department maintains a program of weekly internal seminars. The latter provide a unique discussion forum for our current results as well as those presented by invited speakers. Much of our activity would not be possible without the financial support from the Polish Committee for Scientific Research. (author)
Full text: Following our long-time tradition we will present under a common header the activities of the seven new units created in 1997 on the basis of the former Department of High Energy Physics: Department of Particle Theory (Dept. V); Department of Leptonic Interactions (Dept XI); Department of Hadron Structure (Dept XII); Department of High Energy Nuclear Interactions (Dept XIII); The ALICE Experiment Laboratory (NAL); The ATLAS Experiment Laboratory (NAT); High Energy Physics Detector Construction Group (PBD). At the end we will list our common activities: lectures and courses as well as seminars. Our research covers a variety of problems of the experimental and theoretical high energy particle physics: the hadronic and leptonic interactions with nucleons and nuclei (characteristics of particle production, including heavy quark physics), e + e - interactions and tests of the Standard Model (also evaluation of radiative corrections), ultrarelativistic heavy ion interactions and search for the quark-gluon plasma, as well as the spectra, composition and interactions of high energy cosmic ray particles. Research on detectors and accelerator components as well as the development of the apparatus for the high energy physics experiments at future accelerators: LHC (CERN, Geneva), RHIC (Brookhaven), B-Factory (KEK, Tsukuba) and TESLA (DESY, Hamburg) is also carried out. The technology of new materials with unique properties such as carbon-carbon composites is also worked on from the point of view of their application in high energy physics experiments. The Division is located in a separate building on the campus of the University of Mining and Metallurgy. This location, close to the Jagiellonian University, facilitates the collaboration with the latter and with the University of Mining and Metallurgy. The joint weekly seminars carried out for nearly 40 years prove this long term tradition. A substantial part of our activities is teaching and training students from
Klinkenberg, Marianne; Willems, Dick L.; van der Wal, Gerrit; Deeg, Dorly J. H.
In order to investigate symptom burden in the last week of life, we conducted after-death interviews with close relatives of deceased older persons from a population-based sample of older people in The Netherlands (n=270). Results show that fatigue, pain, and shortness of breath were common (83%,
Use Friday Focus memos to motivate and engage your staff every week, and help create a school culture focused on the growth of students "and" teachers. Easy to understand and implement, Friday Focus memos offer an effective and efficient way to improve student learning, staff development, and school culture from within. Written by educational…
The Virginia Tech Eating Disorders Task Force will host the Eating Issues and Body Image Awareness Week through Feb. 26. The event features a variety of activities to encourage participants to identify and practice healthy eating and body image attitudes. The activities are free and open to the public.
... cost, including well-woman visits, domestic violence screenings and counseling, and contraceptive care... Women's Health Week, 2013 By the President of the United States of America A Proclamation Since our Nation's founding, women have given their all to expanding opportunity for their families and for future...
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Extended Benefits; weekly amount. 615.6 Section 615.6 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR EXTENDED... compensation payable during such benefit year. (2) If the method in paragraph (a)(1)(iii) of this section is...
DOI:10.7196/SAJSM.564. Cardiovascular and autonomic response induced by a 20-week military training programme in young healthy South African males ... processed foods) and rural urbanisation in sub-Saharan Africa has seen a shift in the underlying population distribution of risk factors for cardiovascular disease.
Larson, Stephanie Greco; Bailey, Martha
Contributes to scholarship on values and ideologies in the media by analyzing five years of ABC's "Person of the Week" segments to identify prominent types of people and values endorsed by mainstream news media. Finds that individuals most frequently selected for ABC's honor lived in the United States; worked in politics and…
Effects of 16 weeks of aerobic, resistance and combination exercise programmes on smoking. ... African Journal for Physical Activity and Health Sciences ... Abstract. Previous research on the cessation of smoking and the prevention of smoking recidivism using exercise training has mainly focused on aerobic training (AER).
Christiansen, Gunnar Dan
A concentrated one-week course (8 hours per day in 5 days) in elementary computer physics for students in their freshman university year is described. The aim of the course is to remove the constraints on traditional physics courses imposed by the necessity of only dealing with problems that have...
... and injuries are preventable or treatable with early detection and timely treatment, many Americans do... good eating habits, can help support a healthy and active lifestyle at any age. By seeking out... Week. During this time, I invite eye care professionals, teachers, members of the media, and all...
Multiple linear regression analysis was used to determine the variables that made a significant independent contribution towards explaining variance in cervical length. Maternal age and BMI were used as continuous variables. Results. During the study period 2 173 patients attending ultrasound clinics for a routine 23-week ...
Gaál, B; Vassányi, I; Kozmann, G
Menu planning is an important part of personalized lifestyle counseling. The paper describes the results of an automated menu generator (MenuGene) of the web-based lifestyle counseling system Cordelia that provides personalized advice to prevent cardiovascular diseases. The menu generator uses genetic algorithms to prepare weekly menus for web users. The objectives are derived from personal medical data collected via forms in Cordelia, combined with general nutritional guidelines. The weekly menu is modeled as a multilevel structure. Results show that the genetic algorithm-based method succeeds in planning dietary menus that satisfy strict numerical constraints on every nutritional level (meal, daily basis, weekly basis). The rule-based assessment proved capable of manipulating the mean occurrence of the nutritional components thus providing a method for adjusting the variety and harmony of the menu plans. By splitting the problem into well determined sub-problems, weekly menu plans that satisfy nutritional constraints and have well assorted components can be generated with the same method that is for daily and meal plan generation.