Skin Cancer: ClinicoPathological Study of 204 Patients in Southern Governorates of Yemen.

Science.gov (United States)

AlZou, Amer Bin; Thabit, Mazen Abood Bin; AlSakkaf, Khalid Abdulla; Basaleem, Huda Omer

2016-01-01

Skin cancer is a group of heterogeneous malignancies, in general classified into nonmelanoma skin cancer (NMSC) and melanoma skin cancer (MSC). Incidences are high in many parts in the world with considerable geographical and racial variation. In the Yemen, there has been scarce information about skin cancer. The aim of this study was to evaluate the demographic characteristics and histological trend of skin cancer in Southern Governorates of Yemen. This retrospective study covered 204 cases of skin cancer at the Modern Histopathology Laboratory and Aden Cancer Registry and Research Center, Faculty of Medicine and Health Sciences, University of Aden, for the period 20062013. Data were classified regarding different demographic and tumor related variables and analyzed using CanReg4 for cancer registry and SPSS (version 21). The commonest encountered skin cancer was NMSC (93.1%). Generally, skin cancer appears slightly more frequently in females than males with a 1:1.06 male: female ratio, with a mean age of 62.9 years. Slightly higher than onethird (36.3%) were from Aden governorate. The head and neck proved to be the most common site in both males and females (58%). Basal cell carcinoma (BCC) is the most common histological type of skin cancer (50.5%). Skin cancer is a common cancer in patients living in southern governorates of Yemen. The pattern appears nearly similar to the international figures with a low incidence of MSC.

75 FR 12148 - Airworthiness Directives; Ontic Engineering and Manufacturing, Inc. Propeller Governors, Part...

Science.gov (United States)

2010-03-15

... propeller pitch by regulating oil pressure to the propeller pitch change mechanism. Changes in governor oil..., the propeller governor cannot control oil pressure to the propeller pitch control mechanism. This... proposing this AD to prevent loss of propeller pitch control, damage to the propeller governor, and internal...

Design of Structural Parameters for Centrifugal Elevator Overspeed Governors

Directory of Open Access Journals (Sweden)

Song Yunpu

2014-01-01

Full Text Available As an important part of overspeed and fail-safe protection for elevators, the centrifugal elevator overspeed governor is a device for limiting overspeed of elevator cars. This paper researches on the vibration of the centrifugal block, which plays a key role in the performance of this overspeed governor. By performing dynamics analysis on the centrifugal block, the differential equation on the vibration of the centrifugal block is established. Based on this, the paper performs simulation analysis on the influence of systematic parameters such as the speed of the overspeed governor sheave, the mass of centrifugal block, the turning radius of the centrifugal block, the position where the spring acts, and the stiffness of the centrifugal block spring, on the vibration of the centrifugal block, and finds out their specific influence relationship.

The Governor-General's Apology: Reflections on Anzac Day

Directory of Open Access Journals (Sweden)

Gerhard Fischer

2012-11-01

Full Text Available In September 1999, the then governor-general of Australia, Sir William Deane, gave a speech to the Australian Conference on Lutheran Education where he offered an apology to members of the German Australian community for the 'tragic, and often shameful, discrimination against Australians of German origin fostered during the world wars'. This article reflects on a number of issues raised by the Governor-General's statement, most importantly on our understanding of the Anzac historiography and its various narratives.

International Development Research Centre Governor Honoraria ...

International Development Research Centre (IDRC) Digital Library (Canada)

André Lavoie

committee meetings and performing representative functions on behalf of ... This Policy demonstrates Governors' commitment to the prudent use of public funds, through the stipulation of payment of honoraria in relation to IDRC Business.

IAEA Board for 2000-2001 elects chairman: Mr. I.H. Umar, Governor of Nigeria

International Nuclear Information System (INIS)

2000-01-01

The document informs about the election of the Governor from Nigeria as Chairman of the IAEA Board of Governors for 2000-2001, and of the Governors from Austria and Poland as Vice-Chairmen. The Member States represented on the IAEA Board for 2000-2001 are also listed

Prevalence and Associated Factors of Eating Disorders in Weight Management Centers in Tanta, Egypt.

Science.gov (United States)

Eladawi, Noha; Helal, Randah; Niazy, Nermeen A; Abdelsalam, Sherehan

2018-01-05

Eating disorders (EDs) are serious illnesses associated with medical complications and have been increased, especially among societies with an excessive concern about weight, shape, or appearance. This study aimed to investigate the prevalence of EDs among the individuals attending weight management centers and its associated factors. A cross-sectional study was carried out among individuals attending four weight management centers in Tanta, Gharbia Governorate, Egypt during the period from July to December 2016. Precoded interview questionnaires were used to identify the following data: sociodemographic characteristics and medical history of depression or psychological disorders and the Eating Attitude Test (EAT-40) was used to assess the attitudes, behavior, and traits associated with the EDs. A total of 400 participants (112 males and 288 females) were included in the study. According to EAT-40 questionnaires, the prevalence of positive and negative EDs was 65.0% (n = 260) and 35.0% (n = 140), respectively. EDs were more likely reported by females, married singles, rural residents, those with higher education, and nonworking or part-time working patients, those who were overweight or obese, and who were suffering from depression or any psychological problems. Logistic regression analysis revealed that the independent predictors of EDs were age (adjusted odds ratio [OR]: 1.06), nonworking (adjusted OR: 2.32) or part-time working (adjusted OR: 2.18), increased body weight (adjusted OR: 2.66 for overweight and adjusted OR: 1.24 for obese), and having a history of depression or any psychological problem (adjusted OR: 2.76). Factor analysis of EAT-40 revealed four factors (eating behavior, diet-related lifestyle, weight concern, and food preoccupation) that were responsible for 33.2% of the total variance. EDs are prevalent among individuals attending the weight management centers in a northern city in Egypt. Specific management strategies are warranted to address

Service user governors in mental health foundation trusts: accountability or business as usual?

Science.gov (United States)

MacDonald, Dee; Barnes, Marian; Crawford, Mike; Omeni, Edward; Wilson, Aaron; Rose, Diana

2015-12-01

National Health Foundation Trusts present opportunities for individual mental health service users to be active in the governance of trusts. This is one of a range of mechanisms for patient and public involvement and one which promotes an individual rather than collective approach to involvement. Within the context of a broader study of the impact of service user involvement in mental health services, the objective of this article was to explore the experience of service user governors in foundation trusts and their capacity to hold boards to account. The Council of Governors in three foundation trusts were observed for a year. Focus groups with service user governors were undertaken in each trust. Service users had different expectations and understandings of the role and approached it in different ways. Key themes that emerged concerned: the role of a governor, conduct and content of meetings, agenda setting, relationships and representation. The experiences of mental health service user governors need to be understood within the complex environment of patient and public involvement in general and of mental health service user involvement in particular. The dislocation of the service user governor role from other forms of service user activity and involvement result in confusion about how notions of holding a trust to account and representation of other service users can be addressed within a boundaried institutional environment. © 2014 John Wiley & Sons Ltd.

39 CFR 3.4 - Matters reserved for decision by the Governors.

Science.gov (United States)

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Matters reserved for decision by the Governors. 3... removal of the Postmaster General, 39 U.S.C. 202(c). (b) Appointment, term of service, and removal of the Deputy Postmaster General (by the Governors and the Postmaster General, 39 U.S.C. 202(d)); pay of the...

Molecular investigations of β-thalassemic children in Erbil governorate

Science.gov (United States)

Hasan, Ahmad N.; Al-Attar, Mustafa S.

2017-09-01

The present work studies the molecular investigation of 40 thalassemic carriers using polymerase chain reaction. Forty thalassemic carriers who were registered and treated at Erbil thalassemic center and twenty apparently healthy children have been included in the present study. Ages of both groups ranged between 1-18 years. Four primers used to detect four different beta thalassemia mutations they were codon 8/9, codon 8, codon 41/42 and IVS-1-5. The two most common mutations detected among thalassemia group were Cd8/9 with 8 cases (20%) and Cd-8 with 6 cases (15%) followed by codon 41/42 with 4 cases (10%) which investigated and detected for the first time in Erbil governorate through the present study and finally IVS-1-5 with 3 cases (7.5%), while no any cases detected among control group.

A Research to Determine Local Governors Motivating Behaviour Their Employees

Directory of Open Access Journals (Sweden)

Arzu Kılıçlar

2015-06-01

Full Text Available In this study, ranging from public management of administrative authority with conception measure they motivated to the extent that their subordinates and by identifying the factors that influence the motivation in this context, is intended to make proposals for the improvement of the activity.The population of the study comprise the district governors who are serving actively in all the districts of Turkey. The survey was administered by governors sent through all the governorates. As a result of the research, it is necessary to motivate the employees of almost all of the local administrative authority, and which you be lieve would be helpful at this point to use all the motivational tools have been identified. However, previous studies did not adequately reflect the thinking of application the motivation of managers. Suggestions on how to motivate their employees to engage officials in the civil service are presented

Using genetic algorithm to define the governor parameters of a hydraulic turbine

International Nuclear Information System (INIS)

Andrade, J G P; Ribeiro, L C L J; Junior, E L

2010-01-01

There are several governor architectures, but in general, all of them are designed to maintain the controlled variable fluctuations within acceptable range. The Proportional, Integral and Derivative (PID) governor is one of the types used to regulate a hydraulic turbine, in which the deviation of the variable controlled is corrected through earnings proportional, integral and derivative. For a definition of the governor parameters and its stability analysis there are several methods that in general can be classified into a time domain and frequency domain. The frequency domain method, based on the control theory, have ease application, expeditious manner of obtaining the parameters, but the physical phenomena involved are linearized. However the time domain methods are more difficult to be applied, but have the advantage of being able to take into account the non-linearities presents in physical phenomena. Despite the time-domain method offers advantages, it does not provides a structured way to optimize the parameters of the governor, since the parameters are obtained through simulations with adopted values. This paper presents a methodology to obtain the turbine governor appropriate parameters through a hybrid model (simulation and optimization model), based on method of characteristic to the hydraulic simulation (time domain) and Genetic Algorithm (GA) to obtain appropriate values. Examples are presented showing the application of the proposed methodology.

Using genetic algorithm to define the governor parameters of a hydraulic turbine

Energy Technology Data Exchange (ETDEWEB)

Andrade, J G P; Ribeiro, L C L J [School of Technology, UNICAMP Rua Paschoal Marmo, 1888, Limeira, Postal Code:13484-332 (Brazil); Junior, E L, E-mail: josegeraldo@ft.unicamp.b [School of Civil Engineering, Architecture and Urbanism, UNICAMP Avenida Albert Einstein, 951, Campinas, Postal Code: 13083-852 (Brazil)

2010-08-15

There are several governor architectures, but in general, all of them are designed to maintain the controlled variable fluctuations within acceptable range. The Proportional, Integral and Derivative (PID) governor is one of the types used to regulate a hydraulic turbine, in which the deviation of the variable controlled is corrected through earnings proportional, integral and derivative. For a definition of the governor parameters and its stability analysis there are several methods that in general can be classified into a time domain and frequency domain. The frequency domain method, based on the control theory, have ease application, expeditious manner of obtaining the parameters, but the physical phenomena involved are linearized. However the time domain methods are more difficult to be applied, but have the advantage of being able to take into account the non-linearities presents in physical phenomena. Despite the time-domain method offers advantages, it does not provides a structured way to optimize the parameters of the governor, since the parameters are obtained through simulations with adopted values. This paper presents a methodology to obtain the turbine governor appropriate parameters through a hybrid model (simulation and optimization model), based on method of characteristic to the hydraulic simulation (time domain) and Genetic Algorithm (GA) to obtain appropriate values. Examples are presented showing the application of the proposed methodology.

Research on H2 speed governor for diesel engine of marine power station

Science.gov (United States)

Huang, Man-Lei

2007-09-01

The frequency stability of a marine power system is determined by the dynamic characteristic of the diesel engine speed regulation system in a marine power station. In order to reduce the effect of load disturbances and improve the dynamic precision of a diesel engine speed governor, a controller was designed for a diesel engine speed regulation system using H2 control theory. This transforms the specifications of the system into a standard H2 control problem. Firstly, the mathematical model of a diesel engine speed regulation system using an H2 speed governor is presented. To counter external disturbances and model uncertainty, the design of an H2 speed governor rests on the problem of mixed sensitivity. Computer simulation verified that the H2 speed governor improves the dynamic precision of a system and the ability to adapt to load disturbances, thus enhancing the frequency stability of marine power systems.

Black Sea Governorate during World War I: A Historiographical Survey

Directory of Open Access Journals (Sweden)

Lyubov G. Polyakova

2015-06-01

Full Text Available This survey article addresses the historiography of World War I in the territory of Black Sea Governorate. The author singles out three chronological periods, ante-revolutionary, Soviet, and present-day Russian, and discusses distinctive characteristics in the study of the history of each of the periods. Thus, for instance, a distinctive trait in the study of World War I during the Soviet period was a permanent search in it for preconditions for the socialist revolution, which led to the artificial politicization of events and phenomena. The author comes to the conclusion that the historiography of World War I in the territory of Black Sea Governorate has considerable gaps, while the topic itself is yet to become the subject of comprehensive study. Up until the present day the following topics have remained virtually unstudied: the activity of the hospital framework across Black Sea Governorate, the identification of distinctive characteristics of combating alcoholism during the war, and the activity of charity societies.

The Role of Parent Governors in School Governance in Zimbabwe: Perceptions of School Heads, Teachers and Parent Governors

Science.gov (United States)

Chikoko, Vitallis

2008-03-01

This paper reports on a study of the role of parent governors in five neighbouring rural primary schools in Zimbabwe. The study proposed that despite the presence of a legal decentralised school governance structure in which parents form the majority, they did not have the capacity to function effectively therein, and were still marginalised in school governance decision-making. Four areas of decision-making were investigated: school organisation; curriculum; employment and appraisal of teaching staff; and financial resources. Interviews were conducted with parent governors, school heads and teachers. Findings show that all the respondent groups perceived significant parental involvement in the area of school finances only. However, parents were perceived to lack the capacity to make decisions in all four areas. The study concludes that the role of parents in the running of schools in the country has not significantly grown from that of being school financiers and builders of infrastructure. Therefore, building school governance capacity among parents is necessary.

78 FR 4435 - BLM Director's Response to the Alaska Governor's Appeal of the BLM Alaska State Director's...

Science.gov (United States)

2013-01-22

... Bureau of Land Management (BLM) is publishing this notice to explain why the BLM Director is rejecting... Director's Response to the Alaska Governor's Appeal of the BLM Alaska State Director's Governor's... the BLM Alaska State Director. The State Director determined the Governor's Finding was outside the...

The design of a turboshaft speed governor using modern control techniques

Science.gov (United States)

Delosreyes, G.; Gouchoe, D. R.

1986-01-01

The objectives of this program were: to verify the model of off schedule compressor variable geometry in the T700 turboshaft engine nonlinear model; to evaluate the use of the pseudo-random binary noise (PRBN) technique for obtaining engine frequency response data; and to design a high performance power turbine speed governor using modern control methods. Reduction of T700 engine test data generated at NASA-Lewis indicated that the off schedule variable geometry effects were accurate as modeled. Analysis also showed that the PRBN technique combined with the maximum likelihood model identification method produced a Bode frequency response that was as accurate as the response obtained from standard sinewave testing methods. The frequency response verified the accuracy of linear models consisting of engine partial derivatives and used for design. A power turbine governor was designed using the Linear Quadratic Regulator (LQR) method of full state feedback control. A Kalman filter observer was used to estimate helicopter main rotor blade velocity. Compared to the baseline T700 power turbine speed governor, the LQR governor reduced droop up to 25 percent for a 490 shaft horsepower transient in 0.1 sec simulating a wind gust, and up to 85 percent for a 700 shaft horsepower transient in 0.5 sec simulating a large collective pitch angle transient.

The new Board of Governors

International Nuclear Information System (INIS)

1964-01-01

Full text: Miss Blanche Margaret Meagher was elected chairman of the IAEA Board of Governors for 1964-65, after the new Board had been constituted at the Eighth Session of the General Conference in September. Since 1962 Miss Meagher has been Canadian Ambassador to Austria, and Canadian Governor of the Agency. Miss Meagher joined the Canadian Department of External Affairs in 1942, and has held a number of foreign diplomatic appointments; she has also served on Canadian delegations to the UN Educational, Scientific and Cultural Organization, the International Telecommunication Union, the Economic and Social Council of UN and the UN Disarmament Sub-Committee. The Vice-Chairmen of the Board are Mr. Wilhelm Billig (Poland) and Mr. Hassan M. Tohamy (UAR). Mr. Billig is Chairman of the State Council for Atomic Energy, and High Commissioner for Peaceful Uses of Atomic Energy. Mr. Tohamy is Ambassador to Austria, and Resident Representative to the Agency. Of the twelve elected members of the Board, five were chosen by the General Conference in 1964 for two years, viz. Argentina, Chile, Netherlands, Thailand and the United Arab Republic. Seven were elected in 1963: Afghanistan, China, Congo (Leopoldville), Morocco, Romania, Switzerland and Uruguay. The remaining thirteen members have been designated by the Board: Australia, Belgium, Brazil, Canada, Finland, France, India, Japan, Poland, South Africa, USSR, United Kingdom and United States. (author)

The Collins Center Update. Volume 1, Issue 3, December 1999

National Research Council Canada - National Science Library

Harvey, Kevin; Wasiak, Joe; Kievit, James; Griffard, B. F; Blotzer, Larry

1999-01-01

...: Kentucky Governor Patton Kicks Off the Center for Strategic Leadership's (CSL) Senior Executive Program, Global Guardian Exercise '99, Global Wargame '99, Democratization Initiatives Support Simulation, Deterrence in the 21st Century Symposium...

School Governors and the Religious Ethos of C of E Voluntary Aided Primary Schools.

Science.gov (United States)

Francis, Leslie J.; Stone, Ernest A.

1995-01-01

Charts attitudes of the first generation of governors appointed to the Church of England voluntary aided primary schools in the Chichester (England) diocese, following the new Instruments of Government implemented in 1985. The foundation governors remain highly committed to maintaining a distinctive church-related ethos in these schools. (60…

The fourth Board of Governors

International Nuclear Information System (INIS)

1961-01-01

The General Conference of the International Atomic Energy Agency at its fourth regular session, which was held in Vienna from 20 September to 1 October 1960, elected five Member States to serve a two-year term on the Agency's Board of Governors. The five were Argentina, El Salvador, the Federal Republic of Germany, Iraq and Thailand. The new members succeed Indonesia, the Netherlands, Peru, the United Arab Republic and Venezuela, which were elected for a two-year term by the second session of the General Conference in 1958

Design amp Validation Of E-Rpm Adjustment Assembly For Mechanical Governor System

Directory of Open Access Journals (Sweden)

Shashi kumar manhotra

2017-11-01

Full Text Available This paper detailing the problem of speed fluctuation of IDI engine Rpm i.e. hunting and dipping. It is due to E-RPM adjustment assembly for mechanical centrifugal flyweight governor system. E-RPM adjustment assembly works mainly for high speed adjustment ampidle speed adjustment. In mechanical centrifugal flyweight governor system of IDI engine issue at idle rpm hunting and dipping issue was reported in field.New designs of plunger type stopper cover with compressed coil spring are proposed for E-RPM adjustment assembly for mechanical centrifugal fly-weight governor system. 3D-Modeling of new design is done on Seimens NX. Kinematic simulation was done with the help of Altairs Motion-View amp Motion-Solver. Based on the results from MBD the prototype is made and tested in engine. As per the test results from engine testing with new design there is no hunting and dipping problem is reported at idle rpm.

The two faces of Robert Fitzroy, Captain of HMS Beagle and governor of New Zealand.

Science.gov (United States)

Paul, Diane B; Stenhouse, John; Spencer, Hamish G

2013-09-01

Robert FitzRoy, Captain of HMS Beagle and second governor of New Zealand, has two contradictory reputations among modern academics. Evolutionary biologists and Darwin scholars generally view FitzRoy as a supporter of slavery, famously quarrelling with the abolitionist Darwin over that topic during a Brazilian stopover early in the voyage of HMS Beagle. He is also regarded as a political and religious reactionary, taking a biblically creationist position at the infamous 1860 Oxford meeting of the British Association for the Advancement of Science. New Zealand historians, however, view his record as governor much more positively. They emphasize that FitzRoy was wildly unpopular with the British settlers because of his enlightened insistence that the native Maori should be treated fairly. We outline the history of these seemingly inconsistent views and examine the evidence for each. We conclude by suggesting that a more nuanced account of FitzRoy's career would surely be more thought-provoking as well as respectful of the facts.

77 FR 22755 - Sunshine Act Meeting; Notice of Meeting of the Broadcasting Board of Governors

Science.gov (United States)

2012-04-17

... BROADCASTING BOARD OF GOVERNORS Sunshine Act Meeting; Notice of Meeting of the Broadcasting Board of Governors DATE AND TIME: Friday, April 20, 2012, 10 a.m. PLACE: Office of Cuba Broadcasting, 4201... Strategy and Budget Committee on the implementation of the BBG strategy and a report from the Governance...

The Governor's Conclave: Starting the Process of Change.

Science.gov (United States)

Paskert, Shawna; Young, Tracy

2001-01-01

Describes the role of South Dakota's governor in initiating technology plans for schools that would promote distance education. Discusses a conclave of leaders in technology and distance education that addressed the successful implementation of the Digital Dakota Network, a statewide intranet developed to help students, empower the workforce, and…

Green smartphone GPUs: Optimizing energy consumption using GPUFreq scaling governors

KAUST Repository

Ahmad, Enas M.

2015-10-19

Modern smartphones are limited by their short battery life. The advancement of the graphical performance is considered as one of the main reasons behind the massive battery drainage in smartphones. In this paper we present a novel implementation of the GPUFreq Scaling Governors, a Dynamic Voltage and Frequency Scaling (DVFS) model implemented in the Android Linux kernel for dynamically scaling smartphone Graphical Processing Units (GPUs). The GPUFreq governors offer users multiple variations and alternatives in controlling the power consumption and performance of their GPUs. We implemented and evaluated our model on a smartphone GPU and measured the energy performance using an external power monitor. The results show that the energy consumption of smartphone GPUs can be significantly reduced with a minor effect on the GPU performance.

Antelope Valley Community College District Education Center.

Science.gov (United States)

Newmyer, Joe

An analysis is provided of a proposal to the Board of Governors of the California Community Colleges by the Antelope Valley Community College District (AVCCD) to develop an education center in Palmdale to accommodate rapid growth. First, pros and cons are discussed for the following major options: (1) increase utilization and/or expand the…

Statement by the outgoing Chairperson of the Board of Governors regarding the working arrangements of the Board

International Nuclear Information System (INIS)

2009-01-01

At the request of the outgoing Chairperson of the Board of Governors, her statement delivered in the Board of Governors meeting on 22 September 2009, regarding the working arrangements of the Board, is reproduced herewith for information

Microbial contamination of the drinking water distribution system and its impact on human health in Khan Yunis Governorate, Gaza Strip: seven years of monitoring (2000-2006).

Science.gov (United States)

Abu Amr, S S; Yassin, M M

2008-11-01

To assess total and faecal coliform contamination in water wells and distribution networks over the past 7 years, and their association with human health in Khan Yunis Governorate, Gaza Strip. Historical data and interview questionnaire. Data were obtained from the Palestinian Ministry of Health on total and faecal coliform contamination in water wells and distribution networks, and on the incidence of water-related diseases in Khan Yunis Governorate. An interview questionnaire was conducted with 210 residents of Khan Yunis Governorate. Total and faecal coliform contamination exceeded the World Health Organization's limit for water wells and networks. However, the contamination percentages were higher in networks than in wells. Diarrhoeal diseases were strongly correlated with faecal coliform contamination in water networks (r=0.98). This is consistent with the finding that diarrhoeal diseases were the most common self-reported diseases among the interviewees. Such diseases were more prevalent among subjects who drank municipal water than subjects who drank desalinated or home-filtered water (odds ratio=2.03). Intermittent water supply, insufficient chlorination and sewage flooding seem to be associated with self-reported diseases. Residents in the Gaza Strip have a good level of knowledge about drinking water contamination, and this is reflected in good practice. Water quality has deteriorated in the Gaza Strip, and this may contribute to the prevalence of water-related diseases. Self-reported diseases among interviewees in Khan Yunis Governorate were associated with source of drinking water, intermittent water supply, insufficient chlorination, sewage flooding and age of water networks.

Speed Control of General Purpose Engine with Electronic Governor

Science.gov (United States)

Sawut, Umerujan; Tohti, Gheyret; Takigawa, Buso; Tsuji, Teruo

This paper presents a general purpose engine speed control system with an electronic governor in order to improve the current system with a mechanical governor which shows unstable characteristics by change of mecanical friction or A/F ratio (Air/Fuel ratio). For the control system above, there are problems that the feedback signal is only a crank angle because of cost and the controlled object is a general purpose engine which is strongly nonlinear. In order to overcome these problems, the system model is shown for the dynamic estimation of the amount of air flow and the robust controller is designed. That is, the proposed system includes the robust sliding-mode controller by the feedback signal of only a crank angle where Genetic Algorithm is applied for the controller design. The simulation and the experiments by MATLAB/Simulink are performed to show the effectiveness of our proposal.

Wintering Map for Honey Bee Colonies in El-Behera Governorate

African Journals Online (AJOL)

MICHAEL HORSFALL

www.bioline.org.br/ja. Wintering Map for Honey Bee Colonies in El-Behera Governorate, Egypt by using ... F. ABOU-SHAARA. Plant Protection Department, Faculty of Agriculture, Damanhour University, Egypt. ..... Architecture of automatized ...

The influence of engine/transmission/governor on tilting proprotor aircraft dynamics

Science.gov (United States)

Johnson, W.

1975-01-01

An analytical model is developed for the dynamics of a tilting proprotor aircraft engine and drive train, including a rotor speed governor and interconnect shaft. The dynamic stability of a proprotor and cantilever wing is calculated, including the engine-transmission-governor model. It is concluded that the rotor behaves much as if windmilling as far as its dynamic behavior is concerned, with some influence of the turboshaft engine inertia and damping. The interconnect shaft has a significant influence on the antisymmetric dynamics of proprotor aircraft. The proprotor aerodynamics model is extended to include reverse flow, and a refinement on the method used to calculate the kinematic pitch-bending coupling of the blade is developed.

Water loss in Mafraq governorate, Jordan

OpenAIRE

Al-Ansari, Nadhir; Al-Oun, Salem; Hadad, Wafa; Knutsson, Sven

2013-01-01

Jordan is located in the Middle East and covers an area of 89,342 km2. The total population of Jordan is 6,508,271. Jordan is rapidly facing a severe water supply crisis due to greater demands on a finite quantity of available water. If current trends continue, it has been estimated that the country will experience a chronic water shortage by 2020. Despite these shortages, water loss in the distribution network is relatively high where it reaches 46%. Mafraq Governorate has the maximum water ...

A governor's guide to emergency management. Volume two : homeland security

Science.gov (United States)

2002-09-19

Homeland security is a complex challenge that demands significant investment; collaboration among local, state, and federal governments; and integration with the private sector. The purpose of A Governor's Guide to Emergency Management Volume Two: Ho...

75 FR 42792 - Board of Governors; Sunshine Act Meeting

Science.gov (United States)

2010-07-22

.... 7. Tentative Agenda for the September 21-22, 2010, meeting in Washington, DC. Thursday, August 5 at 10:30 a.m. (Closed--if Needed) 1. Continuation of Wednesday's closed session agenda. Contact Person.... Personnel Matters and Compensation Issues. 5. Governors' Executive Session--Discussion of prior agenda items...

A Cross-Sectional Study to Examine Factors Associated with Primary Health Care Service Utilization among Older Adults in the Irbid Governorate of Jordan

Directory of Open Access Journals (Sweden)

Abdullah Alkhawaldeh

2014-01-01

Full Text Available Background. Recently, the percentage of older adults in developing countries has increased significantly. Objective. This study examined patterns and factors associated with primary health care services utilization in the past 1, 6, and 12 months. Method. A cross-sectional study design was used to collect data from 190 older adults in the Irbid governorate of Jordan. Results. Primary health care services were used by less than half of the participants in the past 1 month, by 68.4% in the past 6 months, and by 73.8% in the past 12 months. Primary health care (PHC services use was associated with age, education level, tobacco use, chronic illnesses, perceived general health status today, a physical component summary score, employment, and perceived general health status in the past 6 and 12 months. The primary predictor of PHC services use at 1, 6, and 12 months was chronic illnesses (OR=13.32, (OR=19.63, and (OR=17.91, respectively. Conclusion. Although many factors were associated with PHC service utilization, the strongest predictor of PHC service utilization was chronic illnesses.

2016-2017 Travel Expense Reports for Dominique Corti, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

chantal Taylor

Purpose: Board meetings. Date(s):. 2016-11-20 to 2016-11-25. Destination(s):. Ottawa. Airfare: $6,121.25. Other. Transportation: $0.00. Accommodation: $786.80. Meals and. Incidentals: $0.00. Other: $0.00. Total: $6,908.05. Comments: 2016-2017 Travel Expense Reports for. Dominique Corti, Governor.

2016-2017 Travel Expense Reports for Shainoor Khoja, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

chantal taylor

Purpose: Board meetings. Date(s):. 2017-03-20 to 2017-03-25. Destination(s):. Ottawa. Airfare: $6,900.65. Other. Transportation: $174.34. Accommodation: $926.48. Meals and. Incidentals: $298.39. Other: $0.00. Total: $8,299.86. Comments: 2016-2017 Travel Expense Reports for. Shainoor Khoja, Governor.

2017-2018 Travel Expense Reports for Shainoor Khoja, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Chantal Taylor

Destination(s):. Ottawa. Airfare: $2,396.52. Other. Transportation: $212.16. Accommodation: $0.00. Meals and. Incidentals: $0.00. Other: $0.00. Total: $2,608.68. Comments: Residence in Dubai, United Arab Emirates. This trip originated in Los. Angeles. 2017-2018 Travel Expense Reports for. Shainoor Khoja, Governor.

2016-2017 Travel Expense Reports for Uri Rosenthal, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

chantal taylor

Purpose: Board meetings. Date(s):. 2017-03-20 to 2017-03-22. Destination(s):. Ottawa. Airfare: $5,791.85. Other. Transportation: $346.42. Accommodation: $463.24. Meals and. Incidentals: $120.80. Other: $0.00. Total: $6,722.31. Comments: 2016-2017 Travel Expense Reports for. Uri Rosenthal, Governor.

Further Education Sector Governors as Ethnographers: Five Case Studies

Science.gov (United States)

Clapham, Andrew; Vickers, Rob

2018-01-01

This paper considers how governors in the English "Further Education and Skills" (FE) sector examined their practice as ethnographers. The paper locates both FE governance and ethnography within the challenges of the performative and Panoptic environments facing English education. In doing so, the paper explores how the informants'…

75 FR 22434 - Board of Governors; Sunshine Act Meeting

Science.gov (United States)

2010-04-28

... Agenda for the June 21-23, 2010, meeting in Louisville, Kentucky. Thursday, May 6 at 10:30 a.m. (Closed--if needed) 1. Continuation of Wednesday's closed session agenda. Contact Person for More Information... and Compensation Issues. 5. Governors' Executive Session--Discussion of prior agenda items and Board...

Stability analysis for a delay differential equations model of a hydraulic turbine speed governor

Science.gov (United States)

Halanay, Andrei; Safta, Carmen A.; Dragoi, Constantin; Piraianu, Vlad F.

2017-01-01

The paper aims to study the dynamic behavior of a speed governor for a hydraulic turbine using a mathematical model. The nonlinear mathematical model proposed consists in a system of delay differential equations (DDE) to be compared with already established mathematical models of ordinary differential equations (ODE). A new kind of nonlinearity is introduced as a time delay. The delays can characterize different running conditions of the speed governor. For example, it is considered that spool displacement of hydraulic amplifier might be blocked due to oil impurities in the oil supply system and so the hydraulic amplifier has a time delay in comparison to the time control. Numerical simulations are presented in a comparative manner. A stability analysis of the hydraulic control system is performed, too. Conclusions of the dynamic behavior using the DDE model of a hydraulic turbine speed governor are useful in modeling and controlling hydropower plants.

Prevalence and severity of gingivitis in school students aged 6-11 years in Tafelah Governorate, South Jordan: results of the survey executed by National Woman's Health Care Center.

Science.gov (United States)

Rodan, Rania; Khlaifat, Feryal; Smadi, Leena; Azab, Reem; Abdalmohdi, Asma

2015-11-09

A cross-sectional census was conducted on 994 public school students aged 6-11 years living in 3 different parts of Tafeleh Governorate-South of Jordan, to determine the prevalence, and severity of gingivitis and to evaluate the oral hygiene habits among them as a part a survey executed by National Woman's Health Care Center. All students were examined for gingival index (GI) and plaque index (PI), information about oral hygiene habits was recorded. Only 29.8 % had healthy gingiva, 38.5 % had mild gingivitis, 31.4 % had moderate gingivitis, and 0.3 % had severe gingivitis. The difference between both genders was not statistically significant P > 0.05. 36.8 % of the examined students never brushed their teeth. Average gingival index (GI) and average plaque index (PI) were 0.77 and 0.61 respectively. Fair oral hygiene with mild to moderate gingivitis is highly prevalent among Tafelah school children. This study indicated that oral health status among schoolchildren in Tafelah is poor and needs to be improved. Long-term school based oral health education programme is highly recommended.

75 FR 1088 - Board of Governors; Sunshine Act Meeting

Science.gov (United States)

2010-01-08

... POSTAL SERVICE Board of Governors; Sunshine Act Meeting TIMES AND DATES: 3:30 p.m., Monday, January 11, 2010; and 7:30 a.m., Tuesday, January 12, 2010. PLACE: Newport Beach, California, at the Fairmont Hotel, 4500 MacArthur Boulevard. STATUS: (Closed) MATTERS TO BE CONSIDERED: Monday, January 11, at...

76 FR 594 - Board of Governors; Sunshine Act Meeting

Science.gov (United States)

2011-01-05

... POSTAL SERVICE Board of Governors; Sunshine Act Meeting TIMES AND DATES: 4 p.m., Monday, January 10, 2011; and 9 a.m., Tuesday, January 11, 2011. PLACE: Long Beach, California, at the Renaissance Hotel, 111 East Ocean Boulevard. STATUS: (Closed). MATTERS TO BE CONSIDERED: Monday, January 10, at 4 p...

2016-2017 Travel Expense Report for Uri Rosenthal, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Beata Bialic

Page 1. Purpose: Board meetings. Date(s):. 2016-06-20 to 2016-06-23. Destination(s):. Ottawa. Airfare: $6,065.80. Other. Transportation: $282.55. Accommodation: $393.40. Meals and. Incidentals: $107.43. Other: $0.00. Total: $6,849.18. Comments: 2016-2017 Travel Expense Report for. Uri Rosenthal, Governor.

2016-2017 Travel Expense Reports for Uri Rosenthal, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Beata Bialic

Page 1. Purpose: Board meetings. Date(s):. 2016-11-21 to 2016-11-24. Destination(s):. Ottawa. Airfare: $5,981.69. Other. Transportation: $296.45. Accommodation: $393.40. Meals and. Incidentals: $120.80. Other: $0.00. Total: $6,792.34. Comments: 2016-2017 Travel Expense Reports for. Uri Rosenthal, Governor.

75 FR 33367 - Board of Governors; Sunshine Act Meeting

Science.gov (United States)

2010-06-11

... POSTAL SERVICE Board of Governors; Sunshine Act Meeting Times and Dates: 4 p.m., Monday, June 21... Broadway. Status: (Closed). Matters To Be Considered: Monday, June 21, at 4 p.m. (Closed) 1. Strategic...' Executive Session--Discussion of prior agenda items and Board Governance. Tuesday, June 22, at 10 a.m...

Nonlinear decentralized robust governor control for hydroturbine-generator sets in multi-machine power systems

Energy Technology Data Exchange (ETDEWEB)

Qiang Lu; Yusong Sun; Yuanzhang Sun [Tsinghua University, Beijing (China). Dept. of Electrical Engineering; Felix F Wu; Yixin Ni [University of Hong Kong (China). Dept. of Electrical and Electronic Engineering; Yokoyama, Akihiko [University of Tokyo (Japan). Dept. of Electrical Engineering; Goto, Masuo; Konishi, Hiroo [Hitachi Ltd., Tokyo (Japan). Power System Div.

2004-06-01

A novel nonlinear decentralized robust governor control for hydroturbine-generator sets in multi-machine power systems is suggested in this paper. The nonelastic water hammer effect and disturbances are considered in the modeling. The advanced differential geometry theory, nonlinear robust control theory and the dynamic feedback method are combined to solve the problem. The nonlinear decentralized robust control law for the speed governor of hydroturbine-generators has been derived. The input signals to the proposed controller are all local measurements and independent to the system parameters. The derived control law guarantees the integrated system stability with disturbance attenuation, which is significant to the real power system application. Computer tests on an 8-machine, 36-bus power system show clearly the effectiveness of the new control strategy in transient stability enhancement and disturbance attenuation. The computer test results based on the suggested controller are compared favorably with those based on the conventional linear governor control. (author)

2016-2017 Travel Expense Reports for Sophie d'Amours, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Beata Bialic

Purpose: Internal IDRC meetings. Date(s):. 2016-07-06. Destination(s):. Ottawa. Airfare: $866.40. Other. Transportation: $83.50. Accommodation: $0.00. Meals and. Incidentals: $84.53. Other: $0.00. Total: $1,034.43. Comments: 2016-2017 Travel Expense Reports for Sophie d'Amours, Governor.

Governor Design for a Hydropower Plant with an Upstream Surge Tank by GA-Based Fuzzy Reduced-Order Sliding Mode

Directory of Open Access Journals (Sweden)

Chang Xu

2015-11-01

Full Text Available This paper investigates governor design by reduced-order sliding mode for a hydropower plant with an upstream surge tank. The governing system is made up of a tunnel, a surge tank, a penstock, a wicket gate and servomechanism, a governor, a hydro-turbine and a grid. Concerning the components of the governing system, their mathematic models are established. Then, these models are interconnected to simulate the governing system. From the viewpoint of state space in modern control theory, the governing system is partially observed, which challenges the governor design. By introducing an additional state variable, the control method of reduced-order sliding mode is proposed, where the governor design is based on a reduced-order governing system. Since the governor is applied to the original governing system, the system stability is analyzed by means of the small gain theorem. An genetic algorithm is employed to search a group of parameters of the predefined sliding surface, and a fuzzy inference system is utilized to decrease the chattering problem. Some numerical simulations are illustrated to verify the feasibility and robustness of the control method.

Governor stability simulations of Svartisen power plant verified by the installed monitoring system on site

International Nuclear Information System (INIS)

Nielsen, T K; Kjeldsen, M

2010-01-01

Many Norwegian hydro power plants have complex lay-out with several reservoirs, broke intakes, surge shafts and even air cushion chambers. There are kilometers of excavated tunnels as well as long tail water systems. The stations are often equipped by multiple of turbines, both in series and parallel. A number of operation modes are therefore possible. Doing transient simulations and simulations of governor stability in the design phase, the problem is to find the worst case scenario regarding these operating modes. Svartisen power plant has been of particular interest these days. The power plant is originally designed for two 350 MW Francis turbines, however, only one turbine was installed. When designed, governor stability was regarded as problematic due to the long penstock. A long penstock will give a too high time constant for the hydraulic inertia. The main problem here is, however, the water hammer frequency that interferes with the governor performance. The frequency is in the same range as the cross frequency. Therefore the governor will react on these water hammer waves, which in its nature is notoriously unstable. The common solution is to build an air cushion and thereby increase the water hammer frequency above the cross frequency. The expenses were, however, deemed too high, and it was necessary to seek for other solutions. A pressure feedback on the governor was introduced in order to have stable operation at least for two turbines. With only one turbine installed, the pressure feedback has not been activated because, based on the simulations, it was regarded unnecessary. Even if the original simulations shows good stability margins when only one turbine is running, there has been some indications that the aggregate has suffered from instability. In 2004 Svartisen Power Plant was equipped with a comprehensive monitoring system. Both the turbine and the generator performance have been observed. This gives valuable information on how the hydropower

Governor stability simulations of Svartisen power plant verified by the installed monitoring system on site

Science.gov (United States)

Nielsen, T. K.; Kjeldsen, M.

2010-08-01

Many Norwegian hydro power plants have complex lay-out with several reservoirs, broke intakes, surge shafts and even air cushion chambers. There are kilometers of excavated tunnels as well as long tail water systems. The stations are often equipped by multiple of turbines, both in series and parallel. A number of operation modes are therefore possible. Doing transient simulations and simulations of governor stability in the design phase, the problem is to find the worst case scenario regarding these operating modes. Svartisen power plant has been of particular interest these days. The power plant is originally designed for two 350 MW Francis turbines, however, only one turbine was installed. When designed, governor stability was regarded as problematic due to the long penstock. A long penstock will give a too high time constant for the hydraulic inertia. The main problem here is, however, the water hammer frequency that interferes with the governor performance. The frequency is in the same range as the cross frequency. Therefore the governor will react on these water hammer waves, which in its nature is notoriously unstable. The common solution is to build an air cushion and thereby increase the water hammer frequency above the cross frequency. The expenses were, however, deemed too high, and it was necessary to seek for other solutions. A pressure feedback on the governor was introduced in order to have stable operation at least for two turbines. With only one turbine installed, the pressure feedback has not been activated because, based on the simulations, it was regarded unnecessary. Even if the original simulations shows good stability margins when only one turbine is running, there has been some indications that the aggregate has suffered from instability. In 2004 Svartisen Power Plant was equipped with a comprehensive monitoring system. Both the turbine and the generator performance have been observed. This gives valuable information on how the hydropower

Governor's School students experience multidisciplinary research in a whole new way

OpenAIRE

Fay, Patrick

2010-01-01

High school students from the Virginia Governor's School were recently treated to a unique experience of immersive virtual reality technology and how it is used in understanding and solving real problems facing the commonwealth and the country.

2016-2017 Travel Expense Reports for Gordon Houlden, Ex-Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Beata Bialic

Page 1. Purpose: Board meetings. Date(s):. 2016-05-15 to 2016-05-16. Destination(s):. Ottawa. Airfare: $979.19. Other. Transportation: $0.00. Accommodation: $0.00. Meals and. Incidentals: $0.00. Other: $0.00. Total: $979.19. Comments: 2016-2017 Travel Expense Reports for Gordon. Houlden, Ex-Governor.

2016-2017 Travel Expense Reports for Sophie d'Amours, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

chantal taylor

Purpose: Board Meetings. Date(s):. 2016-11-21 to 2016-11-23. Destination(s):. Ottawa. Airfare: $350.81. Other. Transportation: $61.61. Accommodation: $590.10. Meals and. Incidentals: $172.79. Other: $0.00. Total: $1,175.31. Comments: 2016-2017 Travel Expense Reports for Sophie d'Amours, Governor.

2016-2017 Travel Expense Report for Monte Solberg, Ex-Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Beata Bialic

Purpose: Board meetings. Date(s):. 2016-06-20 to 2016-06-22. Destination(s):. Ottawa. Airfare: $1,209.63. Other. Transportation: $158.36. Accommodation: $590.10. Meals and. Incidentals: $38.42. Other: $0.00. Total: $1,996.51. Comments: 2016-2017 Travel Expense Report for. Monte Solberg, Ex-Governor.

2016-2017 Travel Expense Reports for John McArthur, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Beata Bialic

Purpose: Board meetings. Date(s):. 2016-06-20 to 2016-06-22. Destination(s):. Ottawa. Airfare: $1,011.70. Other. Transportation: $0.00. Accommodation: $393.40. Meals and. Incidentals: $0.00. Other: $0.00. Total: $1,405.10. Comments: 2016-2017 Travel Expense Reports for John. McArthur, Governor.

2016-2017 Travel Expense Reports for John McArthur, Governor

International Development Research Centre (IDRC) Digital Library (Canada)

Chantal Taylor

Purpose: Board meetings. Date(s):. 2016-11-21 to 2016-11-23. Destination(s):. Ottawa. Airfare: $707.13. Other. Transportation: $88.55. Accommodation: $393.40. Meals and. Incidentals: $76.79. Other: $0.00. Total: $1,265.87. Comments: 2016-2017 Travel Expense Reports for John. McArthur, Governor.

Living like a king? The entourage of Odet de Foix, vicomte de Lautrec, governor of Milan.

Directory of Open Access Journals (Sweden)

Philippa Woodcock

2015-11-01

Full Text Available In the early sixteenth century, the de Foix family were both kin and intimate councillors to the Valois kings, Louis XII and François I. With a powerbase in Guyenne, the de Foix tried to use their connections at court to profit from the French conquest of Milan, 1499-1522. This paper will explore the career of one prominent family member, Odet de Foix, vicomte de Lautrec (1483-1528. Lautrec was a Marshal of France, who served in Italy as a soldier and governor. He was key to the royal entourage, amongst François I’s intimates at the Field of the Cloth of Gold. His sister, Françoise, was also the king’s mistress. The paper will examine Lautrec’s entourage from two aspects. Firstly, it asks how Lautrec established his entourage from his experience in Navarre and Italy and as a member of the royal retinue. It establishes the importance of familial and regional ties, but also demonstrates the important role played by men of talent. Secondly, it explores Lautrec's relationship to his entourage once governor of Milan. Were ties of blood, career or positions of Italian prestige the most important for a governor when he chose his intimates? Were compromises made with Italian traditions and elites to sustain his rule? Did he learn from the experience and failures of previous governors?  The article contributes to a gap in scholarship for the later period of French Milan from 1515-1522. It also adds to our knowledge of the behaviour and ambitions of early modern governors.

South Dakota Governor pushes for underground lab as homestake water rises

International Nuclear Information System (INIS)

Dawson, Jim

2003-01-01

NSF officials say approval of a science laboratory in the Homestake mine can come only after a multistep review process that takes 'many months to many years'. But a determined Republican governor and South Dakota's congressional delegation may bring politics to the science

Energy productivity and Chinese local officials’ promotions: Evidence from provincial governors

International Nuclear Information System (INIS)

Chen, Xiude; Qin, Quande; Wei, Y.-M.

2016-01-01

Improving energy productivity is one of the most cost-effective ways to achieve a sustainable development target. The existing literature has shown some factors that have driven the improvement in China’s energy productivity. However, these studies do little to tackle the role of Chinese local officials. Political promotions can be seen as the most important career incentive for Chinese local officials. Hence, we intend to study whether energy productivity affects Chinese local officials’ promotions in this paper. The data of position changes for the 31 provincial governors during 1978‐2012 are utilized. We adopted probit models to empirically examine the correlation between provincial governors’ political promotions and energy productivity. The empirical results demonstrate that (1) energy productivity has a significantly positive impact on provincial governors’ political promotions in China, meaning that the provincial governors have the momentum to improve energy productivity; and (2) the effect of energy productivity on provincial governors’ political promotions has evolved, dynamically changing along with the transformation of the economic growth mode and the adjustment of the local officials’ promotion mechanism. The results are helpful in understanding the drivers of the improvement in China’s energy productivity and provide insightful implications for conducting energy policy in China. - Highlights: •The data of position changes for China’s provincial governors during 1978–2012 are utilized. •Energy productivity has a positive impact on provincial governors’ promotion in China. •Political incentive is an important driver of the improvement in China’s energy productivity. •The correlation between energy productivity and local officials’ promotions was evolved.

Governor-General Leonard Wood’s neoliberal agenda of privatizing public assets stymied, 1921-1927

Directory of Open Access Journals (Sweden)

Vicente Angel S. Ybiernas

2012-06-01

Full Text Available After a serious fiscal and financial crisis erupted in 1920 to 1921 (in the wake of the termination of World War I, the new American Governor General to the Philippines, U.S. Army Major General Leonard Wood, promised in his inaugural address to privatize the country’s government-owned and controlled corporations such as the Philippine National Bank and the Manila Railroad Company, among others. Wood’s neoliberal agenda in the Philippines was opposed by Filipino politicians in the executive and legislative departments from the start. This key policy disagreement climaxed in the resignation en masse of Governor Wood’s Filipino cabinet and the members of the executive-legislative Council of State in 1923. The particulars of the Cabinet Crisis of 1923 —the so-called Conley Affair— however, obscured from plain sight the true gravity of the broader conflict (i.e., Filipino opposition to Wood’s agenda.Moreover, the general perception that Governor Wood’s asset privatization program was successfully blocked by the Cabinet Crisis of 1923 is inaccurate. In truth, Wood was stymied by adverse international and national market conditions from 1921 to 1923. A further delay occurred from 1924 to 1926 when Governor Wood endeavored to get the Council of State and the Filipino Legislature’s Board of Control (an oversight committee on board his neoliberal agenda; he failed to get the support of the Filipino leaders in this regard. When Wood finally decided in 1926 to take unilateral steps, he was tied up by litigation (locally and in the United States arising from his actions until his death from an unsuccessful brain surgery in 1927.

Shigellosis Outbreak in Al Batinah South Governorate, Oman; Case-control study

Directory of Open Access Journals (Sweden)

Idris Abaidani

2015-08-01

Full Text Available Objectives: An outbreak of acute gastroenteritis due to Shigella flexneri occurred in August 2012 in the catchment area of the Wadi Sahtan Health Center in Rustaq, Al Batinah South Governorate, Oman. The aim of this study was to discover possible causes of this outbreak in the villages of Fassa, Rogh and Amk and to measure the risk of exposure among cases and controls. Methods: A case-control study was conducted in September 2012 in Fassa, Rogh and Amk. All households in the three villages were interviewed. Case and control households were compared to determine possible exposure avenues, including place of residence, source of drinking water, hand hygiene levels and practices related to drinking water, food preparation and environmental sanitation. Results: Residing in Fassa (P <0.0001; odds ratio [OR] = 4.86, 95% confidence interval [CI] = 2.22–10.63 and average hand hygiene practices (P = 0.008; OR = 13.97, 95% CI = 1.58–123.36 were associated with an increased risk of contracting shigellosis. No significant differences were found with regards to the other exposure avenues. Conclusion: This was the first study conducted in Oman regarding an outbreak of shigellosis in a community setting. The only variables that significantly impacted the risk of acute gastroenteritis were residing in Fassa and average hand hygiene practices. The source of the outbreak could not be identified. However, septic tank sanitation and water and food consumption practices were not satisfactory in the studied villages. These need to be addressed to prevent similar outbreaks of acute gastroenteritis in this region in the future.

Center-Specific Factors Associated with Peritonitis Risk-A Multi-Center Registry Analysis.

Science.gov (United States)

Nadeau-Fredette, Annie-Claire; Johnson, David W; Hawley, Carmel M; Pascoe, Elaine M; Cho, Yeoungjee; Clayton, Philip A; Borlace, Monique; Badve, Sunil V; Sud, Kamal; Boudville, Neil; McDonald, Stephen P

♦ Previous studies have reported significant variation in peritonitis rates across dialysis centers. Limited evidence is available to explain this variability. The aim of this study was to assess center-level predictors of peritonitis and their relationship with peritonitis rate variations. ♦ All incident peritoneal dialysis (PD) patients treated in Australia between October 2003 and December 2013 were included. Data were accessed through the Australia and New Zealand Dialysis and Transplant Registry. The primary outcome was peritonitis rate, evaluated in a mixed effects negative binomial regression model. Peritonitis-free survival was assessed as a secondary outcome in a Cox proportional hazards model. ♦ Overall, 8,711 incident PD patients from 51 dialysis centers were included in the study. Center-level predictors of lower peritonitis rates included smaller center size, high proportion of PD, low peritoneal equilibration test use at PD start, and low proportion of hospitalization for peritonitis. In contrast, a low proportion of automated PD exposure, high icodextrin exposure and low or high use of antifungal prophylaxis at the time of peritonitis were associated with a higher peritonitis rate. Similar results were obtained for peritonitis-free survival. Overall, accounting for center-level characteristics appreciably decreased peritonitis variability among dialysis centers (p = 0.02). ♦ This study identified specific center-level characteristics associated with the variation in peritonitis risk. Whether these factors are directly related to peritonitis risk or surrogate markers for other center characteristics is uncertain and should be validated in further studies. Copyright © 2016 International Society for Peritoneal Dialysis.

Two Scenarios for Landfills Design in Special Conditions Using the HELP Model: A Case Study in Babylon Governorate, Iraq

Directory of Open Access Journals (Sweden)

Ali Chabuk

2018-01-01

Full Text Available The sound design of landfills is essential in order to protect human health and the environment (air, water, and soil. The study area, Babylon Governorate, is situated in the middle of Iraq, and is distinguished by a hot climate and shallow groundwater. The governorate did not have landfill sites that meet international criteria; in addition, the groundwater depth in Babylon Governorate is commonly shallow. Previously, the most important criteria for the study area and GIS software were used to select the best sites for locating landfills in the major cities of the governorate. In this study, the Hydrologic Evaluation of Landfill Performance (HELP 3.95D model was applied in order to ensure that there was no leakage of the leachate that results from the waste in the selected landfill sites. It is the most commonly utilized model for landfill design, and it is used to estimate water inflow through the soil layers. For the present study, to avoid groundwater pollution by leachate from a landfill site due to the shallow groundwater depth, compacted waste was placed on the surface using two height scenarios (2 m and 4 m. This design was developed using the soil properties of the selected sites coupled with the weather parameters in Babylon Governorate (precipitation, temperature, solar, and evapotranspiration for a 12-year period covering 2005 to 2016. The results from both of the suggested landfill designs showed an absence of leachate from the bottom liner.

Energy Efficient Smartphones: Minimizing the Energy Consumption of Smartphone GPUs using DVFS Governors

KAUST Repository

Ahmad, Enas M.

2013-05-15

Modern smartphones are being designed with increasing processing power, memory capacity, network communication, and graphics performance. Although all of these features are enriching and expanding the experience of a smartphone user, they are significantly adding an overhead on the limited energy of the battery. This thesis aims at enhancing the energy efficiency of modern smartphones and increasing their battery life by minimizing the energy consumption of smartphones Graphical Processing Unit (GPU). Smartphone operating systems are becoming fully hardware-accelerated, which implies relying on the GPU power for rendering all application graphics. In addition, the GPUs installed in smartphones are becoming more and more powerful by the day. This raises an energy consumption concern. We present a novel implementation of GPU Scaling Governors, a Dynamic Voltage and Frequency Scaling (DVFS) scheme implemented in the Android kernel to dynamically scale the GPU. The scheme includes four main governors: Performance, Powersave, Ondmand, and Conservative. Unlike previous studies which looked into the power efficiency of mobile GPUs only through simulation and power estimations, we have implemented our approach on a real modern smartphone GPU, and acquired actual energy measurements using an external power monitor. Our results show that the energy consumption of smartphones can be reduced up to 15% using the Conservative governor in 2D rendering mode, and up to 9% in 3D rendering mode, with minimal effect on the performance.

The Governor's School for the Arts and Its Graduate Internship Component.

Science.gov (United States)

Cross, Jim; Uldrick, Virginia

1990-01-01

The South Carolina Governor's School for the Arts is a summer residential program for high-school students talented in creative writing, visual arts, theatre, music, and dance. The School's internship component offers in-service education and preparation of art educators in the area of gifted education, in conjunction with Furman University. (JDD)

A study on reliability of electro-hydraulic governor control system for large steam turbine in power plant

International Nuclear Information System (INIS)

Kang, Gu Hwa; Lee, Tae Hoon; Moon, Seung Jae; Lee, Jae Heon; Yoo, Ho Seon

2008-01-01

In this work, the right management procedure for hydraulic power oil will be discussed and suggested. A thermal power plant turbine should respond to the change of load status. However, to satisfy the frequency of alternating current, the revolution per minute should be kept constant. Therefore, by controlling the flow rate of the steam to the turbine, the governor satisfies the load variation without alternating the revolution per minutes of the turbine. To protect the governor, the hydraulic power unit should be managed carefully by controlling the quality and the flow rate of the oil

Epidemiology of workplace violence against nursing staff in Ismailia Governorate, Egypt.

Science.gov (United States)

Abbas, Moustafa A; Fiala, Lamiaa A; Abdel Rahman, Amira G; Fahim, Ayman E

2010-01-01

Violence against health care workers (HCW) or workplace violence in general is a major problem affecting health and productivity of HCWs. To determine the prevalence and nature of workplace violence against nurses in Ismailia governorate, Egypt, and to identify its risk factors and how nurses manage it. Cross-sectional study, using a questionnaire for data collection, which includes demographic data, characteristics of workplace violence events, and risk factors contributing to workplace violence. All nursing staff in four hospitals and twelve Primary Health Care (PHC) Centers, randomly selected from Ismailia city were recruited. Out of 1600 distributed questionnaires, a total of completed 970 were returned (a 55% response rate). 269 (27.7%) of nurses reported abuse of any kind, 187 (69.5%) verbal abuse; and 25 (9.3%) physical abuse. Males were more exposed to violence events during the past 12 months than females (35.3% versus 24.2%, pWorkplace violence against nurses is a significant problem in health care settings all over the world and in Ismailia, Egypt. There is a need to increase awareness of the problem among health care workers as well as the general public. Further large-scale studies should be conducted to more closely examine the problem.

Prediction Governors for Input-Affine Nonlinear Systems and Application to Automatic Driving Control

Directory of Open Access Journals (Sweden)

Yuki Minami

2018-04-01

Full Text Available In recent years, automatic driving control has attracted attention. To achieve a satisfactory driving control performance, the prediction accuracy of the traveling route is important. If a highly accurate prediction method can be used, an accurate traveling route can be obtained. Despite the considerable efforts that have been invested in improving prediction methods, prediction errors do occur in general. Thus, a method to minimize the influence of prediction errors on automatic driving control systems is required. This need motivated us to focus on the design of a mechanism for shaping prediction signals, which is called a prediction governor. In this study, we first extended our previous study to the input-affine nonlinear system case. Then, we analytically derived a solution to an optimal design problem of prediction governors. Finally, we applied the solution to an automatic driving control system, and demonstrated its usefulness through a numerical example and an experiment using a radio controlled car.

Optimal hydrogenerator governor tuning with a genetic algorithm

International Nuclear Information System (INIS)

Lansberry, J.E.; Wozniak, L.; Goldberg, D.E.

1992-01-01

Many techniques exist for developing optimal controllers. This paper investigates genetic algorithms as a means of finding optimal solutions over a parameter space. In particular, the genetic algorithm is applied to optimal tuning of a governor for a hydrogenerator plant. Analog and digital simulation methods are compared for use in conjunction with the genetic algorithm optimization process. It is shown that analog plant simulation provides advantages in speed over digital plant simulation. This speed advantage makes application of the genetic algorithm in an actual plant environment feasible. Furthermore, the genetic algorithm is shown to possess the ability to reject plant noise and other system anomalies in its search for optimizing solutions

Level of Psychological Burnout of a Sample of Secondary Phase Teachers in Ma'an Governorate and Its Relationship with Some Other Variables

Science.gov (United States)

Alkhateeb, Omar; Kraishan, Osama M.; Salah, Raid Omar

2015-01-01

This study aimed at identifying the level of psychological burnout of a random sample of secondary phase teacher in Ma'an Governorate and its relationship with some other variables. The study sample consisted of 80 male and female Islamic education teachers in the schools of Ma'an Governorate in the southern part of Jordan. To this end, the…

Philip II’s Quest. The Appointment of Governors-General during the Dutch Revolt (1559-1598

Directory of Open Access Journals (Sweden)

V. Soen

2011-01-01

Full Text Available Philip II’s Quest: The Appointment of Governors-General during the Dutch Revolt (1559-1598Recent historiographical studies have presented the Habsburg appointment of governors-general during the Dutch Revolt as the outcome of factional infighting at the Spanish Court. While this so-called ‘faction model’ has yielded new insights, it also raises a number of problems. Firstly, in the new model, the role of the dynasty is unduly relegated to the background – even though Philip II’s appointment decisions were mainly driven by dynastic considerations. Secondly, the power struggle at the Spanish Court was not only a conflict between court factions, but also between noble houses vying for prestige and trying to secure positions for their offspring. Thirdly, there is an excessive focus on the Spanish Court, while the feuds between noble houses in the Low Countries also played a role in the interim appointments made during the Revolt. Finally, Philip II always looked for the most suitable candidate in terms of administration and warfare during the Dutch Revolt, in accordance with the constraints of the composite Spanish monarchy. Only the combination of these four (frequently contradictory motives reveals how Philip II’s appointment of governors can be seen as a quest for the right man or woman in the right place.

Estimation of liver parameters and oxidative stress in chronic renal failure patients on hemodialysis in Erbil governorate

Science.gov (United States)

Kakey, Musher Ismail Salih; Abdoulrahman, Kamaran Kaiani

2017-09-01

The present study aims to evaluate iron related parameters in chronic renal failure (CRF) patients on hemodialysis (HD). The study was carried out in Kidney Dialysis Center of Hawler Teaching Hospital in Erbil governorate. This study comprised (76) patients with chronic renal failure on hemodialysis and 41 healthy subjects as a control group of same ages. All hemodialysis patients were taking erythropoietin. The blood samples were taken from the patients before and after the process of hemodialysis for liver parameters and oxidative stress estimations. The results of this study showed lower levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), albumin, total bilirubin, total protein and total antioxidant capacity (TAC), while higher levels of alkaline phosphatase (ALP), direct bilirubin and malondialdeyhde (MDA) before analysis was seen. Hemodialysis causes increasing in AST, ALT, albumin, total bilirubin, total protein and decreasing in ALP, direct bilirubin MDA and TAC.

Prevalence of overweight and obesity among preparatory school adolescents in Urban Sharkia Governorate, Egypt

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Mohamed A Talat

2016-03-01

Conclusion: This study found a relatively high prevalence of overweight and obesity among adolescents aged 12–15 years in urban Sharkia Governorate. Risk factors of overweight and obesity were low level of parent education, faulty feeding habits and physical inactivity.

The Board of Governors Fee Waiver, Financial Aid, and Community College Student Success

Science.gov (United States)

Coria, Elizabeth F.

2013-01-01

California established the Board of Governors (BOG) fee waiver in 1984 to maintain educational access after the implementation of the state's first ever unit-based fees for community college attendance. Although it was not designed as an incentive to stimulate higher levels of academic achievement or student success, recent accountability policy…

The Board of Governors, 1957-1973

International Nuclear Information System (INIS)

1973-01-01

It is now 15 years since the Board of Governors, at that time composed of 23 members, first met in Vienna on 4 October 1957 under the Chairmanship of Mr. Pavel Winkler from CSR. Since 1962, it had 25 representatives, two additional members having been elected in view of the increase in African membership of the Agency. Its composition is now due to increase to 34 as a result of an amendment to Art. VI which received the necessary approvals on 1 June this year. he total membership of the Agency, which was 57 in 1957, has risen to 103. The first Budget was of the order of $ 4 million; the Budget for 1973 is $ 18.1 million. Technical assistance provided in 1958 amounted to about $ 30,000 and in 1972 it amounted to $ 5.5 million. These figures give an indication of the way the Agency has grown and this short review will highlight some of the notable achievements of the Board, since its inception. (author)

Hepatitis C virus risk factors in blood donors from Sohag governorate, Egypt

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Mohamad Abdelaziz

2017-11-01

Full Text Available Egypt has the highest prevalence of hepatitis C virus (HCV worldwide. Most of data came from lower Egypt regions (Cairo and northern to it. So, we decided to study risk factors and prevalence of HCV transmission in our governorate. In this cross sectional study, we recruited 631 blood donors from April, 2011 to March 2012 who were tested for anti-HCV, HBs Ag, anti- HBc and anti-HIV. Fifty seven donors were excluded as they are HBs Ag and anti-HBc positive. We found 138 (24% HCV seropositive participants. Logistic regression final model demonstrated that endoscopy, hospital admission, socioeconomic status, IV drug use and age made a significant contribution to prediction (P=0.0001. The level of education also made significant contribution to prediction (P=0.014. In conclusion, it is wise to determine high HCV prevalence areas and risk factors for its seropositivity then build up a governorate suitable infection control program concentrating upon prevention more than treatment of HCV patients. Also, the introduction of pre-test and post-test counseling in blood banks will help in better donor selection and early detection of patients.

Modeling And Control Of Excitation And Governor Based On PSO For MHPP

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Adi Soeprijanto

2013-07-01

Full Text Available This paper presents the modeling and control of the excitation system via the automatic voltage regulator (AVR and governor system through the automatic generation control (AGC or frequency load control (FLC to improve stability on a micro hydro power plant (MHPP. Three main parts of the generation system are synchronous generator, AVR/excitation, AGC modelled linearly. Generator is modelled by a single machine connected to infinite bus (SMIB which is equipped by AVR and excitation linear model. Excitation control system made ??by optimizing the gain of the AVR (KA and the governor with the gain of the AGC (Ki. Optimization is done using the method improved particle swam optimization (IPSO. The main purpose of setting the gain of the AVR-AGC is to stabilize the oscillation frequency of the MHPP is connected to an infinite bus. Simulations are conducted by inputting step function with 5% load fluctuations as a representation of dynamic load. The simulation results show that the proposed method effectively raises the level  of electromechanical damping oscillations the SMIB by generating the comprehensive damping index (CDI is minimum.

"Win with Katie McGee": The First Governor of Girls' State Looks Back.

Science.gov (United States)

Harsh, Sarah Wilmoth

2003-01-01

Rhododendron Girls' State, a 5-day West Virginia citizenship and leadership program, offers female high school students the opportunity to directly experience the campaign and electoral process. Katie McGee White discusses her experiences as the first Girls' State governor in 1941, her love of politics, and how she encouraged her students to be…

Do central bank law reforms affect the term in office of central bank governors?

NARCIS (Netherlands)

Klomp, J.G.; de Haan, J.

In this paper we confirm the hypothesis that central bank independence reforms reduce the likelihood that a central bank governor will be replaced. However, the strength of this effect depends on the rule of law and the degree of political polarization. (c) 2009 Elsevier B.V. All rights reserved.

Leadership of mayors and governors during crises: a systematic review on tasks and effectiveness.

NARCIS (Netherlands)

Jong, W.; Dückers, M.L.A.; Velden, P.G. van der

2016-01-01

The aim of this article is to provide a systematic review of peer-reviewed literature on leadership tasks and effectiveness of mayors and governors during drastic collective events. A total of 34 peer-reviewed articles met our criteria. They were analysed using the theoretical framework by Boin on

Governor's Conference on Drug Dependence and Abuse. An Occasional Paper of the Honors College.

Science.gov (United States)

Milliken, William G.; And Others

1970-01-01

Following Governor Milliken's address, Dr. Dana Farnsworth defines the problem in terms of who's involved, to what extent, and with which drugs. His presentation focuses primarily on the motives of affluent young people who experiment with or become dependent upon hallucinogens, marihuana and amphetamines. He deals extensively with the drastically…

Application of an improved PSO algorithm to optimal tuning of PID gains for water turbine governor

International Nuclear Information System (INIS)

Fang Hongqing; Chen Long; Shen Zuyi

2011-01-01

In this paper, an improved particle swarm optimization (IPSO) algorithm is proposed. Besides the individual best position and the global best position, a nominal average position of the swarm is introduced in IPSO. The performance of IPSO is compared to different PSO variants with five well-known benchmark functions. The experimental results show that the proposed IPSO algorithm improves the searching performance on the benchmark functions. And then, IPSO, as well as other PSO variants, is applied to optimal tuning of Proportional-Integral-Derivative (PID) gains for a typical PID control system of water turbine governor. The computer simulation results of an actual hydro power plant in China show that IPSO algorithm has stable convergence characteristic and good computational ability, and it is an effective and easily implemented method for optimal tuning of PID gains of water turbine governor.

Existence of Insecticides in Tap Drinking Surface and Ground Water in Dakahlyia Governorate, Egypt in 2011

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RA Mandour

2011-12-01

Full Text Available Background: The environmental degradation products of pesticides may enter drinking water and result in serious health problems. Objective: To evaluate the occurrence of insecticides in drinking surface and ground water in Dakahlyia Governorate, northern Egypt in 2011. Methods: We studied blood samples collected from 36 consecutive patients diagnosed with pesticides poisoning and 36 tap drinking water (surface and ground. Blood and water samples were analyzed for pesticides using gas chromatography-electron captured detector (GC-ECD. In addition, blood samples were analyzed for plasma pseudo-cholinesterase level (PChE and red blood cells acetyl cholinesterase activity (AChE. Results: The results confirmed the presence of high concentrations of insecticides, including organonitrogenous and organochlorine in tap drinking surface and ground water. Conclusion: Drinking water contaminated with insecticides constitutes an important health concern in Dakahlyia governorate, Egypt.

Nonlinear Synergetic Governor Controllers for Steam Turbine Generators to Enhance Power System Stability

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Xingbao Ju

2017-07-01

Full Text Available This paper proposes a decentralized nonlinear synergetic governor controller (NSGC for turbine generators to enhance power system stability by using synergetic control theory and the feedback linearization technique. The precise feedback linearization model of a turbine-generator with a steam valve control is obtained, at first, by using a feedback linearization technique. Then based on this model, a manifold is defined as a linear combination of the deviation of the rotor angle, speed deviation, and speed derivative. The control law of the proposed NSGC is deduced and the stability condition of the whole closed-loop system is subsequently analyzed. According to the requirement of the primary frequency regulation, an additional proportional integral (PI controller is designed to dynamically track the steady-state value of the rotor angle. Case studies are undertaken based on a single-machine infinite-bus system and the New England system, respectively. Simulation results show that the proposed NSGC can suppress the power oscillations and improve transient stability more effectively in comparison with the conventional proportional-integral-derivative (PID governor controller. Moreover, the proposed NSGC is robust to the variations of the system operating conditions.

Revitalizing Rural Washington: Report and Recommendations of the Governor's Task Force on Rural Affairs.

Science.gov (United States)

Governor's Task Force on Rural Affairs, Olympia, WA.

Recognizing that urban and rural problems are interconnected, the Governor's Advisory Council on Urban Affairs (State of Washington), made a recommendation that led to formation (in 1970) of the Task Force on Rural Affairs. The report of that task force identifies the continuing technological revolution in agriculture as an important cause of (1)…

Excerpts from the introductory statement. IAEA Board of Governors, Vienna, 22 March 1999

International Nuclear Information System (INIS)

ElBaradei, M.

1999-01-01

In his Introductory Statement at the IAEA Board of Governors (Vienna, 22 March 1999), the Director General of the IAEA reviewed the main recent activities of the Agency related to: safety aspects of the nuclear power, measures against illicit trafficking and for the physical protection of nuclear material, status of safeguards agreements and additional protocols, and issues concerning the Democratic People's Republic of Korea and Iraq

Excerpts from the introductory statement. IAEA Board of Governors. Vienna, 11 September 2000

International Nuclear Information System (INIS)

ElBaradei, M.

2000-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 11 September 2000. The following aspects from the Agency's activity are briefly presented: progress on small and medium sized reactors, plan for producing potable water economically, agreement with the Democratic People's Republic of Korea, and application of IAEA Safeguards in the Middle east

The central governor model of exercise regulation teaches us precious little about the nature of mental fatigue and self-control failure

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Michael eInzlicht

2016-05-01

Full Text Available Self-control is considered broadly important for many domains of life. One of its unfortunate features, however, is that it tends to wane over time, with little agreement about why this is the case. Recently, there has been a push to address this problem by looking to the literature in exercise physiology, specifically the work on the central governor model of physical fatigue. Trying to explain how and why mental performance wanes over time, the central governor model suggests that exertion is throttled by some central nervous system mechanism that receives information about energetic bodily needs and motivational drives to regulate exertion and, ultimately, to prevent homeostatic breakdown, chiefly energy depletion. While we admire the spirit of integration and the attempt to shed light on an important topic in psychology, our concern is that the central governor model is very controversial in exercise physiologists, with increasing calls to abandon it altogether, making it a poor fit for psychology. Our concerns are threefold. First, while we agree that preservation of bodily homeostasis makes for an elegant ultimate account, the fact that such important homeostatic concerns can be regularly overturned with even slight incentives (e.g., a smile renders the ultimate account impotent and points to other ultimate functions for fatigue. Second, despite the central governor being thought to take as input information about the metabolic needs of the body, there is no credible evidence that mental effort actually consumes inordinate amounts of energy that are not already circulating in the brain. Third, recent modifications of the model make the central governor appear like an all-knowing homunculus and unfalsifiable in principle, thus contributing very little to our understanding of why people tend to disengage from effortful tasks over time. We note that the latest models in exercise physiology have actually borrowed concepts and models from

Changing pattern of fascioliasis prevalence early in the 3rd millennium in Dakahlia Governorate, Egypt: an update.

Science.gov (United States)

Adarosy, H A; Gad, Y Z; El-Baz, S A; El-Shazly, A M

2013-04-01

Fascioliasis is an important food- and water-borne parasitic zoonosis caused by liver flukes of genus Fasciola (Digenea: Fasciolidae) of worldwide distribution. In Egypt, fascioliasis was encountered in nearly all Egyptian Governorates, particularly in the Nile Delta and specifically in Dakahlia. All enrolled cases were subjected to complete history taking, clinical examination, routine investigations and abdominal ultrasonography. Stool analysis, IHA and ELISA were used for fascioliasis diagnosis. Rural areas showed highest prevalence of fascioliasis than urban areas, however, but.without significance (x2= 0.042 & P= 0.837). Regarding human fascioliasis in examined the centers, no statistically significant difference (x2 =2.824 & P=0.243) was detected. Regarding gender variation, the difference was statistically insignificant (x2= 0.166 & P= 0.683). The difference between the age groups was statistically insignificant (x2= 3.882 & P=0.274). Clinically, 7 cases (35%) were asymptomatic and another 13 cases (65%) had different clinical pictures. Abdominal pain, anemia, eosinophilia, and tender hepatomegaly were seen in 70%, 80%, 70%, and 10%; respectively. Of them, 1 1cases showed positive abdominal ultrasonographic findings suggestive of fascioliasis.

Quantum Error Correction: Optimal, Robust, or Adaptive? Or, Where is The Quantum Flyball Governor?

Science.gov (United States)

Kosut, Robert; Grace, Matthew

2012-02-01

In The Human Use of Human Beings: Cybernetics and Society (1950), Norbert Wiener introduces feedback control in this way: ``This control of a machine on the basis of its actual performance rather than its expected performance is known as feedback ... It is the function of control ... to produce a temporary and local reversal of the normal direction of entropy.'' The classic classroom example of feedback control is the all-mechanical flyball governor used by James Watt in the 18th century to regulate the speed of rotating steam engines. What is it that is so compelling about this apparatus? First, it is easy to understand how it regulates the speed of a rotating steam engine. Secondly, and perhaps more importantly, it is a part of the device itself. A naive observer would not distinguish this mechanical piece from all the rest. So it is natural to ask, where is the all-quantum device which is self regulating, ie, the Quantum Flyball Governor? Is the goal of quantum error correction (QEC) to design such a device? Devloping the computational and mathematical tools to design this device is the topic of this talk.

A distributed command governor strategy for the operational control of drinking water networks

OpenAIRE

Tedesco, Francesco; Ocampo-Martínez, Carlos; Casavola, Alessandro; Puig Cayuela, Vicenç

2014-01-01

This paper proposes the application of a distributed command governor (DCG) strategy for the operational control of drinking water networks (DWN). This approach is very suitable to this kind of management problems given the large-scale and complex nature of DWNs, the relevant effect of persistent disturbances (water demands) over the network evolutions and their marginal stability feature. The performance improvement offered by DCG is compared with the consideration of two non-centralized mod...

Excerpts from the introductory statement. IAEA Board of Governors. Vienna, 20 March 2000

International Nuclear Information System (INIS)

ElBaradei, M.

2000-01-01

In his Introductory Statement at the IAEA Board of Governors, Vienna, 20 March 2000, the Director General of the IAEA focused on the following topics: the first Review Meeting of Parties to the Convention on Nuclear Safety, response to General Conference Resolutions, Safeguards Agreements and Additional Protocols, relations with DPRK and Iraq, Trilateral Initiative (IAEA, USA, Russian Federation) concerning the fissile material removed from nuclear weapon programmes, and IAEA's Programme and Budget for 2001

IAEA Board of Governors approves IAEA action plan to combat nuclear terrorism

International Nuclear Information System (INIS)

2002-01-01

The IAEA Board of Governors today approved in principal an action plan designed to upgrade worldwide protection against acts of terrorism involving nuclear and other radioactive materials. In approving the plan, the Board has recognized that the first line of defense against nuclear terrorism is the strong physical protection of nuclear facilities and materials. 'National measures for protecting nuclear material and facilities are uneven in their substance and application,' the IAEA says. 'There is wide recognition that the international physical protection regime needs to be strengthened.'

20 CFR 641.310 - May the Governor delegate responsibility for developing and submitting the State Plan?

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false May the Governor delegate responsibility for developing and submitting the State Plan? 641.310 Section 641.310 Employees' Benefits EMPLOYMENT AND TRAINING... developing and submitting the State Plan, provided that any such delegation is consistent with State law and...

Intervention on budget at IAEA Board of Governors, 16 June 2009, Vienna, Austria

International Nuclear Information System (INIS)

ElBaradei, M.

2009-01-01

In his statement to the Board of Governors meeting in Vienna, Austria, IAEA Director General Mohamed ElBaradei focused on issues of the IAEA budget in the framework of the policy of zero growth for international organizations. He stressed the importance of the Agency's work in technical cooperation to prioritise on safety, security and non-proliferation. The priorities of the Agency are the priorities of everybody. The Agency needs the money to maintain a credible programme

Excerpts from the introductory statement. IAEA Board of Governors. Vienna, 18 March 2002

International Nuclear Information System (INIS)

ElBaradei, M.

2002-01-01

Excerpts are given from the Introductory Statement to the Board of Governors by the IAEA Director General Dr. Mohamed ElBaradei. Major topics covered in his introductory remarks include: protection against terrorism, nuclear technology, water resource management, application of sterile insect technique, human health, nuclear power, radioactive waste management, management of nuclear knowledge, nuclear safety, safety of radioactive sources, safeguards agreements and additional protocols, conceptual framework for integrated safeguards, Democratic People's Republic of Korea, and Iraq

Answers to questions posed by the Michigan Governor's Nuclear Waste Disposal Task Force

International Nuclear Information System (INIS)

1976-01-01

A general presentation of the National Waste Terminal Storage (NWTS) Program was given on July 26, 1976, to the Michigan Environmental Review Board and the Michigan Governor's Nuclear Waste Disposal Task Force. Following the presentation, Dr. William G. Taylor, Chairman of the Task Force, provided ERDA with a listing of questions which pertained to the NWTS program and ERDA/OWI's interest in northeast Michigan. This document contains copies of the information which was provided to Dr. Taylor in response to his inquiry

Elish-Piper: Response to "Beyond the Common Core: Examining 20 Years of Literacy Priorities and Their Impact on Struggling Readers"

Science.gov (United States)

Elish-Piper, Laurie

2016-01-01

As Cassidy et al. (2016) outline in their article, the Common Core State Standards (CCSS; National Governors Association [NGA] Center for Best Practices & Council of Chief State School Officers [CCSSO], 2010) have taken center stage in education, pushing other important topics and issues aside as teachers scramble to transform their teaching…

Compliance with recommended care at trauma centers: association with patient outcomes.

Science.gov (United States)

Shafi, Shahid; Barnes, Sunni A; Rayan, Nadine; Kudyakov, Rustam; Foreman, Michael; Cryer, H Gil; Alam, Hasan B; Hoff, William; Holcomb, John

2014-08-01

State health departments and the American College of Surgeons focus on the availability of optimal resources to designate hospitals as trauma centers, with little emphasis on actual delivery of care. There is no systematic information on clinical practices at designated trauma centers. The objective of this study was to measure compliance with 22 commonly recommended clinical practices at trauma centers and its association with in-hospital mortality. This retrospective observational study was conducted at 5 Level I trauma centers across the country. Participants were adult patients with moderate to severe injuries (n = 3,867). The association between compliance with 22 commonly recommended clinical practices and in-hospital mortality was measured after adjusting for patient demographics and injuries and their severity. Compliance with individual clinical practices ranged from as low as 12% to as high as 94%. After adjusting for patient demographics and injury severity, each 10% increase in compliance with recommended care was associated with a 14% reduction in the risk of death. Patients who received all recommended care were 58% less likely to die (odds ratio = 0.42; 95% CI, 0.28-0.62) compared with those who did not. Compliance with commonly recommended clinical practices remains suboptimal at designated trauma centers. Improved adoption of these practices can reduce mortality. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

DID YOU HEAR THE ONE ABOUT THE GOVERNOR, NATURAL RESOURCE MANAGER, AND THE LANDSCAPE ECOLOGIST WHO WALK INTO A BAR?

Science.gov (United States)

The joke in the title continues with John Q. Public approaching each character and inquiring "how;s the water? Each response represents a different perspective on assessing water resources. The Governor touts...

Procedure for inscription in the list of speakers at meetings of the Board of Governors

International Nuclear Information System (INIS)

2002-01-01

Full text: 1. By Rule 23 (d) of the Provisional Rules of Procedure of the Board of Governors:' No Governor may address the Board without having previously obtained the permission of the presiding officer. The presiding officer shall call upon speakers in the order in which they signify their desire to speak. The presiding officer may call a speaker to order if his remarks are not relevant to the subject under discussion.' The following procedures are applied generally concerning the implementation of Rule 23. 2. Governors or other members of delegations who wish to speak on an item notify the Secretary of the Board of their intention to speak. A Secretariat staff member will also be present on the podium in the Boardroom each day from 9:30 a.m. until the Board meeting commences, to receive requests from delegations to be added to the list of speakers. After the meeting commences delegates wishing to speak should raise their flag to be recognized by the Secretary of the Board. The names of delegations are inscribed on a single list of speakers, maintained by the Secretary of the Board, in the order in which they have signified their wish to speak. e. It may be noted that, in the course of debate on a particular item, delegations may signify an intention to speak more than once, including speaking in response to issues raised by other delegations during the debate. When two or more delegations simultaneously indicate from the floor an intention to speak, their names are inscribed in the order in which they are brought to the attention of the Secretary. 4. The established practice is to first call on delegations wishing to speak on behalf of regional groups on any specific item, followed by individual delegations, in the order in which their names are inscribed on the list of speakers. 5. Member States will appreciate that these guidelines cannot cover all contingencies and that special cases may arise from time to time. The Chairman will exercise flexibility where

Tuberculosis situation in Port Said governorate (1995–2011 before and after Direct Observed Therapy Short Course Strategy (DOTS

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Shaimaa M. Abu Shabana

2015-04-01

Conclusion: The introduction of DOTS in the Port Said governorate has led to a significant increase in the treatment success (82.7% (Near the WHO target “85%”, and a decrease in the default and failure rates.

"The Knowledge of" Counselors in Balqa Governorate: Behavior Modification Strategies in Light of Some of the Variables

Science.gov (United States)

Al-basel, D-Nagham Mohammad Abu

2013-01-01

The present study aimed to identify the extent of knowledge of counselor behavior modification strategies. The current study sample consisted of (80) mentor and guide, were selected randomly from among all workers enrolled in regular public schools in the Balqa governorate represented the community study for the academic year 2012-2013. The study…

Epidemiological determinants correlating hepatitis C and Schistosomiasis mansoni in one of Upper Egypt governorates

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Samah S. Abdel Gawad

2018-06-01

Full Text Available Schistosomiasis and hepatitis C virus (HCV are endemic diseases with high prevalence in Africa especially in Egypt. Many sociodemographic and behavioral related determinants were implicated to be associated with schistosomiasis, HCV or coinfection. Recently, polymerase chain reaction (PCR is used as a diagnostic tool as it is a sensitive and a specific method especially in early stage of infection. But, diagnosis of S. mansoni is depending on microscopic examination remains the most widely used direct diagnostic method in endemic area. The current study was carried out to determine the prevalence of schistosomiasis mansoni, HCV and confection if any among the studied population, to identify any associated factors for schistosomiasis mansoni, HCV or coinfection if any.A descriptive cross sectional study was conducted on 400 participants, inhabitants in Beni-Suef Governorate, Upper Egypt. The studied population was screened for both schistosomiasis mansoni and HCV. They were subjected to fulfill a well-structured field tested interviewing questionnaire focusing on many suspected associated factors. Moreover, testing the performance characteristics of the used techniques was determined. The prevalence of schistosomiasis mansoni was (2.8% and HCV was (42.5% among the studied subjects. The study highlights on many behavioral and sociodemographic determinants significantly associated with HCV infection such as home crowding index, shaving at the community barber, sharing razors within the family, delivery at home and circumcision outside the health settings. Also, the study revealed that there are certain determinants associated with both schistosomiasis mansoni and HCV infection such as blood transfusion and liver cirrhosis. Studying the linked determinates with schistosomisis and HCV is the cornerstone to plan and implement a preventive strategy in the Upper Egypt. Thus, further studying the associated environmental determinants in relation to

Molecular markers of anti-malarial drug resistance in Lahj Governorate, Yemen: baseline data and implications

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Chance Michael L

2011-08-01

Full Text Available Abstract Background This is an investigation of anti-malarial molecular markers coupled with a therapeutic efficacy test of chloroquine (CQ against falciparum malaria in an area of unstable malaria in Lahj Governorate, Yemen. The study was aimed at assessment of therapeutic response to CQ and elucidation of baseline information on molecular markers for Plasmodium falciparum resistance against CQ and sulphadoxine/pyrimethamine (SP. Methods Between 2002 and 2003 the field test was conducted according to the standard WHO protocol to evaluate the therapeutic efficacy of CQ in 124 patients with falciparum malaria in an endemic area in Lahj Governorate in Yemen. Blood samples collected during this study were analysed for P. falciparum chloroquine resistance transporter gene (pfcrt-76 polymorphisms, mutation pfcrt-S163R and the antifolate resistance-associated mutations dihydrofolate reductase (dhfr-C59R and dihydropteroate synthase (dhps-K540E. Direct DNA sequencing of the pfcrt gene from three representative field samples was carried out after DNA amplification of the 13 exons of the pfcrt gene. Results Treatment failure was detected in 61% of the 122 cases that completed the 14-day follow-up. The prevalence of mutant pfcrt T76 was 98% in 112 amplified pre-treatment samples. The presence of pfcrt T76 was poorly predictive of in vivo CQ resistance (PPV = 61.8%, 95% CI = 52.7-70.9. The prevalence of dhfr Arg-59 mutation in 99 amplified samples was 5%, while the dhps Glu-540 was not detected in any of 119 amplified samples. Sequencing the pfcrt gene confirmed that Yemeni CQ resistant P. falciparum carry the old world (Asian and African CQ resistant haplotype CVIETSESI at positions 72,73,74,75,76,220,271, 326 and 371. Conclusion This is the first study to report baseline information on the characteristics and implications of anti-malarial drug resistance markers in Yemen. It is also the first report of the haplotype associated with CQR P. falciparum

Molecular markers of anti-malarial drug resistance in Lahj Governorate, Yemen: baseline data and implications.

Science.gov (United States)

Mubjer, Reem A; Adeel, Ahmed A; Chance, Michael L; Hassan, Amir A

2011-08-21

This is an investigation of anti-malarial molecular markers coupled with a therapeutic efficacy test of chloroquine (CQ) against falciparum malaria in an area of unstable malaria in Lahj Governorate, Yemen. The study was aimed at assessment of therapeutic response to CQ and elucidation of baseline information on molecular markers for Plasmodium falciparum resistance against CQ and sulphadoxine/pyrimethamine (SP). Between 2002 and 2003 the field test was conducted according to the standard WHO protocol to evaluate the therapeutic efficacy of CQ in 124 patients with falciparum malaria in an endemic area in Lahj Governorate in Yemen. Blood samples collected during this study were analysed for P. falciparum chloroquine resistance transporter gene (pfcrt)-76 polymorphisms, mutation pfcrt-S163R and the antifolate resistance-associated mutations dihydrofolate reductase (dhfr)-C59R and dihydropteroate synthase (dhps)-K540E. Direct DNA sequencing of the pfcrt gene from three representative field samples was carried out after DNA amplification of the 13 exons of the pfcrt gene. Treatment failure was detected in 61% of the 122 cases that completed the 14-day follow-up. The prevalence of mutant pfcrt T76 was 98% in 112 amplified pre-treatment samples. The presence of pfcrt T76 was poorly predictive of in vivo CQ resistance (PPV = 61.8%, 95% CI = 52.7-70.9). The prevalence of dhfr Arg-59 mutation in 99 amplified samples was 5%, while the dhps Glu-540 was not detected in any of 119 amplified samples. Sequencing the pfcrt gene confirmed that Yemeni CQ resistant P. falciparum carry the old world (Asian and African) CQ resistant haplotype CVIETSESI at positions 72,73,74,75,76,220,271, 326 and 371. This is the first study to report baseline information on the characteristics and implications of anti-malarial drug resistance markers in Yemen. It is also the first report of the haplotype associated with CQR P. falciparum parasites from Yemen. Mutant pfcrtT76 is highly prevalent but it

Report to New England Governors and Eastern Canadian Premiers on climate change projects

International Nuclear Information System (INIS)

2002-08-01

The Premiers-Governors energy discussions are aimed at promoting joint energy cooperation between provinces and states. This report outlines the major accomplishments in the implementation of the Climate Change Action Plan adopted by the Conference in 1998. The project priorities for the coming year are also outlined. In 2001, the New England Governors (NEG) and the Eastern Canadian Premiers (ECP) directed the Environment Committee and the Northeast International Committee on Energy (NICE) to implement a plan to develop a regional emissions inventory so that participating jurisdictions would have common data for measuring progress. The plan also identified specific climate actions that could be readily implemented. This report describes the results of 5 working groups which were created to focus on the following potential categories: energy, transportation, inventory and registry, adaptation, and 'lead by example'. In addition to the working groups, the Climate Change Steering Committee developed 4 proposals for consideration for implementation. These were the LED Traffic Light Proposal, the College and University Partnerships in Emissions Reductions, State/Provincial Purchasing Programs for High Efficiency-Low Emission Office Equipment, and Use of Cleaner, More Energy-Efficient Vehicles in State/Provincial Fleets. The Steering Committee will also pursue other tasks in the coming year, including the study of other proposals for cost-effective measures that could contribute to the goals of the Climate Change Action Plan, examine Internet options for coordinating internal project work, examine opportunities to pursue climate action, and identify opportunities to improve vehicle fuel efficiency

Determination of Radionuclide Concentration in Human Teeth in Najaf Governorate, Iraq

Directory of Open Access Journals (Sweden)

Basim Almayahi

2017-12-01

Full Text Available Introduction: 238U decays with alpha particles emission into 234Th and the series ends with 206Pb. The unstable nucleus loses the energy with emitting ionizing alpha particles for reaching a stable state. It is undergoing alpha decay with decay energy (4.679 MeV. Alpha particles enter the human and animal bodies through inhalation of air or ingestion of contaminated food and water. This study aimed to perform a radiological analysis on the natural alpha particle emission rates of the human teeth as the biomarkers of radiation exposure and environmental pollution. Materials and Methods: This study was conducted on 68 teeth samples of 27 males and 41 females collected from the hospitals distributed across Najaf governorate, including many districts in Iraq. Alpha particle emission rates were measured using CR-39 nuclear track detector. Results: The mean emission rate of alpha particles in the female teeth was 0.0396±0.0070 mBq cm-2, which was relatively higher than that in the male teeth (0.0390±0.0048 mBq cm-2. Nevertheless, there was no significant difference between the female and male teeth regarding the emission rate of alpha particles. Furthermore, the emission rate of alpha particles in the teeth of the samples taken from Kufa (0.0417±0.0057 mBq cm-2 was higher than those obtained from Najaf (0.0384±0.0053 mBq cm-2. Conclusion: As the findings of this study revealed, Najaf governorate had a lower emission rate of alpha particles as compared to other sites of the worldwide. Therefore, it could be concluded that there is no negative consequence threatening the people’s health in this regard.

Safe injection practice among health-care workers in Gharbiya Governorate, Egypt.

Science.gov (United States)

Ismail, N A; Aboul Ftouh, A M; El-Shoubary, W H; Mahaba, H

2007-01-01

We assessed safe injection practices among 1100 health-care workers in 25 health-care facilities in Gharbiya Governorate. Questionnaires were used to collect information and 278 injections were observed using a standardized checklist. There was a lack of infection control policies in all the facilities and a lack of many supplies needed for safe injection. Proper needle manipulation before disposal was observed in only 41% of injections, safe needle disposal in 47.5% and safe syringe disposal in 0%. Reuse of used syringes and needles was reported by 13.2% of the health-care workers and 66.2% had experienced a needle-stick injury. Only 11.3% had received a full course of hepatitis B vaccination.

Mosquitoes of the genus Culex in the Suez Canal Governorates.

Science.gov (United States)

Morsy, T A; el Okbi, L M; Kamal, A M; Ahmed, M M; Boshara, E F

1990-06-01

Mosquitoes are among the most annoying and important vectors of human and animal diseases as malaria, filariasis, yellow fever, rift valley fever...etc. In this paper, it was aimed to study the present status of species of genus Culex in the Suez Canal Governorates after the reconstruction and developmental projects. Five species of Culex were identified: C. pipiens, C. univittatus, C. antennatus, C. poicilipes and C. pusillus. The latter species was represented by two specimens. C. pipiens was the commonest species both indoors and outdoors. C. antennatus and C. poicilipes were found only outdoors. C. pipiens was found all the year round particularly in Spring. Other species were found in Spring and Autumn, except C. antennatus which was found in Summer as well. The results were discussed on the light of work done before.

Natural radioactivity of ground water in some areas in Aden governorate South of Yemen region

International Nuclear Information System (INIS)

Harb, S.; El-Kamel, A.H.; Zahran, A.M.; Abbady, A.A.; Ahmed, F.A.

2013-01-01

This paper presents the concentrations of naturally occurring radionuclides 226 Ra, 232 Th and 40 K measured in groundwater samples collected from Aden governorate South of Yemen region using gamma spectroscopy. A total of 37 groundwater samples were collected from four areas in Aden governorate. The average activity concentrations for groundwater from Beer Ahmed area were 1.60 Bq/L, 1.25 Bq/L and 16.90 Bq/L for 226 Ra, 232 Th and 40 K respectively and from Beer Fadle area were 1.45 Bq/L, 0.87 Bq/L and 19.8 Bq/L for 226 Ra, 232 Th and 40 K, respectively, while that for groundwater samples from Daar-saad area were 1.27 Bq/L, 1.18 Bq/L and 18.28 Bq/L for 226 Ra, 232 Th and 40 K, respectively and Al-Masabian area were 1.55 Bq/L, 1.421 Bq/L and 19.03 Bq/L for 226 Ra, 232 Th and 40 K respectively. Furthermore, annual effective dose equivalent of ingestion of these waters was calculated. The results showed that the annual dose obtained in the present study was much higher than the recommended value (0.1 mSv/year) as reported by WHO. The results were compared with those for drinking water. (author)

Feather and nest mites of two common resident birds in two ecologically different Egyptian governorates.

Science.gov (United States)

Morsy, T A; Mazyad, S A; Younis, M S

1999-08-01

The study of the role played by birds in the distribution of various bacterial, viral and parasitic infections is increasingly from year to year, taking into consideration the flying ability of birds and their migration for food and vital processes. Two of the common Egyptian resident birds, house sparrow (Passer d. niloticus) and laughing dove (Streptopelia s. aegyptiaca) were chosen to study their mite fauna. The overall mite index was 4.74 on the house sparrow and 7.22 on the laughing dove. As to mites, a total of 31 species belonging to 23 genera, 17 families and 3 suborders were collected. The common mites on both types of birds were 22 species. Three species only on house sparrow, and six species only on laughing dove. The house sparrow served host for 25 mite species and the laughing dove served host for 28 mite species. The infestation rates of mites on house sparrow ranged between 1.11% to 23.33% and 0.21% to 34.54% in Sharkia and Qalyobia governorates respectively. For laughing dove, the mite infestation rates ranged between 0.82% to 50% and 3.45% to 55.17% for both governorates respectively. Some of the collected mites have medical and/or veterinary importance. The whole results were discussed.

Magistrates' Survey. 1988 Follow-Up: Analysis of Results. Report to the Governor's Task Force on Domestic Violence.

Science.gov (United States)

McKay, Sylvester; Relos, Ruth

In 1988, over one-third of all North Carolina magistrates, from 87 of 100 counties, responded to a survey from the Governor's Task Force on Domestic Violence. Ninety-nine percent of respondents indicated that they had handled at least one case in which a woman had complained about physical violence or threats from her husband or boyfriend. The…

School Violence in Secondary Education in the Governorate of Mafraq: Forms, Causes and Prevention--A Case Study

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Khaled, Mohammad S. Bani

2014-01-01

This study considers school violence. It was investigated in secondary schools in the governorate of Mafraq. The aim is to identify the forms and causes of the phenomenon; hence to come out with the preventive and remedial measures, accordingly. The study was conducted in one of the secondary schools selected randomly in the city of Mafraq in the…

Governors Highway Safety Association

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... Farm ® , is out now. News Read News Getting Self-Driving Cars on the Road Soon Might Save Lives ... Speed and Red Light Cameras Speeding and Aggressive Driving Teen and Novice Drivers Traffic Records State Laws By Issue By State Resources ...

Nursing education at Western Governors University: a modern, disruptive approach.

Science.gov (United States)

Jones-Schenk, Jan

2014-01-01

Over 1 million working registered nurses (RNs) currently do not have a bachelor's degree in nursing and comprise the critical group needing to return to school in order to achieve the Institute of Medicine's goal of 80% bachelors of science in nursing (BSNs) by 2020. Western Governors University (WGU) has developed a transformative educational model, incorporating 4 operational pillars (competency-based learning, technology, disaggregated faculty roles, and a student-centric management system), to revolutionize RN-BSN education. This article describes a successful contemporary model, disrupting most all of the traditional aspects of university education for professional nursing practice. The program design is of particular value to working adults and addresses the flexibility they need to accommodate academic advancement. The WGU nursing program currently serves over 5,000 students seeking BSN and Master of Science in Nursing degrees in all 50 states. © 2014.

Excerpts from the introductory statement. IAEA Board of Governors. Vienna, 19 March 2001

International Nuclear Information System (INIS)

ElBaradei, M.

2000-01-01

In his introductory statement to the IAEA Board of Governors, the IAEA Director General gave an overview of the Agency's activities regarding technological issues in nuclear power and non-power applications; safety issues related to nuclear power plants and research reactors; decommissioning of nuclear facilities; safety of radiation sources; and marine transport of radioactive materials. Further in the document he gives a brief description of the Agency's activities in the field of nuclear verification; Agency's participation in a field mission to Kosovo on environmental assessment of the consequences of the use of depleted uranium in ammunition; safety standards discussions with ICAO

Meeting changing conditoins at the Rhode Island Medical Center cogeneration plant

International Nuclear Information System (INIS)

Galamaga, D.P.; Bowen, P.T.

1993-01-01

The Rhode Island Department of Mental Health, Retardation and Hospitals is one state department in Rhode Island whose basic function is to provide services to seriously disabled individuals throughout the state. Savings in operating expenses from the Rhode Island Medical Center Central Power Plant have accruded to provide operating funds for the major programs. Operating under a Director who reports to the Governor of Rhode Island, the Department has three major divisions, approximately 2500 employees, and a budget of 200 million dollars. Its operations extend throughout the state and the major focus for hospital or institutional levels of care reside in three major locations, the Dr. U.E. Zambarano Memorial Hospital in northern Rhode Island, the Dr. Joseph Ladd Center in southern Rhode Island, and the Rhode Island Medical Center in the middle of the state. Besides these institution-based operations, the Department sponsors a wide range of rehabilitative programming in the community other through direct operations of facilities such as group homes or through contracts with private non-profit providers of service

Emergency Food Assistance in Northern Syria: An Evaluation of Transfer Programs in Idleb Governorate.

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Doocy, Shannon; Tappis, Hannah; Lyles, Emily; Witiw, Joseph; Aken, Vicki

2017-06-01

The war in Syria has left millions struggling to survive amidst violent conflict, pervasive unemployment, and food insecurity. Although international assistance funding is also at an all-time high, it is insufficient to meet the needs of conflict-affected populations, and there is increasing pressure on humanitarian stakeholders to find more efficient, effective ways to provide assistance. To evaluate 3 different assistance programs (in-kind food commodities, food vouchers, and unrestricted vouchers) in Idleb Governorate of Syria from December 2014 and March 2015. The evaluation used repeated survey data from beneficiary households to determine whether assistance was successful in maintaining food security at the household level. Shopkeeper surveys and program monitoring data were used to assess the impact on markets at the district/governorate levels and compare the cost-efficiency and cost-effectiveness of transfer modalities. Both in-kind food assistance and voucher programs showed positive effects on household food security and economic measures in Idleb; however, no intervention was successful in improving all outcomes measured. Food transfers were more likely to improve food access and food security than vouchers and unrestricted vouchers. Voucher programs were found to be more cost-efficient than in-kind food assistance, and more cost-effective for increasing household food consumption. Continuation of multiple types of transfer programs, including both in-kind assistance and vouchers, will allow humanitarian actors to remain responsive to evolving access and security considerations, local needs, and market dynamics.

One-Step-Ahead Predictive Control for Hydroturbine Governor

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Zhihuai Xiao

2015-01-01

Full Text Available The hydroturbine generator regulating system can be considered as one system synthetically integrating water, machine, and electricity. It is a complex and nonlinear system, and its configuration and parameters are time-dependent. A one-step-ahead predictive control based on on-line trained neural networks (NNs for hydroturbine governor with variation in gate position is described in this paper. The proposed control algorithm consists of a one-step-ahead neuropredictor that tracks the dynamic characteristics of the plant and predicts its output and a neurocontroller to generate the optimal control signal. The weights of two NNs, initially trained off-line, are updated on-line according to the scalar error. The proposed controller can thus track operating conditions in real-time and produce the optimal control signal over the wide operating range. Only the inputs and outputs of the generator are measured and there is no need to determine the other states of the generator. Simulations have been performed with varying operating conditions and different disturbances to compare the performance of the proposed controller with that of a conventional PID controller and validate the feasibility of the proposed approach.

Factors associated with family-centered involvement in family practice--a cross-sectional multivariate analysis.

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Deutsch, Tobias; Frese, Thomas; Sandholzer, Hagen

2014-01-01

The importance of a family-centered approach in family practice has been emphasized. Knowledge about factors associated with higher family-centered involvement seems beneficial to stimulate its realization. German office-based family physicians completed a questionnaire addressing several aspects of family-centered care. Logistic regression was used to identify associations with the involvement overall and in different domains: routine inquiry and documentation of family-related information, family orientation regarding diagnosis and treatment, family-oriented dialogues, family conferences, and case-related collaboration with marriage and family therapists. We found significant associations between physicians' family-centered involvement and expected patient receptiveness, perceived impact of the family's influence on health, self-perceived psychosocial family-care competences (overall and concerning concepts for family orientation, psychosocial intervention in family conferences, and the communication of the idea of family counseling), advanced training in psychosocial primary care (PPC), personal acquaintance with family therapists (regarding case-related collaboration), and rural office environment. Increased emphasis on the family's influence on health in medical education and training, the provision of concepts for a family-centered perspective, and versatile skills for psychosocial intervention and inquiry of patient preferences, as well as the strengthening of networking between family physicians and family therapists, might promote the family-centered approach in family practice.

Answers to questions posed by the Michigan Governor's Nuclear Waste Disposal Task Force

Energy Technology Data Exchange (ETDEWEB)

1976-09-30

A general presentation of the National Waste Terminal Storage (NWTS) Program was given on July 26, 1976, to the Michigan Environmental Review Board and the Michigan Governor's Nuclear Waste Disposal Task Force. Following the presentation, Dr. William G. Taylor, Chairman of the Task Force, provided ERDA with a listing of questions which pertained to the NWTS program and ERDA/OWI's interest in northeast Michigan. This document contains copies of the information which was provided to Dr. Taylor in response to his inquiry.

Excerpts from the introductory statement by IAEA Director General. IAEA Board of Governors, Vienna, 9 December 1999

International Nuclear Information System (INIS)

ElBaradei, M.

1999-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 9 December 1999. The following aspects from the Agency's activity are briefly presented: IAEA's safeguards, physical protection of nuclear material, the status of Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), and Agency's actions in connection with Y2K possible problems

Excerpts from the introductory statement by IAEA Director General. IAEA Board of Governors, Vienna, 8 December 1997

International Nuclear Information System (INIS)

ElBaradei, M.

1997-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 8 December 1997. The following aspects from the Agency's activity are presented: nuclear energy, Agency's inspections in Iraq in relation to its clandestine nuclear programme, Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), and conclusion of safeguards agreements and additional protocols

ANALYSIS OF INA-CBG’S FARE AND GOVERNOR REGULATION FAREON SURGERY AT INPATIENT ROOM OF UNDATA REGIONAL PUBLIC HOSPITAL IN PALU

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Muh. Ryman Napirah

2016-03-01

Full Text Available Aim: In order to determine the fares of surgery, there are two types of fares used by hospitals namely Indonesian Case Based Groups fare (INA-CBG s and Governor Regulation fare. This study aimed to identify and analyze both types of fares in orthopedic surgery, general, eyes, midwifery, mouth, ENT, urology at inpatient room of Undata Regional Public Hospital in Palu during year 2014. Method: This was a quantitative study with descriptive approach with 46 cases as the number of surgery. Data were collected through observation and analysis of secondary data were gotten from medical record, pharmaceutical installation of IBS/IDR, inpatient therapy room (Matahari, Aster, and Teratai pavilions and cashier of inpatient room in form of cost details and patient data from January to December 2014. Data Presentation was formed on tables, where the existing fares are grouped based on the component of each cost then summed and calculated the deviation between the two types of fares. Results: This study indicated that orthopedic surgery with deviation of Rp 11.311.365, general surgery with deviation of Rp 6.438.409, eyes surgery with deviation of Rp 45.173.741, midwifery surgery with deviation of Rp 6.645.765, oral surgery with deviation of Rp 6.105.659, and urological surgery with deviation of Rp. 3.809.959. Conclusion: It can be concluded that INA-CBG's fares are higher than Governor Regulation fares except orthopedic surgery, where the Governor Regulation faresare higher than INA-CBG’s fares.

Performance enhanced design of chaos controller for the mechanical centrifugal flywheel governor system via adaptive dynamic surface control

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Shaohua Luo

2016-09-01

Full Text Available This paper addresses chaos suppression of the mechanical centrifugal flywheel governor system with output constraint and fully unknown parameters via adaptive dynamic surface control. To have a certain understanding of chaotic nature of the mechanical centrifugal flywheel governor system and subsequently design its controller, the useful tools like the phase diagrams and corresponding time histories are employed. By using tangent barrier Lyapunov function, a dynamic surface control scheme with neural network and tracking differentiator is developed to transform chaos oscillation into regular motion and the output constraint rule is not broken in whole process. Plugging second-order tracking differentiator into chaos controller tackles the “explosion of complexity” of backstepping and improves the accuracy in contrast with the first-order filter. Meanwhile, Chebyshev neural network with adaptive law whose input only depends on a subset of Chebyshev polynomials is derived to learn the behavior of unknown dynamics. The boundedness of all signals of the closed-loop system is verified in stability analysis. Finally, the results of numerical simulations illustrate effectiveness and exhibit the superior performance of the proposed scheme by comparing with the existing ADSC method.

Analysis of radon concentrations in drinking water in Erbil governorate (Iraqi Kurdistan) and its health effects

International Nuclear Information System (INIS)

Ismail, Asaad H.; Haji, Salih O.

2008-01-01

Full text: This paper presents the results of radon level in drinking water in Erbil governorate and its districts. The measurements were carried out on 42 samples (tap water) of 21 major areas, and alpha track detectors (type Cr-39) were used for the estimations. The average values for radon concentration of tap water were variable from the district to another, and it was found to be (4.693±2.213 Bq/L) with a maximum of 9.61 Bq/L in Hugran region and minimum of 2.01 Bq/L in Haji-Omaran city. In addition, the average annual effective doses, and equilibrium factor between radon and its daughter were measured in each area and it was found to be (11.546±8.566 μSv/Yr) and (0.204±0.06) respectively. On the other hand, this paper presents an evaluation of the inhalation and ingestion doses from exposure to radon and also the contribution of radon concentration in drinking water to indoor radon concentration was estimated. When the results were compared with the internationally recommended reference levels (U.S Environmental Protection Agency limit 11.1 Bq/l), there were no indications of existence of radon problems in the water sources in this survey. Therefore the drinking water in Erbil governorate is safe as far as radon concentration is concerned. (author)

Prevalence and factors associated with syphilis in a Reference Center

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Natália Carolina Rodrigues Colombo Gomes

Full Text Available Abstract INTRODUCTION: The implementation of the rapid test (RT for syphilis increases access of vulnerable populations to early diagnosis and treatment, impacting the outcomes of infection. We aimed to assess the prevalence of and factors associated with syphilis in a Center for Testing and Counseling (CTC. METHODS: We conducted a cross-sectional study at a Reference Center for sexually transmitted disease (STD and acquired immune deficiency syndrome in Londrina, Northern Paraná State, Southern Brazil. Data regarding the 5,509 individuals who underwent RT from June 2012 to December 2014 were collected from patient records and the CTC Information System and served as the basis to check associations of syphilis cases (346 and cases without syphilis (5,163. Nine patients’ records were not found. OpenEpi was used to perform a prevalence analysis and determine odds ratios to assess the associations between sociodemographic and behavioral variables (independent variables and cases of syphilis (dependent variable. An alpha value <0.05 was considered statistically significant. RESULTS: The prevalence of syphilis was 6.3%; higher in males (7.5% than in females (4.3%, p <0.001. Syphilis was associated with an age of 25-34 years, little education, and single marital status. The main associated behavioral factors were men who have sex with men, drug users, STD patients, and those presenting with an STD in the last year. The use of alcohol, marijuana, cocaine, and crack was significantly associated with syphilis. CONCLUSIONS: Strategies for prevention and control of syphilis should be intensified, especially in populations identified as most vulnerable.

Economic Analysis for the Establishment of a Dry Dates Irradiation Facility at El Wadi - El Gedid Governorate

International Nuclear Information System (INIS)

El Gameel, E.A.

2011-01-01

The present study discus the economic analysis of the establishing dry dates irradiation facility at El Wadi El Gadid governorate. This study was divided into three sections the first section includes the arrangement of the equation of simple regression foretelling the future production for dry dates and radiation source activity , the second section was studied the financial analysis for the project. The third section includes the suitable commodities mix to full off the capacity

(De)constructing Student Engagement for Pre-Service Teacher Learning

Science.gov (United States)

Beasley, Jennifer G.; Gist, Conra D.; Imbeau, Marcia B.

2014-01-01

Learning to teach is a complex intellectual and adaptive performance act. Student engagement is the cornerstone of effective instruction. Current education reform policies, such as Common Core State Standards (National Governors Association Center for Best Practices & Council of Chief State School Officers, 2010) and Teacher Effectiveness…

Neural-net based coordinated stabilizing control for the exciter and governor loops of low head hydropower plants

Energy Technology Data Exchange (ETDEWEB)

Djukanovic, M.; Novicevic, M.; Dobrijevic, D.; Babic, B. [Electrical Engineering Inst. Nikola Tesla, Belgrade (Yugoslavia); Sobajic, D.J. [Electric Power Research Inst., Palo Alto, CA (United States); Pao, Y.H. [Case Western Reserve Univ., Cleveland, OH (United States)]|[AI WARE, Inc., Cleveland, OH (United States)

1995-12-01

This paper presents a design technique of a new adaptive optimal controller of the low head hydropower plant using artificial neural networks (ANN). The adaptive controller is to operate in real time to improve the generating unit transients through the exciter input, the guide vane position and the runner blade position. The new design procedure is based on self-organization and the predictive estimation capabilities of neural-nets implemented through the cluster-wise segmented associative memory scheme. The developed neural-net based controller (NNC) whose control signals are adjusted using the on-line measurements, can offer better damping effects for generator oscillations over a wide range of operating conditions than conventional controllers. Digital simulations of hydropower plant equipped with low head Kaplan turbine are performed and the comparisons of conventional excitation-governor control, state-space optimal control and neural-net based control are presented. Results obtained on the non-linear mathematical model demonstrate that the effects of the NNC closely agree with those obtained using the state-space multivariable discrete-time optimal controllers.

From Lean Times to Enrollment Declines: The Governor's Commission on the Future of Higher Education in Michigan. ASHE Annual Meeting Paper.

Science.gov (United States)

Widmayer, Patricia

Conditions in higher education in Michigan and the role of the Governor's Commission on the Future of Higher Education in Michigan are highlighted. The average college tuition rate in Michigan is the highest in the nation, and a critical maintenance and equipment problem exists. The Commission is composed of knowledgeable persons without vested…

Reality of Educational Technology Use in Primary Level Social Studies Teaching in North West Badiya Education District Schools in Mafraq Governorate

Science.gov (United States)

Menazel, Basil H.

2016-01-01

The study aimed to identify the use of educational technology in social studies teaching and the obstacles to availability and use of educational technology in teaching social studies at schools in the North West Badiya Education Directorate in Mafraq governorate, the Hashemite Kingdom of Jordan. The study population comprised of 137 male and…

High Center Volume Does Not Mitigate Risk Associated with Using High Donor Risk Organs in Liver Transplantation.

Science.gov (United States)

Beal, Eliza W; Black, Sylvester M; Mumtaz, Khalid; Hayes, Don; El-Hinnawi, Ashraf; Washburn, Kenneth; Tumin, Dmitry

2017-09-01

High-risk donor allografts increase access to liver transplant, but potentially reduce patient and graft survival. It is unclear whether the risk associated with using marginal donor livers is mitigated by increasing center experience. The United Network for Organ Sharing registry was queried for adult first-time liver transplant recipients between 2/2002 and 12/2015. High donor risk was defined as donor risk index >1.9, and 1-year patient and graft survival were compared according to donor risk index in small and large centers. Multivariable Cox regression estimated the hazard ratio (HR) associated with using high-risk donor organs, according to a continuous measure of annual center volume. The analysis included 51,770 patients. In 67 small and 67 large centers, high donor risk index predicted increased mortality (p = 0.001). In multivariable analysis, high-donor risk index allografts predicted greater mortality hazard at centers performing 20 liver transplants per year (HR 1.35; 95% CI 1.22, 1.49; p donor risk index and center volume was not statistically significant (p = 0.747), confirming that the risk associated with using marginal donor livers was comparable between smaller and larger centers. Results were consistent when examining graft loss. At both small and large centers, high-risk donor allografts were associated with reduced patient and graft survival after liver transplant. Specific strategies to mitigate the risk of liver transplant involving high-risk donors are needed, in addition to accumulation of center expertise.

Survey and diagnostic study of parasitic pneumonia in cats in Al-Qasim district /Babel governorate/Iraq

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Hayder M. Al-Rammahi

2012-11-01

Full Text Available The study was carried out in Al-Qasim district/Babel governorate –Iraq, where 16 feral cats were captured and searched for parasitic pneumonia. The results showed that 5 out of 16 cats were infested with lung worm (31.25%. All infested cats demonstrated various degrees of respiratory signs in addition to obvious eosinophilia. The gross examination of infested lungs showed apparent consolidation as well as to pulmonary congestion and emphysema, while the microscopic investigation revealed emphysema, alveollar compression, congested blood vessels and presence of parasite eggs in numerous alveoli.

Hospital waste management in El-Beheira Governorate, Egypt.

Science.gov (United States)

Abd El-Salam, Magda Magdy

2010-01-01

This study investigated the hospital waste management practices used by eight randomly selected hospitals located in Damanhour City of El-Beheira Governorate and determined the total daily generation rate of their wastes. Physico-chemical characteristics of hospital wastes were determined according to standard methods. A survey was conducted using a questionnaire to collect information about the practices related to waste segregation, collection procedures, the type of temporary storage containers, on-site transport and central storage area, treatment of wastes, off-site transport, and final disposal options. This study indicated that the quantity of medical waste generated by these hospitals was 1.249tons/day. Almost two-thirds was waste similar to domestic waste. The remainder (38.9%) was considered to be hazardous waste. The survey results showed that segregation of all wastes was not conducted according to consistent rules and standards where some quantity of medical waste was disposed of with domestic wastes. The most frequently used treatment method for solid medical waste was incineration which is not accepted at the current time due to the risks associated with it. Only one of the hospitals was equipped with an incinerator which is devoid of any air pollution control system. Autoclaving was also used in only one of the selected hospitals. As for the liquid medical waste, the survey results indicated that nearly all of the surveyed hospitals were discharging it in the municipal sewerage system without any treatment. It was concluded that the inadequacies in the current hospital waste management practices in Damanhour City were mainly related to ineffective segregation at the source, inappropriate collection methods, unsafe storage of waste, insufficient financial and human resources for proper management, and poor control of waste disposal. The other issues that need to be considered are a lack of appropriate protective equipment and lack of training and

Assessment of urban heat islands and impact of climate change on socioeconomic over Suez Governorate using remote sensing and GIS techniques

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S. Ahmed

2018-04-01

Full Text Available Climate change and its effect on human life and comfort have taken increase attraction. In this paper effect of UHI is analyzed using quantitative thermal, temporal remote sensing and GIS techniques. Series of Landsat TM/ETM, 8 and ASTER images of Suez Governorate acquired in winter season were used to investigate the variation in land surface temperature (LST from 1988 to 2014 as well as land-use/cover change. NDVI NDBI and LST have been used for classification of the study area. Vulnerable areas for UHI have been assessed over Suez district. The effect of UHI was quantitatively described using urban thermal field variance index (UTFVI. Results indicate that there are increases in the overall temperature between years 1988 and 2014. Suez and Al-Arbin districts which are the most populated, highly density built-up and rarely vegetation zones in Suez governorate experiences a huge problem of UHI. UHI phenomenon represents total weight of 40.84% and 46.3% of their areas respectively. It is found that the mean temperature of UHI areas of Al-Arbin and Al-Suez districts was 7.5 above mean of District temperature. While the value of UHI of suburban zone e.g. Ataqa and AL-Ganayin was 2.5 degree above district mean. The results indicate that changes in UTFVI distribution can be predominantly related to the expansion of urban area during the study time period. The hot spot of UTFVI were found mainly in the built-up areas especially densely populated district and in heavily industrial district. It is the vulnerable areas to UHI. Keywords: Climate change, UHI, Suez Canal, Suez Governorate, Land surface temperature, Land/use land/cover change, Urban sprawl

An Investigation of Mathematical Modeling with Pre-Service Secondary Mathematics Teachers

Science.gov (United States)

Thrasher, Emily Plunkett

2016-01-01

The goal of this thesis was to investigate and enhance our understanding of what occurs while pre-service mathematics teachers engage in a mathematical modeling unit that is broadly based upon mathematical modeling as defined by the Common Core State Standards for Mathematics (National Governors Association Center for Best Practices & Council…

New Cogs for Old

Science.gov (United States)

Flynn, Daniel J.

2012-01-01

In this article, the author talks about "A Crucible Moment: College Learning & Democracy's Future." There is a moment within "A Crucible Moment: College Learning & Democracy's Future" when the report gets it right. The academics tackle a National Governors Association study that envisions colleges as job training centers. The authors of "A…

Characteristics Associated With Preferences for Parent-Centered Decision Making in Neonatal Intensive Care.

Science.gov (United States)

Weiss, Elliott Mark; Xie, Dawei; Cook, Noah; Coughlin, Katherine; Joffe, Steven

2018-05-01

Little is known about how characteristics of particular clinical decisions influence decision-making preferences by patients or their surrogates. A better understanding of the factors underlying preferences is essential to improve the quality of shared decision making. To identify the characteristics of particular decisions that are associated with parents' preferences for family- vs medical team-centered decision making across the spectrum of clinical decisions that arise in the neonatal intensive care unit (NICU). This cross-sectional survey assessed parents' preferences for parent- vs medical team-centered decision making across 16 clinical decisions, along with parents' assessments of 7 characteristics of those decisions. Respondents included 136 parents of infants in 1 of 3 academically affiliated hospital NICUs in Philadelphia, Pennsylvania, from January 7 to July 8, 2016. Respondents represented a wide range of educational levels, employment status, and household income but were predominantly female (109 [80.1%]), white (68 [50.0%]) or African American (53 [39.0%]), and married (81 of 132 responding [61.4%]). Preferences for parent-centered decision making. For each decision characteristic (eg, urgency), multivariable analyses tested whether middle and high levels of that characteristic (compared with low levels) were associated with a preference for parent-centered decision making, resulting in 2 odds ratios (ORs) per decision characteristic. Among the 136 respondents (109 women [80.1%] and 27 men [19.9%]; median age, 30 years [range, 18-43 years]), preferences for parent-centered decision making were positively associated with decisions that involved big-picture goals (middle OR, 2.01 [99% CI, 0.83-4.86]; high OR, 3.38 [99% CI, 1.48-7.75]) and that had the potential to harm the infant (middle OR, 1.32 [99% CI, 0.84-2.08]; high OR, 2.62 [99% CI, 1.67-4.11]). In contrast, preferences for parent-centered decision making were inversely associated with the

Excerpts from the introductory statement by IAEA Director General. IAEA Board of Governors, Vienna, 14 September 1998

International Nuclear Information System (INIS)

ElBaradei, M.

1998-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 14 September 1998. The following aspects from the Agency's activity are presented: nuclear safety, technical co-operation programme, safeguards and verification, fissile material treaty, nuclear material released from the military sector, Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), Agency's inspections in Iraq in relation to its clandestine nuclear programme, and Agency's safeguards in the Middle East region

Excerpts from the introductory statement by IAEA Director General. IAEA Board of Governors, Vienna, 16 March 1998

International Nuclear Information System (INIS)

ElBaradei, M.

1998-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 16 March 1998. The following aspects from the Agency's activity are presented: nuclear terrorism convention, Agency safety services, study of the radiological conditions at the atolls of Mururoa and Fangataufa, model additional protocols, Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), treaty of Bangkok, and Agency's inspections in Iraq in relation to its clandestine nuclear programme

[Theoretic basis on the same therapeutic program for different degenerative brain diseases in terms of the Governor Vessel: Alzheimer's disease and Parkinson's disease].

Science.gov (United States)

Wu, Junyan; Wang, Jie; Zhang, Junlong

2015-05-01

Through the consultation of TCM ancient classical theory, the relationship of kidney essence, marrow and brain is analyzed. It is discovered that the degenerative brain diseases, represented by Alzheimer's disease (AD) and Parkinson's disease (PD) share the same etiological basis as "kidney essence deficiency and brain marrow emptiness" and have the mutual pathological outcomes as yang qi declining. The Governor Vessel gathers yang qi of the whole body and maintains the normal functional activity of zangfu organs in the human body through the storage, regulation and invigoration of yang qi. It is viewed that the theory of the Governor Vessel is applied to treat the different degenerative brain diseases, which provides the theoretic support and practice guide for the thought of TCM as the same therapeutic program for the different diseases. As a result, the degenerative brain diseases can be retarded and the approach is provided to the effective prevention and treatment of degenerative diseases in central nerve system:

Excerpts from the introductory statement to the IAEA Board of Governors, Vienna, 7 December 2000

International Nuclear Information System (INIS)

ElBaradei, M.

2000-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 7 December 2000. The following aspects from the Agency's activities are briefly presented: nuclear verification (status of integrated safeguards, plan of action for safeguards agreements and additional protocols, safeguards related to the Democratic People's Republic of Korea), technology issues (results of the 6th Conference of the Parties to the Convention on Climate Change, international project on innovative reactor and fuel cycle technologies), and safety issues (depleted uranium, safety standard discussions with the International Civil Aviation Organization, exchange of regulators or other safety personnel, emergency response co-ordination)

Excerpts from the introductory statement by IAEA Director General. IAEA Board of Governors, Vienna, 25 November 1998

International Nuclear Information System (INIS)

ElBaradei, M.

1998-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 25 November 1998. The following aspects from the Agency's activity are presented: inspections in Iraq in relation to its clandestine nuclear programme, conclusion of Additional Protocols to safeguards agreements, the strengthened safeguards system, Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), safety review at the Mochovce nuclear power plant in Slovakia, and the year 2000 (Y2K) computer system problems in the Agency's Member States

Research Commentary: Educational Technology--An Equity Challenge to the Common Core

Science.gov (United States)

Kitchen, Richard; Berk, Sarabeth

2016-01-01

The implementation of the Common Core State Standards for Mathematics (National Governors Association Center for Best Practices & Council of Chief State School Officers, 2010) has the potential to move forward key features of standards-based reforms in mathematics that have been promoted in the United States for more than 2 decades (e.g.,…

Screening for Common Mental Disorders and Substance Abuse among Temporary Hired Cleaners in Egyptian Governmental Hospitals, Zagazig City, Sharqia Governorate

OpenAIRE

RA Abbas; RAM Hammam; SS El-Gohary; LME Sabik; MS Hunter

2012-01-01

Background: Informal employment is common in developing countries, including Egypt. This type of employment may have significant consequences on mental health. Objectives: To determine the prevalence and risk factors of common mental disorders and substance abuse among temporary hired hospital cleaners. Methods: A cross-sectional study was conducted on 242 adult temporary cleaners and 209 permanent cleaners working in 4 governmental hospitals in Zagazig City, Sharqia Governorate, Egyp...

17 CFR 449.3 - Form G-FIN-4, notification by persons associated with financial institutions that are government...

Science.gov (United States)

2010-04-01

... § 400.4 of this chapter. This form is to be used by associated persons of financial institutions that... Governors of the Federal Reserve System, the Comptroller of the Currency, the Federal Deposit Insurance...

Drinking water sources, availability, quality, access and utilization for goats in the Karak Governorate, Jordan.

Science.gov (United States)

Al-Khaza'leh, Ja'far Mansur; Reiber, Christoph; Al Baqain, Raid; Valle Zárate, Anne

2015-01-01

Goat production is an important agricultural activity in Jordan. The country is one of the poorest countries in the world in terms of water scarcity. Provision of sufficient quantity of good quality drinking water is important for goats to maintain feed intake and production. This study aimed to evaluate the seasonal availability and quality of goats' drinking water sources, accessibility, and utilization in different zones in the Karak Governorate in southern Jordan. Data collection methods comprised interviews with purposively selected farmers and quality assessment of water sources. The provision of drinking water was considered as one of the major constraints for goat production, particularly during the dry season (DS). Long travel distances to the water sources, waiting time at watering points, and high fuel and labor costs were the key reasons associated with the problem. All the values of water quality (WQ) parameters were within acceptable limits of the guidelines for livestock drinking WQ with exception of iron, which showed slightly elevated concentration in one borehole source in the DS. These findings show that water shortage is an important problem leading to consequences for goat keepers. To alleviate the water shortage constraint and in view of the depleted groundwater sources, alternative water sources at reasonable distance have to be tapped and monitored for water quality and more efficient use of rainwater harvesting systems in the study area is recommended.

On the comparison of predictive control and command governor approaches for operational control of drinking water networks: A case study

OpenAIRE

Tedesco, Francesco; Ocampo-Martinez, Carlos; Cassavola, Alessandro; Puig, Vicenç

2014-01-01

This paper evaluates the application of command governor (CG) strategy for the operational control of drinking water networks (DWN) given their large-scale and complex nature, the permanent and relevant effect of the disturbances (water demands) and their marginal stability feature. Moreover, the performance improvement offered by CG is compared with the application of model predictive control for the same management purposes and in the same context. The paper also discusses the effectiveness...

Traditional medicine in Syria: folk medicine in Aleppo governorate.

Science.gov (United States)

Alachkar, Amal; Jaddouh, Ahmad; Elsheikh, Muhammad Salem; Bilia, Anna Rita; Vincieri, Franco Francesco

2011-01-01

The use of Traditional Arabic Medicine (TAM) for various diseases has been popular but scarcely studied in Syria. In the present study, we carried out ethnobotanical and ethnopharmacological research on the plants traditionally used to cure various diseases in northern Syria. The information was collected from the city and villages of the Aleppo governorate "Mohaafazah" in the north of Syria, collecting data directly on the basis of a detailed survey of inhabitants and herbalists. In this survey, we found that hundreds of plant species are still in use in TAM for the treatment of various diseases. We selected the most common 100 species, used in the treatment of more than 25 diseases. Among these plants, 53 are used for treating gastrointestinal disorders, 38 for respiratory system diseases, including asthma, bronchitis and cough, 34 for skin diseases, 21 for diabetes, 17 for kidney and urinary disorders, 16 for cardiac disorders, 14 for infertility and sexual impotency, 13 for treating liver diseases, 13 for several types of cancer, 9 for enhancing breast milk excretion, 8 for weight loss, 5 for reducing cholesterol, and three for weight gain. Plants were collected and identified: scientific Latin names, local names, the used parts of the plant, the herbal preparations and the local medical uses are described. Scientific literature concerning the activity of the investigated species is also reported and discussed according to their traditional uses.

Clinicoepidemiologic pattern of cutaneous leishmaniasis and molecular characterization of its causative agent in Hajjah governorate, northwest of Yemen.

Science.gov (United States)

Mogalli, Nabil M; El Hossary, Shabaan S; Khatri, Mishri Lal; Mukred, Abdualdaim M; Kassem, Hala A; El Sawaf, Bahira M; Ramadan, Nadia F

2016-11-01

The clinicoepidemiologic profile of 143 cases (93 males and 50 females) with cutaneous leishmaniasis from 18 villages of Hajjah governorate, Yemen was studied. Dry-type lesions were seen in 98.6% and wet-type lesions in 1.4% of patients. Lesions were localized in all cases with different morphological patterns. Microscopic examination of Giemsa-stained slit smears revealed amastigotes in 74.1% of patients with dry-type lesions and 0% in patients with wet-type lesions. The burden of the parasites in the lesions was high indicating active transmission of the disease. Most cases were from villages with moderate altitude range (8001-1600m). All age groups were affected, but most cases were seen in ages from 5 to 15 years. Leishmania species identification was done for all cases by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). The biopsic material was scraped from both Giemsa-stained and methanol-fixed smears. The molecular characterization of Leishmania species revealed Leishmania tropica as the causative agent of cutaneous leishmaniasis in Hajjah, Yemen. The risk factors associated with the transmission of the disease and recommendations for improving case detection were discussed. Copyright © 2016 Elsevier B.V. All rights reserved.

Preschool Teachers' Child-Centered Beliefs: Direct and Indirect Associations with Work Climate and Job-Related Wellbeing

Science.gov (United States)

Hur, Eunhye; Jeon, Lieny; Buettner, Cynthia K.

2016-01-01

Background: Early childhood teachers' child-centered beliefs, defined as teachers' attitudes about how children learn, have been associated with teachers' developmentally appropriate practices and positive child outcomes. The predictors of teachers' child-centered beliefs, however, are less frequently explored. Objective: This study tested whether…

Isolation and identification of Legionella pneumophila from drinking water in Basra governorate, Iraq.

Science.gov (United States)

Al-Sulami, A A; Al-Taee, A M R; Yehyazarian, A A

2013-11-01

This study in Iraq investigated the occurrence of Legionella. pneumophila in different drinking-water sources in Basra governorate as well as the susceptibility of isolates to several antibiotics. A total of 222 water samples were collected in 2008-2009: 49 samples from water purification plants (at entry points, from precipitation tanks, from filtration tanks and at exit points), 127 samples of tap water; and 46 samples from tankers and plants supplying water by reverse osmosis. The findings confirmed the presence of L. pneumophila in sources of crude water, in general drinking water supplies and drinking water tankers. Of 258 isolates 77.1% were serotype 1 and 22.9% serotypes 2-15. All examined isolates displayed drug resistance, particularly to ampicillin, but were 100% susceptible to doxycycline. The prevalence of L. pneumophila, especially serogroup 1, is a strong indicator of unsuitability of drinking water and requires appropriate action.

Detection and Identification of Arcobacter species in Poultry in Assiut Governorate, Upper Egypt

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Ahmed K. Hassan

2017-04-01

Full Text Available This work aimed to detect, identify and study the epidemiology of Arcobacter species in avian species in Upper Egypt. A total 600 samples, including cloacal swabs and intestinal samples were collected from chickens, turkeys and ducks in Assiut Governorate in Upper Egypt. Using conventional phenotypic methods for isolation and identification, Arcobacter species could be isolated and identified with percentage 25.5% in chickens, 9.5% in turkeys and 14% in ducks. Sixteen randomly selected phenotypically identified Arcobacter species isolates were confirmed using one step multiplex PCR assay. In conclusion, Arcobacter species could be detected and identified from various avian species with variable incidence. Conventional phenotypic methods for detection and differentiation of Arcobacter species are often hampered by many limitations, while molecular methods, and PCR, in particular can provide a sensitive and rapid alternative method for detection and identification of Arcobacter species in different domestic poultry species.

Association between proximity to a health center and early childhood mortality in Madagascar.

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Saori Kashima

Full Text Available OBJECTIVE: To evaluate the association between proximity to a health center and early childhood mortality in Madagascar, and to assess the influence of household wealth, maternal educational attainment, and maternal health on the effects of distance. METHODS: From birth records of subjects in the Demographic and Health Survey, we identified 12565 singleton births from January 2004 to August 2009. After excluding 220 births that lacked global positioning system information for exposure assessment, odds ratios (ORs and their 95% confidence intervals (CIs for neonatal mortality and infant mortality were estimated using multilevel logistic regression models, with 12345 subjects (level 1, nested within 584 village locations (level 2, and in turn nested within 22 regions (level 3. We additionally stratified the subjects by the birth order. We estimated predicted probabilities of each outcome by a three-level model including cross-level interactions between proximity to a health center and household wealth, maternal educational attainment, and maternal anemia. RESULTS: Compared with those who lived >1.5-3.0 km from a health center, the risks for neonatal mortality and infant mortality tended to increase among those who lived further than 5.0 km from a health center; the adjusted ORs for neonatal mortality and infant mortality for those who lived >5.0-10.0 km away from a health center were 1.36 (95% CI: 0.92-2.01 and 1.42 (95% CI: 1.06-1.90, respectively. The positive associations were more pronounced among the second or later child. The distance effects were not modified by household wealth status, maternal educational attainment, or maternal health status. CONCLUSIONS: Our study suggests that distance from a health center is a risk factor for early childhood mortality (primarily, infant mortality in Madagascar by using a large-scale nationally representative dataset. The accessibility to health care in remote areas would be a key factor to achieve

Dinámica y efectividad de las fanpages de Facebook de candidatos a gobernador en los resultados electorales (Dynamics and effectiveness of Facebook Fanpages candidates for governor in the election results

Directory of Open Access Journals (Sweden)

Jimenez, Carlos

2016-07-01

Full Text Available Abstract: In this article analyzes from the perspective of social network analysis, the correlation between metrics structures sampled networks of Facebook fanpage's candidates for governor and the percentage of voting reached. Were taken as an object of study the elections for governor of Nuevo Leon in 2015 and the election for governor of the state of Veracruz in 2016, in Mexico. This research brings us closer to the understanding of the dynamics and effectiveness of fanpage's in election campaigns. Resumen: En el presente artículo se revisa desde un enfoque de análisis de redes sociales, la correlación entre las métricas de las estructuras de redes muestreadas de las fanpage´s de Facebook de candidatos a gobernador y el porcentaje de votación alcanzado. Se tomaron como objeto de estudio las elecciones para gobernador del estado de Nuevo León del 2015 y la elección para gobernador del estado de Veracruz del 2016, en México. La presente investigación nos acerca a la compresión de la dinámica y efectividad de las fanpage´s en las campañas electorales

The Resignation of the Governor-General: Family Drama and National Reproduction

Directory of Open Access Journals (Sweden)

Barbara Baird

2011-04-01

Full Text Available This article tells the story of the 2003 resignation of Peter Hollingworth as Governor-General as part of an ongoing hyper-anxiety in Australia about the state and status of ‘the child’. The sexually abused child sits at the centre of this story and carries a heavy burden with respect to the past and future of the white Australian nation. The recuperation of that child to a state of innocence, repeatedly, as stories of its abuse keep returning to our front pages and political agendas, is necessary for the reproduction of the white nation. This article shows that the Hollingworth drama is entwined with the current politics of motherhood and fatherhood and the carriage of national feeling and temporality through the performances of these always racialised identities. Attending to the politics of the historical construction of the child, and the idealised parents who abuse or protect it (but never allow this child a voice or a sexuality of her or his own, thus becomes a part of the project of accountability to the past which has also occupied public life in Australia over recent years.

Excerpts from the introductory statement by IAEA Director General. IAEA Board of Governors, Vienna, 8 June 1998

International Nuclear Information System (INIS)

ElBaradei, M.

1998-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 8 June 1998. The following aspects from the Agency's activity are presented: nuclear testing, technical co-operation, programme and budget, safeguards, safeguards implementation report, Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), Agency's inspections in Iraq in relation to its clandestine nuclear programme, security of material, measures to strengthen international co-operation in nuclear, radiation and waste safety, study of the radiological situation at the atolls of Mururoa and Fangataufa, and Agency's role in safety assessment of the Mochovce nuclear power plant

Strategic Orientation for Improving Financial Performance Case Study in Al-Qadissiya Governorate Banking

Directory of Open Access Journals (Sweden)

Basim Abbas Kraidy JASSMY

2017-06-01

Full Text Available This study investigated the relationships between market turbulence, competitive intensity, customer orientation, competitor orientation, inter-functional coordination, organizational commitment and financial performance in the banks of Al-Qadissya governorate. A survey questionnaire was conducted for investigation and data was collected from 170 mangers that work in these banks. To test these relationships, the authors examined all the variables under (SPSS V 20. In order to reveal the effects of the variables, the findings showed that market instability and competitive intensity have effect on strategic orientation, while market instability has no effect on organizational commitment and financial performance. At the same time, inter-functional coordination has no effect on organizational commitment. Furthermore, the study findings showed correlations between competitive intensity and organizational commitment, while there is no correlation between competitive intensity and financial performance. At last, organizational commitment influences financial performance. According to the study results could be improved by all types of strategic orientation and enhance organizational commitment that increase financial performance.

Knowledge, attitudes, and practices of avian influenza among backyard poultry breeders in Fayoum Governorate, Egypt.

Science.gov (United States)

Radwan, Ghada Nasr; Wahid, Wafaa Yousif Abdel; El-Derwy, Doaa; El-Rabat, Maha

2011-01-01

Avian influenza (H5N1) (AI) is becoming a serious public health threat in Egypt. The current study aimed to assess the existing knowledge, attitudes, and various practices regarding AI in household backyard poultry breeders residing in Fayoum Governorate, in rural Egypt. Of the 149 cases confirmed to date in Egypt, 51 have been fatal. This study was implemented in El Gendy and Manshat Abdllah villages in Fayoum Governorate. The latter village is the one in which a case of AI was confirmed in February 2007. A group of 150 women aged 15 years and above were recruited. A structured Arabic questionnaire was used to collect data. All interviewed women (N=150) had heard about AI. TV\\radio was the common source of information (83.3%). Nearly all interviewed women knew that AI is transmitted from birds to humans (99%). Most of the participants (>90%) correctly identified saliva, nasal secretions, feces, and contaminated vehicles as the modes of AI transmission. The knowledge regarding biosecurity measures (>70%) and measures of prevention (>90%) was generally good. More than 90% of the interviewed housewives agreed that AI is a serious disease that can be prevented, and that sanitary precautions during breeding and food preparation practices are effective measures for prevention of AI infection. Protective measures such as the use of gloves and masks, which minimize the risk of transmission of AI from poultry to humans, were seldom used by housewives in all their breeding, slaughtering, and cooking practices. However, washing hands either with water or with soap and water was reported by the vast majority of the respondents (>90%). There was a good level of knowledge and favorable attitude of the study participants regarding AI; however, practices appear to be inadequate to achieve full protection against AI. Comprehensive and multidisciplinary interventions should be widely used to enhance the complex behavior change process among the village residents.

Trauma Center Staffing, Infrastructure, and Patient Characteristics that Influence Trauma Center Need

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Faul, Mark

2014-11-01

Full Text Available Introduction: The most effective use of trauma center resources helps reduce morbidity and mortality, while saving costs. Identifying critical infrastructure characteristics, patient characteristics and staffing components of a trauma center associated with the proportion of patients needing major trauma care will help planners create better systems for patient care.   Methods: We used the 2009 National Trauma Data Bank-Research Dataset to determine the proportion of critically injured patients requiring the resources of a trauma center within each Level I-IV trauma center (n=443. The outcome variable was defined as the portion of treated patients who were critically injured. We defined the need for critical trauma resources and interventions (“trauma center need” as death prior to hospital discharge, admission to the intensive care unit, or admission to the operating room from the emergency department as a result of acute traumatic injury. Generalized Linear Modeling (GLM was used to determine how hospital infrastructure, staffing Levels, and patient characteristics contributed to trauma center need.     Results: Nonprofit Level I and II trauma centers were significantly associated with higher levels of trauma center need. Trauma centers that had a higher percentage of transferred patients or a lower percentage of insured patients were associated with a higher proportion of trauma center need.  Hospital infrastructure characteristics, such as bed capacity and intensive care unit capacity, were not associated with trauma center need. A GLM for Level III and IV trauma centers showed that the number of trauma surgeons on staff was associated with trauma center need. Conclusion: Because the proportion of trauma center need is predominantly influenced by hospital type, transfer frequency, and insurance status, it is important for administrators to consider patient population characteristics of the catchment area when planning the

Stress at Work and Its Subsequent Problems among Teachers of the Public Schools Which Operate the School-Based Violence Reduction Program (VRP) in Tulkarm Governorate

Science.gov (United States)

Oteer, Rabee

2015-01-01

This study aimed to identify the work-related stress and its subsequent problems among teachers of the public schools which operated the school-based Violence Reduction Program (VRP) in the governorate of Tulkarm during the second semester of 2015-2016. Besides, it aimed to identify the effect of specific variables, such as gender, specialization,…

Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics.

Science.gov (United States)

Helfrich, Christian D; Dolan, Emily D; Fihn, Stephan D; Rodriguez, Hector P; Meredith, Lisa S; Rosland, Ann-Marie; Lempa, Michele; Wakefield, Bonnie J; Joos, Sandra; Lawler, Lauren H; Harvey, Henry B; Stark, Richard; Schectman, Gordon; Nelson, Karin M

2014-12-01

Team-based care is central to the patient-centered medical home (PCMH), but most PCMH evaluations measure team structure exclusively. We assessed team-based care in terms of team structure, process and effectiveness, and the association with improvements in teams׳ abilities to deliver patient-centered care. We fielded a cross-sectional survey among 913 VA primary care clinics implementing a PCMH model in 2012. The dependent variable was clinic-level respondent-reported improvements in delivery of patient-centered care. Independent variables included three sets of measures: (1) team structure, (2) team process, and (3) team effectiveness. We adjusted for clinic workload and patient comorbidity. 4819 surveys were returned (25% estimated response rate). The highest ratings were for team structure (median of 89% of respondents being assigned to a teamlet, i.e., a PCP working with the same clinical associate, nurse care manager and clerk) and lowest for team process (median of 10% of respondents reporting the lowest level of stress/chaos). In multivariable regression, perceived improvements in patient-centered care were most strongly associated with participatory decision making (β=32, Pteam processes). A stressful/chaotic clinic environment was associated with higher barriers to patient centered care (β=0.16-0.34, P=Team process and effectiveness measures, often omitted from PCMH evaluations, had stronger associations with perceived improvements in patient-centered care than team structure measures. Team process and effectiveness measures may facilitate synthesis of evaluation findings and help identify positive outlier clinics. Published by Elsevier Inc.

Provider-Related Linkages Between Primary Care Clinics and Community-Based Senior Centers Associated With Diabetes-Related Outcomes.

Science.gov (United States)

Noël, Polly Hitchcock; Wang, Chen-Pin; Finley, Erin P; Espinoza, Sara E; Parchman, Michael L; Bollinger, Mary J; Hazuda, Helen P

2018-06-01

The Institute of Medicine (IOM) suggests that linkages between primary care practices and community-based resources can improve health in lower income and minority patients, but examples of these are rare. We conducted a prospective, mixed-methods observational study to identify indicators of primary care-community linkage associated with the frequency of visits to community-based senior centers and improvements in diabetes-related outcomes among 149 new senior center members (72% Hispanic). We used semistructured interviews at baseline and 9-month follow-up, obtaining visit frequency from member software and clinical assessments including hemoglobin A1c (HbA1c) from colocated primary care clinics. Members' discussion of their activities with their primary care providers (PCPs) was associated with increased visits to the senior centers, as well as diabetes-related improvements. Direct feedback from the senior centers to their PCPs was desired by the majority of members and may help to reinforce use of community resources for self-management support.

The future of climate change policy by provincial government in Indonesia: A study on the vision and mission of elected governors in 2017 election

Science.gov (United States)

Kurniawan, T.

2018-03-01

The IPCC in 2015 has recognized the critical role of local governments in scaling up the adaptation of communities to climate change. The role will be executed properly if the leaders have an awareness of climate change as a strategic agenda in his administration. In the context of Indonesia, the vision and mission of a regional head can be a clue as to how he supports efforts in tackling climate change. The five-year regional development plan is an elaboration of the development agendas offered by a regional head in his vision and mission. Therefore, this paper aims to analyze the future of climate change policy in some provincial governments based on the vision and mission of the elected governors. To achieve the goal, the author employs a qualitative approach to analyze the contents of the vision and mission and their preference to climate change. The results of the study indicate that the elected governors are still not very aware of climate change and did not specify it in their vision and mission. Therefore, in the preparation of five-year regional development plan, it is necessary for some stakeholders to address and specifically mention the issues of climate change.

Excerpts from the introductory statement by IAEA Director General Dr. Mohamed ElBaradei. IAEA Board of Governors, Vienna, 22 March 1999

International Nuclear Information System (INIS)

ElBaradei, M.

1999-01-01

The document contains excerpts from the Introductory Statement made by the Director General of the IAEA at the IAEA Board of Governors on 22 March 1999. The following aspects from the Agency's activity are presented: nuclear safety, measures against illicit trafficking and for the physical protection of nuclear material, status of safeguards agreements and additional protocols, Agency's involvement in safeguards verification in the Democratic People's Republic of Korea (DPRK), and inspections in Iraq in relation to its clandestine nuclear programme

Health Risk Assessment of Pesticide Usage in Menia El-Kamh Province of Sharkia Governorate in Egypt

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Jean-Claude Assad

2002-10-01

Full Text Available Abstract: Menia El-Kamh province of the Sharkia Governorate constitutes one of the largest agricultural areas in Egypt. About 88% of the nearly 472,000 people living in this province rely on agricultural activities for subsistence. Several pesticides including organochloride, organophosphorus, carbamate, and pyrethroid insecticides, fungicides, and herbicides are commonly used in citrus, vegetable and other crop-growing areas to increase agricultural productivity. However, their use has also been associated with several cases of pesticide poisoning. In this research, we conducted a field survey to assess the knowledge, attitudes, and practices of the farmer’s community regarding the safe use of pesticides. We also evaluated the residual concentrations of selected pesticides in water, soil, milk, fish, and orange samples, and estimated the potential health risks associated with the exposure to these pesticides. Data obtained from the field survey indicate that more than 95% of farm workers do not practice safety precautions during pesticide formulation and application; leading to a considerable prevalence of pesticide-related illnesses in this agricultural community. Pesticide residues in various environmental samples varied greatly; from below detection levels (3-5 ng to as high as 325 ppb depending on the matrix of interest, and the specific pesticide of concern. The analysis of health risk estimates indicated that chlorpyrifos, DDT, dimethoate, methomyl, and larvin did not pose a direct hazard to human health, although present in water, milk, orange, and/or fish. However, aldicarb, and carbosulfan levels exceeded the reference doses, indicating a great potential for systemic toxicity, especially in children who are considered to be the most vulnerable population subgroup. The upper-bound values of cancer risk from DDT exposure were estimated to be about 8 (adults, and 55 (children excess cancers in a population of one million.

Factors associated with the utilization of primary care emergency centers in a Spanish region with high population dispersion: a mixed-methods study.

Science.gov (United States)

Sanz-Barbero, Belén; Otero-García, Laura; Blasco-Hernández, Teresa; San Sebastián, Miguel

2014-09-03

Adequate access to primary care emergency centers is particularly important in rural areas isolated from urban centers. However, variability in utilization of emergency services located in primary care centers among inhabitants of nearby geographical areas is understudied. The objectives of this study are twofold: 1) to analyze the association between the availability of municipal emergency care centers and utilization of primary care emergency centers (PCEC), in a Spanish region with high population dispersion; and 2) to determine healthcare providers' perceptions regarding PCEC utilization. A mixed-methods study was conducted. Quantitative phase: multilevel logistic regression modeling using merged data from the 2003 Regional Health Survey of Castile and Leon and the 2001 census data (Spain). Qualitative phase:14 in-depth- interviews of rural-based PCEC providers. Having PCEC as the only emergency center in the municipality was directly associated with its utilization (p use. PCEC users were considered to be predominantly workers and students with scheduling conflicts with rural primary care opening hours. The location of emergency care centers is associated with PCEC utilization. Increasing access to primary care by extending hours may be an important step toward optimal PCEC utilization. Further research would determine whether lower PCEC use by certain groups is associated with disparities in access to care.

Introductory statement to the Board of Governors, 14 June 2004, Vienna, Austria

International Nuclear Information System (INIS)

ElBaradei, M.

2004-01-01

The Statement to the Board of Governors includes the Agency's Annual Report, the Technical Cooperation Report, the Safeguards Implementation Report, the report of the Programme and Budget Committee, and a number of specific nuclear technology, safety and verification issues. The Technical Cooperation Report deals with TC Programme Management; Programme of Action for Cancer Therapy; TC Programme Funding; TC Programme Oversight. The Nuclear Technology part is concerned with Action Plan on Decommissioning of nuclear facilities, which incorporates the recommendations from the Agency's conference on safe decommissioning for nuclear activities held in 2002 in Berlin; Status of the IAEA International Project on Innovative Nuclear Reactors and Fuel Cycles (INPRO). Nuclear Safety and Security covers Nuclear Installation Safety; Transport Safety; Emergency Preparedness and Response; Global Threat Reduction Initiative. Nuclear Verification is describing the Safeguards Implementation Report and Safeguards Statement for 2003; Implementation of Safeguards in the Democratic People's Republic of Korea, in the Islamic Republic of Iran; and in Iraq; Status of Safeguards Agreements and Additional Protocols; Integrated Safeguards. The Secretariat remains committed to the efficient and effective implementation of programmes that reflect the priorities of all our Member States

Organochlorine Pesticides Residues in Human Breast Milk from the Middle Governorates in Jordan in 2013/2014.

Science.gov (United States)

Al Antary, Tawfiq M; Alawi, Mahmoud A; Estityah, Hussein; Haddad, Nizar

2017-07-01

One hundred samples of mother breast milk were gathered from six middle governorates and districts in Jordan in 2013/2014 to monitor Organochlorine pesticides pollutants. The results showed clearly that banned organochlorine pesticides are still detected in the monitored samples in low concentration despite banning of these persistent pollutants in Jordan since 36 years ago. However, the results indicated that 1% of the contaminated samples contained β-HCH, 5% γ-HCH, 3% p,p'-DDD, 2% heptachlor, 45% p,p'-DDE and 3% p,p'-DDT. In addition, these monitored samples had no residues of aldrin, dieldrin, α-endosulfan, β-endosulfan, HCB, o,p'-DD, o,p'-DDT and o,p'-DDE. In conclusion, there was a decline in the residues of Organochlorine pesticides, particularly DDT group members.

Screening for common mental disorders and substance abuse among temporary hired cleaners in Egyptian Governmental Hospitals, Zagazig City, Sharqia Governorate.

Science.gov (United States)

Abbas, R A; Hammam, R A M; El-Gohary, S S; Sabik, L M E; Hunter, M S

2013-01-01

Informal employment is common in developing countries, including Egypt. This type of employment may have significant consequences on mental health. To determine the prevalence and risk factors of common mental disorders and substance abuse among temporary hired hospital cleaners. A cross-sectional study was conducted on 242 adult temporary cleaners and 209 permanent cleaners working in 4 governmental hospitals in Zagazig City, Sharqia Governorate, Egypt. All participants were invited to complete a structured questionnaire through a semi-structured interview which included the self-reporting questionnaire 20 items (SRQ-20) and the work stress scale. Assessment of drug use included urine-based screening tests for common substances abused. The prevalence of job stress, common mental disorders and substance abuse, particularly tramadol and cannabis (Bango), was significantly higher in the studied temporary cleaners compared to permanent cleaners. Risk factors associated with increased susceptibility of the temporary cleaners to common mental disorders were family history of substance abuse, high crowding index, history of physical illness, low educational level, and smoking; while being unmarried, male sex, family history of mental disorder, age ≥40 years, smoking, and length of service ≥8 years, were associated with substance abuse among the same group. Temporary hired hospital cleaners suffered from impaired mental health more than permanent cleaners. Therefore, expanding the coverage of current laws and occupational safety and health standards to cover workers in the informal sector especially in developing countries is recommended.

Screening for Common Mental Disorders and Substance Abuse among Temporary Hired Cleaners in Egyptian Governmental Hospitals, Zagazig City, Sharqia Governorate

Directory of Open Access Journals (Sweden)

RA Abbas

2012-12-01

Full Text Available Background: Informal employment is common in developing countries, including Egypt. This type of employment may have significant consequences on mental health. Objectives: To determine the prevalence and risk factors of common mental disorders and substance abuse among temporary hired hospital cleaners. Methods: A cross-sectional study was conducted on 242 adult temporary cleaners and 209 permanent cleaners working in 4 governmental hospitals in Zagazig City, Sharqia Governorate, Egypt. All participants were invited to complete a structured questionnaire through a semi-structured interview which included the self-reporting questionnaire 20 items (SRQ-20 and the work stress scale. Assessment of drug use included urine-based screening tests for common substances abused. Results: The prevalence of job stress, common mental disorders and substance abuse, particularly tramadol and cannabis (Bango, was significantly higher in the studied temporary cleaners compared to permanent cleaners. Risk factors associated with increased susceptibility of the temporary cleaners to common mental disorders were family history of substance abuse, high crowding index, history of physical illness, low educational level, and smoking; while being unmarried, male sex, family history of mental disorder, age ≥40 years, smoking, and length of service ≥8 years, were associated with substance abuse among the same group. Conclusion: Temporary hired hospital cleaners suffered from impaired mental health more than permanent cleaners. Therefore, expanding the coverage of current laws and occupational safety and health standards to cover workers in the informal sector especially in developing countries is recommended.

Factors associated with reinfection of syphilis in reference centers for sexually transmitted infections.

Science.gov (United States)

Almeida, Valéria Correa de; Donalisio, Maria Rita; Cordeiro, Ricardo

2017-06-26

We aim to analyze trend of syphilis and factors associated with recurrent episodes of syphilis among adults and adolescents attended in a STI/AIDS reference centers in Campinas, state of São Paulo, 2004 to 2012. Medical records, pharmacy data, and notification database were accessed to analyze trends of syphilis and sociodemographic, epidemiological and clinical variables associated with reinfection of syphilis. After univariate analysis, a hierarchical logistic regression model was adjusted to analyze variables associated with more than one episode of syphilis (dependent variable). First step (sex, age, and years of schooling) were tested and in the second, epidemiological and clinical variables. A total of 1,009 episodes of syphilis were identified among 860 adolescents and adults, 117 individuals (13.6%) presented with more than one episode of syphilis. Factors associated with more than one episode of syphilis were sex (male) (OR = 4.28; 95%CI 1.31-14.0), age (OR = 1.02; 95%CI 1.00-1.04), homosexual/bisexual orientation (OR = 2.29; 95%CI 1.22-4.32), HIV coinfection (OR = 3.54; 95%CI 2.22-5.63), and absence of STI symptoms at the time of syphilis diagnostic (OR = 1.70; 95%CI 1.03-2.80). The number of cases of syphilis and proportion in relation to STI increased in recent years in a specific population attended in a STI/AIDS reference centers in Campinas. Association with HIV, homosexual/bisexual orientation and the silent clinical characteristic of cases confirm the necessity to implement more aggressive strategies to prevent the occurrence of syphilis and other STI in specific populations with higher disease risk.

Governance and Higher Education in Pakistan: What Roles Do Boards of Governors Play in Ensuring the Academic Quality Maintenance in Public Universities versus Private Universities in Pakistan?

Science.gov (United States)

Usman, Sidra

2014-01-01

There are major structural issues in the higher education system in Pakistan leading to poor governance of institutions and questionable quality of education. This paper looks at the differences in the role of boards of governors in maintaining quality of education in both the public and the private sector universities in Pakistan. After having…

Frequencies distribution of dihydrofolate reductase and dihydropteroate synthetase mutant alleles associated with sulfadoxine-pyrimethamine resistance in Plasmodium falciparum population from Hadhramout Governorate, Yemen.

Science.gov (United States)

Bamaga, Omar A A; Mahdy, Mohammed A K; Lim, Yvonne A L

2015-12-22

Malaria in Yemen is mainly caused by Plasmodium falciparum and 25% of the population is at high risk. Sulfadoxine-pyrimethamine (SP) had been used as monotherapy against P. falciparum. Emergence of chloroquine resistance led to the shift in anti-malarial treatment policy in Yemen to artemisinin-based combination therapy, that is artesunate (AS) plus SP as first-line therapy for uncomplicated malaria and artemether-lumefantrine as second-line treatment. This study aimed to screen mutations in the dihydrofolate reductase (dhfr) and dihydropteroate synthetase (dhps) genes associated with SP resistance among P. falciparum population in Hadhramout governorate, Yemen. Genomic DNA was extracted from dried blood spots of 137 P. falciparum isolates collected from a community-based study. DNA was amplified using nested polymerase chain reaction (PCR) and subsequently sequenced for Pfdhfr and Pfdhps genes. Sequences were analysed for mutations in Pfdhfr gene codons 51, 59, 108, and 164 and in Pfdhps gene codons 436, 437, and 540. A total of 128 and 114 P. falciparum isolates were successfully sequenced for Pfdhfr and Pfdhps genes, respectively. Each Pfdhfr mutant allele (I51 and N108) in P. falciparum population had a frequency of 84%. Pfdhfr R59 mutant allele was detected in one isolate. Mutation at codon 437 (G437) in the Pfdhps gene was detected in 44.7% of falciparum malaria isolates. Frequencies of Pfdhfr double mutant genotype (I51C59N108I164) and Pfdhfr/Pfdhps triple mutant genotype (I51C59N108I164-S436G437K540) were 82.8 and 39.3%, respectively. One isolate harboured Pfdhfr triple mutant genotype (I51, R59, N108, I164) and Pfdhfr/Pfdhps quadruple mutant genotype (I51R59N108I164-S436G437K540). High frequencies of Pfdhfr and Pfdhps mutant alleles and genotypes in P. falciparum population in Hadhramout, Yemen, highlight the risk of developing resistance for SP, the partner drug of AS, which subsequently will expose the parasite to AS monotherapy increasing then the

Ruminant brucellosis in the Kafr El Sheikh Governorate of the Nile Delta, Egypt: prevalence of a neglected zoonosis.

Science.gov (United States)

Hegazy, Yamen M; Moawad, Amgad; Osman, Salama; Ridler, Anne; Guitian, Javier

2011-01-11

Brucellosis is a neglected tropical zoonosis allegedly reemerging in Middle Eastern countries. Infected ruminants are the primary source of human infection; consequently, estimates of the frequency of ruminant brucellosis are useful elements for building effective control strategies. Unfortunately, these estimates are lacking in most Middle East countries including Egypt. Our objectives are to estimate the frequency of ruminant brucellosis and to describe its spatial distribution in Kafr El Sheikh Governorate, Nile Delta, Egypt. We conducted a cross-sectional study in which 791 sheep, 383 goats, 188 cattle milk tanks and 173 buffalo milk tanks were randomly selected in 40 villages and tested for the presence of antibodies against Brucella spp. The seroprevalence among different species was estimated and visualized using choropleth maps. A spatial scanning method was used to identify areas with significantly higher proportions of seropositive flocks and milk tanks. We estimated that 12.2% of sheep and 11.3% of goats in the study area were seropositive against Brucella spp. and that 12.2% and 12% of cattle and buffalo milk tanks had antibodies against Brucella spp. The southern part of the governorate had the highest seroprevalence with significant spatial clustering of seropositive flocks in the proximity of its capital and around the main animal markets. Our study revealed that brucellosis is endemic at high levels in all ruminant species in the study area and questions the efficacy of the control measures in place. The high intensity of infection transmission among ruminants combined with high livestock and human density and widespread marketing of unpasteurized milk and dairy products may explain why Egypt has one of the highest rates of human brucellosis worldwide. An effective integrated human-animal brucellosis control strategy is urgently needed. If resources are not sufficient for nationwide implementation, high-risk areas could be prioritized.

Ruminant brucellosis in the Kafr El Sheikh Governorate of the Nile Delta, Egypt: prevalence of a neglected zoonosis.

Directory of Open Access Journals (Sweden)

Yamen M Hegazy

Full Text Available BACKGROUND: Brucellosis is a neglected tropical zoonosis allegedly reemerging in Middle Eastern countries. Infected ruminants are the primary source of human infection; consequently, estimates of the frequency of ruminant brucellosis are useful elements for building effective control strategies. Unfortunately, these estimates are lacking in most Middle East countries including Egypt. Our objectives are to estimate the frequency of ruminant brucellosis and to describe its spatial distribution in Kafr El Sheikh Governorate, Nile Delta, Egypt. METHODOLOGY/PRINCIPAL FINDINGS: We conducted a cross-sectional study in which 791 sheep, 383 goats, 188 cattle milk tanks and 173 buffalo milk tanks were randomly selected in 40 villages and tested for the presence of antibodies against Brucella spp. The seroprevalence among different species was estimated and visualized using choropleth maps. A spatial scanning method was used to identify areas with significantly higher proportions of seropositive flocks and milk tanks. We estimated that 12.2% of sheep and 11.3% of goats in the study area were seropositive against Brucella spp. and that 12.2% and 12% of cattle and buffalo milk tanks had antibodies against Brucella spp. The southern part of the governorate had the highest seroprevalence with significant spatial clustering of seropositive flocks in the proximity of its capital and around the main animal markets. CONCLUSIONS/ SIGNIFICANCE: Our study revealed that brucellosis is endemic at high levels in all ruminant species in the study area and questions the efficacy of the control measures in place. The high intensity of infection transmission among ruminants combined with high livestock and human density and widespread marketing of unpasteurized milk and dairy products may explain why Egypt has one of the highest rates of human brucellosis worldwide. An effective integrated human-animal brucellosis control strategy is urgently needed. If resources are not

Blood pressure change does not associate with Center of Pressure movement after postural transition in geriatric outpatients

NARCIS (Netherlands)

Timmermans, Sjoerd T.; Reijnierse, Esmee M.; Pasma, J.H.; Trappenburg, Marijke C.; Blauw, Gerard J.; Maier, Andrea B.; Meskers, Carel G M

2018-01-01

Background: Orthostatic hypotension (OH), a blood pressure drop after postural change, is associated with impaired standing balance and falls in older adults. This study aimed to assess the association between blood pressure (BP) and a measure of quality of standing balance, i.e. Center of

Factors associated with reinfection of syphilis in reference centers for sexually transmitted infections

Directory of Open Access Journals (Sweden)

Valéria Correa de Almeida

Full Text Available ABSTRACT OBJECTIVE We aim to analyze trend of syphilis and factors associated with recurrent episodes of syphilis among adults and adolescents attended in a STI/AIDS reference centers in Campinas, state of São Paulo, 2004 to 2012. METHODS Medical records, pharmacy data, and notification database were accessed to analyze trends of syphilis and sociodemographic, epidemiological and clinical variables associated with reinfection of syphilis. After univariate analysis, a hierarchical logistic regression model was adjusted to analyze variables associated with more than one episode of syphilis (dependent variable. First step (sex, age, and years of schooling were tested and in the second, epidemiological and clinical variables. RESULTS A total of 1,009 episodes of syphilis were identified among 860 adolescents and adults, 117 individuals (13.6% presented with more than one episode of syphilis. Factors associated with more than one episode of syphilis were sex (male (OR = 4.28; 95%CI 1.31–14.0, age (OR = 1.02; 95%CI 1.00–1.04, homosexual/bisexual orientation (OR = 2.29; 95%CI 1.22–4.32, HIV coinfection (OR = 3.54; 95%CI 2.22–5.63, and absence of STI symptoms at the time of syphilis diagnostic (OR = 1.70; 95%CI 1.03–2.80. CONCLUSIONS The number of cases of syphilis and proportion in relation to STI increased in recent years in a specific population attended in a STI/AIDS reference centers in Campinas. Association with HIV, homosexual/bisexual orientation and the silent clinical characteristic of cases confirm the necessity to implement more aggressive strategies to prevent the occurrence of syphilis and other STI in specific populations with higher disease risk.

Immunization coverage among children in Al-Taizyah district, Taiz Governorate, Yemen

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Nabil Ahmed Al-Rabeei

2014-12-01

Full Text Available Introduction: At least 2 million people die every year from diseases preventable by vaccines recommended by the World Health Organization. Objective: To assess the routine immunization coverage among children aged 12-23 month and to determine the reasons for unvaccinated. Methods: We conducted a community-based survey in Al-Taizyah district, Taiz governorate, Yemen. Information about vaccination status and related barriers was collected for 420 children from 1st March to 31st March 2012. Results: 49.8% of the children had vaccination cards. About 69.5% of the children were fully vaccinated by cards and by history, 15.5% were partially vaccinated and 15% not vaccinated. As a regards to crude vaccination coverage, 82.9% of children were received BCG vaccine. OPV1 vaccine was 82.6%. Pentavalent1 was 82.6%. Measles 1 represented for 71.7% and vitamin A1 was 46.4%. 91% was valid doses for OPV1 and 93% for pentavalent1. Only 76% of measles1 dose was valid. The high scores14% of drop-out rate was recorded between BCG and Measles. The main reasons for partially vaccinated and unvaccinated of children were the lack of information 61.7%. Conclusion: There is low vaccination coverage among children aged 12-23 months. There is a need to raise the awareness of community about vaccination and EPI services in Al-Taizyah district.

Association of family-centered care with improved anticipatory guidance delivery and reduced unmet needs in child health care.

Science.gov (United States)

Kuo, Dennis Z; Frick, Kevin D; Minkovitz, Cynthia S

2011-11-01

Little is known about the association of family-centered care (FCC) with the quality of pediatric primary care. The objectives were to assess (1) associations between family-centered care (FCC), receipt of anticipatory guidance, and unmet need for health care; and (2) whether these associations vary for children with special health care needs (CSHCN). The study, a secondary data analysis of the 2004 Medical Expenditure Panel Survey, used a nationally representative sample of family members of children 0-17 years. We measured receipt of FCC in the last 12 months with a composite score average>3.5 on a 4 point Likert scale from 4 Consumer Assessment of Healthcare Providers and Systems questions. Outcome measures were six anticipatory guidance and six unmet health care service needs items. FCC was reported by 69.6% of family members. One-fifth (22.1%) were CSHCN. Thirty percent of parents reported≥4 of 6 anticipatory guidance topics discussed and 32.5% reported≥1 unmet need. FCC was positively associated with anticipatory guidance for all children (OR=1.45; 95% CI 1.19, 1.76), but no relation was found for CSHCN in stratified analyses (OR=1.01; 95% CI .75, 1.37). FCC was associated with reduced unmet needs (OR=.38; 95% CI .31, .46), with consistent findings for both non-CSHCN and CSHCN subgroups. Family-centered care is associated with greater receipt of anticipatory guidance and reduced unmet needs. The association between FCC and anticipatory guidance did not persist for CSHCN, suggesting the need for enhanced understanding of appropriate anticipatory guidance for this population.

A Multilevel Model to Estimate the Within- and the Between-Center Components of the Exposure/Disease Association in the EPIC Study

OpenAIRE

Sera, Francesco; Ferrari, Pietro

2015-01-01

In a multicenter study, the overall relationship between exposure and the risk of cancer can be broken down into a within-center component, which reflects the individual level association, and a between-center relationship, which captures the association at the aggregate level. A piecewise exponential proportional hazards model with random effects was used to evaluate the association between dietary fiber intake and colorectal cancer (CRC) risk in the EPIC study. During an average follow-up o...

[Therapeutic effects on cerebral white matter injury of premature infants treated with acupuncture for promoting the governor vessel and tranquilizing the mind].

Science.gov (United States)

Cai, Shuying; Liu, Zhenhuan; Peng, Guilan; Huang, Xinfa; Li, Yinlan; Hu, Shuxiang

2018-01-12

To explore the repair effects of acupuncture for promoting the governor vessel and tranquilizing the mind (acupuncture technique) on cerebral white matter injury of premature infants. A total of 56 cases of cerebral whiter matter injury of premature infants, the fetal age less than 35 weeks were selected and randomized into an observation group (27 cases) and a control group (29 cases). The routine basic rehabilitation therapy was used in the two groups. Additionally, in the observation group, the acupuncture technique was added, once a day and the treatment for 15 days was as 1 course. Totally, 3 courses of treatment were required. Before and after treatment, the cranial magnetic resonance imaging (MRI) and the diffusion tensor imaging (DTI) were adopted to observe the location and severity of cerebral white matter injury. The Gesell developmental scale was used to assess the nerve motor development. After treatment, the difference was not significant statistically in the severity of cerebral white matter injury in the infants between the two groups ( P >0.05). The FA value of cerebral white matter in the interesting zone was increased as compared with that before treatment in the infants of the two groups (both P control groups ( P control group (all P 0.05). Acupuncture technique for promoting the governor vessel and tranquilizing the mind promotes the repair of the function in the premature infants with cerebral white matter injury and further benefits the promotion of the intelligence.

Attention-Deficit Hyperactive Disorder among Primary School Children in Menoufia Governorate, Egypt.

Science.gov (United States)

Farahat, Taghreed; Alkot, Mohammad; Rajab, Afaf; Anbar, Reda

2014-01-01

Background. Attention-deficit hyperactivity disorder (ADHD) is the most commonly diagnosed behavioral problem in children. Global variations in diagnostic criteria and rating scales of ADHD either by DSM-IV or ICD 10 may contribute to variations in its prevalence. Objectives. The study was conducted to estimate the prevalence of ADHD and to determine its risk factors. Methodology. A cross-section comparative study was conducted in a randomly selected four primary schools in Menoufia governorate, Egypt. All children after a valid consent of their parents (N. 1362) were subjected to complete history taking, medical and psychological assessment, and IQ estimation. Their parents and teachers were subjected to the corresponding Arabic forms of Conner's questionnaire. Suspected cases were confirmed and categorized by DSM-IV criteria. The sample was divided into cases and controls to study the risk factors. Results. Prevalence of ADHD was 6.9% and the male : female ratio was 3.5 : 1. The main risk factors were neonatal problems (OR = 4.3), family history of psychiatric and medical illnesses (OR = 3.5 and 2.8), and male gender (OR = 2.9). Conclusion. Prevalence of ADHD among Menoufia school children was 6.9%. Dealing with its risk factors is mandatory for prevention, early management, and better outcome.

Research Associate | Center for Cancer Research

Science.gov (United States)

PROGRAM DESCRIPTION The Basic Science Program (BSP) pursues independent, multidisciplinary research in basic and applied molecular biology, immunology, retrovirology, cancer biology, and human genetics. Research efforts and support are an integral part of the Center for Cancer Research (CCR) at the Frederick National Laboratory for Cancer Research (FNLCR). KEY ROLES/RESPONSIBILITIES - Research Associate III Dr. Zbigniew Dauter is the head investigator of the Synchrotron Radiation Research Section (SRRS) of CCR’s Macromolecular Crystallography Laboratory. The Synchrotron Radiation Research Section is located at Argonne National Laboratory, Argonne, Illinois; this is the site of the largest U.S. synchrotron facility. The SRRS uses X-ray diffraction technique to solve crystal structures of various proteins and nucleic acids of biological and medical relevance. The section is also specializing in analyzing crystal structures at extremely high resolution and accuracy and in developing methods of effective diffraction data collection and in using weak anomalous dispersion effects to solve structures of macromolecules. The areas of expertise are: Structural and molecular biology Macromolecular crystallography Diffraction data collection Dr. Dauter requires research support in these areas, and the individual will engage in the purification and preparation of samples, crystallize proteins using various techniques, and derivatize them with heavy atoms/anomalous scatterers, and establish conditions for cryogenic freezing. Individual will also participate in diffraction data collection at the Advanced Photon Source. In addition, the candidate will perform spectroscopic and chromatographic analyses of protein and nucleic acid samples in the context of their purity, oligomeric state and photophysical properties.

Heavy metal pollutants in surficial sediments from different coastal sites in Aden Governorate, Yemen

International Nuclear Information System (INIS)

Ali, Anis Ahmed; Baharoon Aqil Abdulrahman

2004-01-01

Concentrations of Gd, Pb, Zn, Cu, Ni, Co, Cr, Mn and Fe in surficial sediments (<63μm) from the shores in Aden Governorate were determined by atomic absorption spectrophotometry method. The obtained concentration data show significant regional variations concerning both the total and leachable metals in sediments. Total metal concentrations of Cd and Pb were greatest in sediments from labor Island; Cu, Cr, and Fe occurred in the highest levels in Bandar Fuqum sediments, while maximum levels of Mn, Co, and Ni were observed in sediments from Sahel Abyan and Fuqum. Labile, easily extractable species of metals such as Cd and Pb, are similar to their total concentrations, and additionally Cu, Zn, Cr, and Fe were found in the highest concentrations in sediments from labor Island. Sediments from Sahel Abyan and Khawr Bir Ahmed were characterized by a maximum accumulation of bioavailable species of Co and Mn, respectively. The linear regression slopes for metals correlated were <1, this explains the slow enrichment of these metals in the sediments, and attributes their geological nature. (author)

Revisiting the Issue of Far-Left Political Parties in 1907–1909 (through the Example of Black Sea Governorate

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Konstantin V. Taran

2015-06-01

Full Text Available This article discusses the activity of far-left organizations across Black Sea Governorate in 1907–1909. During this period, the bodies of internal affairs detected in the region a subversive activity of SR Maximalists, Communist Anarchists, and other terrorist groups. The activity of these destructive forces would come down to the physical liquidation of government officials, representatives of right parties, as well as extortion of money from merchants. The author comes to the conclusion that in Novorossiysk the two-year period following the end of the First Russian Revolution saw the party organizations of Social Democrats, Socialist Revolutionaries, Maximalists, Anarchists, etc., to virtually degrade and take on forms of organized criminal groups.

Public knowledge awareness and attitudes toward epilepsy in Al-Kharj Governorate Saudi Arabia

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Khaled K Al-Dossari

2018-01-01

Full Text Available Introduction: Epilepsy is one of the most stigmatizing disorders. Stigmas and negative attitudes associating epilepsy are due to poor public awareness and knowledge. This study evaluated Saudi public Knowledge, awareness, and attitude towards epilepsy. Materials and Methods: A cross-sectional study conducted during the period from September 16, 2014 to January 1st 2015. A 20-item questionnaire adapted from the literature was validated and distributed to 422 adults living in Al-Kharj governorate, and 22 participants were excluded as they have never heard or read about epilepsy. Results: About 94.79% of participants have heard or read about epilepsy, 63% of them knew someone with epilepsy, and 49.75% have witnessed a seizure attack. Seventy per cent of subjects thought that epilepsy is a neurological disease and 59% believed it is a brain disease. Almost 46.5% selected possession by demons or evil spirits and 51.25% cited envy or evil eye. More than half of subjects selected the medical treatment and follow-up as the most effective treatment of epilepsy. Rather, 41% believed in the faith healing. Most of respondents (81.5% believed that epileptic children could be successful in normal classes. The vast majority agreed with that epileptic woman can get married and have children. Moreover, 65.25% would allow their offspring to play with epileptic persons and surprisingly, 59% would let their offspring marrying a person with epilepsy. As much as 82.75% agreed to work with epileptic persons and 85.5% would easily become a close friend of them. The equal job opportunity for epileptic and normal persons should be practiced to about 53.75% of subjects. The predictors of good knowledge, limited misconception, and positive attitudes were female gender, being a relative of an epileptic person, and having high educational level. Conclusion: The public knowledge, awareness of and attitudes toward epilepsy were acceptable with regard to this study. However

Poison Control Centers

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... 1222 immediately. Name State American Association of Poison Control Centers Address AAPCC Central Office NOT A POISON ... not for emergency use. Arkansas ASPCA Animal Poison Control Center Address 1717 S. Philo Road, Suite 36 Urbana, ...

Abnormal tibiofemoral contact stress and its association with altered kinematics following center-center ACL reconstruction: an in vitro study

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Imhauser, Carl; Mauro, Craig; Choi, Daniel; Rosenberg, Eric; Mathew, Stephen; Nguyen, Joseph; Ma, Yan; Wickiewicz, Thomas

2014-01-01

Background Abnormal tibiofemoral contact stress and aberrant kinematics may influence the progression of osteoarthritis in the ACL-deficient and the ACL-reconstructed knee. However, relationships between contact stress and kinematics following ACL reconstruction are poorly understood. Therefore, we posed the following research questions: (1) How do ACL deficiency and reconstruction affect kinematics of and contact stress in the tibiofemoral joint? (2) What kinematic differences are associated with abnormal contact stress following ACL reconstruction? Hypothesis/Purpose Center-center ACL reconstruction will not restore knee kinematics and contact stress. Correlations will exist between abnormal contact stress and aberrant kinematics following ACL reconstruction will exist. Study Design Controlled laboratory study Methods Clinical tests of anterior and rotational stability were simulated on eleven cadaveric knees using an industrial robot. Tests were conducted with the ACL intact, sectioned, and after single bundle ACL reconstruction using a quadrupled hamstring autograft with tunnels drilled through the center of the native footprints. Kinematics were recorded during the tests. Contact stress was continuously recorded from a stress transducer fixed to the tibial plateau and mean contact stress was calculated regionally. Results ACL deficiency resulted in increased mean contact stress in the posterior sectors of the medial and lateral compartments under anterior and rotational loads, respectively. Reconstruction reduced stress in these locations; however contact stress abnormalities remained. On average, kinematics were overconstrained following ACL reconstruction (≤1.8mm and ≤2.6° in all directions). However, combinations of overconstrained and underconstrained motions in ab/adduction and medial-lateral translation in response to combined moments, and axial rotation, anterior-posterior and medial-lateral translation in response to an anterior load were

Association fibers connecting the Broca center and the lateral superior frontal gyrus: a microsurgical and tractographic anatomy.

Science.gov (United States)

Kinoshita, Masashi; Shinohara, Harumichi; Hori, Osamu; Ozaki, Noriyuki; Ueda, Fumiaki; Nakada, Mitsutoshi; Hamada, Jun-Ichiro; Hayashi, Yutaka

2012-02-01

Recently, intraoperative mapping has disclosed that, in addition to the classic language centers (that is, the Broca and Wernicke centers), other cortical regions may also play an important role in language organization. In the prefrontal cortex, although the lateral superior frontal gyrus (LSFG) could have language-related functions, there are no detailed reports that demonstrate the anatomical connection between the LSFG and other well-known language cortices, such as the Broca center. To show the existence of the structural connection, white matter association fibers between the inferior frontal gyrus (IFG) and the LSFG were examined using fiber dissection (FD) and diffusion tensor (DT) imaging-based tractography. Eight cadaveric cerebral hemispheres were dissected to reveal the association fibers between the IFG and LSFG. The DT imaging-based tractography studies targeting the prefrontal cortex were obtained in 53 right-handed patients who had no organic cerebral lesions. The association fiber tract between Brodmann area 44/45 (the Broca center in the dominant hemisphere) and LSFG were detected in all specimens by FD. In the DT imaging-based tractography studies, the tract was identified in all patients bilaterally, except for the 4 in whom the tract was detected only in the left hemisphere. This tract was spread significantly wider in the left than in the right hemisphere, and left lateralization was evident in male patients. Based on its character, this tract was named the Broca-LSFG pathway. These findings suggest a close relationship between this pathway and language organization. The structural anatomy of the Broca-LSFG pathway may explain speech disturbances induced by LSFG stimulation that are sometimes observed during intraoperative language mapping.

Handbook on data centers

CERN Document Server

Khan, Samee Ullah

2015-01-01

This handbook offers a comprehensive review of the state-of-the-art research achievements in the field of data centers. Contributions from international, leading researchers and scholars offer topics in cloud computing, virtualization in data centers, energy efficient data centers, and next generation data center architecture.  It also comprises current research trends in emerging areas, such as data security, data protection management, and network resource management in data centers. Specific attention is devoted to industry needs associated with the challenges faced by data centers, such as various power, cooling, floor space, and associated environmental health and safety issues, while still working to support growth without disrupting quality of service. The contributions cut across various IT data technology domains as a single source to discuss the interdependencies that need to be supported to enable a virtualized, next-generation, energy efficient, economical, and environmentally friendly data cente...

Association of Employee Attributes and Exceptional Performance Rating at a National Center of the US Centers for Disease Control and Prevention, 2011.

Science.gov (United States)

Roberts, Henry; Myles, Ranell L; Truman, Benedict I; Dean, Hazel D

2015-01-01

Employee performance evaluation motivates and rewards exceptional individual performance that advances the achievement of organizational goals. The Centers for Disease Control and Prevention (CDC) and its operating units evaluate employee performance annually and reward exceptional performance with a cash award or quality step increase in pay. A summary performance rating (SPR) of "exceptional" indicated personal achievements in 2011 that were beyond expectations described in the employee's performance plan. To determine whether personal attributes and job setting of civil service employees were associated with an exceptional SPR in National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) in 2011. Data from the CDC 2011 performance management database collected in 2012 were analyzed in 2013 to identify SPR, personal attributes, and job settings of full-time civil service employees. Multivariate logistic regression controlled for confounding and stratified analysis detected effect modifiers of the association between receiving an exceptional SPR in 2011 and gender, race/ethnicity, education, job location, job series, grade level, years in grade, years of federal service, supervisory role, and NCHHSTP division. Among the 1037 employees, exceptional SPR was independently associated with: female gender (adjusted odds ratio: 1.7 [1.3, 2.3]), advanced degrees (doctorate: 1.7 [1.1, 2.5] master's: [1.1, 2.0]), headquarters location (2.8 [1.9, 4.1]), higher pay grade (3.3 [2.4, 4.5]) and years in grade (0-1 years: 1.7 [1.3, 2.4]; 2-4 years: 1.5 [1.1, 2.0]), division level (Division A: 5.0 [2.5, 9.9]; Division B: 5.5 [3.5, 8.8]), and supervisory status (at a lower-pay grade) (odds ratio: 3.7 [1.1, 11.3]). Exceptional SPR is independently associated with personal employee attributes and job settings that are not modifiable by interventions designed to improve employee performance based on accomplishments.

Communication received from the Governor of Norway to the Agency concerning the International Symposium of Minimisation of Highly Enriched Uranium in the Civilian Nuclear Sector

International Nuclear Information System (INIS)

2006-01-01

The Director General has received a communication from the Governor of Norway, attaching the Chair's Summary of the discussions held during the International Symposium of Minimisation of Highly Enriched Uranium in the Civilian Nuclear Sector which was held in Oslo from 17 to 20 June 2006 as well as the summary from the technical workshop of the Symposium. The communication and, as requested therein, the attached two summaries, are herewith circulated for the information of Member States

Costs and clinical quality among Medicare beneficiaries: associations with health center penetration of low-income residents.

Science.gov (United States)

Sharma, Ravi; Lebrun-Harris, Lydie A; Ngo-Metzger, Quyen

2014-01-01

Determine the association between access to primary care by the underserved and Medicare spending and clinical quality across hospital referral regions (HRRs). Data on elderly fee-for-service beneficiaries across 306 HRRs came from CMS' Geographic Variation in Medicare Spending and Utilization database (2010). We merged data on number of health center patients (HRSA's Uniform Data System) and number of low-income residents (American Community Survey). We estimated access to primary care in each HRR by "health center penetration" (health center patients as a proportion of low-income residents). We calculated total Medicare spending (adjusted for population size, local input prices, and health risk). We assessed clinical quality by preventable hospital admissions, hospital readmissions, and emergency department visits. We sorted HRRs by health center penetration rate and compared spending and quality measures between the high- and low-penetration deciles. We also employed linear regressions to estimate spending and quality measures as a function of health center penetration. The high-penetration decile had 9.7% lower Medicare spending ($926 per capita, p=0.01) than the low-penetration decile, and no different clinical quality outcomes. Compared with elderly fee-for-service beneficiaries residing in areas with low-penetration of health center patients among low-income residents, those residing in high-penetration areas may accrue Medicare cost savings. Limited evidence suggests that these savings do not compromise clinical quality.

Prevalence of multiple sclerosis in Al Quseir city, Red Sea Governorate, Egypt

Directory of Open Access Journals (Sweden)

El-Tallawy HN

2016-01-01

Full Text Available Hamdy N El-Tallawy,1 Wafaa M A Farghaly,1 Reda Badry,1 Nabil A Metwally,2 Ghaydaa A Shehata,1 Tarek A Rageh,1 Mohamed Abd El Hamed,1 Mahmoud R Kandil1 1Department of Neurology and Psychiatry, Assiut University Hospital, Assiut, Egypt; 2Department of Neurology and Psychiatry, Al Azhar University Hospital, Assiut Branch, Assiut, Egypt Background: Multiple sclerosis (MS is a chronic and disabling disorder with considerable social effects and economic sequelae. It is one of the major causes of disability in young adults.Objectives: This study aimed at detecting the prevalence of MS among the population of Al Quseir city.Methods: This study is a part of door-to-door survey of major neurological disorders that was conducted in Al Quseir city, Red Sea Governorate, Egypt. The sample size was 33,285 persons. The youngest patient was 17 years old. The number of people at and above 17 years of age was 21,827. They were screened by three neurologists. Then, the positive cases were subjected to meticulous clinical evaluation by three staff members of Department of Neurology, Assiut University Hospital, Egypt. Essential investigations were done.Results: A total of three cases of MS were diagnosed with an age-specific prevalence ≥17 years of 13.7/100,000. Keywords: prevalence, multiple sclerosis, Al Quseir, door-to-door survey 

High School Students' Experiences of Bullying and Victimization and the Association with School Health Center Use

Science.gov (United States)

Lewis, Catherine; Deardorff, Julianna; Lahiff, Maureen; Soleimanpour, Samira; Sakashita, Kimi; Brindis, Claire D.

2015-01-01

Background: Bullying and victimization are ongoing concerns in schools. School health centers (SHCs) are well situated to support affected students because they provide crisis intervention, mental health care, and broader interventions to improve school climate. This study examined the association between urban adolescents' experiences of…

Abnormal tibiofemoral contact stress and its association with altered kinematics after center-center anterior cruciate ligament reconstruction: an in vitro study.

Science.gov (United States)

Imhauser, Carl; Mauro, Craig; Choi, Daniel; Rosenberg, Eric; Mathew, Stephen; Nguyen, Joseph; Ma, Yan; Wickiewicz, Thomas

2013-04-01

Abnormal tibiofemoral contact stress and aberrant kinematics may influence the progression of osteoarthritis in the anterior cruciate ligament (ACL)-deficient and the ACL-reconstructed knee. However, relationships between contact stress and kinematics after ACL reconstruction are poorly understood. Therefore, we posed the following research questions: (1) How do ACL deficiency and reconstruction affect the kinematics of and contact stress in the tibiofemoral joint? (2) What kinematic differences are associated with abnormal contact stress after ACL reconstruction? Center-center ACL reconstruction will not restore knee kinematics and contact stress. Correlations will exist between abnormal contact stress and aberrant kinematics after ACL reconstruction. Controlled laboratory study. Clinical tests of anterior and rotational stability were simulated on 11 cadaveric knees using an industrial robot. Tests were conducted with the ACL intact, sectioned, and after single-bundle ACL reconstruction using a quadrupled hamstring autograft with tunnels drilled through the center of the native footprints. Kinematics were recorded during the tests. Contact stress was continuously recorded from a stress transducer fixed to the tibial plateau, and mean contact stress was calculated regionally. ACL deficiency resulted in increased mean contact stress in the posterior sectors of the medial and lateral compartments under anterior and rotational loads, respectively. Reconstruction reduced stress in these locations; however, contact stress abnormalities remained. On average, kinematics were overconstrained after ACL reconstruction (≤1.8 mm and ≤2.6° in all directions). However, combinations of overconstrained and underconstrained motions in abduction/adduction and medial-lateral translation in response to combined moments, and anterior-posterior translation, medial-lateral translation, and axial rotation in response to an anterior load were associated with abnormal mean contact

HIV-associated hematologic malignancies: Experience from a Tertiary Cancer Center in India.

Science.gov (United States)

Reddy, Rakesh; Gogia, Ajay; Kumar, Lalit; Sharma, Atul; Bakhshi, Sameer; Sharma, Mehar C; Mallick, Saumyaranjan; Sahoo, Ranjit

2016-01-01

Data on HIV associated hematologic malignancies is sparse from India. This study attempts to analyze the spectrum and features of this disease at a tertiary cancer center in India. Retrospective study from case records of patients registered with a diagnosis of hematologic malignancy and HIV infection between January 2010 and June 2015. Thirteen cases of HIV associated hematologic malignancies were identified, six of them pediatric. HIV diagnosis was concurrent to diagnosis of cancer in 12 and preceded it in one of them. ECOG PS at presentation was >1 in all of them. All patients, except one, had B symptoms. Six of the patients had bulky disease and six are stage 4. Predominant extranodal disease was seen in 67% of them. NHL accounted for 10 of 13 patients and DLBCL-Germinal center was the most common subtype. Mean CD4+ cell count was 235/μL (range, 32-494). HAART could be given along with chemotherapy to 11 patients. Two-thirds of patients received standard doses of therapy. Chemo-toxicity required hospitalization in 58%. CR was achieved in 45% and 36% had progressive disease with first-line therapy. At the time of last follow up, 3 patients were alive with responsive disease, 2 in CR and 1 in PR. None of the pediatric patients were long time responders. These malignancies were of advanced stage and higher grade. Goal of therapy, in the HAART era, is curative. Pediatric patients had dismal outcome despite good chemotherapy and HAART. There is an urgent need to improve data collection for HIV related cancers in India.

Possible health effects of liquefied petroleum gas on workers at filling and distribution stations of Gaza governorates.

Science.gov (United States)

Sirdah, M M; Al Laham, N A; El Madhoun, R A

2013-03-01

Liquefied petroleum gas (LPG) is widely used in the Gaza Strip for domestic purposes, in agriculture and industry and, illegally, in cars. This study aimed to identify possible health effects on workers exposed to LPG in Gaza governorates. Data were collected by a questionnaire interview, and haematological and biochemical analyses of venous blood samples were made from 30 workers at filling and distribution stations and 30 apparently healthy controls. Statistically significant differences were found in all self-reported health-related complaints among LPG workers versus controls. LPG workers had significantly higher values of red blood cell counts, haemoglobin, haematocrit mean corpuscular haemoglobin and platelet counts. They also had significantly higher values of kidney function tests (urea, creatinine and uric acid) and liver function enzyme activities (aspartate aminotransferase and alanine aminotransferase). LPG workers at Gaza Strip petroleum stations are at higher risk for health-related symptoms and clinical abnormalities.

Introductory statement to Board of Governors, 13 September 2010, Vienna, Austria

International Nuclear Information System (INIS)

Amano, Yukiya

2010-01-01

Last month, I had the honour of attending two very important ceremonies in my homeland in commemoration of the devastating nuclear catastrophes in Hiroshima and Nagasaki. This was the first time that the ceremonies were attended by the United Nations Secretary General, the U.S. Ambassador to Japan and the IAEA Director General. I sensed a new momentum towards achieving a world free of nuclear weapons. I used the occasion of my visit to Nagasaki to make my own personal commitment to redouble my efforts to help bring about a world free of nuclear weapons. There are four elements to this commitment: First, I believe the IAEA should do what it can to facilitate the implementation of nuclear disarmament through verification. We recently received a joint letter from Secretary of State Clinton and Minister of Foreign Affairs Lavrov, on behalf of the United States and the Russian Federation, requesting IAEA assistance to independently verify implementation of their agreement on the disposal of plutonium no longer required for defence purposes. Second, the IAEA should, when requested, work to support the creation of new nuclear-weapon- free zones and continue to help in implementing agreements relevant to such zones. Third, the Agency's safeguards activities should be strengthened in order to help prevent the proliferation of nuclear weapons. Fourth, the IAEA should redouble its efforts to support States in their national efforts to prevent terrorist groups from acquiring nuclear weapons. I intend to focus strongly on the goal of helping to achieve a world free of nuclear weapons, under the guidance of the Board of Governors

Phylogeny of Dengue and Chikungunya viruses in Al Hudayda governorate, Yemen.

Science.gov (United States)

Ciccozzi, Massimo; Lo Presti, Alessandra; Cella, Eleonora; Giovanetti, Marta; Lai, Alessia; El-Sawaf, Gamal; Faggioni, Giovanni; Vescio, Fenicia; Al Ameri, Ranya; De Santis, Riccardo; Helaly, Ghada; Pomponi, Alice; Metwally, Dalia; Fantini, Massimo; Qadi, Hussein; Zehender, Gianguglielmo; Lista, Florigio; Rezza, Giovanni

2014-10-01

Yemen, which is located in the southwestern end of the Arabian Peninsula, is one of countries most affected by recurrent epidemics caused by emerging vector-borne viruses. Dengue virus (DENV) outbreaks have been reported with increasing frequency in several governorates since the year 2000, and the Chikungunya virus (CHIKV) has been also responsible of large outbreaks and it is now a major public health problem in Yemen. We report the results of the phylogenetic analysis of DENV-2 and CHIKV isolates (NS1 and E1 genes, respectively) detected in an outbreak occurred in Al-Hudayda in 2012. Estimates of the introduction date of CHIKV and DENV-2, and the phylogeographic analysis of DENV-2 are also presented. Phylogenetic analysis showed that the Yemen isolates of DENV belonged to the lineage 2 Cosmopolitan subtype, whereas CHIKV isolates from Yemen belonged to the ECSA genotype. All the CHIKV isolates from Yemen were statistically supported and dated back to the year 2010 (95% HPD: 2009-2011); these sequences showed an alanine in the aminoacid position 226 of the E1 protein. Phylogeographic analysis of DENV-2 virus showed that cluster 1, which included Yemen isolates, dated back to 2003 Burkina Faso strains (95% HPD 1999-2007). The Yemen, cluster dated back to 2011 (95% HPD 2009-2012). Our study sheds light on the global spatiotemporal dynamics of DENV-2 and CHIKV in Yemen. This study reinforces both the need to monitor the spread of CHIKV and DENV, and to apply significant measures for vector control. Copyright © 2014 Elsevier B.V. All rights reserved.

The burden of trachoma in the rural Nile Delta of Egypt: a survey of Menofiya governorate.

Science.gov (United States)

Ezz al Arab, G; Tawfik, N; El Gendy, R; Anwar, W; Courtright, P

2001-12-01

Evidence of widespread distribution of trachoma in Egypt had not been clarified as previous surveys were limited to individual communities which may not have been representative of the general population. The Nile Delta of Egypt presents a unique environment for trachoma to persist. Economic improvements in the past decade have affected even the poorest rural environments; availability of electricity is now found in many rural communities. Availability of water in Nile Delta has always been good but poor hygienic conditions have been the primary factor in trachoma transmission. A survey of trachoma was undertaken in Menofiya governorate to determine if Egypt should be identified as trachoma endemic and targeted for trachoma control efforts. A multistage random cluster study design was used with the target population defined as adults aged 50 and over and children aged 2-6 years from throughout the governorate. Among preschool children only trachoma was graded while among adults presenting visual acuity and cause of vision loss or blindness were also recorded. Adults were interviewed regarding past trichiasis surgery; those currently with trichiasis or a history of trichiasis surgery were also interviewed regarding outcome of surgery. A total of 3272 children aged 2-6 and 3322 adults age 50+ were enumerated. Among the children 81.3% were examined and among the adults 73.0% were examined. Active trachoma (follicles (TF) and/or intense inflammation (TI)) was found among 36.5% (95% confidence interval (CI) 34.7-38.3%) of the children. TI was 1.89 (95% CI 1.22-2.94) times more common in rural children compared to urban children. The prevalence of trichiasis (TT) in adults was 6.5%; women had an age adjusted odds of trichiasis of 1.68 (95% CI 1.18-2.39) compared to men. Trichiasis was 2.11 times (95% CI 1.33-3.37) more common in rural Menofiya compared to urban Menofiya. TT accounts for blindness (presenting vision vision loss. These findings would suggest that continued

U.S. Experience and practices associated with the use of centralized rad waste processing centers

International Nuclear Information System (INIS)

Gibson, James D.

1994-01-01

This paper presents the experience and current practices employed within the United States (US) associated with the use of Centralized Rad waste Processing Centers for the processing of Low Level Radioactive Wastes (LLRW). Information is provided on the methods, technologies, and practices employed by Scientific Ecology Group, Inc. (SEG), which is the worlds largest processor of LLRW. SEG processes over 80,000 cubic meters of waste annually and achieves an overall volume reduction of 12 : 1. LLRW processing in the United States is currently performed primarily at Centralized Rad waste Processing Centers, such as SEG's Central Volume Reduction Facility (CVRF) in Oak Ridge, Tennessee. This is primarily due to the superior economical application of advanced waste processing technologies, equipment, and personnel maintained at these centers. Information is provided on how SEG uses supercompaction, incineration, metals recycling, vitrification, and various other waste processing techniques to process both dry and wet wastes from over 90 commercial nuclear power plants, government operated facilities, hospitals, universities, and various small generators of radioactive waste

Association of SNCA with Parkinson: replication in the Harvard NeuroDiscovery Center Biomarker Study

Science.gov (United States)

Ding, Hongliu; Sarokhan, Alison K.; Roderick, Sarah S.; Bakshi, Rachit; Maher, Nancy E.; Ashourian, Paymon; Kan, Caroline G.; Chang, Sunny; Santarlasci, Andrea; Swords, Kyleen E.; Ravina, Bernard M.; Hayes, Michael T.; Sohur, U. Shivraj; Wills, Anne-Marie; Flaherty, Alice W.; Unni, Vivek K.; Hung, Albert Y.; Selkoe, Dennis J.; Schwarzschild, Michael A.; Schlossmacher, Michael G.; Sudarsky, Lewis R.; Growdon, John H.; Ivinson, Adrian J.; Hyman, Bradley T.; Scherzer, Clemens R.

2011-01-01

Background Mutations in the α-synuclein gene (SNCA) cause autosomal dominant forms of Parkinson’s disease, but the substantial risk conferred by this locus to the common sporadic disease has only recently emerged from genome-wide association studies. Methods Here we genotyped a prioritized non-coding variant in SNCA intron-4 in 344 patients with Parkinson’s and 275 controls from the longitudinal Harvard NeuroDiscovery Center Biomarker Study. Results The common minor allele of rs2736990 was associated with elevated disease susceptibility (odds ratio = 1.40, P value = 0.0032). Conclusions This result increases confidence in the notion that in many clinically well-characterized patients genetic variation in SNCA contributes to “sporadic” disease. PMID:21953863

Variables associated with the performance of Centers for Dental Specialties in Brazil.

Science.gov (United States)

Cortellazzi, Karine Laura; Balbino, Edna Cesar; Guerra, Luciane Miranda; Vazquez, Fabiana de Lima; Bulgareli, Jaqueline Vilela; Ambrosano, Glaucia Maria Bovi; Pereira, Antonio Carlos; Mialhe, Fábio Luiz

2014-12-01

The aim of this study was to evaluate the performance of the Centers for Dental Specialties (CDS) in the country and associations with sociodemographic indicators of the municipalities, structural variables of services and primary health care organization in the years 2004-2009. The study used secondary data from procedures performed in the CDS to the specialties of periodontics, endodontics, surgery and primary care. Bivariate analysis by χ2 test was used to test the association between the dependent variable (performance of the CDS) with the independents. Then, Poisson regression analysis was performed. With regard to the overall achievement of targets, it was observed that the majority of CDS (69.25%) performance was considered poor/regular. The independent factors associated with poor/regular performance of CDS were: municipalities belonging to the Northeast, South and Southeast regions, with lower Human Development Index (HDI), lower population density, and reduced time to deployment. HDI and population density are important for the performance of the CDS in Brazil. Similarly, the peculiarities related to less populated areas as well as regional location and time of service implementation CDS should be taken into account in the planning of these services.

A multilevel model to estimate the within- and the between-center components of the exposure/disease association in the EPIC study.

Science.gov (United States)

Sera, Francesco; Ferrari, Pietro

2015-01-01

In a multicenter study, the overall relationship between exposure and the risk of cancer can be broken down into a within-center component, which reflects the individual level association, and a between-center relationship, which captures the association at the aggregate level. A piecewise exponential proportional hazards model with random effects was used to evaluate the association between dietary fiber intake and colorectal cancer (CRC) risk in the EPIC study. During an average follow-up of 11.0 years, 4,517 CRC events occurred among study participants recruited in 28 centers from ten European countries. Models were adjusted by relevant confounding factors. Heterogeneity among centers was modelled with random effects. Linear regression calibration was used to account for errors in dietary questionnaire (DQ) measurements. Risk ratio estimates for a 10 g/day increment in dietary fiber were equal to 0.90 (95%CI: 0.85, 0.96) and 0.85 (0.64, 1.14), at the individual and aggregate levels, respectively, while calibrated estimates were 0.85 (0.76, 0.94), and 0.87 (0.65, 1.15), respectively. In multicenter studies, over a straightforward ecological analysis, random effects models allow information at the individual and ecologic levels to be captured, while controlling for confounding at both levels of evidence.

A multilevel model to estimate the within- and the between-center components of the exposure/disease association in the EPIC study.

Directory of Open Access Journals (Sweden)

Francesco Sera

Full Text Available In a multicenter study, the overall relationship between exposure and the risk of cancer can be broken down into a within-center component, which reflects the individual level association, and a between-center relationship, which captures the association at the aggregate level. A piecewise exponential proportional hazards model with random effects was used to evaluate the association between dietary fiber intake and colorectal cancer (CRC risk in the EPIC study. During an average follow-up of 11.0 years, 4,517 CRC events occurred among study participants recruited in 28 centers from ten European countries. Models were adjusted by relevant confounding factors. Heterogeneity among centers was modelled with random effects. Linear regression calibration was used to account for errors in dietary questionnaire (DQ measurements. Risk ratio estimates for a 10 g/day increment in dietary fiber were equal to 0.90 (95%CI: 0.85, 0.96 and 0.85 (0.64, 1.14, at the individual and aggregate levels, respectively, while calibrated estimates were 0.85 (0.76, 0.94, and 0.87 (0.65, 1.15, respectively. In multicenter studies, over a straightforward ecological analysis, random effects models allow information at the individual and ecologic levels to be captured, while controlling for confounding at both levels of evidence.

The Invention and Institutionalization of Volunteer Centers

DEFF Research Database (Denmark)

Lorentzen, Håkon; Henriksen, Lars Skov

2014-01-01

the Norwegian centers lacked a national coordinating unit. Third, an independent legal form in which local associations are members may have helped Danish centers bring about a sense of local ownership. In Norway, volunteer centers had weak ties to other local voluntary associations and were at times perceived...

Comprehensive stroke centers may be associated with improved survival in hemorrhagic stroke.

Science.gov (United States)

McKinney, James S; Cheng, Jerry Q; Rybinnik, Igor; Kostis, John B

2015-05-06

Comprehensive stroke centers (CSCs) provide a full spectrum of neurological and neurosurgical services to treat complex stroke patients. CSCs have been shown to improve clinical outcomes and mitigate disparities in ischemic stroke patients. It is believed that CSCs also improve outcomes in hemorrhagic stroke. We used the Myocardial Infarction Data Acquisition System (MIDAS) database, which includes data on patients discharged with a primary diagnosis of intracerebral hemorrhage (ICH; International Classification of Diseases, Ninth Revision [ICD-9] 431) and subarachnoid hemorrhage (SAH; ICD-9 430) from all nonfederal acute care hospitals in New Jersey (NJ) between 1996 and 2012. Out-of-hospital deaths were assessed by matching MIDAS records with NJ death registration files. The primary outcome variable was 90-day all-cause mortality. The primary independent variable was CSC versus primary stroke center (PSC) and nonstroke center (NSC) admission. Multivariate logistic models were used to measure the effects of available covariates. Overall, 36 981 patients were admitted with a primary diagnosis of ICH or SAH during the study period, of which 40% were admitted to a CSC. Patients admitted to CSCs were more likely to have neurosurgical or endovascular interventions than those admitted to a PSC/NSC (18.9% vs. 4.7%; Pmortality (35.0% vs. 40.3%; odds ratio, 0.93; 95% confidence interval, 0.89 to 0.97) for hemorrhagic stroke. This was particularly true for those admitted with SAH. Hemorrhagic stroke patients admitted to CSCs are more likely to receive neurosurgical and endovascular treatments and be alive at 90 days than patients admitted to other hospitals. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Emergency Operations Center ribbon cutting

Science.gov (United States)

2009-01-01

Center Director Gene Goldman and special guests celebrate the opening of the site's new Emergency Operations Center on June 2. Participants included (l t r): Steven Cooper, deputy director of the National Weather Service Southern Region; Tom Luedtke, NASA associate administrator for institutions and management; Charles Scales, NASA associate deputy administrator; Mississippi Gov. Haley Barbour; Gene Goldman, director of Stennis Space Center; Jack Forsythe, NASA assistant administrator for the Office of Security and Program Protection; Dr. Richard Williams, NASA chief health and medical officer; and Weldon Starks, president of Starks Contracting Company Inc. of Biloxi.

Design of an adaptive finite-time controller for synchronization of two identical/different non-autonomous chaotic flywheel governor systems

International Nuclear Information System (INIS)

Aghababa Mohammad Pourmahmood

2012-01-01

The centrifugal flywheel governor (CFG) is a mechanical device that automatically controls the speed of an engine and avoids the damage caused by sudden change of load torque. It has been shown that this system exhibits very rich and complex dynamics such as chaos. This paper investigates the problem of robust finite-time synchronization of non-autonomous chaotic CFGs. The effects of unknown parameters, model uncertainties and external disturbances are fully taken into account. First, it is assumed that the parameters of both master and slave CFGs have the same value and a suitable adaptive finite-time controller is designed. Second, two CFGs are synchronized with the parameters of different values via a robust adaptive finite-time control approach. Finally, some numerical simulations are used to demonstrate the effectiveness and robustness of the proposed finite-time controllers. (general)

Introductory statement to the [IAEA] Board of Governors, 7 September 2009, Vienna, Austria

International Nuclear Information System (INIS)

ElBaradei, M.

2009-01-01

During the opening of the IAEA Board of Governors (7 September 2009), Director General Mohamed ElBaradei reported on nuclear power, nuclear applications, security and safety as well as non-proliferation issues. Concerning Nuclear Applications the Director General reported that progress is being made in establishing comprehensive cancer control programmes under the Programme of Action for Cancer Therapy (PACT) and the newly established WHO-IAEA Joint Programme on Cancer Control. Dr. ElBaradei also highlighted the continued concern over the shortage of the medical isotope molybdenum-99. Concerning Nuclear Power the Director General reported that despite the global recession, and a few countries delaying nuclear power decisions, the Agency's new projections for nuclear power generating capacity in the medium term have actually been revised upward to between 511 GW(e) of generating capacity in 2030 at the low end and possibly 807 GW(e), more than double current capacity. 'The expected growth reflects the urgent need for energy, especially in the developing world, concerns about energy security, fluctuations in fossil fuel prices, the need to vigorously address climate change, as well as the good performance and safety record of nuclear power,' he said. The number of IAEA national and regional technical cooperation projects on the introduction of nuclear power has risen from 15 in 2008 to 44 this year. Concerning Nuclear Safety and Security Dr. ElBaradei also reported that nuclear trafficking is continuing unabated. Up to June of this year the Agency's Illicit Trafficking Database (ITDB) received reports of 215 incidents. 'It is vital that all Member States do their utmost to ensure that nuclear and radioactive materials are safe and secure,' he said. Concerning Non-Proliferation the Director General reported that although the Islamic Republic of Iran has cooperated with the Agency on some issues, several critical areas remain unaddressed. 'Iran has not suspended its

The guiding center Lagrangian

International Nuclear Information System (INIS)

Larsson, J.

1986-01-01

Recursion relations determining the guiding center Langrangian Λ and the associated guiding center variables to all orders are derived. We consider some particularly simple forms of Λ obtainable by specific choices of certain arbitrary functions appearing as free parameters in the theory. It is, for example, possible to locally define the guiding center variables so that the expression for the corresponding Langrangian is unchanged by all higher order terms. (orig.)

An Investigation of the Relationship between Power Distribution and Organizational Conflict in the Governor Office of Kohgiluyeh and Boyer-Ahmad

Directory of Open Access Journals (Sweden)

Ayatollah Saadatian

2015-06-01

Full Text Available The current paper explores the relationship between power distribution and organizational conflict in the country office of Kohgiluyeh and Boyer-Ahmad. It fits within the category of descriptive research, and its population consisted of all staff in the governor office of Kohgiluyeh and Boyer-Ahmad, i.e. 180 individuals 65 of whom were selected as research participants. Research instruments utilized included standardized power distribution and organizational conflict questionnaires whose reliabilities were estimated at 0.93 and 0.75 respectively through Cronbach's alpha. Obviously, both reliability coefficients were satisfactory. The data were analyzed and described through SPSS. To describe them, descriptive statistics and to analyze them referential statistics, including Pearson's rank-order correlation coefficient and Kolmogorov-Smirnov tests were performed. In light of the results, autocratic and persuasive management styles increased organizational conflict.

Frequency and risk factors associated with dry eye in patients attending a tertiary care ophthalmology center in Mexico City

Directory of Open Access Journals (Sweden)

Martinez JD

2016-07-01

Full Text Available Jaime D Martinez,1 Anat Galor,2,3 Nallely Ramos-Betancourt,1 Andrés Lisker-Cervantes,1 Francisco Beltrán,1 Jorge Ozorno-Zárate,1 Valeria Sánchez-Huerta,1 Marco-Antonio Torres-Vera,1 Everardo Hernández-Quintela1 1Cornea and External Diseases Service, Asociación Para Evitar la Ceguera en Mexico (Association to prevent blindness in Mexico, Universidad Nacional Autónoma de México, Mexico City, Mexico; 2Department of Ophthalmology, Miami Veterans Affairs Medical Center, 3Cornea and External Diseases Division, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA Purpose: The purpose of this study was to ascertain the frequency and risk factors of dry eye (DE among patients attending a tertiary care ophthalmology center in Mexico.Methods: Approximately 338 consecutive new patients attending a tertiary care ophthalmology center in Mexico City underwent an ocular surface examination, which included tear film break-up time, fluorescein corneal staining, Schirmer’s test, and evaluation of meibum quality. Symptoms of DE were evaluated by the Ocular Surface Disease Index and Dry Eye Questionnaire-5. Information on demographics, exposures, past medical and ocular history, and medications was also collected.Results: The frequency of severe DE symptoms was found to be 43% based on the Ocular Surface Disease Index and 30% based on Dry Eye Questionnaire-5. Risk factors significantly associated with increased DE symptoms included dry mouth and gastrointestinal ulcer medications. With regard to signs, aqueous tear deficiency was a less-frequent finding (22% in our population than evaporative deficiency (94%. Risk factors associated with aqueous tear deficiency were dry mouth and diuretic use. No risk factors were associated with evaporative deficiency. Risk factors associated with meibomian gland dysfunction included old age, male sex, arthritis, and use of an antihypertensive. The only risk factor associated with corneal staining was dry

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing.

Science.gov (United States)

Larkin, Ian; Ang, Desmond; Steinhart, Jonathan; Chao, Matthew; Patterson, Mark; Sah, Sunita; Wu, Tina; Schoenbaum, Michael; Hutchins, David; Brennan, Troyen; Loewenstein, George

2017-05-02

In an effort to regulate physician conflicts of interest, some US academic medical centers (AMCs) enacted policies restricting pharmaceutical representative sales visits to physicians (known as detailing) between 2006 and 2012. Little is known about the effect of these policies on physician prescribing. To analyze the association between detailing policies enacted at AMCs and physician prescribing of actively detailed and not detailed drugs. The study used a difference-in-differences multivariable regression analysis to compare changes in prescribing by physicians before and after implementation of detailing policies at AMCs in 5 states (California, Illinois, Massachusetts, Pennsylvania, and New York) that made up the intervention group with changes in prescribing by a matched control group of similar physicians not subject to a detailing policy. Academic medical center implementation of policies regulating pharmaceutical salesperson visits to attending physicians. The monthly within-drug class market share of prescriptions written by an individual physician for detailed and nondetailed drugs in 8 drug classes (lipid-lowering drugs, gastroesophageal reflux disease drugs, diabetes drugs, antihypertensive drugs, hypnotic drugs approved for the treatment of insomnia [sleep aids], attention-deficit/hyperactivity disorder drugs, antidepressant drugs, and antipsychotic drugs) comparing the 10- to 36-month period before implementation of the detailing policies with the 12- to 36-month period after implementation, depending on data availability. The analysis included 16 121 483 prescriptions written between January 2006 and June 2012 by 2126 attending physicians at the 19 intervention group AMCs and by 24 593 matched control group physicians. The sample mean market share at the physician-drug-month level for detailed and nondetailed drugs prior to enactment of policies was 19.3% and 14.2%, respectively. Exposure to an AMC detailing policy was associated with a

Detection, identification, and differentiation of sheep pox virus and goat pox virus from clinical cases in Giza Governorate, Egypt.

Science.gov (United States)

Mahmoud, M A; Khafagi, M H

2016-12-01

To isolate, identify, and differentiate Capripoxviruses (CaPV) (sheep pox virus and goat pox virus) infections by egg inoculation, transmission electron microscopy (TEM), and 30 kDa RNA polymerase subunit gene-based polymerase chain reaction (PCR) (RPO30) in clinically affected animals in Hawamdia township of Giza Governorate, Egypt. A total of 37 scab samples were collected from clinically suspected field cases of sheep pox and goat pox. These samples were collected during (2014-2015) during different outbreaks of sheep pox and goat pox from Hawamdia township of Giza Governorate, Egypt. The samples were subjected to egg inoculation, TEM, and (RPO30) gene-based PCR. By using the egg inoculation: Previously prepared 37 scab samples (n=23 sheep and n=14 goats) were inoculated on the chorioallantoic membrane of specific pathogen free (SPF) embryonated chicken eggs (12 days old age). In the presence of the suitable percentage of humidity and candling, the inoculated eggs were incubated at 37°C. By using the TEM: Samples showed positive pock lesions on the chorioallantoic membranes, were fixed in glutaraldehyde, then processed and sectioned for TEM. Using the (RPO30) gene-based PCR assay, 30 of positive samples after egg inoculation (n=19 sheep and n=11 goats) were screened. Using the egg inoculation, a characteristic pock lesions for poxviruses were seen in 30/37 (n=19 sheep and n=11 goats) (81.08%). Using the TEM, examination of the positive samples after egg inoculation revealed positive result in 23/30 (n=15 sheep and n=8 goats) (76.66%). The positive results represented by the presence of negatively stained oval-shape virus particles. Using the (RPO30) gene-based PCR assay, out of 30 total of positive samples after egg inoculation (n=19 sheep and n=11 goats) were screened, 27 (90%) samples (n=17 sheep and n=10 goats) were positive. The given band sizes of sheep and goats were 172 and 152 bp, respectively. PCR assay depended on RPO30 gene can be used lonely for the

Comparison of the New Adult Ventilator-Associated Event Criteria to the Centers for Disease Control and Prevention Pediatric Ventilator-Associated Pneumonia Definition (PNU2) in a Population of Pediatric Traumatic Brain Injury Patients.

Science.gov (United States)

Cirulis, Meghan M; Hamele, Mitchell T; Stockmann, Chris R; Bennett, Tellen D; Bratton, Susan L

2016-02-01

The new Centers for Disease Control and Prevention paradigm for ventilator-associated events is intended to simplify surveillance of infectious and noninfectious complications of mechanical ventilation in adults. We assessed the ventilator-associated events algorithm in pediatric patients. A retrospective observational cohort study. This single-center study took place in a PICU at an urban academic medical facility. Pediatric (ages 0-18 yr old) trauma patients with moderate-to-severe traumatic brain injury ventilated for greater than or equal to 2 days. We assessed for pediatric ventilator-associated pneumonia (as defined by current Centers for Disease Control and Prevention PNU2 guidelines), adult ventilator-associated events, and an experimental ventilator-associated events definition modified for pediatric patients. We compared ventilator-associated events to ventilator-associated pneumonia to calculate the test characteristics. Thirty-nine of 119 patients (33%) developed ventilator-associated pneumonia. Sensitivity of the adult ventilator-associated condition definition was 23% (95% CI, 11-39%), which increased to 56% (95% CI, 40-72%) using the modified pediatric ventilator-associated pneumonia criterion. Specificity reached 100% for both original and modified pediatric probable ventilator-associated pneumonia using ventilator-associated events criteria. Children who developed ventilator-associated pneumonia or ventilator-associated condition had similar baseline characteristics: age, mechanism of injury, injury severity scores, and use of an intracranial pressure monitor. Diagnosis of ventilator-associated pneumonia and ventilator-associated condition portended similarly unfavorable outcomes: longer median duration of ventilation, ICU and hospital length of stay, and more discharges to rehabilitation, home health, or nursing care compared with patients with no pulmonary complication. Both current and modified ventilator-associated events criteria have poor

Associate Degree Nursing: Model Prerequisites Validation Study. California Community College Associate Degree Programs by The Center for Student Success, A Health Care Initiative Sponsored Project.

Science.gov (United States)

Phillips, Brad C.; Spurling, Steven; Armstrong, William A.

California faces a severe nursing shortage, with the number of registered nurses far below what is required to avert a potential state health care crisis. The Associate Degree Nursing (ADN) Project is a joint project involving scholars, educational researchers, and analysts from the Center for Student Success (CSS) housed at City College of San…

Statement delivered in the Board of Governors on 28 November 2008 by the Resident Representative of Zimbabwe on behalf of the group of members of the African Union concerning the appointment of the Director General

International Nuclear Information System (INIS)

2008-01-01

On 28 November 2008, the Resident Representative of Zimbabwe to the Agency delivered a statement in the Board of Governors, on behalf of the group of members of the African Union, concerning the appointment of the Director General. As requested in the statement, the statement is herewith circulated for the information of Member States

Radon Concentration And Dose Assessment In Well Water Samples From Karbala Governorate Of Iraq

Science.gov (United States)

Al-Alawy, I. T.; Hasan, A. A.

2018-05-01

There are numerous studies around the world about radon concentrations and their risks to the health of human beings. One of the most important social characteristics is the use of water wells for irrigation, which is a major source of water pollution with radon gas. In the present study, six well water samples have been collected from different locations in Karbala governorate to investigate radon concentration level using CR-39 technique. The maximum value 4.112±2.0Bq/L was in Al-Hurr (Al-Qarih Al-Easariah) region, and the lowest concentration of radon was in Hay Ramadan region which is 2.156±1.4Bq/L, with an average value 2.84±1.65Bq/L. The highest result of annual effective dose (AED) was in Al-Hurr (Al-Qarih Al-Easariah) region which is equal to 15.00±3.9μSv/y, while the minimum was recorded in Hay Ramadan 7.86±2.8μSv/y, with an average value 10.35±3.1μSv/y. The current results have shown that the radon concentrations in well water samples are lower than the recommended limit 11.1Bq/L and the annual effective dose in these samples are lower than the permissible international limit 1mSv/y.

Antibacterial susceptibility profiles of subclinical mastitis pathogens isolated in Batna and Setif Governorates (East of Algeria

Directory of Open Access Journals (Sweden)

Mamache Bakir

Full Text Available Sub-clinical mastitis is a main pathology of dairy husbandry because it is not clinically recognized by the owners and the veterinarians. For this reason, its economic loss is usually underestimated in milk production. This study has been undertaken in order to evaluate the epidemiologic situation of sub-clinicalmastitis in Batna and Setif governorates (East of Algeria. For this purpose, a detailed bacteriological study of all bacterial strains isolated from sub-clinical mastitis followed by a study of their antibacterial susceptibility profiles has been undertaken. 89 bacterial strains distributed as follows were studied: 27 strains of staphylococci among which 23 were coagulase-negative staphylococci (CNS that are generally incriminated in sub-clinical mastitis. 39 strains of streptococci among which 10 were Lactococcus lactis ssp lactis strains. 23 strains of enterobacteria represented mainly by Escherichia coli (E.coli. All these bacterial strains were isolated from cow milk of 3 different farms. The antibacterial susceptibility profiles have revealed a susceptibility of the isolated strains to a large number of antibiotics mainly to the Neomycin, the Cephalexin and the Spiramycin. [Vet. World 2011; 4(12.000: 537-541

Heavy metals characteristics of settled particles of streets dust from Diwaniyah City- Qadisiyah Governorate - Southern Iraq

Science.gov (United States)

Al-Dabbas, Moutaz A.; Mahdi, Khalid H.; Al-Khafaji, Raad; Obayes, Kawthar H.

2018-05-01

Road-side dust samples were collected from selected areas of Diwaniyah city-Qadisiyah Governorate - Southern Iraq. The heavy metals (Fe, Co, Ni, Cu, Zn and Pb) in these streets dust samples were studied and used as indicator for pollution by using three of main indices (I-geo, CF, and PLI). Determination of heavy metal in the roadside dust is with XRD and XRF methods. I-geo for Co, Zn, Pb, and Ni in the studied sites shows relative values of class 1, which indicated the slightly polluted, while I-geo for Fe and Cu shows relative values of class 0, which indicated no pollution. The contamination factor for Co, Zn, Pb, and Ni classified as class 2, which indicate moderately contamination, while the contamination factor for Fe and Cu classified as class 1, which indicate low contamination. PLI values in the all of studied sites classified as class 2 (Deterioration on site quality) indicating local pollution, as well as denote perfection with (class 0) of no pollution. The distribution pattern of metals percentages was affected by gases emitted from transportation vehicles as well as the prevailing wind direction.

Hopf bifurcations, Lyapunov exponents and control of chaos for a class of centrifugal flywheel governor system

International Nuclear Information System (INIS)

Zhang Jiangang; Li Xianfeng; Chu Yandong; Yu Jianning; Chang Yingxiang

2009-01-01

In this paper, complex dynamical behavior of a class of centrifugal flywheel governor system is studied. These systems have a rich variety of nonlinear behavior, which are investigated here by numerically integrating the Lagrangian equations of motion. A tiny change in parameters can lead to an enormous difference in the long-term behavior of the system. Bubbles of periodic orbits may also occur within the bifurcation sequence. Hyperchaotic behavior is also observed in cases where two of the Lyapunov exponents are positive, one is zero, and one is negative. The routes to chaos are analyzed using Poincare maps, which are found to be more complicated than those of nonlinear rotational machines. Periodic and chaotic motions can be clearly distinguished by all of the analytical tools applied here, namely Poincare sections, bifurcation diagrams, Lyapunov exponents, and Lyapunov dimensions. This paper proposes a parametric open-plus-closed-loop approach to controlling chaos, which is capable of switching from chaotic motion to any desired periodic orbit. The theoretical work and numerical simulations of this paper can be extended to other systems. Finally, the results of this paper are of practical utility to designers of rotational machines.

Uranium concentration measurements in human blood for some governorates in Iraq using CR-39 track detector

International Nuclear Information System (INIS)

Tawfiq, N.F.; Ali, L.T.; Al-Jobouri, H.A.

2013-01-01

The sensitive and simple technique of fission track etch has been applied to determine trace concentration of uranium in blood samples for occupational and non-occupational workers, male and female, using CR-39 track detector that is employed for registration of induced fission tracks. The results show that the highest recorded uranium concentration in human blood of workers in the ministry of Science and Technology were 1.90 ppb (male, 36 years old, 12 years' work experience, and living in Basrah governorate) and minimum concentration 0.26 ppb (female, 40 years old, 10 years' work experience, and living in Baghdad), while for non-occupational worker, the maximum uranium concentration was 1.76 ppb (female, 63 years old, and living in Al-Muthana) and minimum concentration was 0.28 ppb (female, 20 years old, and living in Baghdad). It has also been found that the uranium concentration in human blood samples of workers in the ministry of Science and Technology are higher than those of non-occupational workers, and the uranium concentrations for female workers and for non-occupational workers were higher than those for male workers and non-occupational workers. (author)

Center Variation and the Effect of Center and Provider Characteristics on Clinical Outcomes in Kidney Transplantation: A Systematic Review of the Evidence

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Anne Tsampalieros

2017-10-01

Full Text Available Background: Kidney transplantation is the best treatment option for patients with end-stage renal disease. While patient-level factors affecting survival are established, the presence of variation in the management of transplant recipients remains unknown. Objective: The objective of this study was to examine center variation in kidney transplantation and identify center and provider characteristics that may be associated with clinical outcomes. Design: This is a systematic review. Data sources: Ovid Medline, Embase, and Cochrane library from inception to June 2016 were used. Study eligibility: Any study examining the association between center or provider characteristics and graft or patient survival, quality of life, or functional status were included. Results: We identified 6327 records and 24 studies met eligibility. Most studies used data registries. Characteristics evaluated include center volume (n = 17, provider volume (n = 2, provider experience (n = 1, center type (n = 2, and location of follow-up (n = 1. Outcomes assessed included graft survival (n = 24 and patient survival (n = 9. Significant center variation was described in 12 of 15 and 5 of 7 studies for graft and patient survival. There was a significant and positive association between center volume and graft and patient survival in 8 and 2 studies, respectively. Provider experience and volume were significantly associated with less allograft loss and provider volume with lower risk of death. There was no association between graft survival and location of follow-up or center type. Limitations: There was substantial heterogeneity in the variables assessed and methodology used to analyze associations. Conclusion: This systematic review found center variation in kidney transplantation. Future studies in the current era are necessary to better evaluate this important topic.

Rotation speed measurement for turbine governor: torsion filtering by using Kalman filter

International Nuclear Information System (INIS)

Houry, M.P.; Bourles, H.

1995-11-01

The rotation speed of a turbogenerator is disturbed by its shaft torsion. Obtaining a filtered measure of this sped a problem of a great practical importance for turbine governor. A good filtering of this speed must meet two requirements: it must cut frequencies of the shaft torsion oscillation and it must not reduce or delay the signal in the pass-band. i.e. at lower frequencies. At Electricite de France, the speed measure is used to set in motion the fast valving system as quickly as possible, after a short circuit close to the unit (to contribute to the stability) or after an islanding (to quickly reach a balance with the house load). It is difficult to satisfy these two requirements by using conventional filtering methods. The standard solution consists in a first order filter: at Electricite de France, its time constant is equal to 80 ms; We have decided to improve this filtering by designing a new filter which cuts the frequencies of the shaft torsion oscillation without reducing the bandwidth of the speed measure. If one uses conventional methods to obtain a band-stop filter (for instance a Butterworth, a Chebyshev or an elliptic band-stop filter),it is easy to obtain the desired magnitude but not a phase near zero in the whole pass-band. Therefore, we have chosen to design the filter by using Kalman's theory. The measurement noise is modeled as a colored one, generated by a very lightly damped system driven by a white noise. The resulting Kalman filter is an effective band-stop filter, whose phase nicely remains near zero in the whole pass-band. (authors). 13 refs., 12 figs

Vermont Designated Natural Areas

Data.gov (United States)

Vermont Center for Geographic Information — Under Natural Areas Law (10 Vermont Statutes Annotated, Chapter 83 � 2607) the FPR commissioner, with the approval of the governor, may designate and set aside areas...

Knowledge and perspectives of female genital cutting among the local religious leaders in Erbil governorate, Iraqi Kurdistan region.

Science.gov (United States)

Ahmed, Hamdia M; Kareem, Mosleh S; Shabila, Nazar P; Mzori, Barzhang Q

2018-03-07

Religious leaders are one of the key actors in the issue of female genital cutting (FGC) due to the influential position they have in the community and the frequent association of FGC with the religion. This study aimed to assess the knowledge and perspectives of the local religious leaders in Erbil governorate, Iraqi Kurdistan Region about different aspects of FGC. In-depth interviews were conducted with a sample of 29 local religious leaders. A semi-structured questionnaire was used that included questions about their knowledge, understanding, and perspectives on different aspects of FGC such as the reasons for practicing it, their contact and communication with the community regarding the practice and perspectives about banning the practice by law. Participants believed that FGC is useful for reducing or regulating the sexual desire of women to prevent adultery and engagement in pre and extramarital sexual relations and to enhance hygiene of women. They indicated that there is no any risk in doing FGC if there is no excessive cut. Most participants indicated that FGC is attributed to the religion and some considered it a tradition mixed with the religion. People rarely ask the advice of the religious leaders regarding FGC, but they frequently complain about the effects of the practice. Participants did not support having a law to ban FGC either because they thought it would be against the religion's advice on FGC or it will not work. The local religious leaders lack adequate knowledge about different aspects of FGC particularly the health consequences. There are different and disputing viewpoints about the reasons for practicing FGC, and there is poor support for having a law banning the practice. There is an essential need for enhancing the knowledge of the local religious leaders regarding FGC and its adverse effects on the women's health.

Ventilator-associated pneumonia at a tertiary-care center in a developing country: incidence, microbiology, and susceptibility patterns of isolated microorganisms.

Science.gov (United States)

Kanafani, Zeina A; Kara, Layla; Hayek, Shady; Kanj, Souha S

2003-11-01

Ventilator-associated pneumonia (VAP) complicates the course of up to 24% of intubated patients. Data from the Middle East are scarce. The objective of this study was to evaluate the incidence, microbiology, and antimicrobial susceptibility patterns of isolated microorganisms in VAP in a developing country. Prospective observational cohort study. The American University of Beirut Medical Center, a tertiary-care center that serves as a major referral center for Lebanon and neighboring countries. All patients admitted to the intensive care and respiratory care units from March to September 2001, and who had been receiving mechanical ventilation for at least 48 hours, were included in the study. Results of samples submitted for culture were recorded and antimicrobial susceptibility testing of isolated pathogens was performed. Seventy patients were entered into the study. The incidence of VAP was 47%. Gram-negative bacilli accounted for 83% of all isolates. The most commonly identified organism was Acinetobacter anitratus, followed by Pseudomonas aeruginosa. Fifty percent of all gram-negative bacterial isolates were classified as antibiotic resistant. Compared with patients without VAP, patients with VAP remained intubated for a longer period and stayed in the intensive care unit longer. VAP was not associated with an increased mortality rate. Compared with other studies, the results from this referral center in Lebanon indicate a higher incidence of VAP and a high prevalence of resistant organisms. These data are relevant because they direct the choice of empiric antibiotic therapy for VAP.

Postural tasks are associated with center of pressure spatial patterns of three-dimensional statokinesigrams in young and elderly healthy subjects.

Science.gov (United States)

Baracat, Patrícia Junqueira Ferraz; de Sá Ferreira, Arthur

2013-12-01

The present study investigated the association between postural tasks and center of pressure spatial patterns of three-dimensional statokinesigrams. Young (n=35; 27.0±7.7years) and elderly (n=38; 67.3±8.7years) healthy volunteers maintained an undisturbed standing position during postural tasks characterized by combined sensory (vision/no vision) and biomechanical challenges (feet apart/together). A method for the analysis of three-dimensional statokinesigrams based on nonparametric statistics and image-processing analysis was employed. Four patterns of spatial distribution were derived from ankle and hip strategies according to the quantity (single; double; multi) and location (anteroposterior; mediolateral) of high-density regions on three-dimensional statokinesigrams. Significant associations between postural task and spatial pattern were observed (young: gamma=0.548, p<.001; elderly: gamma=0.582, p<.001). Robustness analysis revealed small changes related to parameter choices for histogram processing. MANOVA revealed multivariate main effects for postural task [Wilks' Lambda=0.245, p<.001] and age [Wilks' Lambda=0.308, p<.001], with interaction [Wilks' Lambda=0.732, p<.001]. The quantity of high-density regions was positively correlated to stabilogram and statokinesigram variables (p<.05 or lower). In conclusion, postural tasks are associated with center of pressure spatial patterns and are similar in young and elderly healthy volunteers. Single-centered patterns reflected more stable postural conditions and were more frequent with complete visual input and a wide base of support. Copyright © 2013 Elsevier B.V. All rights reserved.

Framework for Developing Economic Competitiveness Measures for the California Sustainable Freight Action Plan.

Science.gov (United States)

2017-07-04

The METRANS Transportation Center has been providing technical assistance to the California Governors Office of Business and Economic Development (GO-Biz) and the California Air Resources Board (CARB) in support of implementing the California Sust...

Launch Vehicle Control Center Architectures

Science.gov (United States)

Watson, Michael D.; Epps, Amy; Woodruff, Van; Vachon, Michael Jacob; Monreal, Julio; Williams, Randall; McLaughlin, Tom

2014-01-01

This analysis is a survey of control center architectures of the NASA Space Launch System (SLS), United Launch Alliance (ULA) Atlas V and Delta IV, and the European Space Agency (ESA) Ariane 5. Each of these control center architectures have similarities in basic structure, and differences in functional distribution of responsibilities for the phases of operations: (a) Launch vehicles in the international community vary greatly in configuration and process; (b) Each launch site has a unique processing flow based on the specific configurations; (c) Launch and flight operations are managed through a set of control centers associated with each launch site, however the flight operations may be a different control center than the launch center; and (d) The engineering support centers are primarily located at the design center with a small engineering support team at the launch site.

13th February 2012 - German CEO Barmenia Insurance Group and Chair of the Hochschulrat Board of Governors of the Bergische Universitaet Wuppertal J. Beutelmann visiting ATLAS experimental area and signing the guest book with CERN Director-General R. Heuer and Advise R. Voss.

CERN Multimedia

Maximilien Brice

2012-01-01

13th February 2012 - German CEO Barmenia Insurance Group and Chair of the Hochschulrat Board of Governors of the Bergische Universitaet Wuppertal J. Beutelmann visiting ATLAS experimental area and signing the guest book with CERN Director-General R. Heuer and Advise R. Voss.

A serological survey of Crimean-Congo haemorrhagic fever in animals in the Sharkia Governorate of Egypt

Directory of Open Access Journals (Sweden)

Amr Murad

2008-09-01

Full Text Available A surveillance survey was conducted over a period of 12 months between September 2004 and August 2005 by the Tropical Medicine Department of Zagazig University in collaboration with Naval Medical Research Unit No. 3 (NAMRU-3, Egypt, to evaluate the role of ruminants as a reservoir host for Crimean-Congo haemorrhagic fever virus (CCHFV. A total of 1 022 serum samples from 313 cattle, 264 water buffalo (Bubalus bubalis, 270 sheep and 175 goats were included in the survey. All samples were collected from the Sharkia Governorate of Egypt and were examined for anti-CCHFV IgG. Of the total of 1 022 samples examined, 32 (3.13% were positive to IgG ELISA. Out of 270 sheep examined, 17 (6.30% were confirmed to have anti-CCHFV IgG with the highest titre recorded at 1:800. However, CCHFV-specific IgG-positive cases among the cattle, buffalo and goats were 3.83%, 0.38% and 1.14%, respectively. Positive cases in age group B (=2 years old were significantly higher (p<0.001 than those in age group A (<2 years old (5.7% versus 1.6%. Belbis City was found to have the highest number of positive cases compared to all other localities (p<0.001.

Steam turbine power plant having improved testing method and system for turbine inlet valves associated with downstream inlet valves preferably having feedforward position managed control

International Nuclear Information System (INIS)

Lardi, F.; Ronnen, U.G.

1981-01-01

A throttle valve test system for a large steam turbine functions in a turbine control system to provide throttle and governor valve test operations. The control system operates with a valve management capability to provide for pre-test governor valve mode transfer when desired, and it automatically generates feedforward valve position demand signals during and after valve tests to satisfy test and load control requirements and to provide smooth transition from valve test status to normal single or sequential governor valve operation. A digital computer is included in the control system to provide control and test functions in the generation of the valve position demand signals

Determinants of U.S. poison center utilization.

Science.gov (United States)

Litovitz, Toby; Benson, Blaine E; Youniss, Jessica; Metz, Edward

2010-06-01

High poison center utilization has been associated with decreased emergency department usage and hospitalization rates. However, utilization requires awareness of the poison center. Penetrance, defined as the number of human poison exposures reported to a poison center per 1,000 population, has been used as a marker of poison center awareness. To identify factors that influence poison center penetrance to optimize the life- and cost-saving benefits of poison control centers. Human poison exposures that were reported to the National Poison Data System in 2001 were analyzed to identify and rank factors affecting poison center penetrance. Overall penetrance correlated with pediatric penetrance (R(2) = 0.75, p poison center that were already in or en route to a healthcare facility at the time of the call to the poison center (R(2) = 0.41, p poison center service populations were associated with lower penetrance (R(2) = 0.23, p poison center (multiple regression). Positive predictors included the percentage of the population younger than 5 years, the percentage of the adult population with a bachelor's degree, poison center certification, poison center educator FTEs (full time equivalents), Asian population percentage, and population density. The inverse correlation between pediatric penetrance and healthcare facility utilization supports prior observations of excessive healthcare utilization when a poison center is not called. Since race, language and distance are barriers to poison center utilization, and since healthcare utilization increases when poison center penetrance declines, low penetrance suggests a lack of awareness of the poison center rather than a low incidence of poisonings. Strategies to raise penetrance should be informed by an understanding of the barriers to utilization - language, Black/African American race, distance from the poison center, poverty, and lower education levels.

Notes from the field: Investigation of infectious disease risks associated with a nontransplant anatomical donation center--Arizona, 2014.

Science.gov (United States)

de Perio, Marie A; Bernard, Bruce P; Delaney, Lisa J; Pesik, Nicki; Cohen, Nicole J

2014-05-02

CDC is investigating reports of potential occupational exposure to human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and Mycobacterium tuberculosis among workers performing preparation and dissection procedures on human nontransplant anatomical materials at a nontransplant anatomical donation center in Arizona. CDC is working with Arizona public health officials to inform persons exposed to these potentially infected materials. Nontransplant anatomical centers around the United States process thousands of donated cadavers annually. These materials (which might be fresh, frozen, or chemically preserved) are used by universities and surgical instrument and pharmaceutical companies for medical education and research. The American Association of Tissue Banks has developed accreditation policies for nontransplant anatomical donation organizations. It also has written standards that specify exclusion criteria for donor material, as well as use of proper environmental controls and safe work practices to prevent transmission of infectious agents during receipt and handling of nontransplant anatomical materials. At the center under investigation, which is now closed, these standards might not have been consistently implemented.

"Time for Results": An Overview.

Science.gov (United States)

Alexander, Lamar

1986-01-01

Summarizes the work of seven National Governors' Association task forces (on teaching, leadership, parent involvement and choice, readiness, technology, school facilities, and college quality) and the "action agenda" proposed. The governors' recent report is unique for its authorship, the tough issues tackled, and its follow-up plan.…

Campaigns and disability: When an incumbent president questions his potential successor's mental health status during the campaign.

Science.gov (United States)

Dukakis, Michael S

2014-01-01

Former Massachusetts Governor Michael Dukakis knows about the damage that disability can cause--even its mere mention. In this keynote address given to the symposium on Presidential Disability and Succession held at Northeastern University in Boston last spring, Dukakis reflected on his famous 1988 presidential campaign that, largely at his expense, redefined negativity in presidential politics, in particular the fictitious allegation that he had a history of mental illness. A distinguish professor of Political Science and Public Policy at Northeastern University, Dukakis also spends each winter quarter at UCLA as a visiting professor in the Luskin School of Public Affairs. He remains active in both politics and public policy, canvassing for Democratic candidates such as Elizabeth Warren during her 2012 Senate campaign and promoting policy initiatives through the Dukakis Center for Urban and Regional Policy at Northeastern, which he affectionately calls a "think and do tank." The three-term governor (1975-1979 and 1983-1991) was voted Most Effective Governor by the National Governor's Association in 1986. After his first term in the late 1970s he lost a nasty primary election to Ed King, whom he would later defeat to reclaim office. Though it wasn't apparent at the time, for Dukakis, that 1978 campaign would serve as a precursor for the attack politics that were unloosed during the 1988 presidential campaign. In the remarks that follow, he offers a candid assessment of how not going negative may have cost him the presidency, and how an offhand remark by President Reagan (quickly retracted) caused the press to obsess over Dukakis' health record for the better part of a week--enough to slow his momentum during a crucial stage of campaigning.

Prevalence of Falls and Its Associated Factors among Elderly Diabetes in a Tertiary Center, Malaysia

Directory of Open Access Journals (Sweden)

A. K. Azidah

2012-01-01

Full Text Available The purpose of this study is to determine the prevalence of falls and its associated factors among elderly diabetes type 2 patients attending a tertiary center in Malaysia. We conducted a cross-sectional study among 288 elderly diabetes type 2. The data collected includes data on sociodemographic, diabetes history, comorbid diseases, drug use, and activity of daily living (Barthel’s index. The patient also was examined physically, and balance and gait assessment was carried out. Prevalence of falls among elderly diabetes was 18.8%. Female gender (OR: 2.54, P<0.05, age group more than 75 (OR: 2.97, P<0.05, retinopathy (OR: 2.19, P<0.05, and orthostatic hypotension (OR: 2.87, P<0.05 were associated with higher risk for falls. High balance and gait score was associated with reduced risk of fall in elderly diabetes (OR: 0.89, P<0.05. In conclusion, the factors that are associated with higher risk for falls among elderly diabetes were female sex, age group more than 75, presence of retinopathy, and orthostatic hypotension. Those who had higher balance and gait score were found to be less likely to fall compared with those with lower score.

Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss acute care hospitals: A cross-sectional multi-center study.

Science.gov (United States)

Bachnick, Stefanie; Ausserhofer, Dietmar; Baernholdt, Marianne; Simon, Michael

2018-05-01

Patient-centered care is a key element of high-quality healthcare and determined by individual, structural and process factors. Patient-centered care is associated with improved patient-reported, clinical and economic outcomes. However, while hospital-level characteristics influence patient-centered care, little evidence is available on the association of patient-centered care with characteristic such as the nurse work environment or implicit rationing of nursing care. The aim of this study was to describe patient-centered care in Swiss acute care hospitals and to explore the associations with nurse work environment factors and implicit rationing of nursing care. This is a sub-study of the cross-sectional multi-center "Matching Registered Nurse Services with Changing Care Demands" study. We included 123 units in 23 acute care hospitals from all three of Switzerland's language regions. The sample consisted of 2073 patients, hospitalized for at least 24 h and ≥18 years of age. From the same hospital units, 1810 registered nurses working in direct patient care were also included. Patients' perceptions of patient-centered care were assessed using four items from the Generic Short Patient Experiences Questionnaire. Nurses completed questionnaires assessing perceived staffing and resource adequacy, adjusted staffing, leadership ability and level of implicit rationing of nursing care. We applied a Generalized Linear Mixed Models for analysis including individual-level patient and nurse data aggregated to the unit level. Patients reported high levels of patient-centered care: 90% easily understood nurses, 91% felt the treatment and care were adapted for their situation, 82% received sufficient information, and 70% felt involved in treatment and care decisions. Higher staffing and resource adequacy was associated with higher levels of patient-centered care, e.g., sufficient information (β 0.638 [95%-CI: 0.30-0.98]). Higher leadership ratings were associated with

The association between cinacalcet use and missed in-center hemodialysis treatment rate.

Science.gov (United States)

Brunelli, Steven M; Sibbel, Scott; Dluzniewski, Paul J; Cooper, Kerry; Bensink, Mark E; Bradbury, Brian D

2016-11-01

Missed in-center hemodialysis treatments (MHT) are a general indicator of health status in hemodialysis patients. This analysis was conducted to estimate the association between cinacalcet use and MHT rate. We studied patients receiving hemodialysis and prescription benefits services from a large dialysis organization. Incident cinacalcet users were propensity score matched to controls on 31 demographic, clinical, and laboratory variables. We applied inverse probability (IP) of censoring and crossover weights to account for informative censoring. Weighted negative binomial modeling was used to estimate MHT rates and pooled logistics models were used to estimate the association between cinacalcet use and MHT. Baseline demographic and clinical variables included serum calcium, phosphorus, parathyroid hormone, and vitamin D use, and were balanced between 15,474 new cinacalcet users and 15,474 matched controls. In an analysis based on intention-to-treat principles, 40.8% of cinacalcet users and 46.5% of nonusers were censored. MHT rate was 13% lower among cinacalcet initiators versus controls: IP of censoring weighted incidence rate ratio was 0.87 (95% confidence interval [CI]: 0.84-0.90 p < 0.001). In analyses based on as-treated principles, 72.8% and 61.5% of cinacalcet users and nonusers, respectively, crossed over or were censored. MHT rate was 15% lower among cinacalcet initiators versus controls: IP of censoring/crossover weighted incidence rate ratio was 0.85 (95%CI: 0.82-0.87 p < 0.001). After controlling for indication and differential censoring, cinacalcet treatment was associated with lower MHT rates, which may reflect better health status. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

27 November 2013 - Greek Deputy Minister of Health Z. Makri with Governor of Thessaly K. Agorastos visiting the LHC superconducting magnet test hall with Senior Scientists D. Delikaris, E. Hatziangeli and E. Tsesmelis. E. Gazis, ATLAS Collaboration, National Technical University of Athens also present.

CERN Multimedia

Anna Pantelia

2013-01-01

27 November 2013 - Greek Deputy Minister of Health Z. Makri with Governor of Thessaly K. Agorastos visiting the LHC superconducting magnet test hall with Senior Scientists D. Delikaris, E. Hatziangeli and E. Tsesmelis. E. Gazis, ATLAS Collaboration, National Technical University of Athens also present.

Apical Transportation, Centering Ability, and Cleaning Effectiveness of Reciprocating Single-file System Associated with Different Glide Path Techniques.

Science.gov (United States)

de Carvalho, Guilherme Moreira; Sponchiado Junior, Emílio Carlos; Garrido, Angela Delfina Bittencourt; Lia, Raphael Carlos Comelli; Garcia, Lucas da Fonseca Roberti; Marques, André Augusto Franco

2015-12-01

The aim of this study was to evaluate the apical transportation, the centering ability, and the cleaning effectiveness of a reciprocating single-file system associated to different glide path techniques. The mesial root canals of 52 mandibular molars were randomly distributed into 4 groups (n = 13) according to the different glide path techniques used before biomechanical preparation with Reciproc System (RS): KF/RS (sizes 10 and 15 K-files), NGP/RS (no glide path, only reciprocating system), PF/RS (sizes 13, 16, and 19 PathFile instruments), and NP (no preparation). Cone-beam computed tomography analysis was performed before and after instrumentation for apical third images acquisition. Apical transportation and its direction were evaluated by using the formula D = (X1 - X2) - (Y1 - Y2), and the centering ability was analyzed by the formula CC = (X1 - X2/Y1 - Y2 or Y1 - Y2/X1 - X2). The samples were submitted to histologic processing and analyzed under a digital microscope for debris quantification. The values were statistically analyzed (Kruskal-Wallis, the Dunn multiple comparisons test, P .05). Groups had a tendency toward transportation in the mesial direction. No technique had perfect centering ability (=1.0), with no significant difference among them. KF/RS had larger amount of debris, with statistically significant difference in comparison with NGP/RS (P > .05). The different glide path techniques promoted minimal apical transportation, and the reciprocating single-file system tested remained relatively centralized within the root canal. Also, the different techniques interfered in the cleaning effectiveness of the reciprocating system. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Design of a fractional order PID controller using GBMO algorithm for load-frequency control with governor saturation consideration.

Science.gov (United States)

Zamani, Abbasali; Barakati, S Masoud; Yousofi-Darmian, Saeed

2016-09-01

Load-frequency control is one of the most important issues in power system operation. In this paper, a Fractional Order PID (FOPID) controller based on Gases Brownian Motion Optimization (GBMO) is used in order to mitigate frequency and exchanged power deviation in two-area power system with considering governor saturation limit. In a FOPID controller derivative and integrator parts have non-integer orders which should be determined by designer. FOPID controller has more flexibility than PID controller. The GBMO algorithm is a recently introduced search method that has suitable accuracy and convergence rate. Thus, this paper uses the advantages of FOPID controller as well as GBMO algorithm to solve load-frequency control. However, computational load will higher than conventional controllers due to more complexity of design procedure. Also, a GBMO based fuzzy controller is designed and analyzed in detail. The performance of the proposed controller in time domain and its robustness are verified according to comparison with other controllers like GBMO based fuzzy controller and PI controller that used for load-frequency control system in confronting with model parameters variations. Copyright © 2016 ISA. Published by Elsevier Ltd. All rights reserved.

33 Years of Peritoneal Dialysis-Associated Peritonitis: A Single-Center Study in Japan.

Science.gov (United States)

Nakao, Masatsugu; Yamamoto, Izumi; Maruyama, Yukio; Nakashima, Akio; Matsuo, Nanae; Tanno, Yudo; Ohkido, Ichiro; Ikeda, Masato; Yamamoto, Hiroyasu; Yokoyama, Keitaro; Yokoo, Takashi

2016-02-01

Peritoneal dialysis-associated peritonitis (PD-associated peritonitis) could influence the outcome of PD patients, including technique survival. Although the use of the twin-bag system has decreased the incidence of peritonitis, the effects of biocompatible PD solutions are controversial. Additionally, since both infection-causing microorganisms and antimicrobial therapies have changed over time, the duration of treatment of peritonitis (the duration of peritonitis) seems to have changed. The study included 527 patients who received PD between January 1980 and December 2012 at a single center. We divided patients undergoing PD into three groups according to the type of PD system used, namely single-bag and conventional PD solutions (S+C group, N = 145), twin-bag and conventional PD solutions (T+C group, N = 171) and twin-bag and biocompatible PD solutions (T+B group, N = 211), and analyzed PD-associated peritonitis incidences. Incidences of PD-associated peritonitis (times per patient-months) and peritonitis-free time were 1/59.4, 1/70.6 and 1/103.1, and 52, 97, and 100 months for the S+C, T+C and T+B groups, respectively. The duration of peritonitis, has thus, become dramatically shorter in recent years. Streptococcus sp. were associated with shortest and fungi with longest durations of peritonitis. Staphylococcus sp. and Pseudomonas aeruginosa were predominant in the S+C group. The twin-bag system has made a greater contribution to reductions in PD-associated peritonitis than biocompatible PD solutions. Furthermore, changes in microorganisms, antimicrobial therapies, patient education and improved PD system devices have presumably affected the reduction in the duration of peritonitis. © 2015 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.

Ventilator-associated pneumonia rates at major trauma centers compared with a national benchmark: a multi-institutional study of the AAST.

Science.gov (United States)

Michetti, Christopher P; Fakhry, Samir M; Ferguson, Pamela L; Cook, Alan; Moore, Forrest O; Gross, Ronald

2012-05-01

Ventilator-associated pneumonia (VAP) rates reported by the National Healthcare Safety Network (NHSN) are used as a benchmark and quality measure, yet different rates are reported from many trauma centers. This multi-institutional study was undertaken to elucidate VAP rates at major trauma centers. VAP rate/1,000 ventilator days, diagnostic methods, institutional, and aggregate patient data were collected retrospectively from a convenience sample of trauma centers for 2008 and 2009 and analyzed with descriptive statistics. At 47 participating Level I and II centers, the pooled mean VAP rate was 17.2 versus 8.1 for NHSN (2006-2008). Hospitals' rates were highly variable (range, 1.8-57.6), with 72.3% being above NHSN's mean. Rates differed based on who determined the rate (trauma service, 27.5; infection control or quality or epidemiology, 11.9; or collaborative effort, 19.9) and the frequency with which VAP was excluded based on aspiration or diagnosis before hospital day 5. In 2008 and 2009, blunt trauma patients had higher VAP rates (17.3 and 17.6, respectively) than penetrating patients (11.0 and 10.9, respectively). More centers used a clinical diagnostic strategy (57%) than a bacteriologic strategy (43%). Patients with VAP had a mean Injury Severity Score of 28.7, mean Intensive Care Unit length of stay of 20.8 days, and a 12.2% mortality rate. 50.5% of VAP patients had a traumatic brain injury. VAP rates at major trauma centers are markedly higher than those reported by NHSN and vary significantly among centers. Available data are insufficient to set benchmarks, because it is questionable whether any one data set is truly representative of most trauma centers. Application of a single benchmark to all centers may be inappropriate, and reliable diagnostic and reporting standards are needed. Prospective analysis of a larger data set is warranted, with attention to injury severity, risk factors specific to trauma patients, diagnostic method used, VAP definitions

12 CFR 347.202 - Definitions.

Science.gov (United States)

2010-01-01

... such country. (j) FRB means the Board of Governors of the Federal Reserve System. (k) Home state of a... election, by the Board of Governors of the Federal Reserve System. (l) Immediate family member of a natural... Association of Securities Dealers Automated Quotation System; or (2) Has annual gross revenues in excess of $1...

An outbreak of gastroenteritis associated with astrovirus serotype 1 in a day care center, in Rio de Janeiro, Brazil

Directory of Open Access Journals (Sweden)

AMV Silva

2001-11-01

Full Text Available Between June 4th and June 20th1996 rotavirus, adenovirus, and astrovirus (HAstrV were investigated in fecal samples from 27 children under three years old with acute diarrhea, attending the Bertha Lutz day care center, in Rio de Janeiro. All fecal samples were analyzed by polyacrylamide gel electrophoresis (PAGE, reverse transcriptase polymerase chain reaction (RT-PCR, enzyme immunoassays (EIA, and electron microscopy (EM. Nine of them (33% showed positive results for HAstrV by at least one of the employed methodologies. Eight were positive by RT-PCR and EIA, and six by EM. All positive samples were inoculated onto HT-29 (human colon adenocarcinoma cultured cells for HAstrV isolation and seven were positive after three passages. The sequencing analysis of eight RT-PCR products (449 bp from gene that codifies VP2 protein, showed a total nucleotide identity among them and 98% with HAstrV-1 (strain Oxford type 1. This is the first report of a gastroenteritis outbreak associated with HAstrv-1 in a day care center in Rio de Janeiro and it reinforces the importance of this virus in association with infantile acute gastroenteritis.

Rotation speed measurement for turbine governor: torsion filtering by using Kalman filter

International Nuclear Information System (INIS)

Houry, M.P.; Bourles, H.

1996-01-01

The rotation speed of a turbogenerator is disturbed by its shaft torsion. Obtaining a filtered measure of this speed is a problem of a great practical importance for turbine governor. A good filtering of this speed must meet two requirements: it must cut frequencies of the shaft torsion oscillation and it must not reduce or delay the signal in the pass-band, i.e. at lower frequencies. At Electricite de France, the speed measure is used to set in motion the fast valving system as quickly as possible, after a short circuit close to the unit or rather an islanding. It is difficult to satisfy these two requirements by using conventional filtering methods. The standard solution consists in a first order filter: at Electricite de France, its time constant is equal to 80 ms. We have decided to improve this filtering by designing a new filter which cuts the frequencies of the shaft torsion oscillation without reducing the bandwidth to the speed measure. If one uses conventional methods to obtain a band stop filter, it is easy to obtain the desired magnitude but not a phase near zero in the whole pass-band. Therefore, we have chosen to design the filter by using Kalman'a theory. The measurement noise is modeled as a colored one, generated by a very lightly damped system driven by a while noise. The resulting Kalman filter is an effective band stop filter, whose phase nicely remains near zero in the whole pass-band. The digital simulations we made and the tests we carried out with the Electricite de France Micro Network laboratory show the advantages of the rotation speed filter we designed using Kalman's theory. With the proposed filter, the speed measure filtering is better in terms of reduction and phase shift. the result is that there are less untimely solicitations of the fast valving system. Consequently, this device improves the power systems stability by minimizing the risks of deep perturbations due to a temporary lack of generation and the risks of under-speed loss

Evaluation of the Association between Air Pollutants and Number of Cases with Severe Acute Respiratory Syndrome Recorded at Emergency Medical Centers in Tehran, Iran in 2013

Directory of Open Access Journals (Sweden)

sadegh khazaei

2016-09-01

Full Text Available Introduction and purpose: Air pollution is an important risk factor for the environment and public health, associated with increased severity of respiratory diseases. This study aimed to evaluate the association between various air pollutants and number of cases with severe acute respiratory syndrome referred to emergency medical centers in Tehran, Iran in 2013. Methods: In this ecological study, the relationship between air pollution and acute respiratory symptoms in patients referred to the emergency centers of Tehran in 2013 was assessed. In total, 36787 patients with acute respiratory symptoms has been registered in these centers. Data on the number of cases with acute respiratory symptoms and air pollutants of emergency centers and air quality monitoring stations were collected. Moreover, Poisson regression was used to assess the relationship between air pollutant concentrations (PM2.5, SO2, NO2, O3, CO and the number of cases with severe acute respiratory syndrome. Results: The results of the current study demonstrated that CO (weekly average IRR=1.1 and SO2 (three days average IRR=1.03 and weekly average IRR= 1.04 increased the risk of respiratory diseases 10%, 3%, and 4%, respectively. Consequently, longer duration of pollutants would increase the risk of respiratory syndromes. Conclusion: According to the results of this study, increased air pollutant concentrations could be associated with escalated number of patients with acute respiratory symptoms referred to the emergency medical centers in Tehran.

Oral Cholera Vaccine Coverage during an Outbreak and Humanitarian Crisis, Iraq, 2015.

Science.gov (United States)

Lam, Eugene; Al-Tamimi, Wasan; Russell, Steven Paul; Butt, Muhammad Obaid-Ul Islam; Blanton, Curtis; Musani, Altaf Sadrudin; Date, Kashmira

2017-01-01

During November-December 2015, as part of the 2015 cholera outbreak response in Iraq, the Iraqi Ministry of Health targeted ≈255,000 displaced persons >1 year of age with 2 doses of oral cholera vaccine (OCV). All persons who received vaccines were living in selected refugee camps, internally displaced persons camps, and collective centers. We conducted a multistage cluster survey to obtain OCV coverage estimates in 10 governorates that were targeted during the campaign. In total, 1,226 household and 5,007 individual interviews were conducted. Overall, 2-dose OCV coverage in the targeted camps was 87% (95% CI 85%-89%). Two-dose OCV coverage in the 3 northern governorates (91%; 95% CI 87%-94%) was higher than that in the 7 southern and central governorates (80%; 95% CI 77%-82%). The experience in Iraq demonstrates that OCV campaigns can be successfully implemented as part of a comprehensive response to cholera outbreaks among high-risk populations in conflict settings.

Thirty Years of Pancreas Transplantation at Leiden University Medical Center : Long-Term Follow-Up in a Large Eurotransplant Center

NARCIS (Netherlands)

Kopp, Wouter H; Verhagen, Merel J J; Blok, Joris J; Huurman, Volkert A L; de Fijter, Johan W; de Koning, Eelco J; Putter, Hein; Baranski, Andzrej G; Schaapherder, Alexander F M; Braat, Andries E; Ringers, Jan

2015-01-01

BACKGROUND: An overview of 30 years of pancreas transplantation at a high volume center. Analysis of patient survival- and graft survival-associated risk factors. METHODS: All pancreas transplantations performed in our center from January 1, 1984, till December 31, 2012, were evaluated. Covariates

RNA-binding protein VICKZ is expressed in a germinal center associated pattern among lymphoma subtypes

DEFF Research Database (Denmark)

Natkunam, Y.; Vainer, G.; Zhao, S.C.

2005-01-01

and tumorigenesis/metastasis. We generated an antibody that recognizes all three isoforms of VICKZ protein and characterized its expression in normal lymphoid tissue and in lymphoma subtypes. In normal tonsils, VICKZ protein showed a germinal center-specific pattern of expression with staining localized...... to the cytoplasm. Among 868 non-Hodgkin and Hodgkin lymphomas tested by immunohistochemistry on tissue microarrays, staining for VICKZ protein was present in 76% (126/165) of follicular lymphoma, 78% (155/200) of DLBCL, 90% (9/10) of mediastinal large B-cell lymphoma, and 100% (2/2) of Burkitt lymphoma. A subset...... protein in lymphoma subtypes suggests a potential utility for VICKZ in the identification of subgroups of DLBCL associated with different prognoses....

High school students' experiences of bullying and victimization and the association with school health center use.

Science.gov (United States)

Lewis, Catherine; Deardorff, Julianna; Lahiff, Maureen; Soleimanpour, Samira; Sakashita, Kimi; Brindis, Claire D

2015-05-01

Bullying and victimization are ongoing concerns in schools. School health centers (SHCs) are well situated to support affected students because they provide crisis intervention, mental health care, and broader interventions to improve school climate. This study examined the association between urban adolescents' experiences of school-based bullying and victimization and their use of SHCs. Data was analyzed from 2063 high school students in 5 Northern California school districts using the 2009-2010 California Healthy Kids Survey. Chi-square tests and multivariate logistic regression were used to measure associations. Students who were bullied or victimized at school had significantly higher odds of using the SHCs compared with students who were not, and were also significantly more likely to report confidentiality concerns. The magnitude of associations was largest for Asian/Pacific Islander students, though this was likely due to greater statistical power. African American students reported victimization experiences at approximately the same rate as their peers, but were significantly less likely to indicate they experienced bullying. Findings suggest that SHCs may be an important place to address bullying and victimization at school, but confidentiality concerns are barriers that may be more common among bullied and victimized youth. © 2015, American School Health Association.

Emergency control centers for nuclear power plants

International Nuclear Information System (INIS)

Anon.

1979-01-01

Guidance is provided for the development and implementation of emergency control centers for nuclear power plants, including nuclear plant control room, nuclear plant company headquarters, emergency control center, and nuclear plant alternate emergency control center. Requirements and recommendations are presented for the mission, communications, instrumentation and equipment associated with each type of control center. Decisional aids, manning requirements and resources are also given; the decision aids cover both the accident assessment and protective action areas. Both normal and alternate means of communications are considered. Off-site emergency control centers, although not covered in the strict sense by this standard, are considered in an appendix

International Water Center

Science.gov (United States)

The urban district of Nancy and the Town of Nancy, France, have taken the initiative of creating an International Center of Water (Centre International de l'Eau à Nancy—NAN.C.I.E.) in association with two universities, six engineering colleges, the Research Centers of Nancy, the Rhine-Meuse Basin Agency, and the Chamber of Commerce and Industry. The aim of this center is to promote research and technology transfer in the areas of water and sanitation. In 1985 it will initiate a research program drawing on the experience of 350 researchers and engineers of various disciplines who have already been assigned to research in these fields. The research themes, the majority of which will be multidisciplinary, concern aspects of hygiene and health, the engineering of industrial processes, water resources, and the environment and agriculture. A specialist training program offering five types of training aimed at university graduates, graduates of engineering colleges, or experts, will start in October 1984.

Access to and use of long-lasting insecticidal nets and factors associated with non-use among communities in malaria-endemic areas of Al Hudaydah governorate in the Tihama region, west of Yemen.

Science.gov (United States)

Al-Eryani, Samira M A; Mahdy, Mohammed A K; Al-Mekhlafi, Abdulsalam M; Abdul-Ghani, Rashad

2017-06-09

Universal coverage of the targeted malaria-endemic areas with long-lasting insecticidal nets (LLINs) is implemented as one of the key interventions for malaria control and elimination in Yemen. In 2013, through a mass campaign, LLINs were distributed to the targeted communities in Al Hudaydah governorate. This study aimed to assess the ownership of, access to, and use of LLINs. It also aimed to identify factors associated with not using LLINs in malaria-endemic areas of Al Hudaydah in the Tihama region, west of Yemen. A cross-sectional survey was conducted in four districts (Ad Durayhimi, Al Marawi'ah, Al Mansuriyah and Bayt Al Faqiah) in Al Hudaydah during February 2016. A total of 701 households were included in this study. Data on socio-demographic characteristics and availability of LLINs were collected by interview and observation. Four indicators for malaria prevention using LLINs; proportion of households with at least one LLIN, proportion of households with at least one LLIN for every two people, proportion of population with access to LLINs in the surveyed households and proportion of population who slept under LLINs the previous night of the survey were calculated as indicated by Roll Back Malaria Monitoring and Evaluation Reference Group. Use to access ratio was assessed. Factors associated with not using LLINs among people with access were also investigated. Of 701 households with 4900 de facto population, ownership of at least one LLIN was 90.6%, while 24.1% owned at least one for every two people during the survey in 2016. The overall proportion of people with access to LLINs was 51.5% (95% CI 50.1-52.9). Only 19.0% (95% CI 17.9-20.1) slept under LLINs the night before the survey and the overall use to access ratio was 0.37. The proportions of children under 5 years of age with access to and use of LLINs were 13.7 and 42.5%, respectively. On the other hand, the proportions of pregnant women with access to and use of LLINs were 16.4 and 20

Association of Distance From a Transplant Center With Access to Waitlist Placement, Receipt of Liver Transplantation, and Survival Among US Veterans

Science.gov (United States)

Goldberg, David S.; French, Benjamin; Forde, Kimberly A.; Groeneveld, Peter W.; Bittermann, Therese; Backus, Lisa; Halpern, Scott D.; Kaplan, David E.

2015-01-01

IMPORTANCE Centralization of specialized health care services such as organ transplantation and bariatric surgery is advocated to improve quality, increase efficiency, and reduce cost. The effect of increased travel on access and outcomes from these services is not fully understood. OBJECTIVE To evaluate the association between distance from a Veterans Affairs (VA) transplant center (VATC) and access to being waitlisted for liver transplantation, actually having a liver transplant, and mortality. DESIGN, SETTING, AND PARTICIPANTS Retrospective study of veterans meeting liver transplantation eligibility criteria from January 1, 2003, until December 31, 2010, using data from the Veterans Health Administration’s integrated, national, electronic medical record linked to Organ Procurement and Transplantation Network data. MAIN OUTCOMES AND MEASURES The primary outcome was being waitlisted for transplantation at a VATC. Secondary outcomes included being waitlisted at any transplant center, undergoing a transplantation, and survival. RESULTS From 2003–2010, 50 637 veterans were classified as potentially eligible for transplant; 2895 (6%) were waitlisted and 1418 of those were waitlisted (49%) at 1 of the 5 VATCs. Of 3417 veterans receiving care at a VA hospital located within 100 miles from a VATC, 244 (7.1%) were waitlisted at a VATC and 372 (10.9%) at any transplant center (VATC and non-VATCs). Of 47 219 veterans receiving care at a VA hospital located more than 100 miles from a VATC, 1174 (2.5%) were waitlisted at a VATC and 2523 (5.3%) at any transplant center (VATC and non-VATCs). In multivariable models, increasing distance to closest VATC was associated with significantly lower odds of being waitlisted at a VATC (odds ratio [OR], 0.91 [95% CI, 0.89–0.93] for each doubling in distance) or any transplant center (OR, 0.94 [95% CI, 0.92–0.96] for each doubling in distance). For example, a veteran living 25 miles from a VATC would have a 7.4% (95% CI, 6.6%–8

Sporadic incidence of Fascioliasis detected during hepatobiliary procedures: a study of 18 patients from Sulaimaniyah governorate.

Science.gov (United States)

Hawramy, Tahir Abdullah Hussein; Saeed, Kamal Ahmed; Qaradaghy, Seerwan Hama Sharif; Karboli, Taha Ahmed; Nore, Beston Faiek; Bayati, Noora Hisham Abood

2012-12-21

Fascioliasis is an often-neglected zoonotic disease and currently is an emerging infection in Iraq. Fascioliasis has two distinct phases, an acute phase, exhibiting the hepatic migratory stage of the fluke's life cycle, and a chronic biliary phase manifested with the presence of the parasite in the bile ducts through hepatic tissue. The incidence of Fascioliasis in Sulaimaniyah governorate was unexpected observation. We believe that shedding light on this disease in our locality will increase our physician awareness and experience in early detection, treatment in order to avoid unnecessary surgeries. We retrospectively evaluated this disease in terms of the demographic features, clinical presentations, and managements by reviewing the medical records of 18 patients, who were admitted to the Sulaimani Teaching Hospital and Kurdistan Centre for Gastroenterology and Hepatology. Patients were complained from hepatobiliary and/or upper gastrointestinal symptoms and diagnosed accidentally with Fascioliasis during hepatobiliary surgeries and ERCP by direct visualization of the flukes and stone analysis. Elevated liver enzymes, white blood cells count and eosinophilia were notable laboratory indices. The dilated CBD, gallstones, liver cysts and abscess were found common in radiological images. Fascioliasis diagnosed during conventional surgical CBD exploration and choledochodoudenostomy, open cholecystectomy, surgical drainage of liver abscess, ERCP and during gallstone analysis. Fascioliasis is indeed an emerging disease in our locality, but it is often underestimated and ignored. We recommend the differential diagnosis of patients suffering from Rt. Hypochondrial pain, fever and eosinophilia. The watercress ingestion was a common factor in patient's history.

Does nitrite and nitrate levels in drinking water impact the health of people in Dakahlia governorate, Egypt?

Science.gov (United States)

Mortada, Wael I; Shokeir, Ahmed A

2018-05-07

A total of 1291 drinking water samples were examined for nitrite and nitrate during 6 months from December, 2015 to May, 2016 at 17 cities of Dakahlia governorate (Nile Delta, north of Egypt), and the results were utilized for assessment of health risk of the exposure from drinking water by calculating average daily intake (ADI), hazard quotient (HQ), and the hazard index (HI). The nitrite and nitrate in drinking water had a concentration range of 0.030-0.113 and 2.41-8.70 mg L -1 , with mean values of 0.059 ± 0.014 and 5.25 ± 1.61 mg L -1 , respectively. Nitrite and nitrate levels in rural areas and ground water samples were significantly higher than that in the urban ones. None of the analyzed samples exceeded WHO guideline values that set out to prevent methemoglobinemia. The values of HQ and HI for all age groups do not exceed unity indicating a low risk of methaemoglobinaemia for the population in this area. Results of the present study indicate that there is no health risk of residents from nitrite and nitrate through drinking water in the studied area. However, the other sources of exposure to nitrite and nitrate should be investigated in further studies.

Preventing Childhood Obesity: Policy and Practice Strategies for North Carolina

Science.gov (United States)

Owen, Jenni, Ed.; Rosch, Joel, Ed.; Smith, Shannon, Ed.

2011-01-01

North Carolina Family Impact Seminars (NCFIS) include annual seminars, briefing reports and follow-up activities designed specifically for state policymakers, including legislators and legislative staff, the governor and executive branch staff, and state agency representatives. The Center for Child and Family Policy at Duke University convenes the…

The Centers for Disease Control and Prevention definition of mucosal barrier injury-associated bloodstream infection improves accurate detection of preventable bacteremia rates at a pediatric cancer center in a low- to middle-income country.

Science.gov (United States)

Torres, Dara; González, Miriam L; Loera, Adriana; Aguilera, Marco; Relyea, George; Aristizabal, Paula; Caniza, Miguela A

2016-04-01

The US National Healthcare Safety Network has provided a definition of mucosal barrier injury-associated, laboratory-confirmed bloodstream infection (MBI-LCBI) to improve infection surveillance. To date there is little information about its influence in pediatric oncology centers in low- to middle-income countries. To determine the influence of the definition on the rate of central line-associated bloodstream infection (CLABSI) and compare the clinical characteristics of MBI versus non-MBI LCBI cases. We retrospectively applied the National Healthcare Safety Network definition to all CLABSIs recorded at a pediatric oncology center in Tijuana, Mexico, from January 2011 through December 2014. CLABSI events were reclassified according to the MBI-LCBI definition. Clinical characteristics and outcomes of MBI and non-MBI CLABSIs were compared. Of 55 CLABSI events, 44% (24 out of 55) qualified as MBI-LCBIs; all were MBI-LCBI subcategory 1 (intestinal flora pathogens). After the number of MBI-LCBI cases was removed from the numerator, the CLABSI rate during the study period decreased from 5.72-3.22 infections per 1,000 central line days. Patients with MBI-LCBI were significantly younger than non-MBI-LCBI patients (P = .029) and had a significantly greater frequency of neutropenia (100% vs 39%; P = .001) and chemotherapy exposure (87% vs 58%; P = .020) and significantly longer median hospitalization (34 vs 23 days; P = .008). A substantial proportion of CLABSI events at our pediatric cancer center met the MBI-LCBI criteria. Our results support separate monitoring and reporting of MBI and non-MBI-LCBIs in low- to middle-income countries to allow accurate detection and tracking of preventable (non-MBI) bloodstream infections. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Lucinda Huffaker and the Hospitality of the Wabash Center

Science.gov (United States)

Placher, William C.

2007-01-01

As associate director and then director of the Wabash Center for Teaching and Learning in Theology and Religion, Lucinda Huffaker has been a key factor in the Center's reputation for hospitality. The Center's work presupposes that reflection on teaching improves teaching and learning, and good reflection on one's teaching requires taking risks and…

The Association between Work-Related Stress and Autonomic Imbalance among Call Center Employees in Japan.

Science.gov (United States)

Enoki, Mamiko; Maeda, Eri; Iwata, Toyoto; Murata, Katsuyuki

2017-12-01

There is little epidemiological evidence linking subjective stress to objective etiologic indicators. To clarify an association between work-related stress and autonomic nervous function, we examined call center employees (167 males and 371 females) undergoing electrocardiography (ECG) at the time of annual health checkups. The questionnaire was composed of the Brief Job Stress Questionnaire based on the demand-control-support model and the Social Readjustment Rating Scale including detailed contents of home stress. The Bazett's corrected QT (QTc) interval, QT index, and heart rate were obtained from the ECG data. The male employees showed significantly higher scores of job demand, job control, and supervisor support than the female ones. In the male employees, QT index indicating the extent of autonomic imbalance and heart rate were associated with high score of supervisor support and low score of coworker support (P stress. By contrast, the female employees showed no significant links between any autonomic indicators and either work-related stress or home stress. These data suggest that work-related stress affected QT index in male employees suffering specific occupational stressors such as emotional abuse from unsatisfied customers. Specifically, supports from supervisors and coworkers were paradoxically associated with QT index, implying that supervisors may have failed to effectively support such male employees. Also, autonomic nervous function in male employees appears to be more vulnerable to work-related stress than that in female ones.

Consistent guiding center drift theories

International Nuclear Information System (INIS)

Wimmel, H.K.

1982-04-01

Various guiding-center drift theories are presented that are optimized in respect of consistency. They satisfy exact energy conservation theorems (in time-independent fields), Liouville's theorems, and appropriate power balance equations. A theoretical framework is given that allows direct and exact derivation of associated drift-kinetic equations from the respective guiding-center drift-orbit theories. These drift-kinetic equations are listed. Northrop's non-optimized theory is discussed for reference, and internal consistency relations of G.C. drift theories are presented. (orig.)

Introductory statement to the Board of Governors. Vienna, 12 February 2003. Statement by the Director General

International Nuclear Information System (INIS)

ElBaradei, M.

2003-01-01

Once again, the Board is meeting to consider recent events relevant to the compliance by the Democratic People's Republic of Korea (DPRK) with its safeguards agreement with the Agency. As stated to the Board meeting on 6 January, the DPRK has been in chronic non-compliance with its safeguards agreement since 1993 when the Agency was unable to verify that the DPRK had declared to the Agency all nuclear material that is subject to safeguards. And since 1994 the DPRK has sought shelter behind the US-DPRK 'Agreed Framework,' claiming a legally untenable 'unique status' under the NPT to circumvent compliance with its non-proliferation obligations. This status claimed by the DPRK has been rejected by the Board of Governors and the General Conference, which unequivocally declared the safeguards agreement to be binding and in force. The events of December of last year further aggravated this situation. Not only did the DPRK fail to respond to the repeated requests of the Secretariat and the Board for clarification of reports concerning an alleged undeclared enrichment programme, but it displayed complete disregard for its obligations under the safeguards agreement by cutting all seals and impeding the functioning of all surveillance cameras that were in place in its nuclear facilities. These actions culminated in an order for the immediate departure of Agency inspectors at a time when the DPRK announced its intention to restart its nuclear facilities and when the presence of inspectors would have been critical. These unilateral acts by the DPRK took place against a backdrop of repeated requests by the Secretariat to the Government of the DPRK to work with the Agency to maintain the required continuity of safeguards by ensuring an orderly transition from a situation where activities in the facilities were frozen to one in which the facilities became operational. The result of this series of events, as reported to the Board of Governors in GOV/2002/62, was that the Agency

TV spots' impact.

Science.gov (United States)

El-bakly, S

1994-09-01

The Information, Education and Communication (IEC) Center of the State Information Service was established in 1979 for the purpose of providing information to the people on the population issue. The Ministry of Information has accorded the State Information Service free TV and radio air time for family planning dramas and spots. In the early years information campaigns were organized to make people aware of the population problem by slogans, songs, and cartoons. Around 1984 misconceptions about family planning and contraceptives were attacked through a number of TV and radio spots. A few years later 21 spots on specific contraceptive methods were broadcast which were aired for three years over 3000 times. They were extremely successful. The impact of these TV spots was one of the major reasons why the contraceptive prevalence rate increased from 30% in 1984 to 38% in 1988 and 47% in 1992. Spots were also broadcast about the social implications of large families. The TV soap opera "And The Nile Flows On", with the family planning message interwoven into it, was very well received by the target audience. A program entitled "Wedding of the Month" features couples who know family planning well. The most successful radio program is a 15-20 minute long quiz show for residents of the villages where the Select Villages Project is being implemented. The State Information Service has 60 local information centers in the 26 governorates of Egypt that make plans for the family planning campaign. In 1992 the Minya Initiative, a family planning project was implemented in the Minya Governorate. As a result, the contraceptive prevalence rate rose from 22% to 30% over 18 months. A new project, the Select Village Project, was developed in 1993 that replicates the Minya Initiative on the village level in other governorates. This new project that was implemented in sixteen governorates.

The Incidence of Nosocomial Toxigenic Clostridium difficile Associated Diarrhea in Tehran Tertiary Medical Centers

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Norakhoda Sadeghifard

2010-09-01

Full Text Available "nClostridium difficile is the most common cause of nosocomial diarrhea. It is usually a consequence of antibiotic treatment, But sporadic cases can occur. This study was aimed to determine the frequency of the nosocomial Clostridium difficile (C. difficile associated diarrhea in Tehran University of Medical Sciences hospitals and study of antibacterial susceptibility of isolates. In this study a total of 942 stool samples from patients with nosocomial diarrhea that were hospitalized in Imam Khomeini hospital, Shariati hospital and Children clinical center were collected. The samples were cultured on a selective cycloserine cefoxitin fructose agar (CCFA and incubated in anaerobic conditions, at 37°C for 5 days. Isolates were characterized to species level by conventional biochemical tests. Bacterial cytotoxicity was assayed on tissue culture (vero. Antimicrobial sensitivity of isolated toxigenic C. difficile were investigated by kirby Beuer method (disk diffusion. Our findings show that, of the total patients, 57 toxigenic C. difficile (6.1% were isolated. Results of statistical analysis show significant differences between the rate of isolated toxigenic C. difficile and age group of patients (P<0.05. Among the wards of selected hospitals, in gastroenterology of Children clinical center, Toxigenic C. difficile was isolated from patients most frequently. The sensitivity of isolates to vancomycin, Chloramphenicol and ceftriaxone were higher than other antibiotics. Toxigenic C. difficile is a common hospital-acquired infection. The organism was found in 6.1% hospitalized patients. Further studies to evaluate the rate and role of toxigenic C. difficile in nosocomial diarrheal processes, ecological and pathogenic terms are suggested.

Guidelines and Ethical Considerations for Assessment Center Operations: International Task Force on Assessment Center Guidelines.

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Public Personnel Management, 2000

2000-01-01

This update of the International Personnel Management Association's guidelines for organizational psychologists, human resource management specialists, and others addresses elements of assessment centers, policy statements, assessor training, informed participation, and participants' rights. (SK)

Statement of the American Psychological Association in response to the "joint principles: integrating behavioral health care into the patient-centered medical home".

Science.gov (United States)

Anderson, Norman B; Belar, Cynthia D; Cubic, Barbara A; Garrison, Ellen G; Johnson, Suzanne Bennett; Kaslow, Nadine J

2014-06-01

Comments on the article "Joint principles: Integrating behavioral health care into the patient-centered medical home" (see record 2014-24217-011), presented by the Working Party Group on Integrated Behavioral Healthcare. The American Psychological Association (APA) shares concerns about the lack of reference to behavioral health care in the original 2007 Joint Principles of the Patient-Centered Medical Home for which this new document is intended to supplement but not replace. The decision to support the supplemental Joint Principles was not an easy one for APA, as there is one area of significant concern. That concern is related to the use of the term "physician-directed medical practice"

[The William P. Didusch Center for Urologic History of the American Urological Association: new exciting approaches in presenting urologic history, not only in the USA - a personal guided tour].

Science.gov (United States)

Engel, R M

2011-04-01

The Didusch Center for Urologic History encompasses a rich and varied collection of drawings, photographs, and instruments of historical importance to urology, many displayed in the urological exhibits during the American Urological Association (AUA) conventions. The Center also houses a library devoted to urological and early medical texts and the AUA archives and is the institution of research in all fields of urologic history in the USA. The museum collection features most of Didusch's original drawings, as well as an impressive instrument collection acquired primarily through donations by urologists. The original William P. Didusch Museum (now known as the William P. Didusch Center for Urologic History) was originally housed in the AUA's Baltimore City headquarters building. Upon the association's move to Linthicum, MD in 2003, the museum has evolved into the William P. Didusch Center for Urologic History and taken on new tasks and responsibilities that include the topic of research in urologic history.

Colorectal cancer screening at US community health centers: Examination of sociodemographic disparities and association with patient-provider communication.

Science.gov (United States)

Lin, Sue C; McKinley, Duane; Sripipatana, Alek; Makaroff, Laura

2017-11-01

Colorectal cancer (CRC) screening rates are low among underserved populations. High-quality patient-physician communication potentially influences patients' willingness to undergo CRC screening. Community health centers (HCs) provide comprehensive primary health care to underserved populations. This study's objectives were to ascertain national CRC screening rates and to explore the relations between sociodemographic characteristics and patient-provider communication on the receipt of CRC screening among HC patients. Using 2014 Health Center Patient Survey data, bivariate and multivariate analyses examined the association of sociodemographic variables (sex, race/ethnicity, age, geography, preferred language, household income, insurance, and employment status) and patient-provider communication with the receipt of CRC screening. Patients between the ages of 65 and 75 years (adjusted odds ratio [aOR], 2.49; 95% confidence interval [CI], 1.33-4.64) and patients not in the labor force (aOR, 2.32; 95% CI, 1.37-3.94) had higher odds of receiving CRC screening, whereas patients who were uninsured (aOR, 0.33; 95% CI, 0.18-0.61) and patients who were non-English-speaking (aOR, 0.42; 95% CI, 0.18-0.99) had lower odds. Patient-provider communication was not associated with the receipt of CRC screening. The CRC screening rate for HC patients was 57.9%, whereas the rate was 65.1% according to the 2012 Behavioral Risk Factor Surveillance System and 58.2% according to the 2013 National Health Interview Survey. The high ratings of patient-provider communication, regardless of the screening status, suggest strides toward a patient-centered medical home practice transformation that will assist in a positive patient experience. Addressing the lack of insurance, making culturally and linguistically appropriate patient education materials available, and training clinicians and care teams in cultural competency are critical for increasing future CRC screening rates. Cancer 2017

7 CFR 240.2 - Definitions.

Science.gov (United States)

2010-01-01

... nonprofit by its Governor. Nonresidential child care institution means any child care center, day care home... private school with an average yearly tuition exceeding $1,500 per child, operating under public or... higher grade; (2) with the exception of residential summer camps which participate in the Summer Food...

Partnering with K-12 Education in Building Healthy, Sustainable, and Competitive Regions: A California Policy Symposium. Proceedings Summary & Next Steps

Science.gov (United States)

Vincent, Jeff; McKoy, Deborah; Alex, Ken; Mitchell, Connie; Moore, Kathleen

2013-01-01

On December 6, 2012, UC Berkeley's Center for Cities & Schools, in collaboration with the California Department of Education, California Department of Public Health, Governor's Office of Planning and Research, Strategic Growth Council, and Health in All Policies Task Force, brought together leaders from across California to discuss the…

Groundwater characteristics in Elminia governorate, Egypt by hydro chemistry and environmental tritium

International Nuclear Information System (INIS)

Awad, M.A.; Hamza, M.S.; Elbakri, A.; Tantawi, M.

1993-01-01

El-Minia governorate is located along the Nile valley between latitudes 27 degree 30' and 28 degree 45'N and longitudes 30 degree 30' and 31 degree 00'E. The investigated area is essentially occupied by sedimentary rocks belonging to tertiary and quaternary period. The valley on both sides is bounded by faulted steep slopes made up of eocene limestone. The quaternary alluvial aquifer is the most important aquifer in the area, its recharge takes place from infiltration of the surface Nile waters after the irrigation processes, and also from the upward leakage from deep fissured limestone and Nubian sandstone aquifers through the fault planes present in the area and from extensive pumping. Seventy four representative wells as well as twenty surface water from Nile water, main irrigation canals and drainage system were selected for chemical and isotopic analysis in the study area. The chemical composition of water along the valley is heterogeneous. The groundwater types are mainly sodium bicarbonate Na H C O 3 and calcium bicarbonate Ca(H C O 3 ) 2 , while the surface water is magnesium bicarbonate Mg(H CO 3 ) 2 water type. The sources of salinity in groundwater are due to contributions of: 1. halite and gypsum dissolution, 2. calcium carbonate dissolution, and 3. weathering of silicate minerals. With respect to (T.D.S.) content, the quality in most of Elminia groundwater was found to be good to moderate as a supply for drinking purposes. The hardness values of the surface and groundwater could be classified as 'SOFT' which makes it suitable for house-cleaning purposes. Based on the total dissolved salts (T.D.S.), sodium adsorption ratio (SAR) and the sodium percentage (Na %), the majority of Elminia groundwater might also be considered suitable for irrigation uses. The very low tritium content in a considerable part of Elminia wells, proves no direct contact with surface water recharge for more than four decades. These preserved water are free from pathogenic

M-center growth in alkali halides: computer simulation

International Nuclear Information System (INIS)

Aguilar, M.; Jaque, F.; Agullo-Lopez, F.

1983-01-01

The heterogeneous interstitial nucleation model previously proposed to explain F-center growth curves in irradiated alkali halides has been extended to account for M-center kinetics. The interstitials produced during the primary irradiation event are assumed to be trapped at impurities and interstitial clusters or recombine with F and M centers. For M-center formation two cases have been considered: (a) diffusion and aggregation of F centers, and (b) statistical generation and pairing of F centers. Process (b) is the only one consistent with the quadratic relationship between M and F center concentrations. However, to account for the F/M ratios experimentally observed as well as for the role of dose-rate, a modified statistical model involving random creation and association of F + -F pairs has been shown to be adequate. (author)

Experimental evidence for an associated defect model for the neutron generated As/sub Ga/ center in gallium arsenide

International Nuclear Information System (INIS)

Golzene, A.; Meyer, B.; Schwab, C.

1984-01-01

The thermal dependence of EPR spectra of fast neutron irradiated n-type GaAs over the whole 4.2 to 300 K temperature range has been studied using the decomposition of spectra into a quadruplet of four identical Gaussian lines and a Lorentzian singlet. Quadruplet and singlet spectra as well as their proper parameters (inverse of paramagnetic susceptibility, hyperfine constants) could be determined separately. Experiments give evidence that the neutron generated anionic antisites As/sub Ga/ in GaAs are constituting associated defect centers, most likely of intrinsic nature

Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study

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Vijay Kumar

2017-01-01

Full Text Available Introduction: Association between rheumatoid arthritis (RA, periodontitis and temporomandibular disorder (TMD can be an outcome of the existing inflammatory conditions or involvement of joints at a different level of severity. Aim: This study aims to find an association between periodontal disease and TMDs and RA among patients visiting various Rheumatology centers in Bengaluru city. Materials and Methods: A total of 100 RA patients and age- and gender-matched comparison group were recruited from various Rheumatology centers in Bengaluru city. Periodontal status and loss of attachment (LOA were measured from the World Health Organization (2013 criteria and TMDs and severity were assessed using Helkimo index (1987. Data were analyzed and comparisons were done using Chi-square test and independent t-test (P < 0.05. Correlation and association are measured through spearman's correlation and logistic regression analysis. Results: There was a significant difference regarding shallow and deep periodontal pocket depth among RA (4.62 ± 2.33, 1.48 ± 1.7 and comparison (3.48 ± 2.53, 0.83 ± 1.05 groups (P = 0.01. Impaired mobility (P = 0.012, altered function (P = 0.032, painful function (P = 0.023, muscle pain (P = 0.028, and temporomandibular joint pain (P = 0.048 differed significantly between RA group and comparison group. RA patients were more likely to suffer from TMD (OR = 4.88 and LOA (OR = 2.16 than the comparison group. Conclusion: Periodontitis and TMD are found to be associated with RA. A dental check-up for patients suffering from RA should be part of the routine RA assessment.

The Association of Psychological Empowerment and Job Burnout in Operational Staff of Tehran Emergency Center.

Science.gov (United States)

Ghaniyoun, Aram; Shakeri, Khosro; Heidari, Mohammad

2017-09-01

Workers in social service professions are the first candidates for job burnout. The researchers believe this is due to daily exposure to stressful situations and lack of positive conditions in the workplace. It seems that psychological empowerment of staff can affect their job burnout. This study aimed to investigate the relationship between psychological empowerment and job burnout in operational staff of emergency center. This was a descriptive correlational study. A total of 1100 operational staff of emergency center were evaluated, and of which, 285 persons were selected by simple random sampling method. Data were collected using Spritzer's psychological empowerment and Maslach Burnout Inventory questionnaires. SPSS software, version 18, was used for data analysis along with descriptive analytical tests. The findings of this study revealed that the majority of units (46%) were in intermediate level in terms of empowerment. Similarly, the majority of cases had intermediate level (77.5%), and a minor percentage (8.4%) had low levels of job burnout. Based on Pearson's correlation test, there was a significant invert correlation between psychological empowerment and job burnout. This inverse and significant relationship was also observed between the four components of psychological empowerment (competence, self-determination, impact, and meaning) and job burnout. According to the results of the study, policy makers and health planners can take some measures in enhancing psychological empowerment to prevent problems associated with job burnout, by identifying stressors and strategies to deal with them.

Derivation of travel demand forecasting models for low population areas: the case of Port Said Governorate, North East Egypt

Directory of Open Access Journals (Sweden)

Ahmed Mohamed Semeida

2014-06-01

Full Text Available In the last decades, there has been substantial development in modeling techniques of travel demand estimation. For low population areas the external trip estimation is important but usually neglected in travel demand modeling process. In Egypt, the researches in this field are scarce due to lack of data. Accordingly, this paper aims to identify and estimate the main variables that affect the travel demand in low population areas, and to develop models to predict them. The study focused on the Port Said Governorate in North East Egypt. A special questionnaire had been prepared in 2010 depending on interviews of passengers at basic taxi terminals in Port Said. And 2211 filled questionnaires were offering for research. To analyze the data, two modeling procedures were used. One is the multiple linear regression and the other is the generalized linear modeling (GLM applying normal distributions. It is found that GLM procedure offers more suitable and accurate approach than the linear regression for developing number of trips. The final demand models have statistics within the acceptable regions and, also, they are conceptually reasonable. These results are so important for Egyptian highway authorities to improve the efficiency of highway transportation system in Egypt.

Suicidality and its associated factors in cancer patients: results of a multi-center study in Korea.

Science.gov (United States)

Shim, Eun-Jung; Park, Jae-Hyun

2012-01-01

The current study examined the prevalence and associated factors of suicidality among Korean cancer patients. Moreover, the association of multiple psychological morbidities with suicidality was investigated among cancer patients. A cross-sectional, multi-center survey of 400 cancer patients was administered in five cancer-treatment hospitals throughout South Korea. Study variables were assessed using standardized measures including the Mini International Neuropsychiatric Interview suicidality module, the Hospital Anxiety and Depression Scale, and the Impact of Event Scale-Revised. 20.1% (80/399) of patients were positive cases of suicidality. Having no religion (p = .010), poor performance status (p = .000), and psychological comorbidity (p = .021) were significantly associated with the experience of suicidality in the multivariate analysis. Compared to "fully active" patients, patients who were capable of self-care but unable to perform any work activities had about a six times higher risk of suicidality (p = .000). Compared to patients with no psychological morbidity, the risk of suicidality was significantly higher among patients with comorbid anxiety and depression (p = .024), those experiencing comorbid depression and post-traumatic stress disorder (PTSD) (p = 0.051), and those experiencing comorbid anxiety, depression and PTSD (p = .001). This study found that having no religion, impaired levels of overall functioning, and "multiple psychological morbidities" were associated with suicidality in Korean cancer patients. These findings suggest a need for careful monitoring of these factors and enhanced comprehensive care addressing both the physical and psychosocial functioning of patients with cancer in suicide prevention efforts.

Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate

Science.gov (United States)

2012-01-01

Background Fascioliasis is an often-neglected zoonotic disease and currently is an emerging infection in Iraq. Fascioliasis has two distinct phases, an acute phase, exhibiting the hepatic migratory stage of the fluke’s life cycle, and a chronic biliary phase manifested with the presence of the parasite in the bile ducts through hepatic tissue. The incidence of Fascioliasis in Sulaimaniyah governorate was unexpected observation. We believe that shedding light on this disease in our locality will increase our physician awareness and experience in early detection, treatment in order to avoid unnecessary surgeries. Findings We retrospectively evaluated this disease in terms of the demographic features, clinical presentations, and managements by reviewing the medical records of 18 patients, who were admitted to the Sulaimani Teaching Hospital and Kurdistan Centre for Gastroenterology and Hepatology. Patients were complained from hepatobiliary and/or upper gastrointestinal symptoms and diagnosed accidentally with Fascioliasis during hepatobiliary surgeries and ERCP by direct visualization of the flukes and stone analysis. Elevated liver enzymes, white blood cells count and eosinophilia were notable laboratory indices. The dilated CBD, gallstones, liver cysts and abscess were found common in radiological images. Fascioliasis diagnosed during conventional surgical CBD exploration and choledochodoudenostomy, open cholecystectomy, surgical drainage of liver abscess, ERCP and during gallstone analysis. Conclusion Fascioliasis is indeed an emerging disease in our locality, but it is often underestimated and ignored. We recommend the differential diagnosis of patients suffering from Rt. Hypochondrial pain, fever and eosinophilia. The watercress ingestion was a common factor in patient’s history. PMID:23259859

Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate

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Hawramy Tahir Abdullah Hussein

2012-12-01

Full Text Available Abstract Background Fascioliasis is an often-neglected zoonotic disease and currently is an emerging infection in Iraq. Fascioliasis has two distinct phases, an acute phase, exhibiting the hepatic migratory stage of the fluke’s life cycle, and a chronic biliary phase manifested with the presence of the parasite in the bile ducts through hepatic tissue. The incidence of Fascioliasis in Sulaimaniyah governorate was unexpected observation. We believe that shedding light on this disease in our locality will increase our physician awareness and experience in early detection, treatment in order to avoid unnecessary surgeries. Findings We retrospectively evaluated this disease in terms of the demographic features, clinical presentations, and managements by reviewing the medical records of 18 patients, who were admitted to the Sulaimani Teaching Hospital and Kurdistan Centre for Gastroenterology and Hepatology. Patients were complained from hepatobiliary and/or upper gastrointestinal symptoms and diagnosed accidentally with Fascioliasis during hepatobiliary surgeries and ERCP by direct visualization of the flukes and stone analysis. Elevated liver enzymes, white blood cells count and eosinophilia were notable laboratory indices. The dilated CBD, gallstones, liver cysts and abscess were found common in radiological images. Fascioliasis diagnosed during conventional surgical CBD exploration and choledochodoudenostomy, open cholecystectomy, surgical drainage of liver abscess, ERCP and during gallstone analysis. Conclusion Fascioliasis is indeed an emerging disease in our locality, but it is often underestimated and ignored. We recommend the differential diagnosis of patients suffering from Rt. Hypochondrial pain, fever and eosinophilia. The watercress ingestion was a common factor in patient’s history.

Organophosphorus pollutants (OPP) in aquatic environment at Damietta Governorate, Egypt: implications for monitoring and biomarker responses.

Science.gov (United States)

Abdel-Halim, K Y; Salama, A K; El-Khateeb, E N; Bakry, N M

2006-06-01

The study was carried out from spring 1999 to spring 2001 to monitor the residue levels of organophosphorus pollutants (OPP) in aquatic environment of the drainage canal surrounding a pesticide factory at Damietta Governorate. Water, sediment, and fish samples were collected at six different seasonal periods. OPPs were analyzed by GLC and confirmed using GC-MS. Chlorpyrifos, chlorpyrifos-methyl, malathion, diazinon, pirimiphos-methyl and profenofos were detected in most samples. Chlorpyrifos was dominant in all water and sediment samples. It was ranged from 24.5 to 303.8 and 0.9 to 303.8 ppb in water and sediment samples, respectively. Diazinon level was slightly similar to chlorpyrifos in fish samples. Data based on the grand total concentration of OPP showed that the most polluted samples were collected either at spring 1999 or autumn 2000. They were 675.5 and 303.8 ppb in water samples and 43.0 and 52.2 ppb in fish collected at spring 1999 and autumn 2000, respectively. The obtained results are in parallel to that found in case of cholinesterase activity where the activity of both acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) was declined at these seasonal period. The activity levels of AChE and BuChE were found to be 77.18% and 59.67% of control at spring 1999 and 78.62% and 85.80% of control, at autumn 2000, respectively. Thus, AChE and BuChE could be used as biomarkers for tracing and biomonitoring OPP pollution.

Association of perceived neighborhood characteristics, socioeconomic status and rural residency with health outcomes in Egyptian patients with systemic lupus erythematosus: one center study.

Science.gov (United States)

Abdul-Sattar, Amal B; Abou El Magd, Sahar

2017-12-01

To investigate the role of perceived neighborhood characteristics, socioeconomic status (SES) and rural residency in influencing the health status outcome of Egyptian patients with systemic lupus erythematosus (SLE). Eighty patients affected with SLE were consecutively included in this a single-center cross-sectional study from July, 2011 to July, 2013. Outcome measures included the Systemic Lupus Activity Questionnaire (SLAQ) score, the Medical Outcomes Study Short Form-36 Health Survey physical functioning score and Center for Epidemiologic Studies-Depression (CES-D score of ≥ 19 points). Multivariate logistic regression analyses were conducted. Results from multivariate logistic regression analyses, a separate adjusted model of each perceived neighborhood characteristic, indicate associations of worse perceived social cohesion with higher SLAQ scores (P socioeconomic status and rural residency with health status outcomes, the results found association of poor socioeconomic status with the three health status outcome measures and association between rural residency and depression symptoms. Individuals had increased odds of depressive symptoms if they perceived worse neighborhood social cohesion (odds ratio [OR]: 2.14; CI: 1.42-2.80), if they perceived worse neighborhood safety (OR: 1.64; CI: 1.02-2.40) and if they perceived worse neighborhood aesthetic characteristics (OR: 2.79; CI: 1.84-3.38). Study findings indicate that poor socioeconomic status, rural residency and perceived neighborhood characteristics are associated with depression; worse perceived neighborhood aesthetics and safety are associated with lower SF-36 physical functioning, and worse neighborhood social cohesion is associated with higher disease activity among patients with SLE. © 2014 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.

Centers for Disease Control and Prevention

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... PDF file Microsoft PowerPoint file Microsoft Word file Microsoft Excel ... Centers for Disease Control and Prevention Page maintained by: Office of Associate Director of Communication, Division of Public ...

Health professionals' job satisfaction and associated factors at public health centers in West Ethiopia.

Science.gov (United States)

Deriba, Beyazin Kebede; Sinke, Shimele Ololo; Ereso, Berhane Megersa; Badacho, Abebe Sorsa

2017-05-30

Human resources are vital for delivering health services, and health systems cannot function effectively without sufficient numbers of skilled, motivated, and well-supported health workers. Job satisfaction of health workers is important for motivation and efficiency, as higher job satisfaction improves both employee performance and patient satisfaction. Even though several studies have addressed job satisfaction among healthcare professionals in different part of the world, there are relatively few studies on healthcare professionals' job satisfaction in Ethiopia. A facility-based cross-sectional study was conducted among health professionals working in health centers in April 2015 using self-administered structured questionnaires. All 322 health professionals working in 23 randomly selected public health centers were included. Factor scores were computed for the identified items by varimax rotation to represent satisfaction. Multivariate linear regression analysis was performed, and the effect of independent variables on the regression factor score quantified. Three hundred eight respondents participated with a response rate of 95.56%. The overall level of job satisfaction was 41.46%. Compensation (benefits) (beta 0.448 [95% CI 0.341 to 0.554]), recognition by management (beta 0.132 [95% CI 0.035 to 0.228]), and opportunity for development (beta 0.123 [95% CI 0.020 to 0.226]) were associated with job satisfaction. A unit increase in salary and incentives and recognition by management scores resulted in 0.459 (95% CI 0.356 to 0.561) and 0.156 (95% CI 0.065 to 0.247) unit increases in job satisfaction scores, respectively. The overall level of job satisfaction in health professionals was low. Salary and incentives, recognition by management, developmental opportunities, and patient appreciation were strong predictors of job satisfaction.

Communication dated 18 June 2009 received from the Permanent Mission of the Islamic Republic of Iran to the Agency concerning statements made by the Islamic Republic of Iran in the Board of Governors

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a Note Verbale dated 18 June 2009 from the Permanent Mission of the Islamic Republic of Iran transmitting the text of the statement of the Resident Representative of the Islamic Republic of Iran delivered during the meeting of the Board of Governors on 17 June 2009 under agenda item 5(e) on the 'Implementation of the NPT Safeguards Agreement in the Islamic Republic of Iran (GOV/2009/35)' and a document entitled 'Response to remarks made by some delegates'. The Note Verbale and, as requested therein, its enclosures are circulated herewith for the information of all Member States

Stern-Center Potsdam; Stern-Center Potsdam

Energy Technology Data Exchange (ETDEWEB)

Anon.

1999-07-01

The ''Stern-Center Potsdam'' is a star-shaped shopping mall in the city center. [German] Das Stern-Center in Potsdam bietet als Einkaufszentrum vor den Toren Berlins Platz fuer eine Vielzahl von Geschaeften. Die sternfoermige Gebaeudestruktur des Centers bildet den Mittelpunkt des Stadtviertels 'Am Stern'. (orig.)

78 FR 41009 - Safety Zone; National Governors Association, Milwaukee, WI

Science.gov (United States)

2013-07-09

... methods specified under ADDRESSES. Please explain why you believe a public meeting would be beneficial. If... 43[deg]01'57.4'' N, 087[deg]54'44.8'' W then west to an imaginary line running north and south along...'44.8'' W then west to an imaginary line running north and south along 6th street. (b) Effective...

دراسة آثاریة معماریة لمجموعة مآذن بمحافظة الغربیة (غیر منشورة وغیر مسجلة

Directory of Open Access Journals (Sweden)

Dr. Mahmoud Saad Al-Gendy

2017-01-01

Full Text Available The study focuses on the remaining minarets in Gharbeya Governorate after the demolition of their mosques, and their replacement with new, modern mosques. The abscence of archeological awareness, and the lack of registeration as an Islamic monument threaten their existence . These minarets are considered one of the most important outward appearances for the edifices of mosques which included them. They also have symbolic references in religious Islamic archaeology, and the studied minarets are arranged chronologically as follows: Minaret of Sidi Nasr Mosque at Qorasheya Village, Santa Center (1306 A.H./1888 A.D., Minaret of Sidi Khalifa Mosque at Abyar Village, Kafr Al-Zayat Center (1313 A.H./1895 A.D., Minaret of Sidi Mossa Mosque at Al-Hayatem Village, Al-Mahala Al-Kobra Center (1325 A.H./1907 A.D., Minaret of Sidi Fakhr Al-Din Mosque at Tukh Village, Santa Center (1330 A.H./1912 A.D., Minaret of Al-Masjid Al-Kabir Mosque at Mahala Village, Tanta Center (1330 A.H./1912 A.D., Minaret of Sidi Abdullah Mosque at Saft Turab Village, Al-Mahala Al-Kobra Center (1332 A.H./1914 A.D., and Minaret of Sidi Mohamed Abdul Rahim Mosque at Tanta (1339 A.H./1920 A.D.. All these minarets are located at Gharbeya Governorate which dates to the beginning of the 4th century A.H./20th century A.D., and they are unpublished and unregistered as Islamic monuments. They are being studied for the first time. The study adopts an inductive, descriptive approach through a field, surveying study which pays attention for the first time to the following: a geographical study of the monument’s location, a historical study of the history of the monument and the biography of its founders, in addition to a detailed descriptive study of each monument which covers the structure of the minaret, the material, and how to reach it. Besides, the study describes the minaret inwardly and outwardly, the lighting means, identity, and the distinctive features of each minaret artistically

Prevalence and associated factors of hepatitis C virus infection among renal disease patients on maintenance hemodialysis in three health centers in Aden, Yemen: a cross sectional study.

Science.gov (United States)

Aman, Khadija; Al-Dubai, Sami AbdoRadman; Aman, Reema; Hawash, Aamenah; Alshagga, Mustafa; Kassim, Saba

2015-03-01

We aimed to assess the prevalence and factors associated with positive anti-hepatitis C virus (HCV) antibodies among patients on maintenance hemodialysis (HD) in three centers in Aden, Yemen. The data from 219 patients and their records over the period between 2000-2013, was extracted and analyzed. The mean ± SD age of the patients was 47.08 ± 13.9 years; 74.4% of them were married and 14.6% were employed. The prevalence of validated anti-HCV-positive cases was 40.2% (95%CI 33.64%-46.73%). The mean ± SD duration on HD of all the patients was 35.09 ± 38 months. On bivariate analysis, the duration on HD and attending more than one center for HD associated significantly with anti-HCV positivity (P <0.05). On multivariate fully adjusted Poisson regression modelling, controlled for age, Patients attending more than one center and those who underwent HD for longer durations were more likely to be positive for anti- HCV antibodies [P = 0.004, adjusted prevalence rate ratio (APRR) = 1.87, 95% confidence interval (CI): 1.22-2.88; P = 0.0005, APRR = 1.01, 95% CI: 1.00-1.02. In this study sample, the prevalence of HCV was significant. Patients attending more than one center and those who underwent HD for longer durations were found to be more likely to contract HCV. Enhancing existing infection control measures and allocating more resources to HD centers therefore warrants consideration.

Prevalence and associated factors of hepatitis C virus infection among renal disease patients on maintenance hemodialysis in three health centers in Aden, Yemen: A cross sectional study

Directory of Open Access Journals (Sweden)

Khadija Aman

2015-01-01

Full Text Available We aimed to assess the prevalence and factors associated with positive anti-hepatitis C virus (HCV antibodies among patients on maintenance hemodialysis (HD in three centers in Aden, Yemen. The data from 219 patients and their records over the period between 2000-2013, was extracted and analyzed. The mean ± SD age of the patients was 47.08 ± 13.9 years; 74.4% of them were married and 14.6% were employed. The prevalence of validated anti-HCV-positive cases was 40.2% (95%CI 33.64%-46.73%. The mean ± SD duration on HD of all the patients was 35.09 ± 38 months. On bivariate analysis, the duration on HD and attending more than one center for HD associated significantly with anti-HCV positivity (P <0.05. On multivariate fully adjusted Poisson regression modelling, controlled for age, Patients attending more than one center and those who underwent HD for longer durations were more likely to be positive for anti- HCV antibodies [P = 0.004, adjusted prevalence rate ratio (APRR = 1.87, 95% confidence interval (CI: 1.22-2.88; P = 0.0005, APRR = 1.01, 95% CI: 1.00-1.02. In this study sample, the prevalence of HCV was significant. Patients attending more than one center and those who underwent HD for longer durations were found to be more likely to contract HCV. Enhancing existing infection control measures and allocating more resources to HD centers therefore warrants consideration.

A single-center, cross-sectional prevalence study of impulse control disorders in Parkinson disease: association with dopaminergic drugs.

Science.gov (United States)

Poletti, Michele; Logi, Chiara; Lucetti, Claudio; Del Dotto, Paolo; Baldacci, Filippo; Vergallo, Andrea; Ulivi, Martina; Del Sarto, Simone; Rossi, Giuseppe; Ceravolo, Roberto; Bonuccelli, Ubaldo

2013-10-01

The current study aimed at establishing the prevalence of impulse control disorders (ICDs) in patients with Parkinson disease (PD) and their association with demographic, drug-related, and disease-related characteristics. We performed a single-center cross-sectional study of 805 PD patients. Impulse control disorders were investigated with the Questionnaire for Impulsive Compulsive Disorders in Parkinson's Disease; also comorbid neuropsychiatric complications (dementia, delusions, visual hallucinations) were investigated with clinical interviews and ad hoc instruments (Parkinson Psychosis Questionnaire and Neuropsychiatry Inventory). Impulse control disorders were identified in 65 patients (prevalence, 8.1%), with pathological gambling and hypersexuality the most frequent. Impulse control disorders were present in 57 of 593 cognitively preserved patients (prevalence, 9.6%) and in 8 of 212 demented patients (prevalence, 3.8%). Impulse control disorders were significantly associated with dopamine agonists (odds ratio [OR], 5.50; 95% confidence interval [CI], 2.60-12.46; P Impulse control disorders frequency was similar for pramipexole and ropinirole (16.6% vs 12.5%; OR, 1.45; 95% CI, 0.79-2.74; P = 0.227). Additional variables associated with ICDs were male sex and younger age. These findings suggested that dopaminergic treatments in PD are associated with increased odds of having an ICD, but also other demographic and clinical variables are associated with ICDs, suggesting the multifactorial nature of the ICD phenomenon in PD.

Child-centered versus teacher-directed teaching practices: Associations with the development of academic skills in the first grade at school

OpenAIRE

Lerkkanen, Marja-Kristiina; Kiuru, Noona; Pakarinen, Eija; Poikkeus, Anna-Maija; Rasku-Puttonen, Helena; Siekkinen, Martti; Nurmi, Jari-Erik

2016-01-01

This study examined the extent to which child-centered versus teacher-directed teaching practices predicted the development of children’s reading and math skills in the first year of elementary school. In addition, we investigated whether associations between teaching practices and children’s academic skills development in Grade 1 differed among children who had low, average, or high initial academic skills at the beginning of school. The reading and math skills of 1,132 Finnish c...

Hydrogeological Investigations of the Quaternary Aquifeer in the Northern Part of El-Sharkia Governorate, Egypt

International Nuclear Information System (INIS)

El-Sayed, S.A.; Ezz El Din, M.R.; Deyab, M.E.

2011-01-01

The hydraulic characteristics of surficial soils and materials of the Quaternary aquifer in the northern part of El-Sharkia Governorate were investigated. The surficial soil zone represents an aquitard for the aquifer and mainly composed of fine textured materials having vertical hydraulic conductivity ranged from 1.4 x10 -6 cm/sec to 2.15x10 -2 cm/sec. The semi-confined Quaternary aquifer is formed of sand and gravel with occasional clay lenses. The groundwater levels ranged from 9 m (MSL) to 5 m (MSL). The major trend of groundwater flow was from south to north and northwest directions. Another minor flow trend was observed to be from southwest to northeast direction. The aquifer is essentially recharged from Ismaillia Canal. The hydraulic gradient through the flow path was 1.9 x10 -4 , averagely. The hydraulic conductivity values differ vertically and laterally indicating the heterogeneity and anisotropy of the aquifer materials. They ranged from 40.1 to 222 m/day with an average value of about 95.8 m/day. The chemical compositions of groundwater and surface water bodies (canals and drains) were investigated. The chemistry of all water bodies was characterized by a basic nature (ph =7.2-7.9) and showed different salinities values and various hydrochemical facies. The average salinities values were 318.1 mg/l for canal water, 1013.4 mg/l for groundwater and 1260 mg/l for drain water. Canal water was fresh while groundwater and drain were fresh to brackish. The reasons causing the changes in salinity and hydrochemical facies were investigated using the relationships among water dissolved constituents and trends of ionic ratios. Subsurface flow, infiltration, evaporation, ion exchange, leaching, and dissolution were the hydrochemical processes leading to the groundwater modification. The suitability of groundwater and surface water for different uses are discussed and evaluated according to the international standards.

User-centered design to improve clinical decision support in primary care.

Science.gov (United States)

Brunner, Julian; Chuang, Emmeline; Goldzweig, Caroline; Cain, Cindy L; Sugar, Catherine; Yano, Elizabeth M

2017-08-01

A growing literature has demonstrated the ability of user-centered design to make clinical decision support systems more effective and easier to use. However, studies of user-centered design have rarely examined more than a handful of sites at a time, and have frequently neglected the implementation climate and organizational resources that influence clinical decision support. The inclusion of such factors was identified by a systematic review as "the most important improvement that can be made in health IT evaluations." (1) Identify the prevalence of four user-centered design practices at United States Veterans Affairs (VA) primary care clinics and assess the perceived utility of clinical decision support at those clinics; (2) Evaluate the association between those user-centered design practices and the perceived utility of clinical decision support. We analyzed clinic-level survey data collected in 2006-2007 from 170 VA primary care clinics. We examined four user-centered design practices: 1) pilot testing, 2) provider satisfaction assessment, 3) formal usability assessment, and 4) analysis of impact on performance improvement. We used a regression model to evaluate the association between user-centered design practices and the perceived utility of clinical decision support, while accounting for other important factors at those clinics, including implementation climate, available resources, and structural characteristics. We also examined associations separately at community-based clinics and at hospital-based clinics. User-centered design practices for clinical decision support varied across clinics: 74% conducted pilot testing, 62% conducted provider satisfaction assessment, 36% conducted a formal usability assessment, and 79% conducted an analysis of impact on performance improvement. Overall perceived utility of clinical decision support was high, with a mean rating of 4.17 (±.67) out of 5 on a composite measure. "Analysis of impact on performance

8 June 2010 - South Dakota Governor M. Rounds signing the guest book with External Relations Office Adviser R. Voss, visiting the LHC superconducting Magnet test hall with Technology Department L. Bottura, in the CERN Control Centre with Beams Department Head P. Collier, ATLAS visitor Centre with Deputy Collaboration Spokesperson A. Lankford and visiting CMS Control Centre with Deputy Collaboration Spokesperson J. Incandela. LHC Communications and FNAL member K. Yurkewicz accompanies throughout (see complete delegation list below).

CERN Multimedia

Teams (M. Brice/J.C. Gadmer)

2010-01-01

CERN-HI-1006100 24: from left to right: Permanent Mission Representative A. Shybut; External Relations Office Adviser R. Voss; LHC Communications and FNAL K. Yurkewicz, Washington CSG Director for internationl programmes S. Sutcliffe-Stephenson; Technology Department Representative L. Bottura; South Dakota State Patrol D. Svendsen; CSG Executive Director and Former State Senator from Kansas D. Atkins;Office of the First Lady L. Svendsen; Office of the Governor K. Mueller; First Lady J. Rounds; South Dakota Governor M. Rounds; Washington State Senator T. Eide;Judge M. Eide; Assemblyman J. Oceguera and G. Oceguera (with son Jackson Oceguera, 5 months).

Factors associated with high stress levels in adults with diabetes mellitus attending a tertiary diabetes care center, Chennai, Tamil Nadu, India.

OpenAIRE

Sendhilkumar, M; Tripathy, JP; Harries, AD; Dongre, AR; Deepa, M; Vidyulatha, A; Poongothai, S; Venkatesan, U; Anjana, RM; Mohan, V

2017-01-01

Objective: We aimed to determine perceived stress levels among adults aged >20 years with type 2 diabetes mellitus (DM) in a tertiary care diabetes center, Chennai, Tamil Nadu, India, assess their association with sociodemographic and clinical characteristics and assess the possible risk factors for stress and coping strategies. Methods: A mixed-methods (triangulation design) study with quantitative methodology (survey) and qualitative methodology (interviews) was carried out. Stress levels w...

Prevalence of and factors associated with utilization of herbal medicines among outpatients in primary health centers in Cambodia.

Science.gov (United States)

Pearson, Hattie; Fleming, Tyler; Chhoun, Pheak; Tuot, Sovannary; Brody, Carinne; Yi, Siyan

2018-04-02

Traditional, complementary and alternative medicine (TCAM) is seen as a way to provide healthcare in both developed and developing countries across the world. In Cambodia, there is a long tradition of using TCAM. However, scant studies have been conducted on the extent of Cambodian TCAM use and how it interacts with allopathic health care to date. In this study, we examined the prevalence of and factors associated with utilization of herbal medicines among patients with chronic diseases in primary health care settings in Cambodia. A cross-sectional survey was conducted in 2015 with outpatients receiving treatment and care for chronic diseases in two urban and two rural primary health centers purposively selected from Phnom Penh, Kampong Cham and Siem Reap. Every eligible patient was randomly selected at the health centers using a systematic sampling procedure. I-CAM-Q was used to measure TCAM use. A multivariate logistic regression model was constructed to identify factors associated with herbal medicine use. In total, 1602 patients were included in this study, of whom 77.7% were female, and 51.2% were recruited from urban primary health centers with a mean age of 46.5 years (SD = 15.2). Of total, 27.0% reported at least one consultation with a TCAM provider in the past 12 months. The most common modality of TCAM used was herbal medicine (89%). Herbs were obtained at drug or folk stores (36.9%), from herbalists directly (28.5%) or from their own gardens (18.6%). Of herb users, 55.2% reported that herbs were somewhat helpful. After adjustment, herb users were significantly more likely to be female (AOR = 1.42, 95% CI = 1.12-2.67), have completed less schooling (AOR = 0.66, 95% CI = 0.45-0.96), were unemployed or homemakers (AOR = 0.23, 95% CI = 0.13-0.52) and have a gastrointestinal illness (AOR = 0.49, 95% CI = 0.39-0.62). Herbal medicines are broadly used among chronic disease patients in Cambodia. Understanding TCAM use in

Center for Beam Physics, 1993

International Nuclear Information System (INIS)

1994-05-01

The Center for Beam Physics is a multi-disciplinary research and development unit in the Accelerator and Fusion Research Division at Lawrence Berkeley Laboratory. At the heart of the Center's mission is the fundamental quest for mechanisms of acceleration, radiation and focusing of energy. Dedicated to exploring the frontiers of the physics of (and with) particle and photon beams, its primary mission is to promote the science and technology of the production, manipulation, storage and control systems of charged particles and photons. The Center serves this mission via conceptual studies, theoretical and experimental research, design and development, institutional project involvement, external collaborations, association with industry and technology transfer. This roster provides a glimpse at the scientists, engineers, technical support, students, and administrative staff that make up this team and a flavor of their multifaceted activities during 1993

Information sharing guidebook for transportation management centers, emergency operations centers, and fusion centers

Science.gov (United States)

2010-06-01

This guidebook provides an overview of the mission and functions of transportation management centers, emergency operations centers, and fusion centers. The guidebook focuses on the types of information these centers produce and manage and how the sh...

Information sharing guidebook for transportation management centers, emergency operations centers, and fusion centers.

Science.gov (United States)

2010-06-01

This guidebook provides an overview of the mission and functions of transportation management centers, emergency operations centers, and fusion centers. The guidebook focuses on the types of information these centers produce and manage and how the sh...

Assessing the integration of health center and community emergency preparedness and response planning.

Science.gov (United States)

Wineman, Nicole V; Braun, Barbara I; Barbera, Joseph A; Loeb, Jerod M

2007-11-01

To assess the state of health center integration into community preparedness, we undertook a national study of linkages between health centers and the emergency preparedness and response planning initiatives in their communities. The key objectives of this project were to gain a better understanding of existing linkages in a nationally representative sample of health centers, and identify health center demographic and experience factors that were associated with strong linkages. The objectives of the study were to gain a baseline understanding of existing health center linkages to community emergency preparedness and response systems and to identify factors that were associated with strong linkages. A 60-item questionnaire was mailed to the population of health centers supported by the Health Resources and Services Administration's Bureau of Primary Health Care in February 2005. Results were aggregated and a chi square analysis identified factors associated with stronger linkages. Overall performance on study-defined indicators of strong linkages was low: 34% had completed a hazard vulnerability analysis in collaboration with the community emergency management agency, 30% had their role documented in the community plan, and 24% participated in community-wide exercises. Stronger linkages were associated with experience responding to a disaster and a perception of high risk for experiencing a disaster. The potential for health centers to participate in an integrated response is not fully realized, and their absence from community-based planning leaves an already vulnerable population at greater risk. Community planners should be encouraged to include health centers in planning and response and centers should receive more targeted resources for community integration.

Factors related to high dental caries experience in Palestinian pregnant women in the Jerusalem governorate: a cross-sectional study.

Science.gov (United States)

Kateeb, Elham; Momany, Elizabeth

2018-02-21

Beliefs about oral health during pregnancy demographic factors, such as level of education and socioeconomic status, are associated with an increased risk of oral diseases during pregnancy. The aim of this study was to assess the oral health status of pregnant women and the relation to the women's oral health knowledge, beliefs, behaviour, and access to dental care. For this cross-sectional study, pregnant women visiting pre-natal care clinics at the Palestinian Ministry of Health centres in the Jerusalem governorate were invited to complete a structured interview with questions about beliefs about oral health care and their oral hygiene practices. Screening for oral health conditions was done using the Decayed, Missed and Filled Teeth (DMFT) index to assess the women's dental caries experience, and gingival health indices (plaque, gingival, and calculus) were measured to assess gingival health. Ethical approval was obtained from Al-Quds University Ethics Committee. 152 pregnant women agreed to participate in this study. Participants had a mean DMFT score of 15·5 (SD 4·5). Bivariate analysis showed that women who had completed a degree after high school had a lower DMFT score than women who did not (F=4; p=0·024). Women who had visited a dentist in the past 6 months had a higher DMFT score than women who had never visited a dentist (F=2·4, p=0·05). Additionally, women who believed they could lose a tooth just because they are pregnant scored high DMFT scores (t=-4; p=0·037). Results of the multivariable analysis showed that age, level of education, recent dental visit, and the belief that it is unsafe to get routine dental care during pregnancy explained 25% of the variation in the DMFT score. Women in this study had high prevalence of dental disease and knew little about dental care during pregnancy. Faulty beliefs about oral health care and barriers to dental care were major factors in the high prevalence of the disease. This project was partially funded by

New Governors on the Block

DEFF Research Database (Denmark)

Tsingou, Eleni

2018-01-01

Anti-money laundering (AML) activities are part of an institutionalized, global, and increasingly prescriptive regime, covering a growing set of predicate offences. Yet with much of the responsibility for implementation and monitoring at the hands of private actors, compliance professionals within...... financial institutions have become foot soldiers in the fight against money laundering. This paper argues that AML professionals do not only implement and monitor, however, but, to protect their interests, also shape the content of governance. The process is two-fold. First, a professionalization process...... enabling such activities. From that position, the compliance industry has consolidated its role through the development of systematic professional standards and through identifiable skills and expertise as defined by professional associations. Second, anti-money laundering professionals interpret rules...

Road traffic fatalities in selected governorates of Iraq from 2010 to 2013: prospective surveillance.

Science.gov (United States)

Leidman, Eva; Maliniak, Maret; Sultan, Abdul-Salam Saleh; Hassan, Ahmed; Hussain, Syed Jaffar; Bilukha, Oleg O

2016-01-01

The insurgency tactics that characterize modern warfare, such as suicide car bombs and roadside bombs, have the potential to significantly impact road traffic injuries in conflict affected-countries. As road traffic incidents are one of the top ten causes of death in Iraq, changes in incidence have important implications for the health system. We aimed to describe patterns of road traffic fatalities for all demographic groups and types of road users in Iraq during a period characterized by a resurgence in insurgency activity. Iraqi Ministry of Health routine prospective injury surveillance collects information on all fatal injuries in eight governorates of Iraq: Baghdad, Al-Anbar, Basrah, Erbil, Kerbala, Maysan, Ninevah, and Al-Sulaimaniya. From all injury fatalities documented at the coroner office, we analyzed only those attributed to road traffic that occurred between 1 January 2010 and 31 December 2013. Coroners ascertain information from physical examinations, police reports and family members. Analysis included 7,976 road traffic fatalities. Overall, 6,238 (78.2 %) fatalities were male and 2,272 (28.5 %) were children under 18 years of age. The highest numbers of road traffic fatalities were among males 15 to 34 years of age and children of both sexes under 5 years of age. 49.2 % of fatalities occurred among pedestrians. Among children and females, the majority of road traffic fatalities were pedestrians, 69.0 % and 56.6 %, respectively. Fatalities among motorcyclists (3.7 %) and bicyclists (0.4 %) were least common. Rates of road traffic fatalities ranged from 8.6 to 10.7 per 100,000 population. The injury surveillance system provides the first data from a conflict-affected country on road traffic fatalities disaggregated by type of road user. The highest numbers of fatalities were among children and young men. Nearly half of fatalities were pedestrians, a proportion nearly double that of any neighboring country. As insurgency activity increased in

Economic Prospects for African Americans, 2001-2010: Politics and Promises.

Science.gov (United States)

Brimmer, Andrew F.

Given the different economic policy approaches of the two candidates for the 2000 presidential election, Vice President Al Gore and Texas Governor George W. Bush, the Joint Center for Political and Economic Studies analyzed and assessed the plans put forth by both candidates, focusing on the expected impacts on African Americans. Six analyses were…

29 March 2012 - Austrian Niederösterreich Governor E. Pröll with Klubobmann and Chairman of EBG MedAustron GmbH Council K. Schneeberger, Director General for Cultural Policy Amabssador M.Eichtinger and Permanent Representative of Austria to the UNO and Austrian Delegate to CERN Council Ambassador C. Strohal in the MedAustron facility at CERN building 184.

CERN Multimedia

Jean-Claude Gadmer

2012-01-01

CERN-HI-1203078 01 - 13: visit of LINAC 3 with M. Benedikt CERN-HI-1203078 14 - 20: in the Roy Billinge room CERN-HI-1203078 21- 22: visit of the LEIR accelerator in building 354 CERN-HI-1203078 23 - 55: signing the guest book with CERN Director-General R. Heuer and Head of International Relations F. Pauss CERN-HI-1203078 56 - 99: in building 184, Governor Pröll and CERN Director-General R. Heuer switch on the MedAustron ion source to produce the proton beam; visit MedAustron facility. CERN-HI-1203078 32:from left to right: Klubobmann and Chairman of EBG MedAustron GmbH Council K. Schneeberger; Director-General R. Heuer;Niederösterreich Governor E. Pröll;Head of International Relations F. Pauss;Permanent Representative of Austria to the UNO and Austrian Delegate to CERN Council Ambassador C. Strohal.

Photoluminescence of magnesium-associated color centers in LiF crystals implanted with magnesium ions

Science.gov (United States)

Nebogin, S. A.; Ivanov, N. A.; Bryukvina, L. I.; V. Shipitsin, N.; E. Rzhechitskii, A.; Papernyi, V. L.

2018-05-01

In the present paper, the effect of magnesium nanoparticles implanted in a LiF crystal on the optical properties of color centers is studied. The transmittance spectra and AFM images demonstrate effective formation of the color centers and magnesium nanoparticles in an implanted layer of ∼ 60-100 nm in thickness. Under thermal annealing, a periodical structure is formed on the surface of the crystal and in the implanted layer due to self-organization of the magnesium nanoparticles. Upon excitation by argon laser with a wavelength of 488 nm at 5 K, in a LiF crystal, implanted with magnesium ions as well as in heavily γ-irradiated LiF: Mg crystals, luminescence of the color centers at λmax = 640 nm with a zero-phonon line at 601.5 nm is observed. The interaction of magnesium nanoparticles and luminescing color centers in a layer implanted with magnesium ions has been revealed. It is shown that the luminescence intensity of the implanted layer at a wavelength of 640 nm is by more than two thousand times higher than that of a heavily γ-irradiated LiF: Mg crystal. The broadening of the zero-phonon line at 601.5 nm in the spectrum of the implanted layer indicates the interaction of the emitting quantum system with local field of the surface plasmons of magnesium nanoparticles. The focus of this work is to further optimize the processing parameters in a way to result in luminescence great enhancement of color centers by magnesium nanoparticles in LiF.

A Review of the Chinese Higher Education Evaluation Center

Science.gov (United States)

Luo, Laura Pan; Dehai, Wang

2007-01-01

The authors discuss the Higher Education Evaluation Center, the administrative body under the auspices of the Chinese Ministry of Education responsible for organizing and conducting evaluation of baccalaureate and associate degree programs offered at different universities and colleges in China. The Center also conducts research on regulations and…

Nuclear Data Center International Standard Towards TSO Initiative

International Nuclear Information System (INIS)

Raja Murzaferi Raja Moktar; Mohd Fauzi Haris; Siti Nurbahyah Hamdan

2011-01-01

Nuclear Data Center is the main facility for Nuclear Malaysia Agency IT infrastructure comprising of main critical servers, research and operational data storage, HPC-clusters system and vital network core equipment. In recent years, international body such as TIA-Telecommunication Industry Association and Up time Institute have came out with proper international data center standards in order to ensure data center operation on achieving maximum operational up time and minimal downtime. The standard are currently being rated as tier level ranging from Data Center tier I up to tier IV, differentiate by facility standard and up time/ downtime percentage ratio. This paper will discuss Nuclear Data Center adopting international standards in supporting Nuclear Malaysia TSO initiative thus ensuring the critical core component of agency IT services availability and further more International standard recognitions. (author)

Culture Method and PCR for the Detection of Helicobacter pylori in Drinking Water in Basrah Governorate Iraq

Directory of Open Access Journals (Sweden)

A. A. Al-Sulami

2012-01-01

Full Text Available Helicobacter pylori is recognized by the World Health Organization to be the primary cause of peptic ulcers, chronic gastritis, and stomach cancer, though the source of human infection is not well understood. One of the problems in understanding the source of human contamination is the difficulty in isolating the organism from the environment. However, the combination of PCR results with those of culturing of 471 drinking water samples can provide a more accurate picture of H. pylori detection. In this method 78 presumptive H. pylori colonies out of 266 tap water samples were obtained in the preliminary detection on modified Columbia agar (MCUA slant relying on urease positivity with a rate of 29.3%. However, only 11 out of them were confirmed by Gram staining and biochemical tests reducing the rate to 4.13% whereas only 3 (1.46% from 205 reverse osmosis (RO water samples. Furthermore, only 6 (54.5% out of the 11 isolates from tap water and 1 (33.3% of the 3 RO isolates were confirmed by 16SrRNA PCR. Thus PCR confirmation reduced the rate to 2.2%. In addition, only 4 (4% of 100 tap water samples negative for H. pylori by culture method were H. pylori positive by 16SrRNA. Water samples were collected from 24 districts of Basrah Governorate from February–December 2009. The direct recovery of H. pylori from drinking water is both alarming and scientifically exciting in terms of the investigation of its epidemiology.

5′ UTR and NS5B-based genotyping of hepatitis C virus in patients from Damietta governorate, Egypt

Directory of Open Access Journals (Sweden)

Radwa R. El-Tahan

2018-03-01

Full Text Available Chronic hepatitis C virus (HCV infection is a main health problem in Egypt causing high rates of mortalities. Egypt has the highest HCV prevalence in the world, with specific HCV subtypes epidemic and circulating extensively in the country. Different antiviral therapy protocols have been implemented for treating Egyptian HCV patients. Due to the limited data about HCV in Egypt, this study aimed to genotype HCV strains circulating in the Nile Delta Damietta governorate and to investigate the variation in the nonstructural 5B (NS5B region targeted by the newly approved antiviral drugs. Thirty HCV samples from treatment-naïve patients were genotyped by restriction fragment length polymorphism. Some samples were genotyped by direct sequencing of their 5′ untranslated region (UTR and NS5B regions. Phylogenetic analysis was also performed on the sequences of their NS5B regions. Fourteen new sequences have been deposited in the GenBank database. Results showed that subtype 4a was prevalent in addition to subtype 1g. None of the previously reported NS5B substitutions were detected in the sequenced isolates from treatment-naïve patients, which may be a good predictor for efficient treatment of HCV Egyptian patients with Sofosbuvir. Further studies on Sofosbuvir treated-HCV Egyptian patients are required to investigate whether any NS5B substitutions can confer resistance to treatment.

Iowa Water Center | Iowa Water Center

Science.gov (United States)

Home Iowa State University Extension Iowa Water Center Submitted by mollyd on April 24, 2012 - 09 :42 Advancing the state of water knowledge and management The Iowa Water Center is a part of a nationwide network of university-based water centers created to encourage interdisciplinary water research

User-Centered Design through Learner-Centered Instruction

Science.gov (United States)

Altay, Burçak

2014-01-01

This article initially demonstrates the parallels between the learner-centered approach in education and the user-centered approach in design disciplines. Afterward, a course on human factors that applies learner-centered methods to teach user-centered design is introduced. The focus is on three tasks to identify the application of theoretical and…

The Incidence of Nosocomial Toxigenic Clostridium difficile Associated Diarrhea in Tehran Tertiary Medical Centers

Directory of Open Access Journals (Sweden)

Norakhoda Sadeghifard

2010-10-01

Full Text Available Clostridium difficile is the most common cause of nosocomial diarrhea. It is usually a consequence of antibiotic treatment, But sporadic cases can occur. This study was aimed to determine the frequency of the nosocomial Clostridium difficile (C. difficile associated diarrhea in Tehran University of Medical Sciences hospitals and study of antibacterial susceptibility of isolates. In this study a total of 942 stool samples from patients with nosocomial diarrhea that were hospitalized in Imam Khomeini hospital, Shariati hospital and Children clinical center were collected. The samples were cultured on a selective cycloserine cefoxitin fructose agar (CCFA and incubated in anaerobic conditions, at 37°C for 5 days. Isolates were characterized to species level by conventional biochemical tests. Bacterial cytotoxicity was assayed on tissue culture (vero. Antimicrobial sensitivity of isolated toxigenic C. difficile were investigated by kirby Beuer method (disk diffusion. Our findings show that, of the total patients, 57 toxigenic C. difficile (6.1% were isolated. Results of statistical analysis show significant differences between the rate of isolated toxigenic C. difficile and age group of patients (P

Recombination luminescence from H centers and conversion of H centers into I centers in alkali iodides

International Nuclear Information System (INIS)

Berzina, B.J.

1981-01-01

The study is aimed at the search for H-plus-electron centers of luminescence and the investigation of the conversion of H- into I centers by the luminescence of H-plus-electron centers in alkali iodide crystals. KI, RbI and NaI crystals were studied at 12 K. H and F centers were created by irradiation with ultraviolet light corresponding to the absorption band of anion excitons. Then the excitation of electron centers by red light irradiation was followed. The spectra of stimulated recombination luminescence were studied. The luminescence of H-plus- electron centers had been observed and the conclusion was made that this center was formed on immobile H centers. In case of stable H centers the optically stimulated conversion of H centers into I centers occurs. The assumption is advanced on the spontaneous annihilation of near placed unstable F, H centers which leads to the creation of H-plus-electron luminescence centers and to the spontaneous H-I-centers conversion [ru

Associations of family-centered care with health care outcomes for children with special health care needs.

Science.gov (United States)

Kuo, Dennis Z; Bird, T Mac; Tilford, J Mick

2011-08-01

The objective of this study is to examine the association of family-centered care (FCC) with specific health care service outcomes for children with special health care needs (CSHCN). The study is a secondary analysis of the 2005-2006 National Survey of Children with Special Health Care Needs. Receipt of FCC was determined by five questions regarding how well health care providers addressed family concerns in the prior 12 months. We measured family burden by reports of delayed health care, unmet need, financial costs, and time devoted to care; health status, by stability of health care needs; and emergency department and outpatient service use. All statistical analyses used propensity score-based matching models to address selection bias. FCC was reported by 65.6% of respondents (N = 38,915). FCC was associated with less delayed health care (AOR: 0.56; 95% CI: 0.48, 0.66), fewer unmet service needs (AOR: 0.53; 95% CI: 0.47, 0.60), reduced odds of ≥1 h/week coordinating care (AOR: 0.83; 95% CI: 0.74, 0.93) and reductions in out of pocket costs (AOR: 0.88; 95% CI: 0.80, 0.96). FCC was associated with more stable health care needs (AOR: 1.11; 95% CI: 1.01, 1.21), reduced odds of emergency room visits (AOR: 0.90; 95% CI: 0.82, 0.99) and increased odds of doctor visits (AOR: 1.25; 95% CI: 1.14, 1.37). Our study demonstrates associations of positive health and family outcomes with FCC. Realizing the health care delivery benefits of FCC may require additional encounters to build key elements of trust and partnership.

Late-Onset Cryopyrin-Associated Periodic Syndromes Caused by Somatic NLRP3 Mosaicism—UK Single Center Experience

Directory of Open Access Journals (Sweden)

Dorota M. Rowczenio

2017-10-01

Full Text Available Cryopyrin-associated periodic syndrome (CAPS is caused by gain-of-function NLRP3 mutations. Recently, somatic NLRP3 mosaicism has been reported in some CAPS patients who were previously classified as “mutation-negative.” We describe here the clinical and laboratory findings in eight British adult patients who presented with symptoms typical of CAPS other than an onset in mid-late adulthood. All patients underwent comprehensive clinical and laboratory investigations, including analysis of the NLRP3 gene using Sanger and amplicon-based deep sequencing (ADS along with measurements of extracellular apoptosis-associated speck-like protein with CARD domain (ASC aggregates. The clinical phenotype in all subjects was consistent with mid-spectrum CAPS, except a median age at disease onset of 50 years. Sanger sequencing of NLRP3 was non-diagnostic but ADS detected a somatic NLRP3 mutation in each case. In one patient, DNA isolated from blood demonstrated an increase in the mutant allele from 5 to 45% over 12 years. ASC aggregates in patients’ serum measured during active disease were significantly higher than healthy controls. This series represents 8% of CAPS patients diagnosed in a single center, suggesting that acquired NLRP3 mutations may not be an uncommon cause of the syndrome and should be sought in all patients with late-onset symptoms otherwise compatible with CAPS. Steadily worsening CAPS symptoms in one patient were associated with clonal expansion of the mutant allele predominantly affecting myeloid cells. Two patients developed AA amyloidosis, which previously has only been reported in CAPS in association with life-long germline NLRP3 mutations.

Frequency of adoption of practice management guidelines at trauma centers

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Sobrino, Justin; Barnes, Sunni A.; Dahr, Nadine; Kudyakov, Rustam; Berryman, Candice; Nathens, Avery B.; Hemmila, Mark R.; Neal, Melanie

2013-01-01

Evidence-based management guidelines have been shown to improve patient outcomes, yet their utilization by trauma centers remains unknown. This study measured adoption of practice management guidelines or protocols by trauma centers. A survey of 228 trauma centers was conducted over 1 year; 55 completed the survey. Centers were classified into three groups: noncompliant, partially compliant, and compliant with adoption of management protocols. Characteristics of compliant centers were compared with those of the other two groups. Most centers were Level I (58%) not-for-profit (67%) teaching hospitals (84%) with a surgical residency (74%). One-third of centers had an accredited fellowship in surgical critical care (37%). Only one center was compliant with all 32 management protocols. Half of the centers were compliant with 14 of 32 protocols studied (range, 4 to 32). Of the 21 trauma center characteristics studied, only two were independently associated with compliant centers: use of physician extenders and daily attending rounds (both P < .0001). Adoption of management guidelines by trauma centers is inconsistent, with wide variations in practices across centers. PMID:23814383

An estimation of water origins in the vicinity of a tropical cyclone's center and associated dynamic processes

Science.gov (United States)

Takakura, Toshinari; Kawamura, Ryuichi; Kawano, Tetsuya; Ichiyanagi, Kimpei; Tanoue, Masahiro; Yoshimura, Kei

2018-01-01

To clarify the time evolution of water origins in the vicinity of a tropical cyclone (TC)'s center, we have simulated Typhoon Man-yi (July 2007) in our case study, using an isotopic regional spectral model. The model results confirm that the replacement of water origins occurs successively as the TC develops and migrates northward over the western North Pacific. It is confirmed that, in this case, a significant proportion of total precipitable water around the cyclone center comes from external regions rather than the underlying ocean during the mature stage of a TC. Similar features can also be seen in the proportion of each oceanic origin to total condensation. Indian Ocean, South China Sea, and Maritime Continent water vapors begin to increase gradually at the developing stage and reach their peak at the decay stage when the TC approaches southwestern Japan. These remote ocean vapors are transported to the east of the cyclone via the moisture conveyor belt, a zone characterized by distinct low-level moisture flux that stretches from the Indian Ocean to the TC, and are further supplied into the inner region of the TC by inflow within the boundary layer associated with its secondary circulation. Since it takes time to undergo these two dynamic processes, the delayed influence of remote ocean vapors on the TC appears to become evident during the mature stage.

Color centers in KCN: a structural analysis of crystalline domains

International Nuclear Information System (INIS)

Carmo, L.C.S. do.

1976-03-01

Pure singlecrystals of KCN exposed to X-rays showed several color centers detected by EPR. The F center was identified through the correlation of its optical absorption band which satisfies the Ivey law for the KCN lattice parameter and the EPR spectrum typical of a center in an anionic site. Two other color centers were identified: N - 2 and HCN - . Two centers assigned to hydrogen atoms have their models proposed: U 2 and U 3 centers. Two other centers remain unidentified: an anionic and an extrinsic centers. The orthorhombic character of the N - 2 center EPR parameters allowed an structural analysis of the crystal line domains in the orthorhombic phase. The optical absorption spectrum of the HCN - center in KCl matrix was investigated and showed a set of resolved bands with a constant energy splitting; this splitting was associated to a vibrational mode of the excited state of this molecular ion. (author) [pt

Revisiting a quarter of a century of simian immunodeficiency virus (SIV-associated cardiovascular diseases at the German Primate Center

Directory of Open Access Journals (Sweden)

M. Mietsch

2017-06-01

Full Text Available Human immunodeficiency virus (HIV comorbidities have become clinically more important due to antiretroviral therapy. Although therapy increases life expectancy, it does not completely suppress immune activation and its associated complications. The simian immunodeficiency virus (SIV-infected rhesus macaque (Macaca mulatta represents a valuable model for the investigation of SIV-associated diseases. Although cardiovascular (CV changes are common in HIV-infected patients, there are only a few reports on the incidence of CV findings in SIV-infected animals. In addition, potential associations between pathohistological findings and hematological parameters are still unclear. We therefore conducted a retrospective analysis of 195 SIV-infected rhesus macaques that were euthanized with AIDS-related symptoms at the German Primate Center, Goettingen, over a 25-year period. Pathological findings were correlated with hematological data. The main findings included myocarditis (12.8 %, endocarditis (9.7 %, and arteriopathy (10.3 % in various organs. Thrombocytopenia occurred more frequently in macaques with endocarditis or arteriopathy than in macaques without CV disease (80 % in animals with endocarditis, 60 % in animals with arteriopathy, p < 0. 0001 and p = 0. 0016, respectively. Further investigations of the interaction between coagulation markers, proinflammatory cytokines, and biomarkers associated with endothelial dysfunction (e.g., D-dimers and histological data (vascular wall structure may unravel the mechanisms underlying HIV/SIV-associated CV comorbidities.

U.S. Department of Energy Pacific Region Clean Energy Application Center (PCEAC)

Energy Technology Data Exchange (ETDEWEB)

Lipman, Tim [Univ. of California, Berkeley, CA (United States); Kammen, Dan [Univ. of California, Berkeley, CA (United States); McDonell, Vince [Univ. of California, Irvine, CA (United States); Samuelsen, Scott [Univ. of California, Irvine, CA (United States); Beyene, Asfaw [San Diego State Univ., CA (United States); Ganji, Ahmad [San Francisco State Univ., CA (United States)

2013-09-30

The U.S. Department of Energy Pacific Region Clean Energy Application Center (PCEAC) was formed in 2009 by the U.S. Department of Energy (DOE) and the California Energy Commission to provide education, outreach, and technical support to promote clean energy -- combined heat and power (CHP), district energy, and waste energy recovery (WHP) -- development in the Pacific Region. The region includes California, Nevada, Hawaii, and the Pacific territories. The PCEAC was operated as one of nine regional clean energy application centers, originally established in 2003/2004 as Regional Application Centers for combined heat and power (CHP). Under the Energy Independence and Security Act of 2007, these centers received an expanded charter to also promote district energy and waste energy recovery, where economically and environmentally advantageous. The centers are working in a coordinated fashion to provide objective information on clean energy system technical and economic performance, direct technical assistance for clean energy projects and additional outreach activities to end users, policy, utility, and industry stakeholders. A key goal of the CEACs is to assist the U.S. in achieving the DOE goal to ramp up the implementation of CHP to account for 20% of U.S. generating capacity by 2030, which is estimated at a requirement for an additional 241 GW of installed clean technologies. Additional goals include meeting the Obama Administration goal of 40 GW of new CHP by 2020, key statewide goals such as renewable portfolio standards (RPS) in each state, California’s greenhouse gas emission reduction goals under AB32, and Governor Brown’s “Clean Energy Jobs Plan” goal of 6.5 GW of additional CHP over the next twenty years. The primary partners in the PCEAC are the Department of Civil and Environmental Engineering and the Energy and Resources Group (ERG) at UC Berkeley, the Advanced Power and Energy Program (APEP) at UC Irvine, and the Industrial Assessment Centers (IAC

Controlled, cross-sectional, multi-center study of physical capacity and associated factors in women with fibromyalgia.

Science.gov (United States)

Larsson, Anette; Palstam, Annie; Bjersing, Jan; Löfgren, Monika; Ernberg, Malin; Kosek, Eva; Gerdle, Björn; Mannerkorpi, Kaisa

2018-04-19

Health and physical capacity are commonly associated with disease, age, and socioeconomic factors. The primary objective of this study was to investigate the degree to which physical capacity, defined as muscle strength and walking ability, is decreased in women with fibromyalgia (FM), as compared to healthy women, who are matched for age and level of education. The secondary aim was to investigate whether muscle strength and walking ability are associated with age, symptom duration, activity limitations and, Body Mass Index (BMI) in women with FM and control subjects. This controlled, cross-sectional, multi-center study comprised 118 women with FM and 93 age- and education-level-matched healthy women. The outcome measures were isometric knee-extension force, isometric elbow-flexion force, isometric hand-grip force, and walking ability. Differences between the groups were calculated, and for the women with FM analyses of correlations between the measures of physical capacity and variables were performed. The women with FM showed 20% (p BMI. It seems important to address this problem and to target interventions to prevent decline in muscle strength. Assessments of muscle strength and walking ability are easy to administer and should be routinely carried out in the clinical setting for women with FM. ClinicalTrials.gov identification number: NCT01226784 , Oct 21, 2010.

Association between perceived social support and induced abortion: A study in maternal health centers in Lima, Peru.

Science.gov (United States)

Sánchez-Siancas, Luis E; Rodríguez-Medina, Angélica; Piscoya, Alejandro; Bernabe-Ortiz, Antonio

2018-01-01

This study aimed to assess the association between perceived social support and induced abortion among young women in Lima, Peru. In addition, prevalence and incidence of induced abortion was estimated. A cross-sectional study enrolling women aged 18-25 years from maternal health centers in Southern Lima, Peru, was conducted. Induced abortion was defined as the difference between the total number of pregnancies ended in abortion and the number of spontaneous abortions; whereas perceived social support was assessed using the DUKE-UNC scale. Prevalence and incidence of induced abortion (per 100 person-years risk) was estimated, and the association of interest was evaluated using Poisson regression models with robust variance. A total of 298 women were enrolled, mean age 21.7 (± 2.2) years. Low levels of social support were found in 43.6% (95%CI 38.0%-49.3%), and 17.4% (95%CI: 13.1%- 21.8%) women reported at least one induced abortion. The incidence of induced abortion was 2.37 (95%CI: 1.81-3.11) per 100 person-years risk. The multivariable model showed evidence of the association between low perceived social support and induced abortion (RR = 1.94; 95%CI: 1.14-3.30) after controlling for confounders. There was evidence of an association between low perceived social support and induced abortion among women aged 18 to 25 years. Incidence of induced abortion was similar or even greater than rates of countries where abortion is legal. Strategies to increase social support and reduce induced abortion rates are needed.

A study of pollution extent in some drinking water resources by heavy elements in Hadramout governorate

International Nuclear Information System (INIS)

Barheyan, Saad Awadh

2001-01-01

The paper is considered as a preliminary study of pollution extent in some drinking water resources in Hadramout governorate by heavy elements which differ in their toxicity. The elements subjected to study are Cd, Pb, Fe, Cr, Mn, Zn, Co and Cu. Atomic absorption spectrometric method of analysis (AAS) is used for the determination of heavy elements concentrations. The elemental analysis of drinking water samples shows that the concentration of the above-mentioned elements in drinking water resources, lies in the permissible limit given by the WHO. Similarity of elements content is observed in Thela and Fuwah waters, bu the case is different for Ghail Bawzeer and Asshihir waters due to their different lithospheric structures. Drinking water used by the civilians is not subjected to physical, biological or chemical treatment which may lead to total or partial removal of heavy elements and other rejected impurities. Drinking water running in distribution nets is a hard water and has a weak base (Ph which explains the reason why heavy elements are absorbed and precipitated inside drinking water pipes before they reach consumers. This type of hard water causes accumulation of salt precipitates inside the water pipes which results in many economic and health disturbances to consumers. The slight increase of Cr, Mn, and Co concentration in drinking water flowing in the pipes may be due to the effect of some anions such as nitrates which form soluble compounds with the elements contained in the chemical composition of the drinking water pipes. This paper is a strong indicator for determination of heavy elements concentrations in different drinking water resources in Hadramout govemorate. Such approach seeks a further comprehensive work with special focus on the study of lithospheric structure of the feeding water regions of Hadramout aquifers. (author)

Center edge angle measurement for hip preservation surgery: technique and caveats.

Science.gov (United States)

Anderson, Lucas A; Gililland, Jeremy; Pelt, Christopher; Linford, Samuel; Stoddard, Gregory J; Peters, Christopher L

2011-01-01

Anterior and lateral center edge angles have traditionally been used to determine acetabular coverage, and thereby strongly influence the decision to perform acetabular reorientation versus osteochondroplasty in patients with dysplasia and/or femoroacetabular impingement. We propose templating the center of the contained articular femoral head in aspherical hips to provide reliable assessment of acetabular coverage. Digital radiographs of 30 patients with various combinations of femoral and acetabular morphologies were evaluated using 2 methods to identify the anterior center edge angle and lateral center edge angle. The control method used an estimated femoral head center for angle apex. The study technique determined the center of the femoral head by templating the congruent aspect of the femoral head contained by the acetabulum while ignoring the increasing lateral and anterior radius associated with cam deformities. Four readers measured lateral center edge angles on anteroposterior radiographs and anterior center edge angles on false-profile radiographs. Two reads were performed by each reader using both the estimated and the templated methods for a total of 4 reads. Interobserver reliability using the proposed method compared to the standard was much improved for anterior center edge angles (intraclass correlation coefficient of 0.76 vs 0.55) as well as with lateral center edge angles (ICC of 0.80 vs 0.42). Decreased correlation was most commonly associated with abnormal sourcil morphology, posterior wall deficiency combined with calcified labra, and os acetabuli. Including the anterolateral cam deformity in identifying the center of the femoral head for measuring center edge angles leads to an underestimation of acetabular coverage, which may negatively affect hip preservation surgical decision making. Copyright 2011, SLACK Incorporated.

Clinical quality performance in U.S. health centers.

Science.gov (United States)

Shi, Leiyu; Lebrun, Lydie A; Zhu, Jinsheng; Hayashi, Arthur S; Sharma, Ravi; Daly, Charles A; Sripipatana, Alek; Ngo-Metzger, Quyen

2012-12-01

To describe current clinical quality among the nation's community health centers and to examine health center characteristics associated with performance excellence. National data from the 2009 Uniform Data System. Health centers reviewed patient records and reported aggregate data to the Uniform Data System. Six measures were examined: first-trimester prenatal care, childhood immunization completion, Pap tests, low birth weight, controlled hypertension, and controlled diabetes. The top 25 percent performing centers were compared with lower performing (bottom 75 percent) centers on these measures. Logistic regressions were utilized to assess the impact of patient, provider, and institutional characteristics on health center performance. Clinical care and outcomes among health centers were generally comparable to national averages. For instance, 67 percent of pregnant patients received timely prenatal care (national = 68 percent), 69 percent of children achieved immunization completion (national = 67 percent), and 63 percent of hypertensive patients had blood pressure under control (national = 48 percent). Depending on the measure, centers with more uninsured patients were less likely to do well, while centers with more physicians and enabling service providers were more likely to do well. Health centers provide quality care at rates comparable to national averages. Performance may be improved by increasing insurance coverage among patients and increasing the ratios of physicians and enabling service providers to patients. © Health Research and Educational Trust.

International co-operation for reactor safety: the World Association of Nuclear Operators

International Nuclear Information System (INIS)

Eckered, T.

1989-01-01

On 5 and 6 October 1987, senior representatives of most of the world's nuclear operators met in Paris with Lord Marshall of the UK Central Electricity Generating Board (CEGB) as Chairman. They resolved to strengthen the existing links and co-operation among nuclear operators by setting up the World Association of Nuclear Operators (Wano). The mission of the association is to be: 'to maximize the safety and reliability of the operation of nuclear power stations by exchanging information, encouraging comparison and stimulating emulation among nuclear power station operators.' The formation of Wano presents some information technology problems of a rather special kind that have to be solved before Wano can begin operation. The representatives at the Paris meeting therefore appointed a steering committee under Lord Marshall's chairmanship to formulate detailed proposals. The leaders of the world's nuclear operators will meet again in Moscow on 15-17 May 1989 in order to ratify the steering committee proposals and appoint the first Wano Board of Governors. A small interim secretariat is already working in London. (author)

Associating Human-Centered Concepts with Social Networks Using Fuzzy Sets

Science.gov (United States)

Yager, Ronald R.

The rapidly growing global interconnectivity, brought about to a large extent by the Internet, has dramatically increased the importance and diversity of social networks. Modern social networks cut across a spectrum from benign recreational focused websites such as Facebook to occupationally oriented websites such as LinkedIn to criminally focused groups such as drug cartels to devastation and terror focused groups such as Al-Qaeda. Many organizations are interested in analyzing and extracting information related to these social networks. Among these are governmental police and security agencies as well marketing and sales organizations. To aid these organizations there is a need for technologies to model social networks and intelligently extract information from these models. While established technologies exist for the modeling of relational networks [1-7] few technologies exist to extract information from these, compatible with human perception and understanding. Data bases is an example of a technology in which we have tools for representing our information as well as tools for querying and extracting the information contained. Our goal is in some sense analogous. We want to use the relational network model to represent information, in this case about relationships and interconnections, and then be able to query the social network using intelligent human-centered concepts. To extend our capabilities to interact with social relational networks we need to associate with these network human concepts and ideas. Since human beings predominantly use linguistic terms in which to reason and understand we need to build bridges between human conceptualization and the formal mathematical representation of the social network. Consider for example a concept such as "leader". An analyst may be able to express, in linguistic terms, using a network relevant vocabulary, properties of a leader. Our task is to translate this linguistic description into a mathematical formalism

Compliance with the national palestinian infection prevention and control protocol at governmental paediatric hospitals in gaza governorates.

Science.gov (United States)

Eljedi, Ashraf; Dalo, Shareef

2014-08-01

Nosocomial infections are a significant burden for both patients and the healthcare system. For this reason, infection prevention and control (IPC) practices are extremely important. The Palestinian Ministry of Health adopted the national IPC Protocol in 2004. This study aimed to assess the compliance of healthcare providers (HCPs) with the Protocol in three governmental paediatric hospitals in Gaza governorates. This descriptive cross-sectional study was conducted from February to November 2010. Data were collected from a sample of doctors, nurses and physiotherapists (N = 334) using a self-administered questionnaire and observation checklists to record HCP practices and assess the hospital environment. The response rate was 92%. The most important reasons for non-compliance with the IPC Protocol were the absence of an education programme (61.5%), lack of knowledge (52.4%) and the scarcity of required supplies (46.9%). Only 2.3% of respondents had a copy of the IPC Protocol, while 65.8% did not know of its existence. Only 16.9% had participated in training sessions regarding general IPC practices. The observation checklist regarding HCP practices revealed low levels of compliance in hand washing (45.9%), wearing gloves (40.7%) and using antiseptics/disinfectants (49.16%). The health facilities checklist indicated that there was a lack of certain essential equipment and materials, such as covered waste containers and heavy-duty gloves. Due to the lack of HPC knowledge, the authors recommend that the IPC Protocol be made available in all hospitals. In addition, a qualified team should implement intensive IPC education and training programmes and facilities should provide the required equipment and materials.

A Peer-to-Peer Mentoring Program for In-Center Hemodialysis: A Patient-Centered Quality Improvement Program.

Science.gov (United States)

St Clair Russell, Jennifer; Southerland, Shiree; Huff, Edwin D; Thomson, Maria; Meyer, Klemens B; Lynch, Janet R

2017-01-01

A patient-centered quality improvement program implemented in one Virginia hemodialysis facility sought to determine if peer-to-peer (P2P) programs can assist patients on in-center hemodialysis with self-management and improve outcomes. Using a single-arm, repeatedmeasurement, quasi-experimental design, 46 patients participated in a four-month P2P intervention. Outcomes include knowledge, self-management behaviors, and psychosocial health indicators: self-efficacy, perceived social support, hemodialysis social support, and healthrelated quality of life (HRQoL). Physiological health indicators included missed and shortened treatments, arteriovenous fistula placement, interdialytic weight gain, serum phosphorus, and hospitalizations. Mentees demonstrated increased knowledge, self-efficacy, perceived social support, hemodialysis social support, and HRQoL. Missed treatments decreased. Mentors experienced increases in knowledge, self-management, and social support. A P2P mentoring program for in-center hemodialysis can benefit both mentees and mentors. Copyright© by the American Nephrology Nurses Association.

Absence of the predisposing factors and signs and symptoms usually associated with overreaching and overtraining in physical fitness centers

Directory of Open Access Journals (Sweden)

Carolina Ackel-D'Elia

2010-01-01

Full Text Available OBJECTIVE: The aim of this study was to evaluate the occurrence of the well-known predisposing factors and signs and symptoms usually associated with either overreaching or overtraining syndrome in physical fitness centers in São Paulo City, Brazil. METHOD: A questionnaire consisting of 13 question groups pertaining to either predisposing factors (1-7 or signs and symptoms (8-13 was given to 413 subjects. The general training schedule of the volunteers was characterized by workout sessions of 2.18 ± 0.04 h for a total of 11.0 ± 0.3 h/week for 33 ± 2 months independent of the type of exercise performed (walking, running, spinning, bodybuilding and stretching. A mean score was calculated ranging from 1 (completely absent to 5 (severe for each question group. A low occurrence was considered to be a question group score lower than 4, which was observed in all 13 question groups. RESULTS: The psychological evaluation by POMS Mood State Questionnaire indicated a normal non-inverted iceberg. The hematological parameters, creatine kinase activity, cortisol, total testosterone and free testosterone concentrations were within the normal ranges for the majority of the volunteers selected for this analysis (n = 60. CONCLUSION: According to the questionnaire score analysis, no predisposing factors or signs and symptoms usually associated with either overreaching or overtraining were detected among the members of physical fitness centers in São Paulo City, Brazil. This observation was corroborated by the absence of any significant hematological or stress hormone level alterations in blood analyses of the majority of the selected volunteers (n = 60.

Technical, environmental, and socioeconomic factors associated with dry-cooled nuclear energy centers

International Nuclear Information System (INIS)

1976-04-01

The report includes a review of the current state-of-the-art of dry-cooling technology for industrial and power-generating facilities and an evaluation of its technical potential and cost for large nuclear power plants. Criteria are formulated for coarse screening of the arid regions of the Western United States to select a surrogate site for more detailed site-specific analyses. The screening criteria included seismic considerations, existing transportation facilities, institutional and jurisdictional constraints, waste heat dissipation effects, water requirements, and ecologic and socioeconomic considerations. The Galt site near Las Vegas, Nevada was selected for the surrogate site analysis to assess important issues related to the construction and operation of twelve dry-cooled nuclear power plants at an arid location remote from major load centers. The assessment covers geotechnical, atmospheric and hydrologic considerations, special aspects of transporting large equipment overland to the site from seaports, analyses of potential transmission routes to major load centers, local institutional and taxing provisions, and ecologic and socioeconomic impacts

Technical, environmental, and socioeconomic factors associated with dry-cooled nuclear energy centers

Energy Technology Data Exchange (ETDEWEB)

1976-04-01

The report includes a review of the current state-of-the-art of dry-cooling technology for industrial and power-generating facilities and an evaluation of its technical potential and cost for large nuclear power plants. Criteria are formulated for coarse screening of the arid regions of the Western United States to select a surrogate site for more detailed site-specific analyses. The screening criteria included seismic considerations, existing transportation facilities, institutional and jurisdictional constraints, waste heat dissipation effects, water requirements, and ecologic and socioeconomic considerations. The Galt site near Las Vegas, Nevada was selected for the surrogate site analysis to assess important issues related to the construction and operation of twelve dry-cooled nuclear power plants at an arid location remote from major load centers. The assessment covers geotechnical, atmospheric and hydrologic considerations, special aspects of transporting large equipment overland to the site from seaports, analyses of potential transmission routes to major load centers, local institutional and taxing provisions, and ecologic and socioeconomic impacts.

Survey on current hydrotherapy use among North American burn centers.

Science.gov (United States)

Davison, Peter G; Loiselle, Frederick B; Nickerson, Duncan

2010-01-01

The authors have reviewed hydrotherapy practices in North American burn centers and described the epidemiology of hydrotherapy-associated nosocomial infections. A web-based survey was distributed to the directors of all burn care facilities listed by the American Burn Association. Questions addressed aspects of practice, including the method, additives, disposable liners, decontamination practices, nosocomial pathogens, and perceptions regarding the "ideal" method of hydrotherapy. The response rate was 44%, 59 of 142 centers, or 827 of 1900 beds. Hydrotherapy is regularly used by 83% of centers. Among these centers, 10% use exclusively immersion hydrotherapy (IH), 54% use exclusively shower cart hydrotherapy (SCH), and 35% use a combination of IH and SCH. Disposable liners are used at 80% of centers. Tap water alone is used by 51% of centers, 27% add detergent, 16% chlorhexidine, and 7% povidone-iodine. The majority of centers (57%) do not routinely culture their hydrotherapy equipment, 20% culture weekly, 7% monthly, and 17% less than once per month. Directors believe that Pseudomonas aeruginosa, methicillin-sensitive Staphylococcus aureus, and methicillin-resistant S. aureus are the most common nosocomial pathogens, followed by Acinetobacter species and Candida albicans. The relative frequency of occurrence of the first three pathogens did not vary with regard to the hydrotherapy method used. Given the opportunity to redesign, 45% of burn unit directors would implement SCH only, 42% a combination of SCH and IH, 2% exclusively IH, and 11% no hydrotherapy or bedside irrigation only. The prevalence of hydrotherapy use at North American burn centers has decreased since 1990 (83% vs 95%), yet continues to be used at the majority of centers. The use of IH has also declined (55% vs 81%). The trend away from the exclusive use of IH will likely continue, because more centers incorporate showering methods.

Creating Processes Associated with Providing Government Goods and Services Under the Commercial Space Launch Act at Kennedy Space Center

Science.gov (United States)

Letchworth, Janet F.

2011-01-01

Kennedy Space Center (KSC) has decided to write its agreements under the Commercial Space Launch Act (CSLA) authority to cover a broad range of categories of support that KSC could provide to our commercial partner. Our strategy was to go through the onerous process of getting the agreement in place once and allow added specificity and final cost estimates to be documented on a separate Task Order Request (TOR). This paper is written from the implementing engineering team's perspective. It describes how we developed the processes associated with getting Government support to our emerging commercial partners, such as SpaceX and reports on our success to date.

Nuclear safety research collaborations between the US and Russian Federation international nuclear safety centers

International Nuclear Information System (INIS)

Hill, D.J; Braun, J.C; Klickman, A.E.; Bugaenko, S.E; Kabanov, L.P; Kraev, A.G.

2000-01-01

The Russian Federation Ministry for Atomic Energy (MINATOM) and the U.S. Department of Energy (USDOE) have formed International Nuclear Safety Centers to collaborate on nuclear safety research. USDOE established the U. S. Center at Argonne National Laboratory in October 1995. MINATOM established the Russian Center at the Research and Development Institute of Power Engineering in Moscow in July 1996. In April 1998 the Russian center became an independent, autonomous organization under MINATOM. The goals of the centers are to: cooperate in the development of technologies associated with nuclear safety in nuclear power engineering. be international centers for the collection of information important for safety and technical improvements in nuclear power engineering. maintain a base for fundamental knowledge needed to design nuclear reactors.The strategic approach that is being used to accomplish these goals is for the two centers to work together to use the resources and the talents of the scientists associated with the US Center and the Russian Center to do collaborative research to improve the safety of Russian-designed nuclear reactors

The Spatial Association Between Federally Qualified Health Centers and County-Level Reported Sexually Transmitted Infections: A Spatial Regression Approach.

Science.gov (United States)

Owusu-Edusei, Kwame; Gift, Thomas L; Leichliter, Jami S; Romaguera, Raul A

2018-02-01

The number of categorical sexually transmitted disease (STD) clinics is declining in the United States. Federally qualified health centers (FQHCs) have the potential to supplement the needed sexually transmitted infection (STI) services. In this study, we describe the spatial distribution of FQHC sites and determine if reported county-level nonviral STI morbidity were associated with having FQHC(s) using spatial regression techniques. We extracted map data from the Health Resources and Services Administration data warehouse on FQHCs (ie, geocoded health care service delivery [HCSD] sites) and extracted county-level data on the reported rates of chlamydia, gonorrhea and, primary and secondary (P&S) syphilis (2008-2012) from surveillance data. A 3-equation seemingly unrelated regression estimation procedure (with a spatial regression specification that controlled for county-level multiyear (2008-2012) demographic and socioeconomic factors) was used to determine the association between reported county-level STI morbidity and HCSD sites. Counties with HCSD sites had higher STI, poverty, unemployment, and violent crime rates than counties with no HCSD sites (P < 0.05). The number of HCSD sites was associated (P < 0.01) with increases in the temporally smoothed rates of chlamydia, gonorrhea, and P&S syphilis, but there was no significant association between the number of HCSD per 100,000 population and reported STI rates. There is a positive association between STI morbidity and the number of HCSD sites; however, this association does not exist when adjusting by population size. Further work may determine the extent to which HCSD sites can meet unmet needs for safety net STI services.

Hazardous Materials Management and Emergency Response training Center needs assessment

International Nuclear Information System (INIS)

McGinnis, K.A.; Bolton, P.A.; Robinson, R.K.

1993-09-01

For the Hanford Site to provide high-quality training using simulated job-site situations to prepare the 4,000 Site workers and 500 emergency responders for known and unknown hazards a Hazardous Materials Management and Emergency Response Training Center is needed. The center will focus on providing classroom lecture as well as hands-on, realistic training. The establishment of the center will create a partnership among the US Department of Energy; its contractors; labor; local, state, and tribal governments; and Xavier and Tulane Universities of Louisiana. This report presents the background, history, need, benefits, and associated costs of the proposed center

Bacteriological assessment of urban water sources in Khamis Mushait Governorate, southwestern Saudi Arabia

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Sh AlOtaibi Eed L

2009-03-01

Full Text Available Abstract Background Urban water sources of Khamis Mushait Governorate, southwestern Saudi Arabia, were studied to assess their bacteriological characteristics and suitability for potable purposes. A cross-sectional epidemiological method was adopted to investigate the four main urban water sources (i.e. bottled, desalinated, surface, and well water. These were sampled and examined between February and June 2007. Results A total of 95 water samples from bottled, desalinated, surface, and well water were collected randomly from the study area using different gathering and analysing techniques. The bacteriological examination of water samples included the most probable number of presumptive coliforms, faecal coliforms, and faecal streptococci (MPN/100 ml. The results showed that the total coliform count (MPN/100 ml was not detected in any samples taken from bottled water, while it was detected in those taken from desalinated, surface, and well water: percentages were 12.9, 80.0, and 100.0, respectively. Faecal coliforms were detected in desalinated, surface, and well water, with percentages of 3.23, 60.0 and 87.88, respectively. About 6.45% of desalinated water, 53.33% of surface water, and 57.58% of well water was found positive for faecal streptococci. Colonies of coliforms were identified in different micro-organisms with various percentages. Conclusion Water derived from traditional sources (wells showed increases in most of the investigated bacteriological parameters, followed by surface water as compared to bottled or desalinated water. This may be attributed to the fact that well and surface water are at risk of contamination as indicated by the higher levels of most bacteriological parameters. Moreover, well water is exposed to point sources of pollution such as septic wells and domestic and farming effluents, as well as to soil with a high humus content. The lower bacteriological characteristics in samples from bottled water indicate that

Do burn centers provide juvenile firesetter intervention?

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Ahrns-Klas, Karla S; Wahl, Wendy L; Hemmila, Mark R; Wang, Stewart C

2012-01-01

Juvenile firesetting activity accounts for a significant number of annual injuries and property damage, yet there is sparse information on intervention in the burn literature. To quantify juvenile firesetting intervention (JFSI) in burn centers, a 23-question survey was sent to all directors listed in the American Burn Association Burn Care Facilities Directory.Sixty-four out of 112 (57%) surveys were returned. This represents responses from 79% of currently verified burn centers. When queried on interventions provided to a juvenile firesetter admitted to their unit, 38% report having their own JFSI program and 38% refer the child to fire services. Two thirds of units without a JFSI program treat pediatric patients. Units that previously had a JFSI program report lack of staffing and funding as most common reasons for program discontinuation. Almost all (95%) stated that a visual tool demonstrating legal, financial, social, future, and career ramifications associated with juvenile firesetting would be beneficial to their unit. Many burn units that treat pediatric patients do not have JFSI and rely on external programs operated by fire services. Existing JFSI programs vary greatly in structure and method of delivery. Burn centers should be involved in JFSI, and most units would benefit from a new video toolkit to assist in providing appropriate JFSI. Study results highlight a need for burn centers to collaborate on evaluating effectiveness of JFSI programs and providing consistent intervention materials based on outcomes research.

Environmental Finance Center Serving EPA's Region 8 States

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The National Rural Water Association, headquartered in Duncan Oklahoma, has been selected through a competitive grants process to establish a regional Environmental Finance Center (EFC) serving EPA Region 8 states.

Trauma center accessibility for road traffic injuries in Hanoi, Vietnam.

Science.gov (United States)

Nagata, Takashi; Takamori, Ayako; Kimura, Yoshinari; Kimura, Akio; Hashizume, Makoto; Nakahara, Shinji

2011-09-30

Rapid economic growth in Vietnam over the last decade has led to an increased frequency of road traffic injury (RTI), which now represents one of the leading causes of death in the nation. Various efforts toward injury prevention have not produced a significant decline in the incidence of RTIs. Our study sought to describe the geographic distribution of RTIs in Hanoi, Vietnam and to evaluate the accessibility of trauma centers to those injured in the city. We performed a cross-sectional study using Hanoi city police reports from 2006 to describe the epidemiology of RTIs occurring in Hanoi city. Additionally, we identified geographic patterns and determined the direct distance from injury sites to trauma centers by applying geographical information system (GIS) software. Factors associated with the accessibility of trauma centers were evaluated by multivariate regression analysis. We mapped 1,271 RTIs in Hanoi city. About 40% of RTIs occurred among people 20-29 years of age. Additionally, 63% of RTIs were motorcycle-associated incidents. Two peak times of injury occurrence were observed: 12 am-4 pm and 8 pm-0 am. "Hot spots" of road traffic injuries/fatalities were identified in the city area and on main highways using Kernel density estimation. Interestingly, RTIs occurring along the two north-south main roads were not within easy access of trauma centers. Further, fatal cases, gender and injury mechanism were significantly associated with the distance between injury location and trauma centers. Geographical patterns of RTIs in Hanoi city differed by gender, time, and injury mechanism; such information may be useful for injury prevention. Specifically, RTIs occurring along the two north-south main roads have lower accessibility to trauma centers, thus an emergency medical service system should be established.

Academic Health Center Psychology Representation to the Council of Faculty and Academic Societies (CFAS) of the Association of American Medical Colleges (AAMC).

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Cubic, Barbara A; Shaffer, Laura A

2017-06-01

This paper outlines the perspectives of the two currently appointed representatives of the Association of Psychologists in Academic Health Centers (APAHC) to the Council of Faculty and Academic Societies (CFAS) of the Association of American Medical Colleges (AAMC). The authors focus on why it is important for psychologists, especially those in academic health centers (AHCs), to be part of CFAS. The goal of the paper is to demonstrate how involvement in organizations like the AAMC helps AHC psychologists serve as ambassadors for psychology in AHCs and assists AHC psychologists in staying fluent regarding hot topics within academic medicine. The first author is a more senior member of APAHC, and so reflects the perspective of long-serving APAHC members; the second author reflects the perspectives of newer generations of APAHC members, those who have been active in APAHC for 10 years or less. The authors discuss their experiences being at national CFAS meetings. They describe meeting events including presentations such as those by national policy experts and scholars; and speed mentoring with medical residents from the AAMC Organization of Resident Representatives. Of special importance has been their opportunities for informal conversations with the AAMC's President and CEO, Board Chair, and Chief Public Policy Officer. They also have participated in networking functions that encourage interdisciplinary knowledge sharing and relationship building.

First Ph.D. Student Workshop of the Hermann von Helmholtz Association of National Research Centers (HGF) on ''Nuclear Safety Research''

International Nuclear Information System (INIS)

Knebel, J.U.; Sanchez Espinoza, V.H.

2006-03-01

The First Ph.D. Student Workshop ''Nuclear Safety Research'' of the Helmholtz Association of National Research Centers (HGF)'' was jointly organized by the Research Center Karlsruhe GmbH and the Energie Baden-Wuerttemberg AG (EnBW) from Wednesday 9th to Friday 11th March 2005. The workshop was opened with welcome greetings by Dr. Peter Fritz, Forschungszentrum Karlsruhe. Subsequently Dr. Joachim U. Knebel explained the main goals and the content of the workshop. The young scientists reported in 28 high-level presentations about their research work which covered a wide spectrum from reactor safety, partitions and transmutation, and innovative reactor systems, to safety research for nuclear waste disposal. The junior researchs showed excellent professional competence and demonstrated presentation qualities at the highest level. The successful funding of two Virtual Institutes, namely: the ''Competence in Nuclear Technologies'' and ''Functional Characteristics of Aquatic Interfaces both co-ordinated by Forschungszentrum Karlsruhe'', by the President of the Helmholtz Association Prof. Walter Kroell was the motivation for the organization of this first Ph.D. Student Workshop. Thanks to these two Virtual Institutes, the Reseach Center Karlsruhe and Juelich together with several univer-sities i.e. RWTH Aachen, Heidelberg, Karlsruhe, Muenster, and Stuttgart, have successfully financed eight Ph.D. and two post-doctoral students. Moreover, young scientists of the European Institute for Transuranium Elements (ITU) and additional seven Ph.D. Students, who are sponsored by the German nuclear industry (Framatome ANP, RWE Power, EnBW) in the frame of the Alliance Competence in on Nuclear Technology, and who are trained at Forschungszentrum Karlsruhe, actively contributed to this workshop. The EnBW-Award was handed over by Dr. Hans-Josef Zimmer, member of the board of directors of the EnBW-Kraftwerksgesellschaft, to Mrs. Ayelet Walter from the University of Stuttgart for the best

78 FR 25469 - Notice of Inventory Completion: University of South Alabama Center for Archaeological Studies...

Science.gov (United States)

2013-05-01

... completion of an inventory of human remains and associated funerary objects under the control of the....R50000] Notice of Inventory Completion: University of South Alabama Center for Archaeological Studies... Alabama Center for Archaeological Studies has completed an inventory of human remains and associated...

Door-to-door survey of major neurological disorders (project in Al Quseir City, Red Sea Governorate, Egypt

Directory of Open Access Journals (Sweden)

El Tallawy HN

2013-05-01

Full Text Available Hamdy NA El Tallawy,1 Wafaa MA Farghaly,1 Tarek A Rageh,1 Ghaydaa A Shehata,1 Reda Badry,1 Nabil A Metwally,2 Esam A El Moselhy,2 Mahmoud Hassan,2 Mohamed A Sayed,3 Ahmed A Waris,1 Yaser Hamed,2 Islam Shaaban,2 Mohamed A Hamed,1 Mahmoud Raafat Kandil11Department of Neurology, Faculty of Medicine, Assiut University, Assiut, Egypt; 2Department of Neurology and Public Health, Faculty of Medicine, Al-Azhar University (Assiut branch, Assiut, Egypt; 3Department of Neurology, Faculty of Medicine, Sohag University, Sohag, EgyptAbstract: A door-to-door survey, including every household, was conducted for all inhabitants of Al Quseir City (33,283, Red Sea Governorate, Egypt by three specialists of neurology as well as nine senior staff members of neurology and 15 female social workers to assess the epidemiology of major neurological disorders. Over six phases, from July 1, 2009 to January 31, 2012, screening of all eligible people in the population was carried out, by which case ascertainment of all major neurological disorders included in the study was done according to the accepted definitions and diagnostic criteria of the World Health Organization. The order of frequency of prevalence of the studied neurological disorders was dementia (3.83% for those aged > 60 years, migraine (2.8% for those aged > 8 years, stroke (6.2/1000 for those aged > 20 years, epilepsy (5.5/1000, Parkinson’s disease (452.1/100,000 for those aged > 40 years, cerebral palsy (3.6/1000 among children 37 years, chorea (21.03/100,000, athetosis (15/100,000, and multiple sclerosis (13.74/100,000. The incidence rates of stroke, epilepsy, and Bell’s palsy were 181/100,000, 48/100,000, and 98.9/100,000 per year, respectively.Keywords: prevalence, incidence, neurological disorders

National Center for Mathematics and Science - links to related sites

Science.gov (United States)

Mathematics and Science (NCISLA) HOME | WHAT WE DO | K-12 EDUCATION RESEARCH | PUBLICATIONS | TEACHER Modeling Middle School Mathematics National Association of Biology Teachers National Association for Mathematics National Science Teachers Assocation Show-Me Center Summit on Science TERC - Weaving Gender Equity

Prevalence and perinatal mortality associated with preterm births in a tertiary medical center in South East Nigeria

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Iyoke CA

2014-10-01

perinatal mortality rate for preterm babies in the study center was 46.1% (236/512. The stillbirth rate for preterm babies was 22.0% (149/678 and the adjusted early neonatal death rate was 24.0% (87/363.Conclusion: The prevalence of preterm births and associated perinatal mortality were high which may be a reflection of suboptimal prenatal and newborn care. An urgent improvement in prenatal and newborn care is therefore needed in the study center in order to improve the capacity to prevent or abate preterm labor, and preterm premature rupture of membranes; and to reduce avoidable stillbirths. Further upgrading of personnel and facilities in the newborn special care unit is also required to minimize early neonatal deaths.Keywords: preterm birth, prevalence, mortality, pattern, Nigeria

Kennedy Space Center's NASA/Contractor Team-Centered Total Quality Management Seminar: Results, methods, and lessons learned

Science.gov (United States)

Kinlaw, Dennis C.; Eads, Jeannette

1992-01-01

It is apparent to everyone associated with the Nation's aeronautics and space programs that the challenge of continuous improvement can be reasonably addressed only if NASA and its contractors act together in a fully integrated and cooperative manner that transcends the traditional boundaries of proprietary interest. It is, however, one thing to assent to the need for such integration and cooperation; it is quite another thing to undertake the hard tasks of turning such a need into action. Whatever else total quality management is, it is fundamentally a team-centered and team-driven process of continuous improvement. The introduction of total quality management at KSC, therefore, has given the Center a special opportunity to translate the need for closer integration and cooperation among all its organizations into specific initiatives. One such initiative that NASA and its contractors have undertaken at KSC is a NASA/Contractor team-centered Total Quality Management Seminar. It is this seminar which is the subject of this paper. The specific purposes of this paper are to describe the following: Background, development, and evolution of Kennedy Space Center's Total Quality Management Seminar; Special characteristics of the seminar; Content of the seminar; Meaning and utility of a team-centered design for TQM training; Results of the seminar; Use that one KSC contractor, EG&G Florida, Inc. has made of the seminar in its Total Quality Management initiative; and Lessons learned.

Communication dated 4 March from the Governor for the Russian Federation and the Resident Representatives of China, France, Germany, the United Kingdom and the United States of America concerning UN Security Council resolution 1803 (2008)

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a letter dated 4 March 2008 from the Governor for the Russian Federation and the Resident Representatives of China, France, Germany, the United Kingdom and the United States of America, attaching the text of a statement agreed by the Foreign Ministers of China, France, Germany, Russia, the United Kingdom and the United States of America, with the support of the High Representative of the European Union and read by the Permanent Representative of the United Kingdom on the occasion of the adoption on 3 March 2008 of United Nations Security Council resolution 1803 (2008). The letter and, as requested therein, the attached text, are herewith circulated for the information of Member States

The Governor of Michoacán and the University Conflict of 1949. The Vision of Nemesio García Naranjo

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Francisco Alejandro García naranjo

2017-07-01

Full Text Available This article analyzes texts written by the journalist Nemesio García Naranjo, which discussed the events unleashed between the 28 of July and the 26 of August of 1949 in Morelia, Michoacán (Mexico, in a confrontation between the students and authorities of Universidad Michoacana de San Nicolás de Hidalgo, and the State Governor, Jose María Mendoza Pardo, a member of the governing party. The conflict was detonated by the death of two university students in the hands of the army. This event triggered marches and university strikes in the whole country, putting the governability of the state of Michoacán into crisis. The journalistic corpus written by García Naranjo is analyzed in two directions. On the one hand, it emphasizes the liberal position with which this author examined the events and their social and political repercussions for the regime. This ideological positioning contravenes the wrong place in which historiography has put this character: as part of the reactionary and antirevolutionary right. On the other hand, in demostrating that this journalist exhibited a way of thinking proper to the ´liberal right´, we also establish that he judged the events of Morelia and the role of Universidad Michoacana from this perspective, demostrating a dissonant voice in a scenario dominated by ideological biases and political interests, which unanimously accused “the communist conspiracy” as responsable agent.

Center-Based Early Head Start and Children Exposed to Family Conflict

Science.gov (United States)

Whiteside-Mansell, Leanne; Bradley, Robert; McKelvey, Lorraine; Lopez, Maya

2009-01-01

Research Findings: Family conflict is known to be associated with poor development for young children, but many children appear resilient. This study examined the extent to which high-quality center care during early childhood protects children from these negative consequences. Children participating in center-based sites of the Early Head Start…

Introductory statement to the Board of Governors, 3 March 2008, Vienna, Austria

International Nuclear Information System (INIS)

ElBaradei, M.

2008-01-01

In his introductory Statement to the Board of Governors Dr. Mohamed ElBaradei, Director General of the IAEA, reports on all areas of IAEA's activity, namely technology, safety and security, and verification including the draft Nuclear Safety Review for the Year 2007 and information about the 4th review meeting of the Contracting Parties of the Convention on Nuclear Safety. The review meeting in April will have to consider two important challenges - the number of new nuclear power programmes under consideration around the world and how to bring new momentum and focus to the review process. At the request of contracting parties, the Secretariat prepared an Issues and Trends paper for countries to take into account when preparing their national reports. Concerning nuclear power the draft Nuclear Technology Review 2008 is presented which indicates that rising expectations for nuclear power are starting to translate into increased construction. Expansion and growth prospects remain centred in Asia. In 2007, the Agency's projections for the future of nuclear power were revised upwards to between 450 and 690 GW(e) of installed nuclear capacity by 2030. The Review also notes major recent consolidations and increased internationalization among the suppliers of nuclear reactor technology. Concerning the assurance of supply the Director General has been advocating for some time the establishment of a multinational mechanism to assure access for all countries to nuclear fuel and reactor technology, and simultaneously to strengthen the non-proliferation regime. The ultimate goal should be to bring sensitive aspects of the fuel cycle under multinational control, so that no one country has the exclusive capability to produce the material for nuclear weapons. A number of Member States are working on proposals. Since March 2007, the Agency's Programme of Action for Cancer Therapy (PACT) has secured pledges, grants and donations amounting to over $3 million for the PACT Model

Violent Mexican Transnational Criminal Organizations in Texas: Political Discourse and an Argument for Reality

Science.gov (United States)

2012-09-01

Intelligence Center MS-13 Mara Salvatrucha -13 MSA Metropolitan Statistical Area NAFTA North American Free Trade Agreement NIBRS National...forums, such as the North American Free Trade Agreement ( NAFTA ) and the Pacific Alliance with South America and East Asia.101 The literature indicates... Constitutes Spillover Threat,” The Monitor, March 18, 2010, http://www.themonitor.com/articles/openness-36525-along-plans.html. 259 Office of Governor Rick

Moving from "optimal resources" to "optimal care" at trauma centers.

Science.gov (United States)

Shafi, Shahid; Rayan, Nadine; Barnes, Sunni; Fleming, Neil; Gentilello, Larry M; Ballard, David

2012-04-01

The Trauma Quality Improvement Program has shown that risk-adjusted mortality rates at some centers are nearly 50% higher than at others. This "quality gap" may be due to different clinical practices or processes of care. We have previously shown that adoption of processes called core measures by the Joint Commission and Centers for Medicare and Medicaid Services does not improve outcomes of trauma patients. We hypothesized that improved compliance with trauma-specific clinical processes of care (POC) is associated with reduced in-hospital mortality. Records of a random sample of 1,000 patients admitted to a Level I trauma center who met Trauma Quality Improvement Program criteria (age ≥ 16 years and Abbreviated Injury Scale score 3) were retrospectively reviewed for compliance with 25 trauma-specific POC (T-POC) that were evidence-based or expert consensus panel recommendations. Multivariate regression was used to determine the relationship between T-POC compliance and in-hospital mortality, adjusted for age, gender, injury type, and severity. Median age was 41 years, 65% were men, 88% sustained a blunt injury, and mortality was 12%. Of these, 77% were eligible for at least one T-POC and 58% were eligible for two or more. There was wide variation in T-POC compliance. Every 10% increase in compliance was associated with a 14% reduction in risk-adjusted in-hospital mortality. Unlike adoption of core measures, compliance with T-POC is associated with reduced mortality in trauma patients. Trauma centers with excess in-hospital mortality may improve patient outcomes by consistently applying T-POC. These processes should be explored for potential use as Core Trauma Center Performance Measures.

Patient-centered blood management.

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Hohmuth, Benjamin; Ozawa, Sherri; Ashton, Maria; Melseth, Richard L

2014-01-01

Transfusions are common in hospitalized patients but carry significant risk, with associated morbidity and mortality that increases with each unit of blood received. Clinical trials consistently support a conservative over a liberal approach to transfusion. Yet there remains wide variation in practice, and more than half of red cell transfusions may be inappropriate. Adopting a more comprehensive approach to the bleeding, coagulopathic, or anemic patient has the potential to improve patient care. We present a patient-centered blood management (PBM) paradigm. The 4 guiding principles of effective PBM that we present include anemia management, coagulation optimization, blood conservation, and patient-centered decision making. PBM has the potential to decrease transfusion rates, decrease practice variation, and improve patient outcomes. PBM's value proposition is highly aligned with that of hospital medicine. Hospitalists' dual role as front-line care providers and quality improvement leaders make them the ideal candidates to develop, implement, and practice PBM. © 2013 Society of Hospital Medicine.

Construction of the Savannah River Ecology Laboratory Conference Center

International Nuclear Information System (INIS)

1993-07-01

This Environmental Assessment (EA) reviews the environmental consequences associated with the proposed action of granting a site use permit to construct and operate a conference center on an approximately 70-acre tract of land on the Savannah River Site (SRS). While the proposed action requires an administrative decision by DOE, this EA reviews the linked action of physically constructing and operating a conference center. The SRS is a DOE-owned nuclear production facility encompassing approximately 200,000 acres in southwestern South Carolina. The proposed conference center would have an area of approximately 4,000 square feet, and would infrequently accommodate as many as 150 people, with the average being about 20 people per day. In addition to the No-Action alternative, under which the Research Foundation would not require the 70-acre tract of SRS land for a conference center, this EA considers site preservation. Under Site Preservation only minimal activities necessary to the SRS mission would occur, thereby establishing the lower limits of environmental consequences. A review conducted under the SRS permitting process identified no other forms of possible site development. Similarly, SRS areas identified in the Nuclear Complex Reconfiguration Site Proposal (DOE, 199la) do not include the conference center site area in proposed weapons complex reconfiguration activities. As a consequence, this EA does not consider other forms of possible site development as alternatives. The potential environmental consequences associated with the action of constructing and operating a conference center include impacts to cultural resources and impacts from construction activities, primarily related to land clearing (5 to 10 acres) and providing access to the site

Economic analysis of centralized vs. decentralized electronic data capture in multi-center clinical studies.

Science.gov (United States)

Walden, Anita; Nahm, Meredith; Barnett, M Edwina; Conde, Jose G; Dent, Andrew; Fadiel, Ahmed; Perry, Theresa; Tolk, Chris; Tcheng, James E; Eisenstein, Eric L

2011-01-01

New data management models are emerging in multi-center clinical studies. We evaluated the incremental costs associated with decentralized vs. centralized models. We developed clinical research network economic models to evaluate three data management models: centralized, decentralized with local software, and decentralized with shared database. Descriptive information from three clinical research studies served as inputs for these models. The primary outcome was total data management costs. Secondary outcomes included: data management costs for sites, local data centers, and central coordinating centers. Both decentralized models were more costly than the centralized model for each clinical research study: the decentralized with local software model was the most expensive. Decreasing the number of local data centers and case book pages reduced cost differentials between models. Decentralized vs. centralized data management in multi-center clinical research studies is associated with increases in data management costs.

Jung-Min Lee, M.D. | Center for Cancer Research

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Conducts early clinical trials targeting BRCA mutation-associated breast or ovarian cancer, epithelial ovarian cancer, and triple negative breast cancer at the National Cancer Institute, NIH Clinical Center.

Remarks in the [IAEA] Board of Governors under agenda item 8, 10 September 2009, Vienna, Austria

International Nuclear Information System (INIS)

ElBaradei, M.

2009-01-01

Dr. Mohamed ElBaradei, Director General of the International Atomic Energy Agency (IAEA), said that he believes in two basic values: one, that we are one human family, irrespective of colour, religion, ethnicity. That is something he experiences every day with his colleagues in the Secretariat, and with the Board of Governors. He believes therefore that every one of us is entitled to the right to live in peace, dignity and freedom. The other basic value he shares is that we can go to new heights as human beings, but we can also stoop very low. He underlines that international institutions right now are indispensable. No single challenge or crisis can be resolved by any one country alone, whether it is arms control, whether it is climate change, whether it is communicable diseases or whether it is distorted ideologies. He stresses that we can only succeed if we are able to work together and at the same time applying basic core values like fairness, equity and human solidarity. We need international cooperation to implement national policies. He said that the Agency hinges on one key element, namely credibility, and that is based on independence and impartiality. Impartiality does not mean neutrality. It means sticking to what we believe is right, it means what is enshrined in the UN Charter. It is important to stick to the big picture, to stress the linkage between poverty and violence, the linkage between non-proliferation and disarmament. This is important to understand the root causes of some of the symptoms we are facing. He ends by saying that the Agency would not be here today had it not been for the wonderful people - the staff of this organization, who have spent a lot of time working with the utmost professionalism, dedication and loyalty to this organization - acting as one. It is the key hat Member States act also as one. We have managed to do it in the Secretariat by subscribing to the higher values that connect us all

Abundance of antibiotic resistance genes in five municipal wastewater treatment plants in the Monastir Governorate, Tunisia.

Science.gov (United States)

Rafraf, Ikbel Denden; Lekunberri, Itziar; Sànchez-Melsió, Alexandre; Aouni, Mahjoub; Borrego, Carles M; Balcázar, José Luis

2016-12-01

Antimicrobial resistance is a growing and significant threat to global public health, requiring better understanding of the sources and mechanisms involved in its emergence and spread. We investigated the abundance of antibiotic resistance genes (ARGs) before and after treatment in five wastewater treatment plants (WWTPs) located in different areas of the Monastir Governorate (Tunisia). Three of these WWTPs (Frina, Sahline and Zaouiet) use a conventional activated sludge process as secondary treatment, whereas the WWTP located in Beni Hassen applies an ultraviolet disinfection step after the activated sludge process and the WWTP located in Moknine treats wastewater using naturally aerated lagoons as a secondary treatment process. The abundance of six ARGs (bla CTX-M , bla TEM , qnrA, qnrS, sul I and ermB) and the class 1 integron-integrase gene (intI1) were determined by quantitative PCR. All ARGs and the intI1 gene were detected in the wastewater samples, except the bla CTX-M gene, which was not detected in both influent and effluent samples from Sahline and Beni Hassen WWTPs, and the qnrS gene, which was not detected neither in the WWTP influent in Moknine nor in the WWTP effluent in Beni Hassen. Although the relative concentration of ARGs was generally found to be similar between samples collected before and after the wastewater treatment, the abundance of bla CTX-M , bla TEM , and qnrS genes was higher in the effluent of the Frina WWTP which, unlike other WWTPs, not only receives domestic or industrial sewage but also untreated hospital waste. To the best of our knowledge, this study quantified for the first time the abundance of ARGs in different Tunisian WWTPs, and the results agree with previous studies suggesting that conventional wastewater treatment does not efficiently reduce ARGs. Therefore, these findings could be useful to improve the design or operation of WWTPs. Copyright © 2016 Elsevier Ltd. All rights reserved.

Epidemiological study of clinical and subclinical mastitis in she- camel in Samawah desert / Al Muthanna governorate

Directory of Open Access Journals (Sweden)

Abdullah Sahab

2018-04-01

Full Text Available She-camel mastitis is relatively not well studied in camel-rearing areas worldwide. In Iraq, few reports have been done on the camelids in general and on mastitis in particular in compare to other livestock such as cattle, sheep and goat. This study intends to determine the clinical and subclinical mastitis and its etiological agents in shecamels in Samawah desert / Al Muthanna governorate. Thirty milk samples were collected from apparently clinical normal shecamels from 3 camelids herds during December 2016 to March 2017. The milk samples were aseptically collected from each quarter after stimulation milking process in she-camel. Each milk sample was subjected to physical and bacteriological examination and mastitis screening tests including (somatic cell count SCC and California mastitis test (CMT. The pH of fresh camel milk was varied from 6.1 to 6.5. All milk samples revealed a bright white color with upper thick creamy layer. No any signs of clinical mastitis were observed in all examined she-camels. Meanwhile, keratosis of the teats and udder due to severe tick infestation was observed in 83.33% percentage (25 out of 30. The subclinical mastitis was determined in 30% percentage (9 out of 30 lactating she-camels using SCC, CMT and revealed various bacterial growth. These bacteria were the Enterobacterium spp., Staphylococcus spp. and Streptococcus spp moreover, the percentage of isolates was 55.55% (5 out of 9, 33.33% (3 out of 9 and 11.11% (1 out of 9 respectively. In conclusion, this study confirmed the correlation between SCC and CMT in diagnosis of subclinical mastitis in 30% of the examined she-camel. Moreover, it approved the absence of clinical mastitis due to the nature of the milk production. The authors recommend to perform another future studies that including large number of the animals, in addition to study the natural physiological phenomena of milk production in shecamels.

Understanding Preschool Teachers’ Emotional Support as a Function of Center Climate

Directory of Open Access Journals (Sweden)

Katherine M. Zinsser

2014-11-01

Full Text Available There is great emphasis recently on improving the quality of early childhood education in the United States. Within quality rating improvement systems, classroom quality is often reported at the center or program levels. Yet little is known about teaching quality at the center level or the influence of center characteristics on teaching quality. Specifically, this study examines the extent to which the quality of emotional support provided by the teacher is associated with characteristics of the center (e.g., prior turnover rates and center director (e.g., education, management practices. Findings from Head Start Family and Child Experiences Survey (FACES 2009 data indicated that emotional support dimensions were differentially predicted by characteristics of the center and the director, including prior teacher turnover rate and director job satisfaction. However, highly regulated indicators of center quality (e.g., student:teacher ratio did not substantially explain emotional support.

Pandemic Influenza Preparedness Among Child Care Center Directors in 2008 and 2016.

Science.gov (United States)

Shope, Timothy R; Walker, Benjamin H; Aird, Laura D; Southward, Linda; McCown, John S; Martin, Judith M

2017-06-01

Children in child care centers represent an important population to consider in attempts to mitigate the spread of an influenza pandemic. This national survey, conducted in 2008 and 2016, assessed directors' reports of their child care centers' pandemic influenza preparation before and after the 2009 H1N1 novel influenza pandemic. This was a telephone-based survey of child care center directors randomly selected from a national database of licensed US child care centers who were queried about their preparedness for pandemic influenza. We grouped conceptually related items in 6 domains into indexes: general infection control, communication, seasonal influenza control, use of health consultants, quality of child care, and perceived barriers. These indexes, along with other center and director characteristics, were used to predict pandemic influenza preparedness. Among 1500 and 518 child care center directors surveyed in 2008 and 2016, respectively, preparation for pandemic influenza was low and did not improve. Only 7% of directors had taken concrete actions to prepare their centers. Having served as a center director during the 2009 influenza pandemic did not influence preparedness. After adjusting for covariates, child care health consultation and years of director's experience were positively associated with pandemic influenza preparation, whereas experiencing perceived barriers such as lack of knowing what to do in the event of pandemic influenza, was negatively associated with pandemic influenza preparedness. Pandemic influenza preparedness of child care center's directors needs to improve. Child care health consultants are likely to be important collaborators in addressing this problem. Copyright © 2017 by the American Academy of Pediatrics.

Prevalence and Associated Factors of Eating Disorders in Weight Management Centers in Tanta, Egypt

Directory of Open Access Journals (Sweden)

Noha Eladawi

2018-01-01

Conclusions: EDs are prevalent among individuals attending the weight management centers in a northern city in Egypt. Specific management strategies are warranted to address this commonly prevalent disease.

Restating a Client-Centered Approach to Career Counseling.

Science.gov (United States)

Miller, Mark J.

1988-01-01

Asserts career counseling too often is associated with objective test scores and rational decision making. Reiterates the importance of considering the client's developing self-concept in career counseling. Provides sample client centered career counseling session. (Author/ABL)

Center of Excellence for Laser Applications in Medicine, Microlaser Microscope

Energy Technology Data Exchange (ETDEWEB)

Webb, R. H.

2003-01-17

The Center of Excellence for Laser Applications in Medicine at the Schepens Eye Research Institute (SERI) is a Center for: A core group of researchers who support each other and their various projects for real-time medical imaging and diagnostics in contiguous space at SERI. Clinical collaborators who participate in the core research at SERI, MEEI, and local ophthalmology practices, and at associated sites around the world. Industrial partners who transfer our technology to commercial products that will reach clinical usage everywhere. Students, post-doctoral associates and medical fellows who work with us and learn how to practice real-time medical imaging and diagnostics.

Patient satisfaction in Dental Healthcare Centers.

Science.gov (United States)

Ali, Dena A

2016-01-01

This study aimed to (1) measure the degree of patient satisfaction among the clinical and nonclinical dental services offered at specialty dental centers and (2) investigate the factors associated with the degree of overall satisfaction. Four hundred and ninety-seven participants from five dental centers were recruited for this study. Each participant completed a self-administered questionnaire to measure patient satisfaction with clinical and nonclinical dental services. Analysis of variance, t-tests, a general linear model, and stepwise regression analysis was applied. The respondents were generally satisfied, but internal differences were observed. The exhibited highest satisfaction with the dentists' performance, followed by the dental assistants' services, and the lowest satisfaction with the center's physical appearance and accessibility. Females, participants with less than a bachelor's degree, and younger individuals were more satisfied with the clinical and nonclinical dental services. The stepwise regression analysis revealed that the coefficient of determination (R (2)) was 40.4%. The patient satisfaction with the performance of the dentists explained 42.6% of the overall satisfaction, whereas their satisfaction with the clinical setting explained 31.5% of the overall satisfaction. Additional improvements with regard to the accessibility and physical appearance of the dental centers are needed. In addition, interventions regarding accessibility, particularly when booking an appointment, are required.

Barriers and facilitators to implementing a patient-centered model of contraceptive provision in community health centers.

Science.gov (United States)

Politi, Mary C; Estlund, Amy; Milne, Anne; Buckel, Christina M; Peipert, Jeffrey F; Madden, Tessa

2016-01-01

The Contraceptive CHOICE Project developed a patient-centered model for contraceptive provision including: (1) structured, evidence-based counseling; (2) staff and health care provider education; and (3) removal of barriers such as cost and multiple appointments to initiate contraception. In preparation for conducting a research study of the CHOICE model in three community health settings, we sought to identify potential barriers and facilitators to implementation. Using a semi-structured interview guide guided by a framework of implementation research, we conducted 31 qualitative interviews with female patients, staff, and health care providers assessing attitudes, beliefs, and barriers to receiving contraception. We also asked about current contraceptive provision and explored organizational practices relevant to implementing the CHOICE model. We used a grounded theory approach to identify major themes. Many participants felt that current contraceptive provision could be improved by the CHOICE model. Potential facilitators included agreement about the necessity for improved contraceptive knowledge among patients and staff; importance of patient-centered contraceptive counseling; and benefits to same-day insertion of long-acting reversible contraception (LARC). Potential barriers included misconceptions about contraception held by staff and providers; resistance to new practices; costs associated with LARC; and scheduling challenges required for same-day insertion of LARC. In addition to staff and provider training, implementing a patient-centered model of contraceptive provision needs to be supplemented by strategies to manage patient and system-level barriers. Community health center staff, providers, and patients support patient-centered contraceptive counseling to improve contraception provision if organizations can address these barriers.

In-center hemodialysis absenteeism: prevalence and association with outcomes

Directory of Open Access Journals (Sweden)

Gray KS

2017-05-01

Full Text Available Kathryn S Gray, Dena E Cohen, Steven M Brunelli DaVita Clinical Research, Minneapolis, MN, USA Objective: The aim of this study was to determine the rate of missed treatments among hemodialysis (HD patients, and the association between treatment nonadherence and clinical outcomes.Data source: The data used in this study were based on electronic medical records and Medicare claims.Study design: This is a retrospective, observational study.Principal findings: HD patients miss 9.9% of all treatments. Approximately half of the missed treatments are due to observable medical events, predominantly hospitalizations, while half result from nonadherence (“absence”. A single absence is associated with a 1.4-fold greater risk of hospitalization, and a 2.2-fold greater risk of death in the subsequent 30 days.Conclusion: Treatment nonadherence is common among HD patients and is associated with adverse outcomes. Interventions that improve adherence may improve patient health and reduce costs. Keywords: Medicare, ambulatory/outpatient care, epidemiology, chronic disease

The Precarious Question of Black Cultural Centers Versus Multicultural Centers.

Science.gov (United States)

Princes, Carolyn D. W.

This paper discusses the role of black cultural centers on university campuses, focusing on whether black cultural centers or multicultural centers best meet the needs of an increasingly diverse student body and society. It examines the historical role of black cultural centers as vehicles to promote educational opportunity, student retention, and…

An examination of blood center structure and hospital customer satisfaction: what can centralized and decentralized blood centers learn from each other?

Science.gov (United States)

Carden, Robert; DelliFraine, Jami L

2005-01-01

The cost of blood and blood products has increased rapidly over the last several years while the supply of available blood donors has simultaneously decreased. Higher blood costs and donor shortages have put a strain on the relationship between blood suppliers and their hospital customers. This study examines the association between blood center centralization or decentralization and several aspects of hospital satisfaction. Centralized and decentralized blood centers have significant differences in various aspects of hospital customer satisfaction. Advantages and disadvantages of the two structures are discussed, as well as areas for future research.

Percolating cluster of center vortices and confinement

International Nuclear Information System (INIS)

Gliozzi, Ferdinando; Panero, Marco; Provero, Paolo

2003-01-01

We study the role of percolating clusters of center vortices in configurations of an Ising gauge theory in 3D. It is known that low energy features of gauge theories can be described in terms of an 'effective string picture', and that confinement properties are associated with topologically non-trivial configurations. We focus our attention upon percolating clusters of center vortices, and present numerical evidence for the fact that these objects play a preminent role in confinement phenomenon, since their removal sweeps off confinement altogether. Moreover, numerical simulations show that the string fluctuations, and in particular the Mischer term, are completely encoded in the percolating cluster

ATOMIC HYDROGEN IN A GALACTIC CENTER OUTFLOW

Energy Technology Data Exchange (ETDEWEB)

McClure-Griffiths, N. M.; Green, J. A.; Hill, A. S. [Australia Telescope National Facility, CSIRO Astronomy and Space Science, Marsfield, NSW 2122 (Australia); Lockman, F. J. [National Radio Astronomy Observatory, Green Bank, WV 24944 (United States); Dickey, J. M. [School of Physics and Mathematics, University of Tasmania, TAS 7001 (Australia); Gaensler, B. M.; Green, A. J., E-mail: naomi.mcclure-griffiths@csiro.au [Sydney Institute for Astronomy, School of Physics, The University of Sydney, NSW 2006 (Australia)

2013-06-10

We describe a population of small, high-velocity, atomic hydrogen clouds, loops, and filaments found above and below the disk near the Galactic center. The objects have a mean radius of 15 pc, velocity widths of {approx}14 km s{sup -1}, and are observed at |z| heights up to 700 pc. The velocity distribution of the clouds shows no signature of Galactic rotation. We propose a scenario where the clouds are associated with an outflow from a central star-forming region at the Galactic center. We discuss the clouds as entrained material traveling at {approx}200 km s{sup -1} in a Galactic wind.

Nevada Applied Ecology Information Center: a prototype

International Nuclear Information System (INIS)

Pfuderer, H.A.

1978-01-01

The Nevada Applied Ecology Group (NAEG) was exceptionally farsighted in establishing the Nevada Applied Ecology Information Center in January 1972, not long after the Nevada Test Site research programs began. Since its inception, the Data Base on the Environmental Aspects of the Transuranics has been proven to be a useful tool to a wide range of researchers and planners, both nationally and internationally, in addition to those associated with the NAEG. Because of its versatility and ease of access, the Data Base on the Environmental Aspects of the Transuranics has played a major role in the development of new projects by the Ecological Sciences Information Center

ATOMIC HYDROGEN IN A GALACTIC CENTER OUTFLOW

International Nuclear Information System (INIS)

McClure-Griffiths, N. M.; Green, J. A.; Hill, A. S.; Lockman, F. J.; Dickey, J. M.; Gaensler, B. M.; Green, A. J.

2013-01-01

We describe a population of small, high-velocity, atomic hydrogen clouds, loops, and filaments found above and below the disk near the Galactic center. The objects have a mean radius of 15 pc, velocity widths of ∼14 km s –1 , and are observed at |z| heights up to 700 pc. The velocity distribution of the clouds shows no signature of Galactic rotation. We propose a scenario where the clouds are associated with an outflow from a central star-forming region at the Galactic center. We discuss the clouds as entrained material traveling at ∼200 km s –1 in a Galactic wind.

17 CFR 449.4 - Form G-FIN-5, notification of termination of association with a financial institution that is a...

Science.gov (United States)

2010-04-01

... Exchange Act of 1934 and § 400.4 of this chapter. This form is to be used by financial institutions that... available from the Board of Governors of the Federal Reserve System, the Comptroller of the Currency, the...

Emotional labor and dysmenorrhea in women working in sales and call centers.

Science.gov (United States)

Cho, In-Jung; Kim, Hyunjoo; Lim, Sinye; Oh, Sung-Soo; Park, Sungjin; Kang, Hee-Tae

2014-01-01

This study was conducted to investigate the association between emotional labor and dysmenorrhea among women working in sales and call centers in Seoul, South Korea. Working women in sales jobs and call centers in Seoul were interviewed face-to-face by well-trained interviewers. In total, 975 participants were analyzed in the final model. Emotional labor was measured using a constructed questionnaire with two components: an emotive effort component with three questions and an emotive dissonance component with five questions. To examine the association between emotional labor and dysmenorrhea, chi-squared tests and logistic regression were applied. The prevalence of dysmenorrhea among sales workers and call center workers were 43.0% and 61.1%, respectively. The adjusted odds ratios (OR) of emotive effort and emotive dissonance for dysmenorrhea in call center workers were 1.88 (95% confidence interval [CI], 1.07-3.28) and 1.72 (95% CI, 1.13-2.63), respectively. The adjusted OR of emotive effort and emotive dissonance for dysmenorrhea in sales workers were 1.71 (95% CI, 0.92-3.16) and 1.15 (95% CI, 0.67-1.98), respectively. Emotional labor was found to be associated with dysmenorrhea in call center workers. Further studies to investigate other factors, such as management strategies and the relationship between emotional labor and dysmenorrhea, are needed to support interventions to prevent dysmenorrhea that will further promote the quality of health and life of working women.

Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections: Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011-2014.

Science.gov (United States)

Weiner, Lindsey M; Webb, Amy K; Limbago, Brandi; Dudeck, Margaret A; Patel, Jean; Kallen, Alexander J; Edwards, Jonathan R; Sievert, Dawn M

2016-11-01

OBJECTIVE To describe antimicrobial resistance patterns for healthcare-associated infections (HAIs) that occurred in 2011-2014 and were reported to the Centers for Disease Control and Prevention's National Healthcare Safety Network. METHODS Data from central line-associated bloodstream infections, catheter-associated urinary tract infections, ventilator-associated pneumonias, and surgical site infections were analyzed. These HAIs were reported from acute care hospitals, long-term acute care hospitals, and inpatient rehabilitation facilities. Pooled mean proportions of pathogens that tested resistant (or nonsusceptible) to selected antimicrobials were calculated by year and HAI type. RESULTS Overall, 4,515 hospitals reported that at least 1 HAI occurred in 2011-2014. There were 408,151 pathogens from 365,490 HAIs reported to the National Healthcare Safety Network, most of which were reported from acute care hospitals with greater than 200 beds. Fifteen pathogen groups accounted for 87% of reported pathogens; the most common included Escherichia coli (15%), Staphylococcus aureus (12%), Klebsiella species (8%), and coagulase-negative staphylococci (8%). In general, the proportion of isolates with common resistance phenotypes was higher among device-associated HAIs compared with surgical site infections. Although the percent resistance for most phenotypes was similar to earlier reports, an increase in the magnitude of the resistance percentages among E. coli pathogens was noted, especially related to fluoroquinolone resistance. CONCLUSION This report represents a national summary of antimicrobial resistance among select HAIs and phenotypes. The distribution of frequent pathogens and some resistance patterns appear to have changed from 2009-2010, highlighting the need for continual, careful monitoring of these data across the spectrum of HAI types. Infect Control Hosp Epidemiol 2016;1-14.

Family physicians' ability to perform population management is associated with adoption of other aspects of the patient-centered medical home.

Science.gov (United States)

Ottmar, Jessica; Blackburn, Brenna; Phillips, Robert L; Peterson, Lars E; Jaén, Carlos Roberto

2015-04-01

The patient-centered medical home (PCMH) model is considered a promising approach to improving population health, but how elements of these advanced practice models relate to population health capability is unknown. To measure associations between family physicians' performance of population management with PCMH components, a cross-sectional survey was conducted with physicians accessing the American Board of Family Medicine Web site in 2011. Bivariate analysis and logistic regression tested associations between physician and practice demographics and specific PCMH features. The primary outcome was performance of population management. The final sample included 3855 physicians, 37.3% of whom reported performing population management. Demographic characteristics significantly associated with greater use of population management were female sex and graduation from an international medical school. PCMH components that remained associated with population management after adjustment were access to clinical case managers (odds ratio [OR]=2.01, 95% confidence interval [95% CI]: 1.69, 2.39), behavioral health collaboration (OR=1.49, 95% CI: 1.26, 1.77), having an electronic health record that supports meaningful use (OR=1.47, 95% CI: 1.25, 1.74), recent participation in a quality improvement project (OR=2.47, 95% CI: 2.12, 2.89), and routine measurement of patient difficulty securing an appointment (OR=2.87, 95% CI: 2.45, 3.37). Performance of population management was associated with several PCMH elements and resources not present in traditional primary care offices. Attention to these elements likely will enhance delivery of population management services in primary care.

Management approaches to integrated solid waste in industrialized zones in Jordan: a case of Zarqa City.

Science.gov (United States)

Mrayyan, Bassam; Hamdi, Moshrik R

2006-01-01

There is a need to recognize the difficulties experienced in managing waste and to understand the reasons for those difficulties, especially in developing countries such as Jordan. Zarqa is a Governorate located in central Jordan, which has 2874 registered industries, making up more than 52% of the total industries in the country. Zarqa Governorate suffers from serious solid waste problems. These problems arise from an absence of adequate policies, facilitating legislation, and an environmentally enthused public, which therefore have a negative impact on the environment and health. Solid waste generation in Zarqa Governorate has increased exponentially and has polluted natural resources and the environment. A significant change in municipal solid waste generation was evident between the years 1994 and 2000. The Zarqa Governorate generated 482 tons/day in 2002 with a per capita rate of 0.44 kg/cap-day [Consulting Engineers, 2002, Feasibility study for the treatment of industrial wastewater in Zarqa Governorate. A project funded by METAP and Zarqa Chamber of Industry. Unpublished report]. This manuscript assesses the current operational and management practices of solid waste in the Zarqa Governorate; and evaluates the associated issues of solid waste collection, storage, transport, disposal and recycling in developing countries. The lack of techniques, financial funds and awareness among public and private sectors form an obstacle for achieving a successful environmental program. Several options are proposed to address management goals. Although Jordan became the first country in the Middle East to adopt a national environmental strategy; waste disposal is still largely uncontrolled and large quantities of waste go uncollected. Ensuring proper management of solid wastes, enforcing regulations, and implementing proper environmental awareness programs that will enhance the public understanding and achieve greater efficiency, are the findings of this study.

Management approaches to integrated solid waste in industrialized zones in Jordan: A case of Zarqa City

International Nuclear Information System (INIS)

Mrayyan, Bassam; Hamdi, Moshrik R.

2006-01-01

There is a need to recognize the difficulties experienced in managing waste and to understand the reasons for those difficulties, especially in developing countries such as Jordan. Zarqa is a Governorate located in central Jordan, which has 2874 registered industries, making up more than 52% of the total industries in the country. Zarqa Governorate suffers from serious solid waste problems. These problems arise from an absence of adequate policies, facilitating legislation, and an environmentally enthused public, which therefore have a negative impact on the environment and health. Solid waste generation in Zarqa Governorate has increased exponentially and has polluted natural resources and the environment. A significant change in municipal solid waste generation was evident between the years 1994 and 2000. The Zarqa Governorate generated 482 tons/day in 2002 with a per capita rate of 0.44 kg/cap-day [Consulting Engineers, 2002, Feasibility study for the treatment of industrial wastewater in Zarqa Governorate. A project funded by METAP and Zarqa Chamber of Industry. Unpublished report]. This manuscript assesses the current operational and management practices of solid waste in the Zarqa Governorate; and evaluates the associated issues of solid waste collection, storage, transport, disposal and recycling in developing countries. The lack of techniques, financial funds and awareness among public and private sectors form an obstacle for achieving a successful environmental program. Several options are proposed to address management goals. Although Jordan became the first country in the Middle East to adopt a national environmental strategy; waste disposal is still largely uncontrolled and large quantities of waste go uncollected. Ensuring proper management of solid wastes, enforcing regulations, and implementing proper environmental awareness programs that will enhance the public understanding and achieve greater efficiency, are the findings of this study

Virginia Tech's Cook Counseling Center receives international counseling accreditation

OpenAIRE

DeLauder, Rachel

2010-01-01

The Virginia Tech Thomas E. Cook Counseling Center has been accredited by the International Association of Counseling Services, Inc., an organization of United States, Canadian, and Australian counseling agencies based in Alexandria, Va.

GLOBE Observer and the Association of Science & Technology Centers: Leveraging Citizen Science and Partnerships for an International Science Experiment to Build Climate Literacy

Science.gov (United States)

Riebeek Kohl, H.; Chambers, L. H.; Murphy, T.

2016-12-01

For more that 20 years, the Global Learning and Observations to Benefit the Environment (GLOBE) Program has sought to increase environment literacy in students by involving them in the process of data collection and scientific research. In 2016, the program expanded to accept observations from citizen scientists of all ages through a relatively simple app. Called GLOBE Observer, the new program aims to help participants feel connected to a global community focused on advancing the scientific understanding of Earth system science while building climate literacy among participants and increasing valuable environmental data points to expand both student and scientific research. In October 2016, GLOBE Observer partnered with the Association of Science & Technology Centers (ASTC) in an international science experiment in which museums and patrons around the world collected cloud observations through GLOBE Observer to create a global cloud map in support of NASA satellite science. The experiment was an element of the International Science Center and Science Museum Day, an event planned in partnership with UNESCO and ASTC. Museums and science centers provided the climate context for the observations, while GLOBE Observer offered a uniform experience and a digital platform to build a connected global community. This talk will introduce GLOBE Observer and will present the results of the experiment, including evaluation feedback on gains in climate literacy through the event.

Four aspects of the scope and quality of family planning services in US publicly funded health centers: Results from a survey of health center administrators.

Science.gov (United States)

Carter, Marion W; Gavin, Loretta; Zapata, Lauren B; Bornstein, Marta; Mautone-Smith, Nancy; Moskosky, Susan B

2016-10-01

This study aims to describe aspects of the scope and quality of family planning services provided by US publicly funded health centers before the release of relevant federal recommendations. Using nationally representative survey data (N=1615), we describe four aspects of service delivery: family planning services provided, contraceptive methods provided onsite, written contraceptive counseling protocols and youth-friendly services. We created a count index for each issue and used multivariable ordered logistic regression to identify health center characteristics associated with scoring higher on each. Half of the sample received Title X funding and about a third each were a community health center or health department clinic. The vast majority reported frequently providing contraceptive services (89%) and STD services (87%) for women in the past 3 months. Service provision to males was substantially lower except for STD screening. A total of 63% and 48% of health centers provided hormonal IUDs and implants onsite in the past 3 months, respectively. Forty percent of health centers included all five recommended contraceptive counseling practices in written protocols. Of youth-friendly services, active promotion of confidential services was among the most commonly reported (83%); offering weekend/evening hours was among the least (42%). In multivariable analyses, receiving Title X funding, having larger volumes of family planning clients and being a Planned Parenthood clinic were associated with higher scores on most indices. Many services were consistent with the recommendations for providing quality family planning services, but there was room for improvement across domains and health centers types. As assessed in this paper, the scope and quality of these family planning services was relatively high, particularly among Planned Parenthood clinics and Title X-funded centers. However, results point to important areas for improvement. Future studies should assess

78 FR 36751 - Meeting of the National Commission on the Structure of the Air Force

Science.gov (United States)

2013-06-19

... defense think tanks, and leadership from the National Governors Association are invited to speak at the... should include the registrant's full name, title, affiliation or employer, email address, and day-time...

Aphasia centers in North America: a survey.

Science.gov (United States)

Simmons-Mackie, Nina; Holland, Audrey L

2011-08-01

There is a growing trend toward dedicated programs designed to improve the lives of people with aphasia and their families. We are referring to these programs collectively as "aphasia centers." These programs purportedly differ from more traditional medically based aphasia rehabilitation. However, there is no directory of aphasia centers and no definition of what constitutes such a program. Therefore, an online survey was designed to identify and describe aphasia centers in the United States and Canada. A 37-question survey was posted online via SurveyMonkey. An introductory letter was distributed by electronic mail to a listserv and mailing lists of programs associated with aphasia. Potential respondents who considered themselves an aphasia center were asked to complete the survey. A total of 33 survey responses were analyzed, and descriptive data were compiled resulting in a description of the following aspects of aphasia centers: demographic information, mission, admission and discharge policies, assessment practices, program logistics, staffing patterns, marketing, funding, and services offered. In addition, a qualitative analysis of written text responses revealed the following key themes that appear to characterize the responding programs: services that differ from traditional aphasia rehabilitation; a sense of community; a holistic focus on quality of life, psychosocial well-being, participation, and social support; the centrality of group interaction; and variety/intensity of services. © Thieme Medical Publishers.

Energy Demands and Efficiency Strategies in Data Center Buildings

Energy Technology Data Exchange (ETDEWEB)

Shehabi, Arman [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2009-09-01

Information technology (IT) is becoming increasingly pervasive throughout society as more data is digitally processed, stored, and transferred. The infrastructure that supports IT activity is growing accordingly, and data center energy demands haveincreased by nearly a factor of four over the past decade. Data centers house IT equipment and require significantly more energy to operate per unit floor area thanconventional buildings. The economic and environmental ramifications of continued data center growth motivate the need to explore energy-efficient methods to operate these buildings. A substantial portion of data center energy use is dedicated to removing the heat that is generated by the IT equipment. Using economizers to introduce large airflow rates of outside air during favorable weather could substantially reduce the energy consumption of data center cooling. Cooling buildings with economizers is an established energy saving measure, but in data centers this strategy is not widely used, partly owing to concerns that the large airflow rates would lead to increased indoor levels of airborne particles, which could damage IT equipment. The environmental conditions typical of data centers and the associated potential for equipment failure, however, are not well characterized. This barrier to economizer implementation illustrates the general relationship between energy use and indoor air quality in building design and operation. This dissertation investigates how building design and operation influence energy use and indoor air quality in data centers and provides strategies to improve both design goals simultaneously.As an initial step toward understanding data center air quality, measurements of particle concentrations were made at multiple operating northern California data centers. Ratios of measured particle concentrations in conventional data centers to the corresponding outside concentrations were significantly lower than those reported in the literature

Spatial patterns of arrests, police assault and addiction treatment center locations in Tijuana, Mexico.

Science.gov (United States)

Werb, Dan; Strathdee, Steffanie A; Vera, Alicia; Arredondo, Jaime; Beletsky, Leo; Gonzalez-Zuniga, Patricia; Gaines, Tommi

2016-07-01

In the context of a public health-oriented drug policy reform in Mexico, we assessed the spatial distribution of police encounters among people who inject drugs (PWID) in Tijuana, determined the association between these encounters and the location of addiction treatment centers and explored the association between police encounters and treatment access. Geographically weighted regression (GWR) and logistic regression analysis using prospective spatial data from a community-recruited cohort of PWID in Tijuana and official geographical arrest data from the Tijuana Municipal Police Department. Tijuana, Mexico. A total of 608 participants (median age 37; 28.4% female) in the prospective Proyecto El Cuete cohort study recruited between January and December 2011. We compared the mean distance of police encounters and a randomly distributed set of events to treatment centers. GWR was undertaken to model the spatial relationship between police interactions and treatment centers. Logistic regression analysis was used to investigate factors associated with reporting police interactions. During the study period, 27.5% of police encounters occurred within 500 m of treatment centers. The GWR model suggested spatial correlation between encounters and treatment centers (global R(2)  = 0.53). Reporting a need for addiction treatment was associated with reporting arrest and police assault [adjusted odds ratio = 2.74, 95% confidence interval (CI) = 1.25-6.02, P = 0.012]. A geospatial analysis suggests that, in Mexico, people who inject drugs are at greater risk of being a victim of police violence if they consider themselves in need of addiction treatment, and their interactions with police appear to be more frequent around treatment centers. © 2016 Society for the Study of Addiction.

Non-listening and self centered leadership--relationships to socioeconomic conditions and employee mental health.

Science.gov (United States)

Theorell, Töres; Nyberg, Anna; Leineweber, Constanze; Magnusson Hanson, Linda L; Oxenstierna, Gabriel; Westerlund, Hugo

2012-01-01

The way in which leadership is experienced in different socioeconomic strata is of interest per se, as well as how it relates to employee mental health. Three waves of SLOSH (Swedish Longitudinal Occupational Survey of Health, a questionnaire survey on a sample of the Swedish working population) were used, 2006, 2008 and 2010 (n = 5141). The leadership variables were: "Non-listening leadership" (one question: "Does your manager listen to you?"--four response categories), "Self centered leadership" (sum of three five-graded questions--"non-participating", "asocial" and "loner"). The socioeconomic factors were education and income. Emotional exhaustion and depressive symptoms were used as indicators of mental health. Non-listening leadership was associated with low income and low education whereas self-centered leadership showed a weaker relationship with education and no association at all with income. Both leadership variables were significantly associated with emotional exhaustion and depressive symptoms. "Self centered" as well as "non-listening" leadership in 2006 significantly predicted employee depressive symptoms in 2008 after adjustment for demographic variables. These predictions became non-significant when adjustment was made for job conditions (demands and decision latitude) in the "non-listening" leadership analyses, whereas predictions of depressive symptoms remained significant after these adjustments in the "self-centered leadership" analyses. Our results show that the leadership variables are associated with socioeconomic status and employee mental health. "Non-listening" scores were more sensitive to societal change and more strongly related to socioeconomic factors and job conditions than "self-centered" scores.

[Health centers: history and future prospects.].

Science.gov (United States)

Colin, Marie-Pierre; Acker, Dominique

2009-03-29

Health houses and health centers are often hailed as specifically modern forms of medical practice in mobile healthcare provision. Yet the concept of health center emerged in the seventeenth century. The founding principles of these institutions were to promote access to good-quality universal healthcare and to practice a form of healthcare that treated patients in their globality (i.e. within their social and environmental context) based on public healthcare measures. Though they constitute a response to a specific healthcare project, healthcare centers face a number of specific difficulties that pose a challenge to their durability and development. Payment per consultation is ill-adapted to the remuneration of their services, and methods of remuneration that may be applicable to independent medical practitioners do not apply in the context of health centers, which may struggle to survive without the support of territorial collectivities (i.e. regional and local authorities) or associations. Health houses face similar difficulties in terms of their structural expenses. Expectations are high for trying out new methods of remuneration. The perspective and experience of healthcare centers will likely prove to be essential in this context. Their future needs to be envisaged alongside health houses and medical hubs. The growth of precarity and the increasing difficulties affecting access to healthcare provision need to be taken into account. The choice of the specific type of structure will depend on local realities, on the political will of regional authorities and on the specific projects of healthcare professionals. Yet whatever solution is envisaged, it will not be possible without public funding.

Centers for Disease Control and Prevention Funding for HIV Testing Associated With Higher State Percentage of Persons Tested.

Science.gov (United States)

Hayek, Samah; Dietz, Patricia M; Van Handel, Michelle; Zhang, Jun; Shrestha, Ram K; Huang, Ya-Lin A; Wan, Choi; Mermin, Jonathan

2015-01-01

To assess the association between state per capita allocations of Centers for Disease Control and Prevention (CDC) funding for HIV testing and the percentage of persons tested for HIV. We examined data from 2 sources: 2011 Behavioral Risk Factor Surveillance System and 2010-2011 State HIV Budget Allocations Reports. Behavioral Risk Factor Surveillance System data were used to estimate the percentage of persons aged 18 to 64 years who had reported testing for HIV in the last 2 years in the United States by state. State HIV Budget Allocations Reports were used to calculate the state mean annual per capita allocations for CDC-funded HIV testing reported by state and local health departments in the United States. The association between the state fixed-effect per capita allocations for CDC-funded HIV testing and self-reported HIV testing in the last 2 years among persons aged 18 to 64 years was assessed with a hierarchical logistic regression model adjusting for individual-level characteristics. The percentage of persons tested for HIV in the last 2 years. In 2011, 18.7% (95% confidence interval = 18.4-19.0) of persons reported being tested for HIV in last 2 years (state range, 9.7%-28.2%). During 2010-2011, the state mean annual per capita allocation for CDC-funded HIV testing was $0.34 (state range, $0.04-$1.04). A $0.30 increase in per capita allocation for CDC-funded HIV testing was associated with an increase of 2.4 percentage points (14.0% vs 16.4%) in the percentage of persons tested for HIV per state. Providing HIV testing resources to health departments was associated with an increased percentage of state residents tested for HIV.

Kaposi's Sarcoma-Associated Herpesvirus | Center for Cancer Research

Science.gov (United States)

The discovery of KSHV in 1994 was a historical landmark in tumor virology and human cancer research. KSHV's subsequent identification as a cause of Kaposi sarcoma and its association with primary effusion lymphoma and multicentric Castleman disease soon attracted the attention of hundreds of research laboratories and motivated thousands of virologists and oncologists to switch

Birth outcomes for women using free-standing birth centers in South Auckland, New Zealand.

Science.gov (United States)

Bailey, David John

2017-09-01

This study investigates maternal and perinatal outcomes for women with low-risk pregnancies laboring in free-standing birth centers compared with laboring in a hospital maternity unit in a large New Zealand health district. The study used observational data from 47 381 births to women with low-risk pregnancies in South Auckland maternity facilities 2003-2010. Adjusted odds ratios with 95% confidence intervals were calculated for instrumental delivery, cesarean section, blood transfusion, neonatal unit admission, and perinatal mortality. Labor in birth centers was associated with significantly lower rates of instrumental delivery, cesarean section and blood transfusion compared with labor in hospital. Neonatal unit admission rates were lower for infants of nulliparous women laboring in birth centers. Intrapartum and neonatal mortality rates for birth centers were low and were not significantly different from the hospital population. Transfers to hospital for labor and postnatal complications occurred in 39% of nulliparous and 9% of multiparous labors. Risk factors identified for transfer were nulliparity, advanced maternal age, and prolonged pregnancy ≥41 weeks' gestation. Labor in South Auckland free-standing birth centers was associated with significantly lower maternal intervention and complication rates than labor in the hospital maternity unit and was not associated with increased perinatal morbidity. © 2017 Wiley Periodicals, Inc.

Place matters: A longitudinal analysis measuring the association between neighbourhood walkability and walking by age group and population center size in Canada.

Science.gov (United States)

Wasfi, Rania; Steinmetz-Wood, Madeleine; Kestens, Yan

2017-01-01

This study examined the influence of walkability on walking behaviour and assessed whether associations varied according to life-stage and population center (PC) size. Walkability scores were obtained for the six-digit postal codes of residential neighbourhoods of 11,200 Canadians, who participated in biennial assessments of the National Population Health Survey from 1994 to 2010. Participants were stratified by age-group. Mixed-effects logistic regression models were used to estimate the influence of cumulative exposure to neighborhood walkability on utilitarian and exercise walking by PC size and life-stage. Associations of neighbourhood walkability with utilitarian and exercise walking varied according to age-group and PC size. Exposure to high walkable neighborhoods was associated with utilitarian walking in younger and older adults in all PC sizes, except for older adults living in a medium PC. Living in a highly walkable neighborhood in a large PC was associated with walking for exercise in younger (OR: 1.42; 95%CI: 1.20-1.67) and older adults (OR: 2.09; 95%CI: 1.51-2.89). Living in highly walkable neighbourhood in a medium PC was associated with walking for exercise in older adults (OR: 1.62; 95%CI: 1.15-2.29). These results emphasize the need to consider the size and nature of every community, and the age-group of a population when implementing strategies to promote walking.

Rekrutmen gubernur dan wakil gubernur D.I Yogyakarta dalam perspektif etika politik

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Halili Halili

2004-12-01

Full Text Available Post implementation of UU No. 22/1999 (revised with UU No. 32/2004 about Local Government, recruitment mechanism of Governor and Vice Governor of D I Yogyakarta is being discussed around public opinions. They are polarized into two main groups; first, a group to agree and support recruitment through decision, and second, to agree and support a conventional mechanism of recruitment used in several provinces, namely election. This paper tries to analyze recruitment of Governor and Vice Governor of DI Yogyakarta on the perspective of political ethics. This perspective of analysis is based on two approaches. The first is formal-juridical approach; it means analysis about recruitment of Governor and Vice Governor of DI Yogyakarta and its congruency with the laws, which are valid. And the second is philosophy of power ethics; it includes resources, legitimacy, and implementation of power. Recruitment mechanism of Governor and Vice Governor of DI Yogyakarta finds legal and juridical justification in the positive laws; they are UUD 1945 (Constitution of RI, UU No. 22/1948, UU No. 3/1950, UU No. 5/1974, UU No. 22/1999, and UU No. 32/2004. In the other hand, according to political ethics of Thomas Aquinas about resources, legitimacy, and implementation of power, resources and legitimacy of power during recruitment of Governor and vice Governor of DIY get the right way in ethics manner. They correlate further with implementation of the power. So that, recruitment of Governor and vice Governor of DIY in perspective of political ethics is not merely matter of feudalism or monarchy, but it relates more with a matter of resources, legitimacy and implementation of power. If the power is correctly implemented, the resources and legitimacy will grow up, so does the contrary.

New Conceptual Frameworks for Writing Center Work

Science.gov (United States)

Grimm, Nancy M.

2009-01-01

This article presents the author's address for the International Writing Centers Association Conference in Las Vegas. The author's argument in this talk stresses the importance of paying attention to the conceptual frames writing tutors use to understand the world, their work, and the impact of their work on the world, and this attentiveness to…

Association between parity and dentition status among Japanese women: Japan public health center-based oral health study.

Science.gov (United States)

Ueno, Masayuki; Ohara, Satoko; Inoue, Manami; Tsugane, Shoichiro; Kawaguchi, Yoko

2013-10-22

Several studies have shown that parity is associated with oral health problems such as tooth loss and dental caries. In Japan, however, no studies have examined the association. The purpose of this study was to determine whether parity is related to dentition status, including the number of teeth present, dental caries and filled teeth, and the posterior occlusion, in a Japanese population by comparing women with men. A total of 1,211 subjects, who participated both in the Japan Public Health Center-Based (JPHC) Study Cohort I in 1990 and the dental survey in 2005, were used for the study. Information on parity or number of children was collected from a self-completed questionnaire administered in 1990 for the JPHC Study Cohort I, and health behaviors and clinical dentition status were obtained from the dental survey in 2005. The association between parity or number of children and dentition status was analyzed, by both unadjusted-for and adjusted-for socio-demographic and health behavioral factors, using a generalized linear regression model. Parity is significantly related to the number of teeth present and n-FTUs (Functional Tooth Units of natural teeth), regardless of socio-demographic and health behavioral factors, in female subjects. The values of these variables had a significantly decreasing trend with the rise of parity: numbers of teeth present (p for trend = 0.046) and n-FTUs (p for trend = 0.026). No relationships between the number of children and dentition status were found in male subjects. Higher-parity women are more likely to lose teeth, especially posterior occluding relations. These results suggest that measures to narrow the discrepancy by parity should be taken for promoting women's oral health. Delivery of appropriate information and messages to pregnant women as well as enlightenment of oral health professionals about dental management of pregnant women may be an effective strategy.

The WIPP institutional program for states' involvement in WIPP transportation planning, and operations

International Nuclear Information System (INIS)

Leonard, R.

1991-01-01

The Supplemental Stipulated Agreement of 1982 between the state of New Mexico and the Department of Energy (DOE) committed the DOE to emergency response training in New Mexico. In 1988, the state of New Mexico and the DOE entered into a two-year agreement providing $203,017 for financial assistance and $67,000 for equipment to enhance the state's emergency response capability. In 1990, this agreement was extended for an additional two years providing $226,088 for financial assistance and $39,000 for emergency response equipment. Also, in 1988 an agreement between the Western Governors' Association and the United States Department of Transportation provided $1.0 million to seven western states (Colorado, Idaho, New Mexico, Oregon, Utah, Washington, and Wyoming) to identify and implement programs to help ensure the safe transportation of transuranic waste from western points of origin to the Waste Isolation Pilot Plant (WIPP). As part of this process, the Western Governors' Association and the seven states prepared the Report to Congress, Transport of Transuranic Wastes to the Waste Isolation Pilot Plant: State Concerns and Proposed Solutions. In July 1990, a five-year cooperative agreement between the Western Governors' Association and the DOE was signed providing $1.515 million in funding to seven states along the Hanford/WIPP route. This continued the work started under the Department of Transportation's cooperative agreement

A Reliable, Non-Invasive Approach to Data Center Monitoring and Management

Directory of Open Access Journals (Sweden)

Moises Levy

2017-08-01

Full Text Available Recent standards, legislation, and best practices point to data center infrastructure management systems to control and monitor data center performance. This work presents an innovative approach to address some of the challenges that currently hinder data center management. It explains how monitoring and management systems should be envisioned and implemented. Key parameters associated with data center infrastructure and information technology equipment can be monitored in real-time across an entire facility using low-cost, low-power wireless sensors. Given the data centers’ mission critical nature, the system must be reliable and deployable through a non-invasive process. The need for the monitoring system is also presented through a feedback control systems perspective, which allows higher levels of automation. The data center monitoring and management system enables data gathering, analysis, and decision-making to improve performance, and to enhance asset utilization.

Trauma center designation correlates with functional independence after severe but not moderate traumatic brain injury.

Science.gov (United States)

Brown, Joshua B; Stassen, Nicole A; Cheng, Julius D; Sangosanya, Ayodele T; Bankey, Paul E; Gestring, Mark L

2010-08-01

The mortality of traumatic brain injury (TBI) continues to decline, emphasizing functional outcomes. Trauma center designation has been linked to survival after TBI, but the impact on functional outcomes is unclear. The objective was to determine whether trauma center designation influenced functional outcomes after moderate and severe TBI. Trauma subjects presenting to an American College of Surgeons (ACS) Level I or II trauma center with a Glasgow Coma Score (GCS) independence (FI) defined as a modified functional independence measure (FIM) of 12, and independent expression (IE) defined as a FIM component of 4. These were compared between Level I and Level II centers in subjects with both moderate (GCS 9-12) and severe (GCS associated with FI (odds ratio: 1.16; confidence interval: 1.07-1.24, p < 0.01) and IE (1.10; 1.03-1.17, p < 0.01) after severe TBI. Trauma center designation was not associated with FI or IE after moderate TBI. ACS trauma center designation is significantly associated with FI and IE after severe, but not moderate TBI. Prospective study is warranted to verify and explore factors contributing to this discrepancy.

Developing High-Functioning Teams: Factors Associated With Operating as a "Real Team" and Implications for Patient-Centered Medical Home Development.

Science.gov (United States)

Stout, Somava; Zallman, Leah; Arsenault, Lisa; Sayah, Assaad; Hacker, Karen

2017-01-01

Team-based care is a foundation of health care redesign models like the patient-centered medical home (PCMH). Yet few practices rigorously examine how the implementation of PCMH relates to teamwork. We identified factors associated with the perception of a practice operating as a real team. An online workforce survey was conducted with all staff of 12 primary care sites of Cambridge Health Alliance at different stages of PCMH transformation. Bivariate and multivariate analyses of factors associated with teamwork perceptions were conducted. In multivariate models, having effective leadership was the main factor associated with practice teamwork perceptions (odds ratio [OR], 10.49; 95% confidence interval [CI], 5.39-20.43); in addition, practicing at a site in an intermediate stage of PCMH transformation was also associated with enhanced team perceptions (OR, 2.44; 95% CI, 1.28-4.64). In a model excluding effective leadership, respondents at sites in an intermediate stage of PCMH transformation (OR, 1.95; 95% CI, 1.1-3.4) and who had higher care team behaviors (such as huddles and weekly meetings; OR, 3.41; 95% CI, 1.30-8.92), higher care team perceptions (OR, 2.65; 95% CI, 1.15-6.11), and higher job satisfaction (OR, 2.00; 95% CI, 1.02-3.92) had higher practice teamwork perceptions. This study highlights the strong association between effective leadership, care team behaviors and perceptions, and job satisfaction with perceptions that practices operate as real teams. Although we cannot infer causality with these cross-sectional data, this study raises the possibility that providing attention to these factors may be important in augmenting practice teamwork perceptions.

Magnitude and direction of the change in dipole moment associated with excitation of the primary electron donor in Rhodopseudomonas sphaeroides reaction centers

Energy Technology Data Exchange (ETDEWEB)

Lockhart, D.J.; Boxer, S.G.

1987-02-10

The magnitude and direction of the change in dipole moment, ..delta mu.., associated with the Q/sub y/ transition of the dimeric primary electron donor (special pair or P870) in Rhodopseudomonas sphaeroides reaction centers have been measured by Stark spectroscopy at 20 /sup 0/C. The magnitude of ..delta mu.. is found to be f/sup -1/ (10.3 +/- 0.7) D, where f is a correction factor for the local dielectric properties of the protein matrix. With the spherical cavity approximation and an effective local dielectric constant of 2, f = 1.2, and absolute value of ..delta mu.. is 8.6 +/- 0.6 D. Absolute value of ..delta mu.. for the Q/sub y/ transition of the special pair is approximately a factor of 3.4 and 2 greater than for the monomeric bacteriochlorophylls and bacteriopheophytins, respectively, in the reaction center. The angle between ..delta mu.. and the transition dipole moment for excitation of the first singlet electron state of the special pair was found to be 24 +/- 2/sup 0/. The measured values are combined to suggest a physical model in which the lowest excited singlet state of the special pair has substantial charge-transfer character and where charge is separated between the two monomers comprising the dimeric special pair. This leads to the hypothesis that the first charge-separated state in bacterial photosynthesis is formed directly upon photoexcitation. These data provide stringent values for comparison with theoretical calculations of the electronic structure of the chromophores in the reaction center.

Employment opportunity with IDRC's Board of Governors | CRDI ...

International Development Research Centre (IDRC) Digital Library (Canada)

31 oct. 2017 ... You will ensure that systems are in place to provide guidance on risks associated with IDRC's business and protect the integrity of IDRC's internal controls and management information systems. You will also monitor the performance of the President and Chief Executive Officer, as well as assessing the ...

Early Inherited Risk for Anxiety Moderates the Association between Fathers’ Child-Centered Parenting and Early Social Inhibition

Science.gov (United States)

Brooker, Rebecca J.; Alto, Kathleen M.; Marceau, Kristine; Najjar, Reema; Leve, Leslie D.; Ganiban, Jody M.; Shaw, Daniel S.; Reiss, David; Neiderhiser, Jenae M.

2016-01-01

Studies of the role of the early environment in shaping children’s risk for anxiety problems have produced mixed results. It is possible that inconsistencies in previous findings result from a lack of consideration of a putative role for inherited influences moderators on the impact of early experiences. Early inherited influences not only contribute to vulnerabilities for anxiety problems throughout the lifespan, but can also modulate the ways that the early environment impacts child outcomes. In the current study, we tested the effects of child-centered parenting behaviors on putative anxiety risk in young children who differed in levels of inherited vulnerability. We tested this using a parent-offspring adoption design and a sample in which risk for anxiety problems and parenting behaviors were assessed in both mothers and fathers. Inherited influences on anxiety problems were assessed as anxiety symptoms in biological parents. Child-centered parenting was observed in adoptive mothers and fathers when children were 9 months old. Social inhibition, an early temperament marker of anxiety risk, was observed at child ages 9 and 18 months. Inherited influences on anxiety problems moderated the link between paternal child-centered parenting during infancy and social inhibition in toddlerhood. For children whose birth parents reported high levels of anxiety symptoms, greater child-centered parenting in adoptive fathers was related to greater social inhibition 9 months later. For children whose birth parents reported low levels of anxiety symptoms, greater child-centered parenting in adoptive fathers was related to less social inhibition across the same period. PMID:27572913

Early inherited risk for anxiety moderates the association between fathers' child-centered parenting and early social inhibition.

Science.gov (United States)

Brooker, R J; Alto, K M; Marceau, K; Najjar, R; Leve, L D; Ganiban, J M; Shaw, D S; Reiss, D; Neiderhiser, J M

2016-12-01

Studies of the role of the early environment in shaping children's risk for anxiety problems have produced mixed results. It is possible that inconsistencies in previous findings result from a lack of consideration of a putative role for inherited influences moderators on the impact of early experiences. Early inherited influences not only contribute to vulnerabilities for anxiety problems throughout the lifespan, but can also modulate the ways that the early environment impacts child outcomes. In the current study, we tested the effects of child-centered parenting behaviors on putative anxiety risk in young children who differed in levels of inherited vulnerability. We tested this using a parent-offspring adoption design and a sample in which risk for anxiety problems and parenting behaviors were assessed in both mothers and fathers. Inherited influences on anxiety problems were assessed as anxiety symptoms in biological parents. Child-centered parenting was observed in adoptive mothers and fathers when children were 9 months old. Social inhibition, an early temperament marker of anxiety risk, was observed at child ages 9 and 18 months. Inherited influences on anxiety problems moderated the link between paternal child-centered parenting during infancy and social inhibition in toddlerhood. For children whose birth parents reported high levels of anxiety symptoms, greater child-centered parenting in adoptive fathers was related to greater social inhibition 9 months later. For children whose birth parents reported low levels of anxiety symptoms, greater child-centered parenting in adoptive fathers was related to less social inhibition across the same period.

The mobilize center: an NIH big data to knowledge center to advance human movement research and improve mobility.

Science.gov (United States)

Ku, Joy P; Hicks, Jennifer L; Hastie, Trevor; Leskovec, Jure; Ré, Christopher; Delp, Scott L

2015-11-01

Regular physical activity helps prevent heart disease, stroke, diabetes, and other chronic diseases, yet a broad range of conditions impair mobility at great personal and societal cost. Vast amounts of data characterizing human movement are available from research labs, clinics, and millions of smartphones and wearable sensors, but integration and analysis of this large quantity of mobility data are extremely challenging. The authors have established the Mobilize Center (http://mobilize.stanford.edu) to harness these data to improve human mobility and help lay the foundation for using data science methods in biomedicine. The Center is organized around 4 data science research cores: biomechanical modeling, statistical learning, behavioral and social modeling, and integrative modeling. Important biomedical applications, such as osteoarthritis and weight management, will focus the development of new data science methods. By developing these new approaches, sharing data and validated software tools, and training thousands of researchers, the Mobilize Center will transform human movement research. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association.

Low-temperature properties of orientationally degenerated (OH)- centers in proton-conducting oxides

International Nuclear Information System (INIS)

Ivanov, M.A.; Fishman, A.Ya.; Tsidil'kovsky, V.I.

2007-01-01

It is shown that the proton-associated dipole centers (OH) - can provide glasslike low-temperature properties of ABO 3-y oxides doped with cations of lower valence. These properties result from the splitting of the orientationally degenerated states of the (OH) - centers by proton tunnelling and random crystal fields. It is found that the substitution of hydrogen by deuterium or tritium leads to large and abnormal isotope effects for the contributions of degenerated centers to thermodynamic properties and absorption of elastic and electromagnetic waves

History of the Fort Collins Science Center, U.S. Geological Survey

Science.gov (United States)

O'Shea, Thomas J. (compiler)

2006-01-01

The U.S. Geological Survey’s Fort Collins Science Center ("the Center") has been a nucleus of research, technology development, and associated scientific activities within the Department of the Interior for more than 30 years. The Center’s historical activities are deeply rooted in federal biological resources research and its supporting disciplines, particularly as they relate to the needs of the U.S. Department of the Interior and its resource management agencies. The organizational framework and activities of the Center have changed and adapted over the years in response to shifts in the scientific issues and challenges facing the U.S. Department of the Interior and with the development of new strategies to meet these challenges. Thus, the history of the Center has been dynamic.

Prevalence of Anemia and Associated Risk Factors among Pregnant Women Attending Antenatal Care in Azezo Health Center Gondar Town, Northwest Ethiopia

Directory of Open Access Journals (Sweden)

Meseret Alem

2013-06-01

Full Text Available ABSTRACT Background: Anemia is a global public health problem affecting both developing and developed countries; approximately 1.3 billion individuals suffer from it. Pregnant women are the most vulnerable groups to anemia. The aim of this study was to assess the prevalence and risk factors for anemia in pregnant women attending antenatal care in Azezo Health Center, Gondar town, Northwest Ethiopia. Method: A cross-sectional study was conducted at Azezo Health Center from February to May 2011. Red blood cell morphology, Hgb level determination and intestinal parasites were assessed following the standard procedures. Socio-demographic data was collected by using a structured questionnaire. The data entered and analyzed by using the SPSS version 16.0 statistical software. P34, rural residence, history of malaria attack, hookworm infection and absence of iron supplements are significantly associated with increased risk of anemia. The most prevalent intestinal parasite among pregnant women was hookworm 18 (4.7%. Conclusion: In the present study, the prevalence of anemia was low when compared with the previous studies carried out in different countries including Ethiopia. More should be done in respect to the importance of regular visit to maternal care centres and health education promotion programs to succeed more. [J Interdiscipl Histopathol 2013; 1(3.000: 137-144

Relation of major volcanic center concentration on Venus to global tectonic patterns

Science.gov (United States)

Crumpler, L. S.; Head, James W.; Aubele, Jayne C.

1993-01-01

Global analysis of Magellan image data indicates that a major concentration of volcanic centers covering about 40 percent of the surface of Venus occurs between the Beta, Atla, and Themis regions. Associated with this enhanced concentration are geological characteristics commonly interpreted as rifting and mantle upwelling. Interconnected low plains in an annulus around this concentration are characterized by crustal shortening and infrequent volcanic centers that may represent sites of mantle return flow and net downwelling. Together, these observations suggest the existence of relatively simple, large-scale patterns of mantle circulation similar to those associated with concentrations of intraplate volcanism on earth.

Patterns of civilian and child deaths due to war-related violence in Syria: a comparative analysis from the Violation Documentation Center dataset, 2011-16.

Science.gov (United States)

Guha-Sapir, Debarati; Schlüter, Benjamin; Rodriguez-Llanes, Jose Manuel; Lillywhite, Louis; Hicks, Madelyn Hsiao-Rei

2018-01-01

Since March, 2011, the Syrian civil war has lowered life expectancy by as much as 20 years. We describe demographic, spatial, and temporal patterns of direct deaths of civilians and opposition combatants from conflict-related violence in 6 years of war. We analysed conflict-related violent deaths with complete information on date, place, and cause of death and demographic group occurring from March 18, 2011, to Dec 31, 2016, recorded by the Violation Documentation Center (VDC). We included civilian and combatant deaths in all Syrian governorates, excluding government-controlled areas. We did not include detainees and missing persons, nor deaths from siege conditions or insufficient medical care. We categorised deaths based on VDC weapon type. We used χ 2 testing to compare deaths from different weapons in civilian men, women, boys, and girls and adult and child combatants. We analysed deaths by governorate and over time. The VDC recorded 143 630 conflict-related violent deaths with complete information between March 18, 2011, and Dec 31, 2016. Syrian civilians constituted 101 453 (70·6%) of the deaths compared with 42 177 (29·4%) opposition combatants. Direct deaths were caused by wide-area weapons of shelling and air bombardments in 58 099 (57·3%) civilians, including 8285 (74·6%) civilian women and 13 810 (79·4%) civilian children, and in 4058 (9·6%) opposition combatants. Proportions of children among civilian deaths increased from 8·9% (388 of 4254 civilian deaths) in 2011 to 19·0% (4927 of 25 972) in 2013 and to 23·3% (2662 of 11 444) in 2016. Of 7566 deaths from barrel bombs, 7351 (97·2%) were civilians, of whom 2007 (27·3%) were children. Of 20 281 deaths by execution, 18 747 (92·4%) were civilians and 1534 (7·6%) were opposition combatants. Compared with opposition child soldiers who were male (n=333), deaths of civilian male children (n=11 730) were caused more often by air bombardments (39·2% vs 5·4%, pwar crime. None

Encapsulating peritoneal sclerosis: experience of a tertiary referral center.

LENUS (Irish Health Repository)

Phelan, P J

2010-05-01

Encapsulating peritoneal sclerosis (EPS) is arguably the most serious complication of chronic peritoneal dialysis (PD) therapy with extremely high mortality rates. We aimed to establish the rates of EPS and factors associated with its development in a single center.

Congenital Heart Surgery Case Mix Across North American Centers and Impact on Performance Assessment.

Science.gov (United States)

Pasquali, Sara K; Wallace, Amelia S; Gaynor, J William; Jacobs, Marshall L; O'Brien, Sean M; Hill, Kevin D; Gaies, Michael G; Romano, Jennifer C; Shahian, David M; Mayer, John E; Jacobs, Jeffrey P

2016-11-01

Performance assessment in congenital heart surgery is challenging due to the wide heterogeneity of disease. We describe current case mix across centers, evaluate methodology inclusive of all cardiac operations versus the more homogeneous subset of Society of Thoracic Surgeons benchmark operations, and describe implications regarding performance assessment. Centers (n = 119) participating in the Society of Thoracic Surgeons Congenital Heart Surgery Database (2010 through 2014) were included. Index operation type and frequency across centers were described. Center performance (risk-adjusted operative mortality) was evaluated and classified when including the benchmark versus all eligible operations. Overall, 207 types of operations were performed during the study period (112,140 total cases). Few operations were performed across all centers; only 25% were performed at least once by 75% or more of centers. There was 7.9-fold variation across centers in the proportion of total cases comprising high-complexity cases (STAT 5). In contrast, the benchmark operations made up 36% of cases, and all but 2 were performed by at least 90% of centers. When evaluating performance based on benchmark versus all operations, 15% of centers changed performance classification; 85% remained unchanged. Benchmark versus all operation methodology was associated with lower power, with 35% versus 78% of centers meeting sample size thresholds. There is wide variation in congenital heart surgery case mix across centers. Metrics based on benchmark versus all operations are associated with strengths (less heterogeneity) and weaknesses (lower power), and lead to differing performance classification for some centers. These findings have implications for ongoing efforts to optimize performance assessment, including choice of target population and appropriate interpretation of reported metrics. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Emergency Preparedness Safety Climate and Other Factors Associated With Mental Health Outcomes Among World Trade Center Disaster Evacuees.

Science.gov (United States)

Sherman, Martin F; Gershon, Robyn R; Riley, Halley E M; Zhi, Qi; Magda, Lori A; Peyrot, Mark

2017-06-01

We examined psychological outcomes in a sample of participants who evacuated from the World Trade Center towers on September 11, 2011. This study aimed to identify risk factors for psychological injury that might be amenable to change, thereby reducing adverse impacts associated with emergency high-rise evacuation. We used data from a cross-sectional survey conducted 2 years after the attacks to classify 789 evacuees into 3 self-reported psychological outcome categories: long-term psychological disorder diagnosed by a physician, short-term psychological disorder and/or memory problems, and no known psychological disorder. After nonmodifiable risk factors were controlled for, diagnosed psychological disorder was more likely for evacuees who reported lower "emergency preparedness safety climate" scores, more evacuation challenges (during exit from the towers), and evacuation-related physical injuries. Other variables associated with increased risk of psychological disorder outcome included gender (female), lower levels of education, preexisting physical disability, preexisting psychological disorder, greater distance to final exit, and more information sources during egress. Improving the "emergency preparedness safety climate" of high-rise business occupancies and reducing the number of egress challenges are potential strategies for reducing the risk of adverse psychological outcomes of high-rise evacuations. Focused safety training for individuals with physical disabilities is also warranted. (Disaster Med Public Health Preparedness. 2017;11:326-336).

Stephenson Cancer Center

Science.gov (United States)

Stephenson Cancer Center at the University of Oklahoma in Oklahoma City is an NCI-designated cancer center at the forefront of NCI-supported cancer research. Learn more about the Stephenson Cancer Center's mission.

University/Science Center Collaborations (A Science Center Perspective): Developing an Infrastructure of Partnerships with Science Centers to Support the Engagement of Scientists and Engineers in Education and Outreach for Broad Impact

Science.gov (United States)

Marshall, Eric

2009-03-01

Science centers, professional associations, corporations and university research centers share the same mission of education and outreach, yet come from ``different worlds.'' This gap may be bridged by working together to leverage unique strengths in partnership. Front-end evaluation results for the development of new resources to support these (mostly volunteer-based) partnerships elucidate the factors which lead to a successful relationship. Maintaining a science museum-scientific community partnership requires that all partners devote adequate resources (time, money, etc.). In general, scientists/engineers and science museum professionals often approach relationships with different assumptions and expectations. The culture of science centers is distinctly different from the culture of science. Scientists/engineers prefer to select how they will ultimately share their expertise from an array of choices. Successful partnerships stem from clearly defined roles and responsibilities. Scientists/engineers are somewhat resistant to the idea of traditional, formal training. Instead of developing new expertise, many prefer to offer their existing strengths and expertise. Maintaining a healthy relationship requires the routine recognition of the contributions of scientists/engineers. As professional societies, university research centers and corporations increasingly engage in education and outreach, a need for a supportive infrastructure becomes evident. Work of TryScience.org/VolTS (Volunteers TryScience), the MRS NISE Net (Nanoscale Informal Science Education Network) subcommittee, NRCEN (NSF Research Center Education Network), the IBM On Demand Community, and IEEE Educational Activities exemplify some of the pieces of this evolving infrastructure.

Association between severity of illicit drug dependence and quality of life in a psychosocial care center in BRAZIL: cross-sectional study.

Science.gov (United States)

Campêlo, Selva Rios; Barbosa, Maria Alves; Dias, Danilo Rocha; Caixeta, Camila Cardoso; Leles, Cláudio Rodrigues; Porto, Celmo Celeno

2017-11-17

Quality of life must be one of the main purposes for the treatment of drug users, requiring a better understanding of the association between the quality of life and the severity of dependency. This study aimed to investigate the correlation between severity of substance use in various areas of human functioning and quality of life of illicit drug users in a psychosocial care center for alcohol and drugs. This cross-sectional study included 60 participants - illicit drug users - treated at a psychosocial care center for alcohol and drugs. Participants were evaluated with the short version of World Health Organization Quality of Life (WHOQOL-Bref) instrument to measure the quality of life, the 6th version of Addiction Severity Index (ASI-6) to assess the severity of dependence in several areas and the Mini International Neuropsychiatric Interview (MINI) to identify the presence of psychiatric disorders. Pearson and Spearman correlation tests and linear regression were applied to verify the association between the severity of dependence and the quality of life, and Student's t-test to compare the mean quality of life between individuals with and without psychiatric comorbidities. Negative correlation was found between the severity of dependence on the drugs dimensions: alcohol, psychiatric, medical, legal, family/social support and family/social problems of ASI-6, and the quality of life domains measured by the WHOQOL-Bref. The evidence was strongest in the psychiatric and medical dimensions. There was a significant difference in the quality of life mean among participants presenting or not presenting psychiatric comorbidities, for the psychological domain in anxiety disorders, and for the physical and psychological domains in mood disorders. The quality of life decreased as the severity of dependence increased, with different results in the various areas of the participant's life. This result emphasizes the need for training the professional team which works in the

76 FR 28237 - Center for Scientific Review; Notice of Closed Meetings

Science.gov (United States)

2011-05-16

... commercial property such as patentable material, and personal information concerning individuals associated... Committee: Center for Scientific Review Special Emphasis Panel, Societal and Ethical Issues in Research...

Anatomy of a Security Operations Center

Science.gov (United States)

Wang, John

2010-01-01

Many agencies and corporations are either contemplating or in the process of building a cyber Security Operations Center (SOC). Those Agencies that have established SOCs are most likely working on major revisions or enhancements to existing capabilities. As principle developers of the NASA SOC; this Presenters' goals are to provide the GFIRST community with examples of some of the key building blocks of an Agency scale cyber Security Operations Center. This presentation viII include the inputs and outputs, the facilities or shell, as well as the internal components and the processes necessary to maintain the SOC's subsistence - in other words, the anatomy of a SOC. Details to be presented include the SOC architecture and its key components: Tier 1 Call Center, data entry, and incident triage; Tier 2 monitoring, incident handling and tracking; Tier 3 computer forensics, malware analysis, and reverse engineering; Incident Management System; Threat Management System; SOC Portal; Log Aggregation and Security Incident Management (SIM) systems; flow monitoring; IDS; etc. Specific processes and methodologies discussed include Incident States and associated Work Elements; the Incident Management Workflow Process; Cyber Threat Risk Assessment methodology; and Incident Taxonomy. The Evolution of the Cyber Security Operations Center viII be discussed; starting from reactive, to proactive, and finally to proactive. Finally, the resources necessary to establish an Agency scale SOC as well as the lessons learned in the process of standing up a SOC viII be presented.

Seroprevalence of Brucella spp. in Cattle, Molecular Characterization in Milk, and the Analysis of Associated Risk Factors with Seroprevalence in Humans, Egypt.

Science.gov (United States)

El-Diasty, Mohamed M; Ahmed, Heba A; Sayour, Ashraf E; El Hofy, Fatma I; Tahoun, Asmaa B M B; Shafik, Saleh M

2016-12-01

The objective of the present study was to estimate the seroprevalence of Brucella spp. in humans and cattle at Sharkia Governorate, Egypt. In addition, identification of Brucella spp. in milk samples by PCR and culture with the evaluation of the risk factors associated with Brucella spp. seroprevalence in humans were carried out. Overall, the seroprevalence of Brucella antibodies in the examined cattle was 23.8%, while in human participants it was 21%. The examination of 205 milk samples using PCR revealed that 6.3% were positive for B. abortus biovar 1 and the results were confirmed by culture methods. Multivariate logistic regression revealed that consumption of unpasteurized dairy products, occupational contact with animals, and knowledge about the disease are risk factors associated with infection in humans. This study documented the endemic status of brucellosis in Egypt. Hygienic measures and increased awareness about the disease are recommended to minimize the spread of infection from animals to humans.

Cesarean Outcomes in US Birth Centers and Collaborating Hospitals: A Cohort Comparison.

Science.gov (United States)

Thornton, Patrick; McFarlin, Barbara L; Park, Chang; Rankin, Kristin; Schorn, Mavis; Finnegan, Lorna; Stapleton, Susan

2017-01-01

High rates of cesarean birth are a significant health care quality issue, and birth centers have shown potential to reduce rates of cesarean birth. Measuring this potential is complicated by lack of randomized trials and limited observational comparisons. Cesarean rates vary by provider type, setting, and clinical and nonclinical characteristics of women, but our understanding of these dynamics is incomplete. We sought to isolate labor setting from other risk factors in order to assess the effect of birth centers on the odds of cesarean birth. We generated low-risk cohorts admitted in labor to hospitals (n = 2527) and birth centers (n = 8776) using secondary data obtained from the American Association of Birth Centers (AABC). All women received prenatal care in the birth center and midwifery care in labor, but some chose hospital admission for labor. Analysis was intent to treat according to site of admission in spontaneous labor. We used propensity score adjustment and multivariable logistic regression to control for cohort differences and measured effect sizes associated with setting. There was a 37% (adjusted odds ratio [OR], 0.63; 95% confidence interval [CI], 0.50-0.79) to 38% (adjusted OR, 0.62; 95% CI, 0.49-0.79) decreased odds of cesarean in the birth center cohort and a remarkably low overall cesarean rate of less than 5% in both cohorts. These findings suggest that low rates of cesarean in birth centers are not attributable to labor setting alone. The entire birth center care model, including prenatal preparation and relationship-based midwifery care, should be studied, promoted, and implemented by policy makers interested in achieving appropriate cesarean rates in the United States. © 2016 by the American College of Nurse-Midwives.

Maximum likelihood reconstruction for pinhole SPECT with a displaced center-of-rotation

International Nuclear Information System (INIS)

Li, J.; Jaszczak, R.J.; Coleman, R.E.

1995-01-01

In this paper, the authors describe the implementation of a maximum likelihood (ML), algorithm using expectation maximization (EM) for pin-hole SPECT with a displaced center-of-rotation. A ray-tracing technique is used in implementing the ML-EM algorithm. The proposed ML-EM algorithm is able to correct the center of rotation displacement which can be characterized by two orthogonal components. The algorithm is tested using experimentally acquired data, and the results demonstrate that the pinhole ML-EM algorithm is able to correct artifacts associated with the center-of-rotation displacement

Engineer Research and Development Center's Materials Testing Center (MTC)

Data.gov (United States)

Federal Laboratory Consortium — The Engineer Research and Development Center's Materials Testing Center (MTC) is committed to quality testing and inspection services that are delivered on time and...

Risk of violence in drug rehabilitation centers: perceptions of people who inject drugs in Tijuana, Mexico.

Science.gov (United States)

Harvey-Vera, Alicia Yolanda; González-Zúñiga, Patricia; Vargas-Ojeda, Adriana Carolina; Medina-Mora, Maria Elena; Magis-Rodríguez, Carlos Leonardo; Wagner, Karla; Strathdee, Steffanie Anne; Werb, Daniel

2016-01-26

In 2009, Mexico reformed its health law to partially decriminalize drug possession considered for personal use and to increase mandatory referrals to certified drug rehabilitation centers in lieu of incarceration. Concurrently, news media reported violent attacks perpetrated by drug cartels against Mexican drug rehabilitation centers and instances of human rights violations by staff against people who inject drugs (PWID) in treatment. In many cases, these violent situations took place at "Peer Support" (Ayuda Mutua) drug rehabilitation centers that house a large number of drug-dependent PWID. In an effort to understand barriers to treatment uptake, we examined prevalence and correlates of perceived risk of violence at drug rehabilitation centers among PWID in Tijuana, Mexico. Secondary analysis of baseline data collected between March 2011 and May 2013 of PWID recruited into a prospective cohort study in Tijuana. Interviewer-administered surveys measured perceived risk of violence at drug rehabilitation centers by asking participants to indicate their level of agreement with the statement "going to rehabilitation puts me at risk of violence". Logistic regression was used to examine factors associated with perceived risk of violence. Of 733 PWID, 34.5 % perceived risk of violence at drug rehabilitation centers. In multivariate analysis, reporting ever having used crystal methamphetamine and cocaine (separately), having a great or urgent need to get help for drug use, and ever receiving professional help for drug/alcohol use were negatively associated with perceived risk of violence at drug rehabilitation centers, while having been told by law enforcement that drug rehabilitation attendance is mandatory was positively associated with perceived risk of violence. All associations were significant at a 0.05 alpha level. The perception of violence at drug rehabilitation centers among PWID does not represent the lived experience of those PWID who attended

Perilaku Kreatif Pekerja Call Center: Peran Komunikasi dan Dukungan Training Center

Directory of Open Access Journals (Sweden)

Nugroho J. Setiadi

2013-11-01

Full Text Available Call center business in Indonesia is growing rapidly worldwide. This condition has had repercussions for a growing number of call center workers needed. They are forced to be more creative in performing their duties. This study aims to determine the role of communication and training center in supporting the creative performance of workers in call centers. The survey was conducted by distributing questionnaires to 100 respondents (employees of the 3 major companies in the field of telecommunication services in Indonesia. Regression analysis was used to analyze the data to examine the role of communication and training support center on creative performance. The results indicated that communication and training support center significantly influence the creative behavior in call center workers. Communication quality shown in the telecommunication service provider companies, such as the media quality, simplicity of information, dissemination of information, loads of information, and accuracy of messages, has shown good quality. In addition, the training program has shown its support for call center workers in the form of program effectiveness through research and data collection, determining the materials, training methods, choosing a coach, preparing facilities, selecting and implementing the program.

Public Awareness Survey Recommendations of the NHTSA-GHSA Working Group

Science.gov (United States)

2011-07-01

The Governors Highway Safety Association (GHSA) and the National Highway Traffic Safety Administration (NHTSA) developed a basic set of survey questions including information on seat belt use, impaired driving, and speeding. These core questions can ...

Evaluation of the New Centers for Disease Control and Prevention Ventilator-Associated Event Module and Criteria in Critically Ill Children in Greece.

Science.gov (United States)

Iosifidis, Elias; Chochliourou, Elpis; Violaki, Asimenia; Chorafa, Elisavet; Psachna, Stavroula; Roumpou, Afroditi; Sdougka, Maria; Roilides, Emmanuel

2016-10-01

OBJECTIVE To evaluate the new adult Centers for Disease Control and Prevention (CDC) ventilator-associated event (VAE) module in critically ill children and compare with the traditionally used CDC definition for ventilator-associated pneumonia (VAP). DESIGN Retrospective observational study of mechanically ventilated children in a pediatric intensive care unit in Greece January 1-December 31, 2011. METHODS Assessment of new adult CDC VAE module including 3 definition tiers: ventilator-associated condition (VAC), infection-related VAC, and possible/probable ventilator-associated pneumonia (VAE-VAP); comparison with traditional CDC criteria for clinically defined pneumonia in mechanically ventilated children (PNEU-VAP). We recorded Pediatric Risk of Mortality score at admission (PRISM III), number of ventilator-days, and outcome. RESULTS Among 119 patients with mechanical ventilation (median [range] number of ventilator-days, 7 [1-183]), 19 patients experienced VAC. Criteria for VAE-VAP were fulfilled in 12 of 19 patients with VAC (63%). Children with either VAC or VAE-VAP were on ventilation more days than patients without these conditions (16.5 vs 5 d, P=.0006 and 18 vs 5 d, PVAC (31.6%), than the patients without new VAE-VAP (14%, P=.007) or VAC (15%, P=.1), respectively. No significant association was found between PNEU-VAP and death. Incidences of PNEU-VAP and VAE-VAP were similar, but the agreement was poor. CONCLUSIONS VAE-VAP and PNEU-VAP found similar prevalence in critically ill children but with poor agreement. However, excess of death was significantly associated only with VAE-VAP. Infect Control Hosp Epidemiol 2016:1-5.

Distribution of specialized care centers in the United States.

Science.gov (United States)

Wang, Henry E; Yealy, Donald M

2012-11-01

As a recommended strategy for optimally managing critical illness, regionalization of care involves matching the needs of the target population with available hospital resources. The national supply and characteristics of hospitals providing specialized critical care services is currently unknown. We seek to characterize the current distribution of specialized care centers in the United States. Using public data linked with the American Hospital Association directory and US Census, we identified US general acute hospitals providing specialized care for ST-segment elevation myocardial infarction (STEMI) (≥40 annual primary percutaneous coronary interventions reported in Medicare Hospital Compare), stroke (The Joint Commission certified stroke centers), trauma (American College of Surgeons or state-designated, adult or pediatric, level I or II), and pediatric critical care (presence of a pediatric ICU) services. We determined the characteristics and state-level distribution and density of specialized care centers (centers per state and centers per state population). Among 4,931 acute care hospitals in the United States, 1,325 (26.9%) provided one of the 4 defined specialized care services, including 574 STEMI, 763 stroke, 508 trauma, and 457 pediatric critical care centers. Approximately half of the 1,325 hospitals provided 2 or more specialized services, and one fifth provided 3 or 4 specialized services. There was variation in the number of each type of specialized care center in each state: STEMI median 7 interquartile range (IQR 2 to 14), stroke 8 (IQR 3 to 17), trauma 6 (IQR 3 to 11), pediatric specialized care 6 (IQR 3 to 11). Similarly, there was variation in the number of each type of specialized care center per population: STEMI median 1 center per 585,135 persons (IQR 418,729 to 696,143), stroke 1 center per 412,188 persons (IQR 321,604 to 572,387), trauma 1 center per 610,589 persons (IQR 406,192 to 917,588), and pediatric critical care 1 center per 665

Family Centered Intervention with Infant Failure to Thrive.

Science.gov (United States)

Drotar, Dennis

The experience of consultants in a pediatric hospital indicates that infant failure to thrive is almost always associated with strain in the relationships of the infant's caregivers. Consequently, a nontraditional, long-term, home-based, and family-centered model of evaluation and treatment of failure to thrive has been developed which involves…

Centers for manufacturing technology: Industrial Advisory Committee Review

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-10-01

An advisory committee, composed of senior managers form industrial- sector companies and major manufacturing trade associations and representatives from appropriate educational institutions, meets semi-annually to review and advise the Oak Ridge Centers for Manufacturing Technology (ORCMT) on its economic security program. Individual papers have been indexed separately for the database.

Domestic Violence Assessments in the Child Advocacy Center

Science.gov (United States)

Thackeray, Jonathan D.; Scribano, Philip V.; Rhoda, Dale

2010-01-01

Objective: This study was designed to identify the frequency, methods, and practices of universal assessments for domestic violence (DV) within child advocacy centers (CACs) and determine which factors are associated with CACs that conduct universal DV assessments. Methods: The study design was a cross-sectional, web-based survey distributed to…

Introductory statement to the Board of Governors, 2 June 2008, Vienna, Austria

International Nuclear Information System (INIS)

ElBaradei, M.

2008-01-01

In his introductory Statement to the Board of Governors Dr. Mohamed ElBaradei, Director General of the IAEA, reports on all areas of IAEA's activity, namely technology, safety and security, and verification. The statement includes the Agency's Technical Cooperation Programmes' last year key projects about regional collaboration in sickle cell disease control mechanisms in Africa, radiation induced mutation activities to improve crops in Asia and the Pacific, a joint scientific investigation on marine pollution in the Mediterranean, and improved agricultural practices in Latin America. Regarding the issue of nuclear non-proliferation it stressed the fact that the Agency has been verifying and monitoring the shutting down and sealing of the Yongbyyon nuclear facilities since July 2007. The nuclear material produced during the disabling activities at the Nuclear Fuel fabrication Plant remains under Agency containment and surveillance as well as the one third of the spent fuel rods discharged form the 5 MW(e) Experimental Nuclear Power Plant and the two thirds remaining in the reactor core. The Agency's safeguard responsibilities towards the DPRK remain uncertain until the legal status of the DPRK vis a vis the NPT has been clarified. The Agency has been able to continue to verify the non-diversion of declared nuclear material in Iran however made no progress in clarifying the cluster of allegations and Secretariat questions relevant to possible military dimensions to Iran's nuclear programme. The Secretariat is continuing to assess the information and explanations provided by Iran, including additional information received on 23 May. However, Iran has not yet agreed to implement all the transparency measures required to clarify this cluster of allegations and questions. Following Libya's disclosure of its undeclared nuclear activities in December 2003, the Agency has continued its efforts to verify the correctness and completeness of Libya's declarations about its

User-centered design

International Nuclear Information System (INIS)

Baik, Joo Hyun; Kim, Hyeong Heon

2008-01-01

The simplification philosophy, as an example, that both of EPRI-URD and EUR emphasize is treated mostly for the cost reduction of the nuclear power plants, but not for the simplification of the structure of user's tasks, which is one of the principles of user-centered design. A user-centered design is a philosophy based on the needs and interests of the user, with an emphasis on making products usable and understandable. However, the nuclear power plants offered these days by which the predominant reactor vendors are hardly user-centered but still designer-centered or technology-centered in viewpoint of fulfilling user requirements. The main goal of user-centered design is that user requirements are elicited correctly, reflected properly into the system requirements, and verified thoroughly by the tests. Starting from the user requirements throughout to the final test, each requirement should be traceable. That's why requirement traceability is a key to the user-centered design, and main theme of a requirement management program, which is suggested to be added into EPRI-URD and EUR in the section of Design Process. (author)

Research Associate | Center for Cancer Research

Science.gov (United States)

The Basic Science Program (BSP) at the Frederick National Laboratory for Cancer Research (FNLCR) pursues independent, multidisciplinary research programs in basic or applied molecular biology, immunology, retrovirology, cancer biology or human genetics. As part of the BSP, the Microbiome and Genetics Core (the Core) characterizes microbiomes by next-generation sequencing to determine their composition and variation, as influenced by immune, genetic, and host health factors. The Core provides support across a spectrum of processes, from nucleic acid isolation through bioinformatics and statistical analysis. KEY ROLES/RESPONSIBILITIES The Research Associate II will provide support in the areas of automated isolation, preparation, PCR and sequencing of DNA on next generation platforms (Illumina MiSeq and NextSeq). An opportunity exists to join the Core’s team of highly trained experimentalists and bioinformaticians working to characterize microbiome samples. The following represent requirements of the position: A minimum of five (5) years related of biomedical experience. Experience with high-throughput nucleic acid (DNA/RNA) extraction. Experience in performing PCR amplification (including quantitative real-time PCR). Experience or familiarity with robotic liquid handling protocols (especially on the Eppendorf epMotion 5073 or 5075 platforms). Experience in operating and maintaining benchtop Illumina sequencers (MiSeq and NextSeq). Ability to evaluate experimental quality and to troubleshoot molecular biology protocols. Experience with sample tracking, inventory management and biobanking. Ability to operate and communicate effectively in a team-oriented work environment.

Aerial view of the Kennedy Space Center Visitor Center

Science.gov (United States)

1998-01-01

The Kennedy Space Center Visitor Center, shown in this aerial view looking south, sprawls across 70 acres on Florida's Space Coast , and is located off State Road 405, NASA Parkway, six miles inside the Space Center entrance. SR 405 can be seen at the bottom of the photo. Just above the roadway, from left can be seen the Shuttle/Gantry mockup; the Post Show Dome; the Astronaut Memorial; and to the far right, the Center for Space Education. Behind the Memorial are a cluster of buildings that include the Theater Complex, Cafeteria, Space Flight Exhibit Building, Souvenir Sales Building, Spaceport Central, and Ticket Pavilion. At the upper right are various rockets that have played a significant role in the growth of the space program.

Psychological Factors Associated with Chronic Migraine and Severe Migraine-Related Disability: an Observational Study in a Tertiary Headache Center

Science.gov (United States)

Seng, Elizabeth K.; Buse, Dawn C.; Klepper, Jaclyn E.; Mayson, Sarah Jo; Grinberg, Amy S.; Grosberg, Brian M.; Pavlovic, Jelena M.; Robbins, Matthew S.; Vollbracht, Sarah E.; Lipton, Richard B.

2016-01-01

Objective To evaluate relationships among modifiable psychological factors and chronic migraine and severe migraine-related disability in a clinic-based sample of persons with migraine. Background Evidence evaluating relationships between modifiable psychological factors and chronic migraine and severe migraine-related disability is lacking in people with migraine presenting for routine clinical care. Methods Adults with migraine completed surveys during routinely scheduled visits to a tertiary headache center. Participants completed surveys assessing chronic migraine (meeting criteria for migraine with ≥15 headache days in the past month), severe migraine disability (Migraine Disability Assessment Scale score ≥ 21), and modifiable psychological factors [depressive symptoms (Patient Health Questionnaire-9), anxious symptoms (Generalized Anxiety Disorder-7), Pain Catastrophizing Scale and Headache Specific Locus of Control]. Logistic regression evaluated relationships between modifiable psychological factors and chronic migraine and severe migraine disability. Results Among 90 eligible participants the mean age was 45.0 (SD = 12.4); 84.8% were women. One-third (36.0%) met study criteria for chronic migraine; half of participants (51.5%) reported severe migraine-related disability. Higher depressive symptoms (OR = 1.99, 95% CI = 1,11, 3.55) and chance HSLC (OR = 1.85, 95% CI = 1.13, 1.43) were associated with chronic migraine. Higher depressive symptoms (OR = 3.54, 95%CI = 1.49, 8.41), anxiety symptoms (OR = 3.65, 95% CI = 1.65, 8.06), and pain catastrophizing (OR = 1.95, 95% CI = 1.14, 3.35), were associated with severe migraine-related disability. Conclusions Psychiatric symptoms and pain catastrophizing were strongly associated with severe migraine-related disability. Depression and chance locus of control were associated with chronic migraine. This study supports the need for longitudinal observational studies to evaluate relationships among naturalistic

Wound care centers

Science.gov (United States)

Pressure ulcer - wound care center; Decubitus ulcer - wound care center; Diabetic ulcer - wound care center; Surgical wound - wound ... Common types of non-healing wounds include: Pressure sores Surgical ... flow, or swollen legs Certain wounds may not heal well due to: ...

Understanding the Risk Factors of Trauma Center Closures

Science.gov (United States)

Shen, Yu-Chu; Hsia, Renee Y.; Kuzma, Kristen

2011-01-01

Objectives We analyze whether hazard rates of shutting down trauma centers are higher due to financial pressures or in areas with vulnerable populations (such as minorities or the poor). Materials and Methods This is a retrospective study of all hospitals with trauma center services in urban areas in the continental US between 1990 and 2005, identified from the American Hospital Association Annual Surveys. These data were linked with Medicare cost reports, and supplemented with other sources, including the Area Resource File. We analyze the hazard rates of trauma center closures among several dimensions of risk factors using discrete-time proportional hazard models. Results The number of trauma center closures increased from 1990 to 2005, with a total of 339 during this period. The hazard rate of closing trauma centers in hospitals with a negative profit margin is 1.38 times higher than those hospitals without the negative profit margin (P lower hazard of shutting down trauma centers (ratio: 0.58, P penetration face a higher hazard of trauma center closure (ratio: 2.06, P < 0.01). Finally, hospitals in areas with higher shares of minorities face a higher risk of trauma center closure (ratio: 1.69, P < 0.01). Medicaid load and uninsured populations, however, are not risk factors for higher rates of closure after we control for other financial and community characteristics. Conclusions Our findings give an indication on how the current proposals to cut public spending could exacerbate the trauma closure particularly among areas with high shares of minorities. In addition, given the negative effect of health maintenance organizations on trauma center survival, the growth of Medicaid managed care population should be monitored. Finally, high shares of Medicaid or uninsurance by themselves are not independent risk factors for higher closure as long as financial pressures are mitigated. Targeted policy interventions and further research on the causes, are needed to

Coevolution between human's anticancer activities and functional foods from crop origin center in the world.

Science.gov (United States)

Zeng, Ya-Wen; Du, Juan; Pu, Xiao-Ying; Yang, Jia-Zhen; Yang, Tao; Yang, Shu-Ming; Yang, Xiao-Meng

2015-01-01

Cancer is the leading cause of death around the world. Anticancer activities from many functional food sources have been reported in years, but correlation between cancer prevalence and types of food with anticancer activities from crop origin center in the world as well as food source with human migration are unclear. Hunger from food shortage is the cause of early human evolution from Africa to Asia and later into Eurasia. The richest functional foods are found in crop origin centers, housing about 70% in the world populations. Crop origin centers have lower cancer incidence and mortality in the world, especially Central Asia, Middle East, Southwest China, India and Ethiopia. Asia and Africa with the richest anticancer crops is not only the most important evolution base of humans and origin center of anticancer functional crop, but also is the lowest mortality and incidence of cancers in the world. Cancer prevention of early human migrations was associated with functional foods from crop origin centers, especially Asia with four centers and one subcenter of crop origin, accounting for 58% of the world population. These results reveal that coevolution between human's anticancer activities associated with functional foods for crop origin centers, especially in Asia and Africa.

77 FR 51564 - Notice of Inventory Completion: Herrett Center for Arts and Science, College of Southern Idaho...

Science.gov (United States)

2012-08-24

... Inventory Completion: Herrett Center for Arts and Science, College of Southern Idaho, Twin Falls, ID AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Herrett Center for Arts and Science, College... associated funerary object may contact the Herrett Center for Arts and Science, College of Southern Idaho...

Geographic distribution of trauma centers and injury-related mortality in the United States.

Science.gov (United States)

Brown, Joshua B; Rosengart, Matthew R; Billiar, Timothy R; Peitzman, Andrew B; Sperry, Jason L

2016-01-01

Regionalized trauma care improves outcomes; however, access to care is not uniform across the United States. The objective was to evaluate whether geographic distribution of trauma centers correlates with injury mortality across state trauma systems. Level I or II trauma centers in the contiguous United States were mapped. State-level age-adjusted injury fatality rates per 100,000 people were obtained and evaluated for spatial autocorrelation. Nearest neighbor ratios (NNRs) were generated for each state. A NNR less than 1 indicates clustering, while a NNR greater than 1 indicates dispersion. NNRs were tested for difference from random geographic distribution. Fatality rates and NNRs were examined for correlation. Fatality rates were compared between states with trauma center clustering versus dispersion. Trauma center distribution and population density were evaluated. Spatial-lag regression determined the association between fatality rate and NNR, controlling for state-level demographics, population density, injury severity, trauma system resources, and socioeconomic factors. Fatality rates were spatially autocorrelated (Moran's I = 0.35, p center distribution. Fatality rate and NNR were correlated (ρ = 0.34, p = 0.03). Clustered states had a lower median injury fatality rate compared with dispersed states (56.9 [IQR, 46.5-58.9] vs. 64.9 [IQR, 52.5-77.1]; p = 0.04). Dispersed compared with clustered states had more counties without a trauma center that had higher population density than counties with a trauma center (5.7% vs. 1.2%, p distribution of trauma centers correlates with injury mortality, with more clustered state trauma centers associated with lower fatality rates. This may be a result of access relative to population density. These results may have implications for trauma system planning and require further study to investigate underlying mechanisms. Therapeutic/care management study, level IV.

Paresthesias Among Community Members Exposed to the World Trade Center Disaster

Science.gov (United States)

Marmor, Michael; Shao, Yongzhao; Bhatt, D. Harshad; Stecker, Mark M.; Berger, Kenneth I.; Goldring, Roberta M.; Rosen, Rebecca L.; Caplan-Shaw, Caralee; Kazeros, Angeliki; Pradhan, Deepak; Wilkenfeld, Marc; Reibman, Joan

2017-01-01

Objective: Paresthesias can result from metabolic disorders, nerve entrapment following repetitive motions, hyperventilation pursuant to anxiety, or exposure to neurotoxins. We analyzed data from community members exposed to the World Trade Center (WTC) disaster of September 11, 2001, to evaluate whether exposure to the disaster was associated with paresthesias. Methods: Analysis of data from 3141 patients of the WTC Environmental Health Center. Results: Fifty-six percent of patients reported paresthesias at enrollment 7 to 15 years following the WTC disaster. After controlling for potential confounders, paresthesias were associated with severity of exposure to the WTC dust cloud and working in a job requiring cleaning of WTC dust. Conclusions: This study suggests that paresthesias were commonly associated with WTC-related exposures or post-WTC cleaning work. Further studies should objectively characterize these paresthesias and seek to identify relevant neurotoxins or paresthesia-inducing activities. PMID:28157767

Geographic Distribution of Trauma Centers and Injury Related Mortality in the United States

Science.gov (United States)

Brown, Joshua B.; Rosengart, Matthew R.; Billiar, Timothy R.; Peitzman, Andrew B.; Sperry, Jason L.

2015-01-01

Background Regionalized trauma care improves outcomes; however access to care is not uniform across the US. The objective was to evaluate whether geographic distribution of trauma centers correlates with injury mortality across state trauma systems. Methods Level I/II trauma centers in the contiguous US were mapped. State-level age-adjusted injury fatality rates/100,000people were obtained and evaluated for spatial autocorrelation. Nearest neighbor ratios (NNR) were generated for each state. A NNR1 indicates dispersion. NNR were tested for difference from random geographic distribution. Fatality rates and NNR were examined for correlation. Fatality rates were compared between states with trauma center clustering versus dispersion. Trauma center distribution and population density were evaluated. Spatial-lag regression determined the association between fatality rate and NNR, controlling for state-level demographics, population density, injury severity, trauma system resources, and socioeconomic factors. Results Fatality rates were spatially autocorrelated (Moran's I=0.35, pcenter distribution. Fatality rate and NNR were correlated (ρ=0.34, p=0.03). Clustered states had a lower median injury fatality rate compared to dispersed states (56.9 [IQR 46.5–58.9] versus 64.9 [IQR 52.5–77.1], p=0.04). Dispersed compared to clustered states had more counties without a trauma center that had higher population density than counties with a trauma center (5.7% versus 1.2%, pdistribution of trauma centers correlates with injury mortality, with more clustered state trauma centers associated with lower fatality rates. This may be a result of access relative to population density. These results may have implications for trauma system planning and requires further study to investigate underlying mechanisms PMID:26517780

Empowering High School Students in Scientific Careers: Developing Statewide Partnerships

Science.gov (United States)

Aguilar, C.; Swartz, D.

2008-05-01

Center for Multiscale Modeling of Atmospheric Processes (CMMAP) is a National Science Foundation Science and Technology Center focused on improving the representation of cloud processes in climate models. The Center is divided into three sections including Knowledge Transfer, Research, and Education and Diversity. The Science Education and Diversity mission is to educate and train people with diverse backgrounds in Climate and Earth System Science by enhancing teaching and learning and disseminating science results through multiple media. CMMAP is partnering with two local school districts to host an annual global climate conferences for high school students. The 2008 Colorado Global Climate Conference seeks "To educate students on global and local climate issues and empower them to se their knowledge." The conference is sponsored by CMMAP, The Governor's Energy Office, Poudre School District, Thompson School District, Clif Bar, and Ben and Jerry's Scoop Shop of Fort Collins. The conference seeks to inspire students to pursue future education and careers in science fields. Following an opening welcome from the Governor's Energy Office, Keynote Piers Sellers will discuss his experiences as an atmospheric scientist and NASA astronaut. Students will then attend 3 out of 16 breakout sessions including such sessions as "Hot poems, Cool Paintings, and the treasures of Antiquity of Climate Change", "Mitigation vs Adaptation", "Bigfoot Walks(What Size is our carbon footprint?)" "The Wedges: Reduc ing Carbon Emissions", and "We the People: Climate and Culture of Climate Change" to name a few. Using The Governor's High School Conference on the Environment sponsored by the Wisconsin Center for Environmental Education as a model we are developing statewide partnerships to bring high school students together to look at global climate issues that will impact their future and of which they can be part of the solution through their education and career paths. In addition to

Crossing the patient-centered divide: transforming health care quality through enhanced faculty development.

Science.gov (United States)

Frankel, Richard M; Eddins-Folensbee, Florence; Inui, Thomas S

2011-04-01

In the report "Crossing the Quality Chasm," the Institute of Medicine asserted that patient-centered care is one of the six domains of quality. In this article, the authors consider how the patient- and relationship-centered components of quality can be achieved in all aspects of medical care. They suggest that faculty development in three key areas-mindful practice, formation, and training in communication skills-is necessary to achieve patient- and relationship-centeredness.The authors first review the philosophical and scientific foundations of patient-centered and relationship-centered care. They next describe and provide concrete examples to illustrate the underlying theory and practices associated with each of the three faculty development areas. They then propose five key areas for faculty development in patient- and relationship-centered care: (1) making it a central competency in all health care interactions, (2) developing a national curriculum framework, (3) requiring performance metrics for professional development, (4) partnering with national health care organizations to disseminate the curriculum framework, and (5) preserving face-to-face educational methods for delivering key elements of the curriculum. Finally, the authors consider the issues faced in faculty development today in light of the medical education issues Abraham Flexner identified more than a century ago. © by the Association of American Medical Colleges.

Quarterly report for the NGA FFCA project, July 1--September 30, 1994

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

Summaries are presented of activities and meetings related to the National Governor`s Association (NGA) Federal Facilities Compliance Act (FFCA) project. The objective of this project is the management of mixed radioactive and hazardous wastes. Activities include: execution of grants to states to fund a review and development of the site treatment plans; determination of interest in a proposed cost model to be developed by EG and G; determination of the major issues that need to be addressed prior to the release of the Draft Site Treatment Plans; and development of a draft Commercial Mixed Waste Issue Paper which was distributed for review and comment.

Data Center Tasking.

Science.gov (United States)

Temares, M. Lewis; Lutheran, Joseph A.

Operations tasking for data center management is discussed. The original and revised organizational structures of the data center at the University of Miami are also described. The organizational strategy addresses the functions that should be performed by the data center, anticipates the specialized skills required, and addresses personnel…

TxDOT can help pave the way for distribution centers.

Science.gov (United States)

2010-05-01

TxDOT supports economic development in Texas. : Working through its district offices, TxDOT can help : developers avoid common transportation-related : problems associated with selected center sites. TxDOT : may also be able to help distribution cent...

Associations Among Depressive Symptoms, Wellness, Patient Involvement, Provider Cultural Competency, and Treatment Nonadherence: A Pilot Study Among Community Patients Seen at a University Medical Center.

Science.gov (United States)

Hooper, Lisa M; Huffman, Lauren E; Higginbotham, John C; Mugoya, George C T; Smith, Annie K; Dumas, Tia N

2018-02-01

Treatment nonadherence is a pernicious problem associated with increasing rates of chronic diseases, escalating healthcare costs, and rising mortality in some patients. Although researchers have suggested numerous factors related to treatment nonadherence, several understudied aspects warrant attention, such as primary-care settings, provider cultural competence, and patient involvement. Adding to the research base, the present pilot study examined 88 primarily Black American and White American community patients from a large university medical center in the southern part of the United States. The study explored two research questions: (a) To what extent are there associations among depressive symptoms, wellness, patient involvement, cultural competency, and treatment nonadherence in a racially diverse community patient population? And (b) to what extent do the study exploratory variables and background characteristics predict treatment nonadherence, both separately and jointly? Depressive symptoms, the patient's perception of a provider's cultural competence, and marital/partnered status were found to be statistically significantly associated with treatment nonadherence, but not entirely in the directions expected.

Statement to the Board of Governors. Vienna, 18 July 2003. IAEA Board of Governors

International Nuclear Information System (INIS)

ElBaradei, M.

2003-01-01

The agreement that has been reached by the Board on the budget and the associated 'package' of related issues. This is the first budget after a decade and a half of a preset financial ceiling that is based on real needs and provides the Secretariat with the increased resources required to implement an expanding programme. I am grateful for your understanding and support. The budget that has been agreed responds, in my view, in a balanced manner to the priorities of the Agency in both the regulatory and developmental fields. The bulk of the increase goes to the verification programme, because that programme has been experiencing the greatest demand for additional resources As always, the Secretariat is committed to achieving efficiency and effectiveness in all areas and to keeping our operations under continuing review. Some recent developments of particular importance are reported upon: The mission in Iraq was confined to verification of material subject to safeguards at Location C Nuclear Storage Facility near Tuwaitha, where the looting had reportedly taken place. The reports note that at least 10 kg of uranium compounds could have been dispersed. The IAEA mission was conducted in connection with the safeguards agreement between Iraq and the IAEA pursuant to the Treaty on the Non-Proliferation of Nuclear Weapons (NPT). The Iranian authorities were warned once again about the need to clarify without delay outstanding safeguards issues (as noted in report to the June Board GOV/2003/40) and to co-operate fully and in a transparent manner with the Agency. The Iranian authorities, were urged, to sign an Additional Protocol that would enable the Agency to conduct the in-depth and comprehensive verification that could generate, particularly in a country like Iran with extensive nuclear activities, the required assurances. A technical meeting took place between our senior safeguards staff and Iranian counterparts. During that meeting, some of the outstanding issues were

UNC Cancer Center Director to Lead NCI.

Science.gov (United States)

2017-08-01

President Donald Trump has selected Norman "Ned" Sharpless, MD, director of the University of North Carolina Lineberger Comprehensive Cancer Center, to lead the NCI. The news was met with widespread approval among cancer researchers, who view Sharpless as a strong communicator who can ably represent the needs of the cancer community in the face of proposed funding cuts. ©2017 American Association for Cancer Research.

Stennis Space Center celebrates Diversity Day

Science.gov (United States)

2009-01-01

Kendall Mitchell of the Naval Oceanographic Office (right) learns about the culture of Bolivia from Narda Inchausty, president of the Foreign Born Wives Association in Slidell, La., during 2009 Diversity Day events at NASA's John Stennis Space Center. Stennis hosted Diversity Day activities for employees on Oct. 7. The day's events included cultural and agency exhibits, diversity-related performances, a trivia contest and a classic car and motorcycle show. It also featured the first-ever sitewide Stennis Employee Showcase.

Usage Center

DEFF Research Database (Denmark)

Kleinaltenkamp, Michael; Plewa, Carolin; Gudergan, Siegfried

2017-01-01

Purpose: The purpose of this paper is to advance extant theorizing around resourceintegration by conceptualizing and delineating the notion of a usage center. Ausage center consists of a combination of interdependent actors that draw onresources across their individual usage processes to create v...

Networks of Collaboration among Scientists in a Center for Diabetes Translation Research

Science.gov (United States)

Harris, Jenine K.; Wong, Roger; Thompson, Kellie; Haire-Joshu, Debra; Hipp, J. Aaron

2015-01-01

Background Transdisciplinary collaboration is essential in addressing the translation gap between scientific discovery and delivery of evidence-based interventions to prevent and treat diabetes. We examined patterns of collaboration among scientists at the Washington University Center for Diabetes Translation Research. Methods Members (n = 56) of the Washington University Center for Diabetes Translation Research were surveyed about collaboration overall and on publications, presentations, and grants; 87.5% responded (n = 49). We used traditional and network descriptive statistics and visualization to examine the networks and exponential random graph modeling to identify predictors of collaboration. Results The 56 network members represented nine disciplines. On average, network members had been affiliated with the center for 3.86 years (s.d. = 1.41). The director was by far the most central in all networks. The overall and publication networks were the densest, while the overall and grant networks were the most centralized. The grant network was the most transdisciplinary. The presentation network was the least dense, least centralized, and least transdisciplinary. For every year of center affiliation, network members were 10% more likely to collaborate (OR: 1.10; 95% CI: 1.00–1.21) and 13% more likely to write a paper together (OR: 1.13; 95% CI: 1.02–1.25). Network members in the same discipline were over twice as likely to collaborate in the overall network (OR: 2.10; 95% CI: 1.40–3.15); however, discipline was not associated with collaboration in the other networks. Rank was not associated with collaboration in any network. Conclusions As transdisciplinary centers become more common, it is important to identify structural features, such as a central leader and ongoing collaboration over time, associated with scholarly productivity and, ultimately, with advancing science and practice. PMID:26301873

Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical Centers?

Science.gov (United States)

Padula, William V; Gibbons, Robert D; Valuck, Robert J; Makic, Mary B F; Mishra, Manish K; Pronovost, Peter J; Meltzer, David O

2016-05-01

In 2008, the Centers for Medicare and Medicaid Services (CMS) established nonpayment policies resulting from costliness of hospital-acquired pressure ulcers (HAPUs) to hospitals. This prompted hospitals to adopt quality improvement (QI) interventions that increase use of evidence-based practices (EBPs) for HAPU prevention. To evaluate the longitudinal impact of CMS policy and QI adoption on HAPU rates. We characterized longitudinal adoption of 25 QI interventions that support EBPs through hospital leadership, staff, information technology, and performance and improvement. Quarterly counts of HAPU incidence and inpatient characteristics were collected from 55 University HealthSystem Consortium hospitals between 2007 and 2012. Mixed-effects regression models tested the longitudinal association of CMS policy, HAPU coding, and QI on HAPU rates. The models assumed level-2 random intercepts and random effects for CMS policy and EBP implementation to account for between-hospital variability in HAPU incidence. Controlling for all 25 QI interventions, specific updates to EBPs for HAPU prevention had a significant, though modest reduction on HAPU rates (-1.86 cases/quarter; P=0.002) and the effect of CMS nonpayment policy on HAPU prevention was much greater (-11.32 cases/quarter; P<0.001). HAPU rates were significantly lower after changes in CMS reimbursement. Reductions are associated with hospital-wide implementation of EBPs for HAPU prevention. Given that administrative data were used, it remains unknown whether these improvements were due to changes in coding or improved quality of care.

Trauma center variation in splenic artery embolization and spleen salvage: a multicenter analysis.

Science.gov (United States)

Banerjee, Aman; Duane, Therese M; Wilson, Sean P; Haney, Starre; O'Neill, Patrick J; Evans, Heather L; Como, John J; Claridge, Jeffrey A

2013-07-01

This study aimed to evaluate if variation in management of blunt splenic injury (BSI) among Level I trauma centers is associated with different outcomes related to the use of splenic artery embolization (SAE). All adult patients admitted for BSI from 2008 to 2010 at 4 Level I trauma centers were reviewed. Use of SAE was determined, and outcomes of spleen salvage and nonoperative management (NOM) failure were evaluated. A priori, a 10% SAE rate was used to group centers into high- or low-use groups. There were 1,275 BSI patients. There were intercenter differences in age, injury severity, and grade of spleen injury (Spleen Injury Scale [SIS]). Mortality was similar by center; however, BSI treatment varied significantly by center. Overall, SAE use was highest at center A compared with B, C, and D (19%, 11%, 1%, and 4%, respectively; p trauma centers. Centers with higher rates of SAE use have higher spleen salvage and less NOM failure. SAE was shown to be an independent predictor of spleen salvage. Therapeutic study, level IV.

Achieving excellence in community health centers: implications for health reform.

Science.gov (United States)

Gurewich, Deborah; Capitman, John; Sirkin, Jenna; Traje, Diana

2012-02-01

Existing studies tell us little about care quality variation within the community health center (CHC) delivery system. They also tell us little about the organizational conditions associated with CHCs that deliver especially high quality care. The purpose of this study was to examine the operational practices associated with a sample of high performing CHCs. Qualitative case studies of eight CHCs identified as delivering high-quality care relative to other CHCs were used to examine operational practices, including systems to facilitate care access, manage patient care, and monitor performance. Four common themes emerged that may contribute to high performance. At the same time, important differences across health centers were observed, reflecting differences in local environments and CHC capacity. In the development of effective, community-based models of care, adapting care standards to meet the needs of local conditions may be important.

Applied wind energy research at the National Wind Technology Center

International Nuclear Information System (INIS)

Robinson, M.C.; Tu, P.

1997-01-01

Applied research activities currently being undertaken at the National Wind Technology Center, part of the National Renewable Energy Laboratory, in the United States, are divided into several technical disciplines. An integrated multi-disciplinary approach is urged for the future in order to evaluate advanced turbine designs. The risk associated with any new turbine development program can thus be mitigated through the provision of the advanced technology, analysis tools and innovative designs available at the Center, and wind power can be promoted as a viable renewable energy alternative. (UK)

Citizen participation in public accountability

DEFF Research Database (Denmark)

Damgaard, Bodil; Lewis, Jenny

2014-01-01

In this chapter we offer an analytical framework sensitive to the quality of citizen participation, which is measured in terms of transferred power from the governors to the citizens, and in terms of the degree to which citizens have access to accountability measures. We do this by combining...... Arnstein’s (1969) classic ladder of participation with a focus on citizen participation in regard to bureaucratic accountability, centered on efficiency and learning (cf. Bovens et al. 2008)....

Better Broader Impacts through National Science Foundation Centers

Science.gov (United States)

Campbell, K. M.

2010-12-01

National Science Foundation Science and Technology Centers (STCs) play a leading role in developing and evaluating “Better Broader Impacts”; best practices for recruiting a broad spectrum of American students into STEM fields and for educating these future professionals, as well as their families, teachers and the general public. With staff devoted full time to Broader Impacts activities, over the ten year life of a Center, STCs are able to address both a broad range of audiences and a broad range of topics. Along with other NSF funded centers, such as Centers for Ocean Sciences Education Excellence, Engineering Research Centers and Materials Research Science and Engineering Centers, STCs develop both models and materials that individual researchers can adopt, as well as, in some cases, direct opportunities for individual researchers to offer their disciplinary research expertise to existing center Broader Impacts Programs. The National Center for Earth-surface Dynamics is an STC headquartered at the University of Minnesota. NCED’s disciplinary research spans the physical, biological and engineering issues associated with developing an integrative, quantitative and predictive understanding of rivers and river basins. Funded in 2002, we have had the opportunity to partner with individuals and institutions ranging from formal to informal education and from science museums to Tribal and women’s colleges. We have developed simple table top physical models, complete museum exhibitions, 3D paper maps and interactive computer based visualizations, all of which have helped us communicate with this wide variety of learners. Many of these materials themselves or plans to construct them are available online; in many cases they have also been formally evaluated. We have also listened to the formal and informal educators with whom we partner, from whom we have learned a great deal about how to design Broader Impacts activities and programs. Using NCED as a case study

ENERGY RESOURCES CENTER

Energy Technology Data Exchange (ETDEWEB)

Sternberg, Virginia

1979-11-01

First I will give a short history of this Center which has had three names and three moves (and one more in the offing) in three years. Then I will tell you about the accomplishments made in the past year. And last, I will discuss what has been learned and what is planned for the future. The Energy and Environment Information Center (EEIC), as it was first known, was organized in August 1975 in San Francisco as a cooperative venture by the Federal Energy Administration (FEA), Energy Research and Development Administration (ERDA) and the Environmental Protection Agency (EPA). These three agencies planned this effort to assist the public in obtaining information about energy and the environmental aspects of energy. The Public Affairs Offices of FEA, ERDA and EPA initiated the idea of the Center. One member from each agency worked at the Center, with assistance from the Lawrence Berkeley Laboratory Information Research Group (LBL IRG) and with on-site help from the EPA Library. The Center was set up in a corner of the EPA Library. FEA and ERDA each contributed one staff member on a rotating basis to cover the daily operation of the Center and money for books and periodicals. EPA contributed space, staff time for ordering, processing and indexing publications, and additional money for acquisitions. The LBL Information Research Group received funds from ERDA on a 189 FY 1976 research project to assist in the development of the Center as a model for future energy centers.

Exploring Outcomes and Initial Self-Report of Client Motivation in a College Counseling Center

Science.gov (United States)

Ilagan, Guy; Vinson, Michael L.; Sharp, Julia L.; Ilagan, Jill; Oberman, Aaron

2015-01-01

Objective: To explore the association between college counseling center clients' initial self-report of motivation and counseling outcome. Participants: The sample was composed of 331 student clients who utilized a college counseling center from August 2007 to August 2009. The college is a public, mid-size, urban university in the Southeast.…

ESR dosimetry of optically bleached quartz grains extracted from Plio-Quaternary sediment: Evaluating some key aspects of the ESR signals associated to the Ti-centers

International Nuclear Information System (INIS)

Duval, Mathieu; Guilarte, Verónica

2015-01-01

The present study aims at investigating several key aspects of ESR dose reconstruction of quartz grains based on the analysis of the Ti-center: (i) the evaluation of the ESR intensity, (ii) its impact on measurements precision, and (iii) the potential of various fitting functions to describe the behavior of the signal with the radiation absorbed dose. In contrast with the Al center, the various Ti centers have quite low ESR signal intensities. It is thus crucial to adapt the experimental conditions for the optimization of the signal-to-noise ratio and to perform repeated measurements in order to take into consideration the uncertainty associated to angular dependence of the signal as well as day-to-day variations. Several options (named A to E) for evaluating the ESR intensity of the Ti–Li and Ti–H centers are explored and some of them yield too much experimental uncertainty (e.g. options C and E) and are apparently not suitable for accurate ESR dosimetry. In contrast, options A and D usually provide similar equivalent dose (D E ) results and can be used together for assessing the dose absorbed by the Ti–Li center. Our results show a systematic non-monotonic behavior of the ESR signal of the Ti center with the dose, which raise some questions about the suitability of the single saturating exponential (SSE) function that is classically used in ESR dating. Consequently, we explored the potential of other functions that can describe the “radiation bleaching” phenomenon observed at high doses. We recommend the use of a specific fitting function (called Ti-2 in the present paper) previously proposed by Woda and Wagner (2007) for any dose reconstruction, and define some criteria to ensure a good fitting. The SSE function provides D E results that are, in most cases, relatively consistent with those derived from the Ti-2, suggesting that the Ti centers apparently follow a SSE behavior up to, at least, 6.0–6.5 kGy However, the reliability of the D E values

Introductory Statement to Board of Governors, 4 March 2013, Vienna, Austria

International Nuclear Information System (INIS)

Amano, Y.

2013-01-01

Next Monday is the second anniversary of the accident at the Fukushima Daiichi Nuclear Power Plant in Japan. It has been a challenging two years, especially for the people and Government of Japan, but also for the IAEA. However, the worst elements of the accident are behind us and we are now in the post-accident phase. The Agency continues to work hard to help Japan deal with the consequences of the accident. Member States are also making serious efforts to implement the lessons learned from this and from previous accidents. You have received the Nuclear Safety Review 2013 and my report on Progress in the Implementation of the IAEA Action Plan on Nuclear Safety. Both show that continuous safety improvements are being made at nuclear facilities throughout the world. At the Fukushima Ministerial Conference on Nuclear Safety in December, the Co-Presidents emphasized the importance of strengthening the central role of the IAEA in promoting international cooperation in nuclear safety. During that Conference, I signed a Memorandum of Cooperation with the Governor of Fukushima Prefecture. We will work together on projects on radiation monitoring, remediation, human health, and capacity building in emergency preparedness and response within the RANET framework. The first meeting to launch four radiation and waste safety projects has just take place. A fourth post-Fukushima international expert meeting took place in January. This was on the subject of Decommissionin and Remediation after a Nuclear Accident. The Emergency Preparedness and Response Expert Group held its first meeting in February and agreed on priorities for its work. The series of international IAEA expert meetings will continue this year. In addition, the Agency is organizing a Conference on Effective Regulatory Systems in Ottawa in April, hosted by the Government of Canada. We have started work on a comprehensive IAEA report on the Fukushima Daiichi accident, which we hope to finalize in 2014. This is a

Nuclear safety research collaborations between the U.S. and Russian Federation International Nuclear Safety Centers

International Nuclear Information System (INIS)

Hill, D. J.; Braun, J. C.; Klickman, A. E.; Bougaenko, S. E.; Kabonov, L. P.; Kraev, A. G.

2000-01-01

The Russian Federation Ministry for Atomic Energy (MINATOM) and the US Department of Energy (USDOE) have formed International Nuclear Safety Centers to collaborate on nuclear safety research. USDOE established the US Center (ISINSC) at Argonne National Laboratory (ANL) in October 1995. MINATOM established the Russian Center (RINSC) at the Research and Development Institute of Power Engineering (RDIPE) in Moscow in July 1996. In April 1998 the Russian center became a semi-independent, autonomous organization under MINATOM. The goals of the center are to: Cooperate in the development of technologies associated with nuclear safety in nuclear power engineering; Be international centers for the collection of information important for safety and technical improvements in nuclear power engineering; and Maintain a base for fundamental knowledge needed to design nuclear reactors. The strategic approach is being used to accomplish these goals is for the two centers to work together to use the resources and the talents of the scientists associated with the US Center and the Russian Center to do collaborative research to improve the safety of Russian-designed nuclear reactors. The two centers started conducting joint research and development projects in January 1997. Since that time the following ten joint projects have been initiated: INSC databases--web server and computing center; Coupled codes--Neutronic and thermal-hydraulic; Severe accident management for Soviet-designed reactors; Transient management and advanced control; Survey of relevant nuclear safety research facilities in the Russian Federation; Computer code validation for transient analysis of VVER and RBMK reactors; Advanced structural analysis; Development of a nuclear safety research and development plan for MINATOM; Properties and applications of heavy liquid metal coolants; and Material properties measurement and assessment. Currently, there is activity in eight of these projects. Details on each of these

The Amistad Research Center: Documenting the African American Experience.

Science.gov (United States)

Chepesiuk, Ron

1993-01-01

Describes the Amistad Research Center housed at Tulane University which is a repository of primary documents on African-American history. Topics addressed include the development and growth of the collection; inclusion of the American Missionary Association archives; sources of support; civil rights; and collecting for the future. (LRW)