Sample records for inaugural address delivered

  1. Inaugural address (United States)

    Joshi, P. S.


    was how IAGRG was born, and currently the association has about 350 members, both from within India and abroad. The full inaugural address is available in the PDF

  2. ‘Cultural encounters: Western scholarship and Fang statuary from Equatorial Africa’ [Inaugural address, delivered on the acceptance of an extraordinary professorship at Tilburg University, Netherlands, in 2011

    Directory of Open Access Journals (Sweden)

    Wilfried van Damme


    Full Text Available In this inaugural address, delivered on the acceptance of an extraordinary professorship at Tilburg University, Netherlands, in 2011, Wilfried van Damme examines three approaches that have been characteristically applied within the Western anthropology of art during the last half century. Illustrating these approaches with reference to the study of Fang statuary from equatorial Africa, he discusses a stylistic approach, focusing on anatomical details and proportions of Fang anthropomorphic sculptures; a culturalist approach, highlighting the local meaning and values these sculptures express; and a postcolonial approach, dealing with the Western appropriation and commodification of Fang statues.

  3. Inaugural Rhetoric and Rhetorical Prescription--An Examination of Organizational Patterns in Presidential Inaugural Addresses. (United States)

    Vickrey, James F., Jr.

    In this study of the organizational patterns of 46 United States presidential inaugural addresses there were four research questions, relating to the overall pattern of the speeches and the internal structure of ideas and topics. Key findings indicate that: (1) 25 of the 46 speeches have three easily discernible parts--introduction, body,…

  4. Values Extolled in U.S. Presidential Inaugural Addresses (United States)

    Kinnier, Richard T.; Dannenbaum, Sande; Lee, Debbeisiu; Aasen, Paulette; Kernes, Jerry L.


    Value themes were extracted from U.S. presidential inaugural addresses of the 19th and 20th centuries. The values most frequently extolled were liberty, belief in God, patriotism, justice, personal responsibility, and peace. More references to lowering taxes were made in the 19th compared with the 20th century and by Republicans compared with…

  5. First and Second Inaugural Addresses of Modern and Traditional U.S. Presidents: An Analysis of Self-Presentational Strategies

    Directory of Open Access Journals (Sweden)

    Stephanie H. Smith


    Full Text Available The present study examines the self-presentational strategies modern and traditional U.S. presidents employed in their first and second inaugural addresses. Specifically, we examined the presidents’ use of the strategies of ingratiation, self-promotion, exemplification, ingratiation, and supplication. We predicted that modern presidents would use more ingratiation than would their traditional counterparts in the first but not the second inaugural address. This prediction derives from an analysis of the president’s dependency on the public at the time of the inaugural address. In particular, the president is not as dependent on the public at the time of the second inaugural as compared with the first inaugural. We also predicted that modern presidents would use more self-promotion than would traditional presidents in the second but not the first inaugural address. And, finally we predicted that modern presidents would use more exemplification and intimidation than would traditional presidents. Our results supported several predictions.

  6. A Rhetoric of Oldspeak: Mythic Elements in Presidential Inaugural Addresses, 1960-1980. (United States)

    Fulmer, Hal W.


    Examines the increasingly Orwellian inaugural addresses of the last two decades and how these speeches make use of the mythical principle of "unification," leading to a sacralization of American society and its placement into a cosmic order. Offers these mythic elements as an example of the pervasiveness of Oldspeak and mythic rhetoric…

  7. Texture, Textuality and Political Discourse: A Study of Lexical Cohesion in Nigeria's President Goodluck Jonathan's Inaugural Address, May, 2011 (United States)

    Enyi, Amaechi Uneke; Chitulu, Mark Ononiwu


    This study, entitled, "Texture and textuality in Political Discourse: A Study of Cohesive Devices in President Goodluck Jonathan's Inaugural Address-May, 2011" was an analysis of the lexical cohesive devices employed by Nigeria's President Goodluck Jonathan in crafting his May, 2011's Presidential Inaugural Address (PIA). Guided by the…


    African Journals Online (AJOL)

    Looking at the fate of so many fantastic creatures that have become extinct in the doomed landscape of .... reserves in Natal and the state forest reserves in Natal and the Cape Province serve as valuable sanctuaries for a ... protected within national parks or in provincial nature or state forest reserves of some conse- quence.

  9. An Analysis and Comparison of Two Short Writings: "Inaugural Address at the University of St. Andrew's" by J.S. Mill and "The University of Utopia" by R.M. Hutchins, Based on Five Criteria. (United States)

    Poirier, Jeannine M.

    Focusing on the concept of education for work vs. education for living, the author presents a comparative analysis of two works on liberal education, each of which was originally delivered orally to university students: "The Inaugural Address at the University of St. Andrew" by John Stuart Mill and "The University of Utopia" by…

  10. The World Nuclear University: Addressing global needs. London, 4 September 2003. Inauguration ceremony, World Nuclear University

    International Nuclear Information System (INIS)

    ElBaradei, M.


    For some time, there has been a growing awareness of the need for succession planning in the nuclear industry, to ensure that we cultivate a new generation of young people with the proper education and skills to replace the aging nuclear workforce as its members retire. Today's inauguration of the 'World Nuclear University' (WNU) is the most substantive action taken to date to address this need. This is a challenge, because the widespread perception clearly exists that nuclear energy is a dying field. The IAEA, with its constituency of 135 Member States, is hopeful that this will truly become a World Nuclear University. Almost 2 billion people, nearly one third of the population of the planet, remain without access to modern energy supplies - a shortfall that could be addressed, at least in part, by nuclear energy. But any major expansion in the future use of nuclear power will only be feasible if the nuclear industry is successful in developing innovative reactor and fuel cycle technology - as well as operational and regulatory approaches - that effectively address concerns related to cost competitiveness, safety and security, proliferation resistance and waste disposal. And global development needs go well beyond the electricity sector. The IAEA's recognition of these situations underlies our assistance to Member States, through which we try to address areas of high national priority wherever nuclear technology provides the best option for success. A significant part of that effort lies in the development of human capacity - through training and education in how to apply nuclear technology safely and effectively. 'Atoms for Peace' is a vision nearly five decades old, focused on using nuclear science for the advancement of humankind. It is my hope that this 'World Nuclear University' can be an effective instrument towards the achievement of that vision

  11. A mission for his time: Tobias Asser's inaugural address on commercial law and commerce, Amsterdam 1862

    NARCIS (Netherlands)

    Hirsch Ballin, E.


    This volume is the English edition of T.M.C. Asser’s inaugural lecture as professor at the Athenaeum Illustre, now the University of Amsterdam, on the occasion of its 150th anniversary. Its subject, Commercial Law as a separate field of study and practice, has not lost its importance in the one and

  12. LEP inauguration

    International Nuclear Information System (INIS)



    13 November saw the culmination at CERN of weeks of intricate planning to put together a fitting formal inauguration of LEP, CERN's 27-kilometre electron-positron collider. The day was to witness an event worthy of the many years of assiduous endeavour to bring into being the world's largest scientific machine, a prime example of international collaboration and the portent of a new era in fundamental research.

  13. IKIGAI: Reflection on Life Goals Optimizes Performance and Happiness : Address delivered in shortened form on the occasion of accepting the appointment of Professor of Behaviour and Performance Management at the Rotterdam School of Management, Erasmus University

    NARCIS (Netherlands)

    M.C. Schippers (Michaéla)


    textabstractIn her inaugural address, Michaéla discusses the role of self-regulatory behaviors that people can employ in order to live a full-filling life. These behaviors include reflection and personal goal setting, in order to formulate a direction or purpose in life (Ikigai). In the inaugural

  14. The LEP inauguration ceremony

    CERN Multimedia


    This photo was taken in November 1989 at the inauguration of the Large Electron-Positron (LEP) collider. From the left, Princess Margriet of the Netherlands, King Carl Gustav of Sweden, CERN Council President Josef Rembser, President Francois Mitterand of France, President Jean-Pascal Delamuraz of Switzerland, Carlo Rubbia, Director-General of CERN at the time.

  15. International partnership in lunar missions: Inaugural address

    Indian Academy of Sciences (India)

    This will enable you to obtain a comprehensive picture of the goals and policies of all nations striving towards a common vision of space research,being made available for the bene fit of all mankind.Indeed this augurs well for progress towards universal peace and harmony that is a cherished goal of the people of the world ...

  16. ABC News correspondent Pierre Thomas to deliver 2004 Virginia Tech commencement address


    Owczarski, Mark


    ABC News Justice Department Correspondent Pierre Thomas will address the 2004 graduates of Virginia Tech during the University Commencement exercises at 7:30 p.m. Friday, May 14, at Lane Stadium/Worsham Field.

  17. VLT Unit Telescopes Named at Paranal Inauguration (United States)


    This has been a busy, but also a very successful and rewarding week for the European Southern Observatory and its staff. While "First Light" was achieved at the second 8.2-m VLT Unit Telescope (UT2) ahead of schedule, UT1 produced its sharpest image so far. This happened at a moment of exceptional observing conditions in the night between March 4 and 5, 1999. During a 6-min exposure of the majestic spiral galaxy, NGC 2997 , stellar images of only 0.25 arcsec FWHM (full-width half-maximum) were recorded. This and two other frames of nearly the same quality have provided the base for the beautiful colour-composite shown above. At this excellent angular resolution, individual star forming regions are well visible along the spiral arms. Of particular interest is the peculiar, twisted shape of the long spiral arm to the right. The Paranal Inauguration The official inauguration of the Paranal Observatory took place in the afternoon of March 5, 1999, in the presence of His Excellency, the President of the Republic of Chile, Don Eduardo Frei Ruiz-Tagle, and ministers of his cabinet, as well the Ambassadors to Chile of the ESO member states and many other distinguished guests. The President of the ESO Council, Mr. Henrik Grage, and the ESO Director General, Professor Riccardo Giacconi, were the foremost representatives of the ESO organisation; most members of the ESO Council and ESO staff also participated. A substantial number of media representatives from Europe and Chile were present and reported - often live - from Paranal during the afternoon and evening. The guests were shown the impressive installations at the new observatory, including the first and second 8.2-m VLT Unit Telescopes; the latter having achieved "First Light" just four days before. A festive ceremony took place in the dome of UT2, under the large telescope structure that had been tilted towards the horizon to make place for the numerous participants. After an introductory address by the ESO Director

  18. The LHC inauguration in pictures

    CERN Multimedia


    The LHC inauguration ceremony was a memorable experience for everyone who attended. On Tuesday 21 October the ceremony hall, SMA18, was filled with over 1500 invited guests, VIPs included Swiss President Pascal Couchepin, French Prime Minister François Fillon and several ministers from CERN’s Member States and around the world. You can watch a video of the highlights of the ceremony at The Heads of Delegations from all the Member and Observer States pose with the Director-General. "The LHC is a marvel of modern technology, which would not have been possible without the continuous support of our Member States," said the Director-General in his opening speech. "This is an opportunity for me to thank them on behalf of the world’s particle physics community." The LHC inauguration ceremony officially marked the end of 24 years of conception, development, constru...

  19. What is needed to deliver collaborative care to address comorbidity more effectively for adults with a severe mental illness? (United States)

    Lee, Stuart J; Crowther, Elizabeth; Keating, Charlotte; Kulkarni, Jayashri


    Innovative models of care for people with a severe mental illness have been developed across Australia to more effectively address comorbidity and disability by enhancing the collaboration between clinical and non-clinical services. In particular, this review paper focuses on collaboration that has occurred to address comorbidities affecting the following domains: homelessness; substance addiction; physical ill-health; unemployment; and forensic issues. The identification of relevant collaborative care models was facilitated by carrying out a review of the published peer-reviewed literature and policy or other published reports available on the Internet. Contact was also made with representatives of the mental health branches of each Australian state and territory health department to assist in identifying examples of innovative collaborative care models established within their jurisdiction. A number of nationally implemented and local examples of collaborative care models were identified that have successfully delivered enhanced integration of care between clinical and non-clinical services. Several key principles for effective collaboration were also identified. Governmental and organisational promotion of and incentives for cross-sector collaboration is needed along with education for staff about comorbidity and the capacity of cross-sector agencies to work in collaboration to support shared clients. Enhanced communication has been achieved through mechanisms such as the co-location of staff from different agencies to enhance sharing of expertise and interagency continuity of care, shared treatment plans and client records, and shared case review meetings. Promoting a 'housing first approach' with cross-sector services collaborating to stabilise housing as the basis for sustained clinical engagement has also been successful. Cross-sector collaboration is achievable and can result in significant benefits for mental health consumers and staff of collaborating

  20. Addresses (United States)

    Town of Chapel Hill, North Carolina — Point features representing locations of all street addresses in Orange County, NC including Chapel Hill, NC. Data maintained by Orange County, the Town of Chapel...

  1. CERN Member States signatures at LEP inauguration

    CERN Multimedia


    The signatures of the dignitaries who represented CERN's Member States on the occasion of the Inauguration of LEP on 13 November 1989. The Large Electron-Positron (LEP) collider was inaugurated in the presence of some 1500 guests, including Heads of State and Ministers from all of CERN's 14 Member States.

  2. The 8th Summit: Women's ascent of organisations : Address delivered on the occasion of accepting the appointment of Professor of Management Education with a focus on Women in Business at Rotterdam School of Management, Erasmus University (RSM), on Friday, 5 February 2016

    NARCIS (Netherlands)

    D.L. Bevelander (Dianne Lynne)


    markdownabstractIn this inaugural address I follow the statement of who I am and why I am passionate about addressing the challenges facing career-oriented women, with a brief reflection on recent patterns to gender diversity across business, government, and academia. Sadly, the statistics present a

  3. Delivering an action agenda for nutrition interventions addressing adolescent girls and young women: priorities for implementation and research. (United States)

    Bhutta, Zulfiqar A; Lassi, Zohra S; Bergeron, Gilles; Koletzko, Berthold; Salam, Rehana; Diaz, Angela; McLean, Mireille; Black, Robert E; De-Regil, Luz Maria; Christian, Parul; Prentice, Andrew M; Klein, Jonathan D; Keenan, William; Hanson, Mark


    Adolescent nutritional behaviors are assuming considerable importance in nutrition interventions given their important relationships with medium- and long-term outcomes. This is the period when young people undergo major anatomical and physiological maturational changes in preparation for adulthood. Nutritional requirements during puberty are higher during adolescence than during the prepubertal stage and during adulthood. A significant proportion of adolescents also become parents, and hence the importance of their health and nutritional status before as well as during pregnancy has its impact on their own health, fetal well-being, and newborn health. In this paper, we describe the evidence-based nutrition recommendations and the current global guidance for nutrition actions for adolescents. Despite the limitations of available information, we believe that a range of interventions are feasible to address outcomes in this age group, although some would need to start earlier in childhood. We propose packages of preventive care and management comprising nutrition-specific and nutrition-sensitive interventions to address adolescent undernutrition, overnutrition, and micronutrient deficiencies. We discuss potential delivery platforms and strategies relevant to low- and middle-income countries. Beyond the evidence synthesis, there is a clear need to translate evidence into policy and for implementation of key recommendations and addressing knowledge gaps through prioritized research. © 2017 New York Academy of Sciences.

  4. Psalm 101: Inaugural address or social code of conduct?

    Directory of Open Access Journals (Sweden)

    Phil J. Botha


    Full Text Available The article presents a literary and social-scientific analysis of the text of Psalm 101. The ideological purpose of the text seems to have been more than a mere declaration of intent made by someone about to ascend the throne. It also seems to have provided a code of conduct for an in-group of Yahweh worshippers, perhaps particularly so at a later stage of its usage. It uses royal and divine authority to demarcate the boundaries of that group and to establish a religious and social ethos for its members. Moral wholeness and social and religious integrity seem to have been the ideal characteristics of a member of this group of people whose existence is vindicated through this psalm.

  5. National History/Transnational Themes: Inaugural Addresses and American Mythology

    DEFF Research Database (Denmark)

    Andersen, Marie


    Amerikansk historie, amerikansk mytologi, amerikansk præsidenttaler, indsættelsestaler, civil religion......Amerikansk historie, amerikansk mytologi, amerikansk præsidenttaler, indsættelsestaler, civil religion...

  6. Inauguration ceremony for the Intersecting Storage Rings

    CERN Multimedia

    CERN PhotoLab


    The inauguration ceremony for the Intersecting Storage Rings (ISR) was held on 16 October 1971. Kjell Johnsen is seen in the picture handing a symbolic key to the ISR to Edoardo Amaldi. From left to right on the podium: Victor Frederik Weisskopf, former Director-General; M Antonioz; Willibald Jentschke as Director-General of CERN, and on the other side Werner Heisenberg.

  7. Creativity and the Curriculum. Inaugural Professorial Lecture (United States)

    Wyse, Dominic


    Creativity is regarded by many as a vital aspect of the human world, and creative endeavours are seen as a central element of society. Hence student creativity is regarded as a desirable outcome of education. This inaugural professorial lecture examines the place of creativity in education and in national curricula. Beginning with examples of…

  8. Behind the scenes at the LHC inauguration

    CERN Multimedia


    On 21 October the LHC inauguration ceremony will take place and people from all over CERN have been busy preparing. With delegations from 38 countries attending, including ministers and heads of state, the Bulletin has gone behind the scenes to see what it takes to put together an event of this scale.

  9. Inauguration of the Kjell Johnsen Auditorium

    CERN Document Server


    On Wednesday 23 September, the Kjell Johnsen Auditorium was inaugurated in Building 30. Named after the leader of the construction team of the Intersecting Storage Rings (ISR) - the first proton collider in the world - this 200 square-metre auditorium can seat 200 people. It is equipped with a computer projector, ethernet and wireless Internet connection. Antoine Cappelle

  10. The inauguration of the LEP

    CERN Document Server

    Carreras, Rafel; Delamuraz, Jean Pascal; Mitterrand, F; Rubbia, Carlo; CERN. Geneva


    - introduction to the particle physics and to the collider by R. CARRERAS. - arrival of the various official delegations. - Addresses from : - Prof. Carlo RUBBIA, Director-General of CERN. - His Majesty the King CARL XVI GUSTAV of Sweden. - Mr. Jean-Pascal DELAMURAZ, President of the Swiss Confederation. - Mr. Francois Mitterrand, President of the French Republic.

  11. A Fantasy Theme Analysis of the Television Coverage of the Hostage Release and the Reagan Inaugural. (United States)

    Bormann, Ernest G.


    Television is a major source of social knowledge, and the rhetorical study of such knowledge can contribute to the understanding of communication in a mass media society. This essay explores the usefulness of fantasy theme analysis in the rhetorical study of two joint news events, particularly the inaugural address. (PD)

  12. Rethinking Education in Psychology and Psychology in Education: The Inaugural Education Leadership Conference (United States)

    Belar, Cynthia D.; Nelson, Paul D.; Wasik, Barbara Hanna


    The inaugural Education Leadership Conference was convened by the American Psychological Association (APA) in October 2001 to provide a forum for groups and organizations across all levels of education and training to address issues of mutual concern, to promote a shared disciplinary identity among education and training leaders in psychology, and…

  13. LHC inauguration, LHCfest only two weeks away!

    CERN Multimedia


    The official ceremony for the inauguration of the LHC with Heads of State and Ministers from CERN’s Member States, to be held on Tuesday 21 October, will be followed by an LHCfest to thank all those who took part in bringing the accelerator to completion. The invitation will be sent in the next few days by internal mail.The event has been made possible by generous donations from a range of companies and organizations. Practical information for CERN personnel involved 1. REGISTRATION will be at the Globe of Science and Innovation - invited members of personnel: follow instructions on your invitation card; - volunteers: you will receive instructions via e-mail. 2. SHUTTLE SERVICE There will be no access to the inauguration site for private vehicles. A shuttle service will be provided from the Globe of Science and Innovation between 7:30 and 11:30 for members of the personnel involved in the organization and thereafter for all i...

  14. A nurse-delivered, clinic-based intervention to address intimate partner violence among low-income women in Mexico City: findings from a cluster randomized controlled trial. (United States)

    Gupta, Jhumka; Falb, Kathryn L; Ponta, Oriana; Xuan, Ziming; Campos, Paola Abril; Gomez, Annabel Arellano; Valades, Jimena; Cariño, Gisele; Olavarrieta, Claudia Diaz


    Rigorous evaluations of health sector interventions addressing intimate partner violence (IPV) in low- and middle-income countries are lacking. We aimed to assess whether an enhanced nurse-delivered intervention would reduce IPV and improve levels of safety planning behaviors, use of community resources, reproductive coercion, and mental quality of life. We randomized 42 public health clinics in Mexico City to treatment or control arms. In treatment clinics, women received the nurse-delivered session (IPV screening, supportive referrals, health/safety risk assessments) at baseline (T1), and a booster counselling session after 3 months (T2). In control clinics, women received screening and a referral card from nurses. Surveys were conducted at T1, T2, and T3 (15 months from baseline). Our main outcome was past-year physical and sexual IPV. Intent-to-treat analyses were conducted via three-level random intercepts models to evaluate the interaction term for treatment status by time. Between April and October 2013, 950 women (480 in control clinics, 470 in treatment clinics) with recent IPV experiences enrolled in the study. While reductions in IPV were observed for both women enrolled in treatment (OR, 0.40; 95% CI, 0.28-0.55; P < 0.01) and control (OR, 0.51; 95% CI, 0.36-0.72; P < 0.01) clinics at T3 (July to December 2014), no significant treatment effects were observed (OR, 0.78; 95% CI, 0.49-1.24; P = 0.30). At T2 (July to December 2013), women in treatment clinics reported significant improvements, compared to women in control clinics, in mental quality of life (β, 1.45; 95% CI, 0.14-2.75; P = 0.03) and safety planning behaviors (β, 0.41; 95% CI, 0.02-0.79; P = 0.04). While reductions in IPV levels were seen among women in both treatment and control clinics, the enhanced nurse intervention was no more effective in reducing IPV. The enhanced nursing intervention may offer short-term improvements in addressing safety planning and mental

  15. Rhetorical and Linguistic Analysis of Bush's Second Inaugural Speech (United States)

    Sameer, Imad Hayif


    This study attempts to analyze Bush's second inaugural speech. It aims at investigating the use of linguistic strategies in it. It resorts to two models which are Aristotle's model while the second is that of Atkinson's (1984) to draw the attention towards linguistic strategies. The analysis shows that Bush's second inaugural speech is successful…

  16. Teachers, Traditions, and Transformation: Keynote Address Delivered at the 9th Annual Master's Capstone Conference for the Urban Teacher Master's and Certification Program at the University of Pennsylvania on 29 April 2014 (United States)

    Smith, John F., III


    An alumnus of both Teach For America and the master's program in urban education at the University of Pennsylvania, John F. Smith III delivered the following address on April 29, 2014, to teachers in the 2013 and 2014 cohorts of Teach For America in Philadelphia. Program organizers invited him to provide remarks during the capstone event and to…

  17. Inaugurating the Study of Animal Metacognition. (United States)

    Smith, J David


    Metacognition-the ability to monitor and control one's own cognition-is a sophisticated ability that reveals humans' reflective mind and consciousness. Researchers have begun to explore whether animals share humans' metacognitive capacity. This article reprises the original study that explored metacognition across species. A captive dolphin performed an auditory pitch-discrimination task using High/Low discrimination responses and an Uncertainty response with which he could decline to complete any trials he chose. He selectively declined the difficult trials near his discriminative threshold-just as humans do. This comparative exploration of metacognition required a trial-intensive titration of perceptual threshold and the training of a distinctive behavioral response. It could not have been conducted in the wild, though the naturalistic observation of dolphin uncertainty behaviors and risk-management strategies would no doubt yield complementary insights. The dolphin study inaugurated a new area of cross-species research. This research area opens a new window on reflective mind in animals, illuminates the phylogenetic emergence of metacognition, and may reveal the antecedents of human consciousness.

  18. Inauguration of the "Timeframe" Building 49

    CERN Multimedia

    Brice, Maximilien


    As you have probably seen, the corridor collage for Building 49 (the glass walkway between buildings 513 and 31) is finally being installed. It is one of the projects that was developed as part of the CERN IT Create event that took place over two days in March 2016 at IdeaSquare. The objective of this workshop was to brainstorm and work in teams (IT department people, specialists and experts of the ECO group, and external designers – Laura Couto Rosado and Nadezda Suvorova– linked to the Arts@CERN programme) to design and produce the first prototypes of an exhibit to enhance the experience of the public visitors to the CERN data centre building. Five projects were developed at this occasion (and presented at an IT technical forum): the ‘Timeframe’ one is the first one being finalised. More information about this project can be read in the attached document. The small inauguration of this installation will take place on 28/06/17 at 10:00 in front of the glass corridor (building 49). The ribbon will be ...

  19. Development and initial evaluation of a telephone-delivered, behavioral activation, and problem-solving treatment program to address functional goals of breast cancer survivors. (United States)

    Lyons, Kathleen D; Hull, Jay G; Kaufman, Peter A; Li, Zhongze; Seville, Janette L; Ahles, Tim A; Kornblith, Alice B; Hegel, Mark T


    The purpose of this research was to develop and pilot test an intervention to optimize functional recovery for breast cancer survivors. Over two studies, 31 women enrolled in a goal-setting program via telephone. All eligible women enrolled (37% of those screened) and 66% completed all study activities. Completers were highly satisfied with the intervention, using it to address, on average, four different challenging activities. The longitudinal analysis showed a main effect of time for overall quality of life (F(5, 43.1) = 5.1, p = 0.001) and improvements in active coping (F (3, 31.7) = 4.9, p = 0.007), planning (F (3, 36.0) = 4.1, p = 0.01), reframing (F (3, 29.3) = 8.5, p < 0.001), and decreases in self-blame (F (3,31.6) = 4.3, p = 0.01). The intervention is feasible and warrants further study to determine its efficacy in fostering recovery and maximizing activity engagement after cancer treatment.

  20. Inauguration of the Cameroonian Society of Human Genetics ...

    African Journals Online (AJOL)

    CSHG) that was privilege to hold its inaugural meeting in conjunction to the 6th annual meeting of the AfSHG. The theme was "Human Origin, Genetic Diversity and Health”. The AfSHG and CSHG invited leading African and international scientists in ...

  1. Analysis of Experiential Meaning in Selected Inaugural Political ...

    African Journals Online (AJOL)

    This paper analyses two inaugural speeches of two Nigerian past leaders; Alhaji Shehu Shagari (1979) and General Olusegun Obasanjo (1999), using the systemic functional grammar model propounded by Halliday. The paper looked at the lexicogrammatical choices and how these systemic choices realize the ...

  2. Energy in a changing world. Inaugural lecture

    International Nuclear Information System (INIS)

    Van der Linde, C.


    In her lecture she emphasised that the expectation of the United States and the European Union after 1989 was 'strong globalisation' with increased integration of countries in international markets and multilateral organisations. In this system the US is mores-setter and the European Union its most important supporter. This expectation has only partially become reality. Different countries with different motivations have shun away from full integration and have at the same time shown economic successes, most notable China and to a lesser extent Russia since 2000. The result is a form of 'weak globalisation' that might become the most dominant trend for the future, threatening the mores of the market system. Many producing countries of oil and natural gas seem to opt for 'weak globalisation'. This has consequences for security of supply policies of consumer states. Especially countries that count on the international energy markets to deliver supplies, including most of the EU member states, have to critically review current policies. At this moment the EU is not tooled out for these developments and, as yet, incapable of collectively finding an answer to weak globalisation. [nl

  3. Inauguration of the international Institute of the nuclear energy

    International Nuclear Information System (INIS)



    On June 27, 2011 was inaugurated in Saclay (France) the I2EN (international Institute of the nuclear energy) and the Jannus platform. The I2EN has to particularly centralize and relay, at the international scale, the French formations offer in the field of nuclear energy. On the other hand, the Jannus platform is an example of cooperation between research organisms and universities. (O.M.)

  4. Highlights of the inauguration ceremony for the new permanent exhibition

    CERN Multimedia

    CERN Bulletin


    The new “Universe of Particles" permanent exhibition in the Globe was unveiled this week to its first visitors. On Monday, 28 June, in the presence of representatives of the local authorities, CERN Director-General Rolf Heuer cut the ribbon; on Tuesday, 29 and Wednesday 30 June the Globe's doors remained open for visits by the CERN personnel.   Cutting the ribbon at the inauguration of the Globe's new permanent exhibition At the conclusion of the inauguration ceremony, the Head of the Education Group, Rolf Landua, expressed his satisfaction: “It's wonderful. We are very happy that it has all turned out so well. Now we look forward to lots of visitors.” The exhibition represents a major addition to the tourist destinations in the region and an important tool for the public awareness of science, which could also be useful for schools. “The purpose of the exhibition is to inspire visitors, to arouse their curiosity about science and to motivate them t...

  5. Successful Inaugural Major Comprehensive Campaigns: How Organizational Learning Theory Helps Explain the Process (United States)

    Razafimanjato, Laza Johany


    This qualitative study consisted of two case studies of southern public metropolitan universities, which successfully completed inaugural major comprehensive fundraising campaigns. The purpose of the study was to explore how the process of initiating and competing an inaugural comprehensive fundraising campaign was explained by organizational…

  6. The inauguration of Robert-Bourassa Park at James Bay

    International Nuclear Information System (INIS)

    Valiquette, M.


    Robert Bourassa's contributions to the hydroelectric development at James Bay were acknowledged with the inauguration of a park in the ex-prime minister's name. Phase 1 of the James Bay hydroelectric project constituted the world's biggest construction site, employing more than 180,000 people from beginning to project completion. The James Bay project allowed Hydro-Quebec to gain one of the world's largest electric power utilities and to gain significant competitive edge over its competitors. The Robert Bourassa Park contains a picnic area and a visitor interpretation centre which describes the history of the project. A sequence of 5 signposts summarize the contributions that Robert Bourassa made to the megaproject which cost over $20.6 billion. The complex consists of 65 turbines which produce 15,235 megawatts of electricity. 1 fig

  7. Inauguration of the ANDRA atmospheric station in Houdelaincourt; Inauguration de la station atmospherique de l'Andra a Houdelaincourt

    Energy Technology Data Exchange (ETDEWEB)



    This document briefly presents the atmospheric monitoring station inaugurated in Houdelaincourt (Meuse) and installed by the ANDRA within the frame of the ICOS (Integrated Carbon Observing System) European infrastructure project which aims at developing air and greenhouse gas monitoring over Europe. It also recalls that this station is part of a set of means of monitoring, experimentation and protection of the environment within the frame of high and medium level nuclear waste storage project in Meuse and Haute-Marne. The document also proposes brief presentations of the different actors involved in the creation of this station: the LSCE (laboratory of sciences of climate and environment), Meteo-France, Air Lorraine, the IRSN, and the LGGE (laboratory of glaciology and geophysics of the environment)

  8. On 23 November, the Duke of York visited CERN and, in his capacity as the UK's Special Representative for International Trade and Investment, inaugurated the UK@CERN Exhibition.

    CERN Multimedia

    Patrice Loiez


    In his inaugural speech, the Duke emphasized that business between companies and CERN "is a two-way information flow with mutual benefits." The companies make sales but also benefit from technologies that CERN transfers to them. CERN benefits from the exchange, the Duke said, addressing CERN's scientists, because it "frees your time for what you do best: science."

  9. CMS inaugurates its high-tech visitor centre

    CERN Multimedia

    Antonella Del Rosso


    The new Building SL53 on CERN’s Cessy site in France is ready to welcome the thousands of visitors (30,000 in 2013) who come to learn about CMS each year. It boasts low energy consumption and the possibility, in the future, of being heated by recycling the heat given off by the detector.   The new Building SL53 at CERN’s Cessy site in France will be inaugurated on 24 May 2014. “Constructed by the GS Department and the firm Dimensione, the building meets the operational requirements of the CMS experiment, which require the uninterrupted use of its infrastructure,” explains Martin Gastal, the member of the collaboration in charge of the project. Its 560 m2 surface area features a meeting room, eight offices, an open space for CMS users, a rest area with a kitchen, sanitary facilities including showers, and a conference room in which to receive visitors. “The new conference room on the ground floor can accommodate 50 people,&am...

  10. Presentación del NANEC 2010 y Conferencia inaugural del profesor George Siemens


    Siemens, George


    Presentación del NANEC 2010 y Conferencia inaugural del profesor George Siemens, de la TEKRI Athabasca University4 de noviembre de 2010. La conferencia del profesor Siemens comienza en el minuto 00:42:00

  11. "A Paradox Persists When the Paradigm Is Wrong": Pisacano Scholars' Reflections from the Inaugural Starfield Summit. (United States)

    Doohan, Noemi; Coutinho, Anastasia J; Lochner, Jennifer; Wohler, Diana; DeVoe, Jennifer

    The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates. Among the family physicians invited were both current and past PLF (Pisacano) scholars. After the Summit, a small group of current and past Pisacano scholars formed a writing group to reflect on and summarize key lessons and conclusions from the Summit. A Summit participant's statement, "a paradox persists when the paradigm is wrong," became a repeated theme regarding the paradox of primary care within the context of the health care system in the United States. The Summit energized participants to renew their commitment to Dr. Starfield's 4 C's of Primary Care (first contact access, continuity, comprehensiveness, and care coordination) and to the Quadruple Aim (quality, value, and patient and physician satisfaction) and to continue to explore how primary care can best shape the future of the nation's health care system. © Copyright 2016 by the American Board of Family Medicine.

  12. Inauguration of the cameroonian society of human genetics. (United States)

    Wonkam, Ambroise; Kenfack, Marcel Azabji; Bigoga, Jude; Nkegoum, Blaise; Muna, Wali


    The conjunction of "hard genetics" research centers, with well established biomedical and bioethics research groups, and the exceptional possibility to hold the 6th annual meeting of the African Society of Human Genetics (AfSHG, 13th-15th March 2009) was an excellent opportunity to get together in synergy the entire Cameroonian "DNA/RNA scientists" . This laid to the foundation of the Cameroonian Society of Human Genetics (CSHG) that was privilege to hold its inaugural meeting in conjunction to the 6th annual meeting of the AfSHG. The theme was "Human Origin, Genetic Diversity and Health". The AfSHG and CSHG invited leading African and international scientists in genomics and population genetics to review recent data and provide an understanding of the state-of-knowledge of Human Origin and Genetic Diversity. Overall one opening ceremony eight session, five keynote and guest speakers, 18 invited oral communications, 13 free oral communications, 43 posters and two social events could summarize the meeting. This year's conference was graced by the presence of one Nobel Prize winner Dr Richard Roberts (Physiology and Medicine 1993). The meeting registered up to ten contributions of Cameroonian scientists from the Diaspora (currently in USA, Belgium, Gambia, Sudan and Zimbabwe). Such Diaspora participation is an opportunity to generate collaborations with home country scientists and ultimately turn the "brain drain" to "brain circulation" that could reduce the impact of the migration of health professional from Africa. Interestingly, the personal implication of the Cameroonian Ministry of Public Heath who opened the meeting in the presence of the Secretary General of the Ministry of Higher Education and a representative of the Ministry of Scientific Research and Innovation was a wonderful opportunity for advocacy of genetic issues at the decision-makers level. Beyond our expectation, a major promise of the Cameroonian government was the creation of the National Human

  13. Inauguration of the Cameroonian Society of Human Genetics

    Directory of Open Access Journals (Sweden)

    Jude Bigoga


    Full Text Available The conjunction of “hard genetics” research centers, with well established biomedical and bioethics research groups, and the exceptional possibility to hold the 6th annual meeting of the African Society of Human Genetics (AfSHG, 13th-15th March 2009 was an excellent opportunity to get together in synergy the entire Cameroonian “DNA/RNA scientists” . This laid to the foundation of the Cameroonian Society of Human Genetics (CSHG that was privilege to hold its inaugural meeting in conjunction to the 6th annual meeting of the AfSHG. The theme was "Human Origin, Genetic Diversity and Health”. The AfSHG and CSHG invited leading African and international scientists in genomics and population genetics to review recent data and provide an understanding of the state-of-knowledge of Human Origin and Genetic Diversity. Overall one opening ceremony eight session, five keynote and guest speakers, 18 invited oral communications, 13 free oral communications, 43 posters and two social events could summarize the meeting. This year’s conference was graced by the presence of one Nobel Prize winner Dr Richard Roberts (Physiology and Medicine 1993. The meeting registered up to ten contributions of Cameroonian scientists from the Diaspora (currently in USA, Belgium, Gambia, Sudan and Zimbabwe. Such Diaspora participation is an opportunity to generate collaborations with home country scientists and ultimately turn the “brain drain” to “brain circulation” that could reduce the impact of the migration of health professional from Africa. Interestingly, the personal implication of the Cameroonian Ministry of Public Heath who opened the meeting in the presence of the Secretary General of the Ministry of Higher Education and a representative of the Ministry of Scientific Research and Innovation was a wonderful opportunity for advocacy of genetic issues at the decision-makers level. Beyond our expectation, a major promise of the Cameroonian government was

  14. The inauguration of LEP. The meal at the CERN's restaurant

    CERN Document Server

    Rubbia, Carlo; CERN. Geneva


    Addresses around the lunch table from : - Prof. Carlo RUBBIA, Director-General of CERN. - Mr. RIESENHUBER, German Research Minister. and also the Research Ministers from Finland, United States and Italy.

  15. 76 FR 66339 - Inaugural Roundtable of the Financial Reporting Series Entitled “Uncertainty in Financial... (United States)


    ... the Financial Reporting Series Entitled ``Uncertainty in Financial Statements: How Much To Recognize.... SUPPLEMENTARY INFORMATION: This will be the inaugural roundtable of the Financial Reporting Series. The Financial Reporting Series was instituted by SEC staff to assist in the proactive identification of risks...

  16. A Pragma-Stylistic Analysis of President Goodluck Ebele Jonathan Inaugural Speech (United States)

    Abuya, Eromosele John


    The study was an examination through the pragma-stylistic approach to meaning of the linguistic acts that manifest in the Inaugural Speech of Goodluck Ebele Jonathan as the democratically elected president in May 2011 General Elections in Nigeria. Hence, the study focused on speech acts type of locution, illocutionary and perlocutionary in the…

  17. Balfour's Mission to Palestine: Science, Strategy, and the Inauguration of the Hebrew University in Jerusalem (United States)

    Macleod, Roy


    In 1925, A.J. Balfour, first Earl Balfour and author of the famous "Balfour Declaration", attended the inauguration of the Hebrew University in Jerusalem. His education and experience of foreign policy equipped him to take a prominent role. However, the conditions of strife-torn Palestine weighed heavily upon him, and raised wider…

  18. Le priapisme aigu: mode inaugural de decouverte d'une Leucemie ...

    African Journals Online (AJOL)

    English Title: Acute priapism: inaugural mode of discovery of chronic myeloid leukemia with T351I mutation. English Abstract. Objective: To report a case of CML (Chronic Myeloid Leukemia) discovered during a priapism with a mutation T315I resistant to the usual tyrosine kinase inhibitor (TKI). Patient: A 30-year-old ...

  19. Concluding Address

    Directory of Open Access Journals (Sweden)

    Franco Giovannelli


    Full Text Available Before I offcially conclude this workshop - far be it from me to attempt to compete with some concluding remarks already delivered at the meeting with various levels of passion by Gennady Bisnovatyi-Kogan, Giulio Auriemma and Sergio Colafrancesco - I would like to comment on some of the highlights emerging from our fruitful week of discussions about Multifrequency Behaviour of High Energy Cosmic Sources, without any pretension of completeness.

  20. ASM Inaugural Lecture 2010: Biomass: The green gold?

    International Nuclear Information System (INIS)

    Lim Koon Ong


    For far too long, much of developed world have been living unsustainable, especially from the perspective of energy consumption. Our greedy consumption of fossil fuels has resulted in global warming and climate change. This paper begins with an outline of the current world energy consumption scenario and a short account of the environment effects of fossil fuel use. The potential of a renewable source of energy viz. biomass is then discussed. Biomass is believed by many as being able to help address environmental and energy sustainability issues. The current state of biomass utilisation as well as its conversion to energy forms that can better fit into the existing energy infrastructure are briefly outlined. Only technologies that are mature and a few that are near the commercialisation stage are highlighted. (author)

  1. Intertekstualitāte Amerikas Savienoto Valstu prezidentu inaugurācijas runās


    Broka, Beāte


    Inaugurācijas runas satur iepriekš piedzīvotu notikumu, sasniegumu, kā arī garīgu vērtību un reliģiskās pārliecības atspoguļojumu, ko var panākt, citējot tekstus vai tajos paustās idejas – semiotikā šo procesu sauc par intertekstualitāti (intertextuality). Šī bakalaura darba mērķis ir izzināt un salīdzināt avotus, uz kuriem savās inaugurācijas runās atsaukušies pirmie un pēdējie pieci ASV prezidenti, un noteikt, vai laika gaitā intertekstualitātes forma un biežums ir mainījušies. Pētīj...

  2. Mark the date! LHC inauguration and LHC-Fest CERN, Tuesday 21 October 2008

    CERN Multimedia


    "For a long time we will remember the year 2008, an important year for CERN. as it marks the achievement of the LHC, a great tool for future discoveries, and the completion of exceptional works that demanded the commitment and motivation of many… a remarkable motivation," declared Director-General Robert Aymar during a recent interview. To celebrate this historical milestone in this very important "Big Science" project, CERN has organised two events on October 21: the LHC official inauguration and the LHC-fest. The LHC official inauguration will take place from 14h00 to 18h00, at Point 18 of the Laboratory, in the presence of the highest representatives from the member states of CERN and representatives from the other communities and authorities of the countries participating in the LHC adventure. 300 members from the international press are also expected, giving a total of 1500 guests. The ceremony will be broadcast live in the Lab...

  3. Lliçó inaugural: "L'aroma de la innovació"


    Cornellà i Valls, Pere


    Llicó inaugural del curs acadèmic 2005-06 de les universitats catalanes, a càrrec del Sr.Pere Cornellà. A partir de la formulació d'una premissa desenvolupa tot un discurs al voltant del cafè, la seva història, la manera d'entendre el cafè lligat amb la innovació, la universitat i l'empresa

  4. The Inaugural SHALDRIL Expedition to the Weddell Sea, Antarctica

    Directory of Open Access Journals (Sweden)

    S. W. Wise,


    Full Text Available Introduction In 1994, a group of scientists began discussing a number of important scientific questions that could be addressed by drilling a series of short cores on the Antarctic continental shelf. The group adopted the name SHALDRIL, for SHALlow DRILling, and soon learned that the technology for high-quality sampling of the upper few hundred metersof the stratigraphic column was still lacking.After more than a decade of discussion and several years of detailed planning, SHALDRIL sailed from Punta Arenas, Chile, in March 2005. The objectives of this first SHALDRIL cruise are to demonstrate the feasibility of drilling from an icebreaker platform into the Antarctic continental shelf and to obtain cores from three different sedimentary sequences that previously have not been sampled.The principal objective of SHALDRIL originally was to monitor technological developments in shallow drilling from conventional icebreaking research vessels. In 2000, the SHALDRIL steering committee learned about new and improved drilling systems that can core through gravelly glacial deposits in water depths of several hundred meters and to subbottom depths of a few hundred meters(SHALDRIL Steering Committee, 2001. These systems can be operated from the icebreaking research vessel Nathaniel B. Palmer (Fig. 1; thus, the long-term project has now entered the next phase of testing this proven drilling technology aboard a U. S. Antarctic Program vessel.

  5. Opening Address (United States)

    Garbers, C. F.


    Ladies and gentlemen, it is indeed a great privilege and pleasure for me to present the opening address at this, the 17th International Congress on High Speed Photograpy and Photonics. Before turning to the business of the Congress, I would like to briefly introduce you to South Africa: its scientific past and its research challenges for the future.


    African Journals Online (AJOL)

    Your Excellency. Honoured Guests. Members of the Association. It is my duty and pleasure to thank H.E. Lij. Endalkatchew Makonnen for the fine address with which he has opened this First National Conference of the EAEA. He has pointedly reminded us that though. Engineers and Architects play a key role, develop-.

  7. Opening address

    International Nuclear Information System (INIS)

    Magwood, W.D.


    Overall state of energy needs and production with special emphasis on increasing consumption and global climate challenge induce increasing efficiency in the broad sense, i.e. increasing the energy efficiency of homes, business, transportation, industry; increasing the efficiency of how energy is delivered to consumers and increasing the efficiency of electricity generation. Being a part of the solution for overall efficiency challenges, past increases in nuclear power plant reliability and availability have kept nuclear power in the race but they have not yet assured survival. There would be limited future for nuclear power unless existing plants prove that the technology is economically competitive. This could be done because it helps attaining healthier global environment. Successful cooperation across all sectors of society and across all oceans of the world would lead to first maintaining the nuclear energy option, and then expanding its application in the future, the potential of nuclear energy would be fully realized to the benefit of all the world

  8. Opening address

    International Nuclear Information System (INIS)

    Ianko, L.


    This short talk was the opening remarks to the attendees at this conference, presented by the Scientific Secretary, IWG-LMNPP, of the IAEA. This meeting is an effort to aid research on problems related to the general area of nuclear plant aging and life management. In particular it addresses fracture properties of reactor materials and components, both as installed, and at end of service condition. A major concern is relating measurements made on laboratory samples to properties displayed by actual reactor components

  9. Convocation address. (United States)

    Zakaria, R


    By means of this graduation address at the International Institute for Population Sciences (IIPS) in Bombay, the Chancellor of Urdu University voiced his concerns about overpopulation in India. During the speaker's tenure as Health Minister of Maharashtra, he implemented a sterilization incentive program that resulted in the state's having the best family planning (FP) statistics in India for almost 10 years. The incentive program, however, was misused by overenthusiastic officials in other states, with the result that the FP program was renamed the Family Welfare Programme. Population is growing in India because of improvements in health care, but the population education necessary to change fertility will require more time than the seriousness of the population problem allows. In the longterm, poverty and illiteracy must be addressed to control population. In the meanwhile, the graduate program at the IIPS should be expanded to include an undergraduate program, marriage age laws should be enforced, and misconceptions about religious objections to FP must be addressed. India can not afford to use the measures forwarded by developed countries to control population growth. India must integrate population control efforts with the provision of health care because if population continues to grow in the face of reduced infant mortality and longer life expectancy, future generations will be forced to live in a state of poverty and economic degradation.

  10. Can solar power deliver? (United States)

    Nelson, Jenny; Emmott, Christopher J M


    Solar power represents a vast resource which could, in principle, meet the world's needs for clean power generation. Recent growth in the use of photovoltaic (PV) technology has demonstrated the potential of solar power to deliver on a large scale. Whilst the dominant PV technology is based on crystalline silicon, a wide variety of alternative PV materials and device concepts have been explored in an attempt to decrease the cost of the photovoltaic electricity. This article explores the potential for such emerging technologies to deliver cost reductions, scalability of manufacture, rapid carbon mitigation and new science in order to accelerate the uptake of solar power technologies.

  11. Proceedings of the Inaugural Meeting of the International Forum for Reactor Aging Management (IFRAM)

    Energy Technology Data Exchange (ETDEWEB)

    Bond, Leonard J.; Brenchley, David L.


    operation in existing and future nuclear power plants. To begin addressing this need, NRC has established a Proactive Management of Materials Degradation Program for managing in-service degradation of metallic components in aging NPPs. The NRC is seeking to facilitate the establishment of IFRAM as a network of international experts who would exchange information on operating experience, best practices, and emerging knowledge. These experts would be willing to work jointly and leverage the separate efforts of existing national programs into a unified approach to enable the potential for the safe and economic life extension of NPPs. A proposal for establishing IFRAM was developed and presented at Engagement workshops in Seoul, Korea (October 2009) and Petten, The Netherlands (May 2010). Participants in both groups demonstrated strong interest in the establishment of IFRAM. Therefore the Global Steering Committee was formed to plan and carry out the start-up of IFRAM in 2011. This group finalized the documents for IFRAM and organized the kick-off meeting. This document records the contents of the inaugural meeting of IFRAM, which was held August 4-5, 2011, at the Cheyenne Mountain Resort in Colorado Springs, Colorado. Representatives from Asia, Europe, and the United States met to share information on reactor aging management and make plans for the future. Professor Tetsuo Shoji was elected chairperson of the Leadership Council. This kick-off event transformed the dream of an international forum into a reality. IFRAM has begun to achieve its mission.

  12. Inaugural Message

    Directory of Open Access Journals (Sweden)

    Ruifu Yang


    Full Text Available This 21st century will witness great advances in science and technology, many of which are certain to improve quality of life. Though numerous advances provide benefits, we still face the challenge of infectious diseases, which emerge or remerge, naturally or otherwise. The outbreak of the Ebola virus disease in West Africa at the end of 2013 is a case in point. It has continued for over a year and spread from the known origin of Guinea to neighboring countries, and reached the United States, Europe, and Asia through international travel. This outbreak accelerated translational research on vaccines and practical therapeutics. Thus, basic research paved the way for translational medicine. The driver for translational medicine is human health needs. In the era of the Internet, it is inevitable that people take full advantage of all this powerful tool can offer. The most obvious feature of the Internet age is the free sharing of knowledge and other information. In this regard, there is a need for a platform to share knowledge about infectious diseases and translational medicine. This journal, Infectious Diseases and Translational Medicine (IDTM, was designed to meet this requirement. We editors hope that this new journal will help our colleagues in exchanging ideas and bridging the gaps between basic research and translational medicine. We also hope that our readers will help in sharing their efforts with their colleagues by means of this platform. IDTM is a peer-reviewed, double-blinded, open-access, high-quality platform for online publication in both PDF and HTML formats. The journal is devoted to basic, applied, and translational research of infectious diseases. It includes diagnostics, therapeutics, and preventive countermeasures as well as related basic research, focusing on genomics, proteomics, and other omics-driven research to examine such areas as evolution, pathogenesis, and epidemiology. Here, we are formally announcing the launch of this journal. We are confident that it will bridge gaps between basic research on infectious diseases and translational medicine so that the fruits of research can benefit society, improve human health, and help researchers in their careers. The authors have declared that no competing interests exist.

  13. 40 years after RA-3 inauguration: anecdotes, stories and one or two lessons learned

    International Nuclear Information System (INIS)

    Briozzo, Federico


    The Argentine research and production reactor RA-3 was inaugurated in December 1967 to cover the national demand of radioisotopes for medical use, but it was also intended to increase the national capacity in nuclear technology. 'To learn doing' was the predominant spirit that guided its construction. The experience so acquired allowed the design and construction of several other reactors. Today, the RA-3 not only 'lives' at the Ezeiza Atomic Center... but it is also 'alive' in the reactors built by Argentina in Bariloche, Peru, Algeria, Egypt and Australia. (author) [es

  14. Presidential address. (United States)

    Rao, L


    Stressed in this address is the crucial stage of the population boom, peeculiar to developing countries. The phenomenal rise in India's population, over the last 10 years, is particularly emphasized as it may thwart attempts for socioeconnomic development. Population and development are congruent concerns which need to be pursued simultaneously, and family planning must be accorded the highest priority in national efforts. In its attempts to curb its population explosion, India has witnessed significant progress in health and family welfare work in its march towards the goal of health for all. Recently, the focus has been on primary health care with its emphasis on prevention against risk of disease. The key element of the goal of health for all is the provision of primary health care to all, especially those who are poor. The new 20-Point Programme of India pinpoints areas of special thrust which show immediate tangible results in health and family welfare and the increase of primary health care facilities. Family planning is discussed as a people's movement in which the government's role is that of educator in contraceptive methodds so the people can be motivated to choose, on their own, anyone of them. Trained government personnel, service facilities and contraceptive supplies are being promoted for that goal. The energies of all social, political, religious and cultural organizations have to be channelled and utilized in the process of educating the people and making them adopt the small family norm. Graduates are urged to utilize their knowledge in the service of their country.

  15. Convocation address. (United States)

    Ghatowar, P S


    The Union Deputy Minister of Health and Family Welfare in India addressed the 35th convocation of the International Institute for Population Sciences in Bombay in 1993. Officials in developing countries have been concerned about population growth for more than 30 years and have instituted policies to reduce population growth. In the 1960s, population growth in developing countries was around 2.5%, but today it is about 2%. Despite this decline, the world will have 1 billion more individuals by the year 2001. 95% of these new people will be born in developing countries. India's population size is so great that India does not have the time to wait for development to reduce population growth. Population needs to be viewed as an integrated part of overall development, since it is linked to poverty, illiteracy, environmental damage, gender issues, and reproductive health. Despite a large population size, India has made some important advancements in health and family planning. For example, India has reduced population growth (to 2.14% annually between 1981-1991), infant mortality, and its birth rate. It has increased the contraceptive use rate and life expectancy. Its southern states have been more successful at achieving demographic goals than have the northern states. India needs to implement efforts to improve living conditions, to change attitudes and perceptions about small families and contraception, and to promote family planning acceptance earlier among young couples. Improvement of living conditions is especially important in India, since almost 33% of the people live in poverty. India needs to invest in nutrition, health, and education. The mass media and nongovernmental organizations need to create population awareness and demand for family planning services. Improvement in women's status accelerates fertility decline, as has happened in Kerala State. The government needs to facilitate generation of jobs. Community participation is needed for India to achieve

  16. Keynote address

    International Nuclear Information System (INIS)

    Davis, J.M.


    DOE biomass R ampersand D programs have the potential to provide America with both plentiful, clean-burning domestic transportation fuels and cost-competitive industrial and utility fuels, benefiting energy security in the United States. Biofuels developed under our programs will also help improve air quality, reduce greenhouse gases, reduce the large daily quantities of waste we produce, and revitalize rural America. These research motivations have been documented in the National Energy Strategy. DOE looks forward to expanding its biofuels research program and to forging a partnership with private sector for cost-shared commercialization of new fuels and vehicle technologies. Many alternative fuels (e.g., ethanol, methanol, compressed natural gas, propane, or electricity) are candidates for gaining market share. Indeed, there may be significant regional variation in the future fuel mix. Alcohol fuels from biomass, particularly ethanol, have the potential to make a major contribution. Currently, ethanol in the United States is almost entirely made from corn; and the limitations of that process are well known (e.g., costly feedstock, end product requiring subsidy to be competitive, use of fossil fuels in renewable feedstock production and processing, and potential adverse impact of corn ethanol production on the price of food). To address these concerns, the DOE biofuels program is pursuing an ambitious research program to develop the technologies needed to convert these crops into alternative transportation fuels, primarily cellulose-based ethanol and methanol. Program R ampersand D has reduced the estimated cost per gallon of cellulose-based ethanol from $3.60 in 1980 to the current $1.35, with a program goal of $0.60 by the year 2000. DOE is also investigating the thermochemical conversion of biomass to methanol. The program goal is to achieve commercial production of methanol (like ethanol) at the gasoline equivalent of $0.90 per gallon by the year 2000. 4 figs

  17. Welcome Address (United States)

    Kiku, H.


    Ladies and Gentlemen, It is an honor for me to present my welcome address in the 3rd International Workshop on "State of the Art in Nuclear Cluster Physics"(SOTANCP3), as the president of Kanto Gakuin University. Particularly to those from abroad more than 17 countries, I am very grateful for your participation after long long trips from your home to Yokohama. On the behalf of the Kanto Gakuin University, we certainly welcome your visit to our university and stay in Yokohama. First I would like to introduce Kanto Gakuin University briefly. Kanto Gakuin University, which is called KGU, traces its roots back to the Yokohama Baptist Seminary founded in 1884 in Yamate, Yokohama. The seminary's founder was Albert Arnold Bennett, alumnus of Brown University, who came to Japan from the United States to establish a theological seminary for cultivating and training Japanese missionaries. Now KGU is a major member of the Kanto Gakuin School Corporation, which is composed of two kindergartens, two primary schools, two junior high schools, two senior high schools as well as KGU. In this university, we have eight faculties with graduate school including Humanities, Economics, Law, Sciences and Engineering, Architecture and Environmental Design, Human and Environmental Studies, Nursing, and Law School. Over eleven thousands students are currently learning in our university. By the way, my major is the geotechnical engineering, and I belong to the faculty of Sciences and Engineering in my university. Prof. T. Yamada, here, is my colleague in the same faculty. I know that the nuclear physics is one of the most active academic fields in the world. In fact, about half of the participants, namely, more than 50 scientists, come from abroad in this conference. Moreover, I know that the nuclear physics is related to not only the other fundamental physics such as the elementary particle physics and astrophysics but also chemistry, medical sciences, medical cares, and radiation metrology

  18. Opening address

    International Nuclear Information System (INIS)

    Henrich, E.W.


    Full text: It is an honour for me to make this opening address on behalf of the European Commission which has cooperated with the International Atomic Energy Agency in organizing this Conference, and in particular on behalf of Hans Forsstroem from the Directorate-General, Research, who will arrive only later this week. Protection of the environment is, and will continue to be, an important consideration in the development and application of soundly based radiation protection standards. Current standards rest largely on the premise that, in protecting man, the environment is afforded an adequate level of protection. While this premise is broadly accepted by the radiation protection profession, it has come under increasing challenge in recent years. This challenge has not arisen because of any observable damage to the environment while operating within current standards. Rather, it has different origins including: - The robustness of the premise that protection of man affords protection of the environment, in particular the extent to which it is based on value judgements as opposed to rigorous scientific argument; - The more explicit inclusion of protection of the environment into national legislation on radiation protection and the need to demonstrate compliance; - A desire to achieve greater comparability between radiation and other pollutants. These trends were recognized by the Commission in the late 1990s and, as a result, the topic of protection of the environment was included as an important element of the European Union's 5th Research Framework Programme. Community support has been given to the FASSET project about which we will hear much during this Conference. This multinational project is providing much of the scientific basis underpinning and informing ongoing discussions on the development of a system of protection for the environment. Much, however, remains to be done to establish a well conceived and practicable system for protection of the environment

  19. counseling preferences of parturients recently delivered by ...

    African Journals Online (AJOL)



    Jun 1, 2015 ... This consists of information on diagnosis, indication, safety, complications, pain management and addressing other concerns of the patient. ..... Principles of. Biomedical Ethics. 5th ed. New York: Oxford Univ Pr; 2001. Counseling Preferences of Parturients Recently Delivered by Caesarean Section.....121 ...

  20. Inaugural Maximum Values for Sodium in Processed Food Products in the Americas. (United States)

    Campbell, Norm; Legowski, Barbara; Legetic, Branka; Nilson, Eduardo; L'Abbé, Mary


    Reducing dietary salt/sodium is one of the most cost-effective interventions to improve population health. There are five initiatives in the Americas that independently developed targets for reformulating foods to reduce salt/sodium content. Applying selection criteria, recommended by the Pan American Health Organization (PAHO)/World Health Organization (WHO) Technical Advisory Group on Dietary Salt/Sodium Reduction, a consortium of governments, civil society, and food companies (the Salt Smart Consortium) agreed to an inaugural set of regional maximum targets (upper limits) for salt/sodium levels for 11 food categories, to be achieved by December 2016. Ultimately, to substantively reduce dietary salt across whole populations, targets will be needed for the majority of processed and pre-prepared foods. Cardiovascular and hypertension organizations are encouraged to utilize the regional targets in advocacy and in monitoring and evaluation of progress by the food industry. © 2015 Wiley Periodicals, Inc.

  1. The Science of Enhanced Student Engagement and Employability: Introducing the Psychology Stream of the Inaugural HEA STEM Conference (United States)

    Hulme, Julie; Taylor, Jacqui; Davies, Mark N. O.; Banister, Peter


    The Higher Education Academy (HEA) is committed to enhancing the quality of learning and teaching for all university students in the UK, and the inaugural conference for the Science, Technology, Engineering and Mathematics (STEM) subjects, held in April 2012 at Imperial College, London, aimed to showcase research and evidence-based educational…

  2. 1000th magnet delivered!

    CERN Multimedia


    On Monday 20 February members of the AT Department marked the delivery of the 1000th superconducting dipole magnet to CERN. Only 232 more of the dipole magnets are needed for the LHC. The 35 tonne-dipoles are 15 meters long and are being manufactured by three companies: Babcock Noell Nuclear in Germany (which finished its contract in November 2005), Ansaldo Superconduttori in Italy and Alstom-Jeumont in France. "The production is proceeding well and we expect to be complete in October as previously foreseen," said Lucio Rossi, Head of the Magnets and Superconductors Group (AT-MAS). In total, 1650 main magnets are needed for the LHC, of which 1300 have been delivered.

  3. 1000th magnet delivered!

    CERN Multimedia


    On Monday 20 February members of the AT Department marked the delivery of the 1000th superconducting dipole magnet to CERN. Only 232 more of the dipole magnets are needed for the LHC. The 35-tonne-dipoles are 15 meters long and are being manufactured by three companies: Babcock Noell Nuclear in Germany (which completed its contract in November 2005), Ansaldo Superconduttori in Italy and Alstom-Jeumont in France. 'The production is proceeding well and we expect to be complete in October as foreseen,' said Lucio Rossi, Head of the Magnets and Superconductors Group (AT-MAS). In total, 1650 main magnets are needed for the LHC, of which 1300 have already been delivered.


    Directory of Open Access Journals (Sweden)

    María Belén Romano


    Full Text Available El presente trabajo analiza las técnicas argumentativas y estrategias lingüísticas utilizadas en la construcción del ethos político de la presidenta argentina Cristina Fernández. Tomamos como objeto de estudio el discurso que pronunció el 10 de diciembre del 2007 al iniciar su mandato, porque lo consideramos clave en la construcción de la identidad de la mandataria y en la definición de su proyecto político. El objetivo general es analizar las relaciones existentes entre discurso político y argumentación. El marco teórico y metodológico es el análisis crítico del discurso (Van Dijk & Wodak, 2003. En cuanto al estudio de la argumentación, nos basamos en la propuesta de Perelman y Olbrechts-Tyteca (1994. El concepto de ethos es estudiado desde los postulados de Maingueneau (1996 y Charaudeau (2006. Asimismo el análisis permite establecer características del discurso de la presidenta que lo diferencian de discursos de otros mandatarios pronunciados en situaciones similares y que influyen en la eficacia de la persuasión.This article analyzes the argumentative techniques and linguistic strategies used in building the political ethos of President Cristina Fernández of Argentina. The object of study is her December 10, 2007 inaugural speech, which is essential in the construction of the President's identity and the definition of her political project. The main objective is to analyze the relationship between political discourse and argumentation. The theoretical and methodological framework is provided by Critical Discourse Analysis (van Dijk, Wodak, 2003, while the proposal of Perelman and Olbrechts-Tyteca (1994 is used for the study of argumentation. The concept of ethos is analyzed on the basis of the postulates set forth by Maingueneau (1996 and Charaudeau (2006. The analysis also reveals those characteristics of the President's speech that distinguish it from speeches given by other political leaders in similar situations and

  5. Fly me to the Sun! ESA inaugurates the European Project on the Sun (United States)


    In an initiative mounted by ECSITE (European Collaborative for Science, Industry and Technology Exhibitions) with funding from the European Commission and under the supervision, coordination and co-sponsorship of ESA, five teams of youngsters (16-18 years old) from Belgium, France, Germany, Italy and the Netherlands were selected and coordinated by European science museums from each of their countries (Musée des Sciences et des Techniques - Parentville, B; Cité de l'Espace - Toulouse, F; Deutsches Museum - Munich, D; Fondazione IDIS - Naples, I; Foundation Noordwijk Space Expo - Noordwijk, NL). The teams each focused on a theme related to solar research: "How does the Sun work?" (I), "The Sun as a star" (F), "Solar activity" (NL), "Observing the Sun" (D), "Humans and the Sun" (B), and built exhibition "modules" that they will present at the inauguration, in the context of European Science and Technology Week 2000 (6-10 November), promoted by the European Commission. During the two-day event, a jury of representatives of other European science and technology museums, ESA scientists, a science journalist, and two ESA astronauts (Frank de Winne and Andre Kuipers) will judge the youngsters' exhibition modules on the basis of their scientific correctness, their museological value and the commitment shown by the young "communication experts". The winning team will be officially announced on 9 November. The prize is a weekend at the Space Camp in Redu, Belgium. The objective of the European Project on the Sun is educational. It aims, through the direct and "fresh" involvement of youngsters, to heighten European citizens' awareness of space research in general and the Sun's influence on our daily lives in particular. The role of the European Space Agency as reference point in Europe for solar research has been fundamental to the project. From ESA's perspective, EPOS is part of this autumn's wider communication initiative called the Solar Season, which is highlighting ESA

  6. Cognitive rhetoric of effect: energy flow as a means of persuasion in inaugurals

    Directory of Open Access Journals (Sweden)

    Potapenko Serhiy


    Full Text Available Cognitive rhetoric of effect deals with creating a referent’s favourable image throughout four text-forming stages: invention (looking for arguments; disposition (argument arrangement; elocution (verbal ornamentation; and performance, combining the ancient canons of memory and delivery. The cognitive procedures of rhetoric of effect rest on conceptual structures of sensory-motor origin: image schemas, i.e. recurring dynamic patterns of our perceptual interactions and motor programmes (Johnson, 1987, p.xiv, and force dynamics, i.e. a semantic category in the realm of physical force generalized into domains of internal psychological relationships and social interactions (Talmy, 2000, p.409. The embedding of sensory-motor structures into the text-forming stages reveals that cognitive rhetorical effects are created by managing the energy flow, which consists of force and motion transformations denoted by particular linguistic units. The phenomenon is exemplified by the analysis of the way impressions of freedom celebration and freedom defence are formed in the inaugurals of J.F. Kennedy (1961 and G.W. Bush (2005 respectively.

  7. Proceedings of the inaugural International Summit for Medical Nutrition Education and Research. (United States)

    Laur, C; Ball, L; Ahankari, A S; Avdagovska, M; Crowley, J; Deen, D; Douglas, P; Hark, L; Kohlmeier, M; Luzi, L; McCotter, L; Martyn, K; Nowson, C; Wall, C; Ray, S


    Medical Nutrition Education (MNE) has been identified as an area with potential public health impact. Despite countries having distinctive education systems, barriers and facilitators to effective MNE are consistent across borders, demanding a common platform to initiate global programmes. A shared approach to supporting greater MNE is ideal to support countries to work together. In an effort to initiate this process, the Need for Nutrition Education/Innovation Programme group, in association with their strategic partners, hosted the inaugural International Summit on Medical Nutrition Education and Research on August 8, 2015 in Cambridge, UK. Speakers from the UK, the USA, Canada, Australia, New Zealand, Italy, and India provided insights into their respective countries including their education systems, inherent challenges, and potential solutions across two main themes: (1) Medical Nutrition Education, focused on best practice examples in competencies and assessment; and (2) Medical Nutrition Research, discussing how to translate nutrition research into education opportunities. The Summit identified shared needs across regions, showcased examples of transferrable strategies and identified opportunities for collaboration in nutrition education for healthcare (including medical) professionals. These proceedings highlight the key messages presented at the Summit and showcase opportunities for working together towards a common goal of improvement in MNE to improve public health at large. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  8. 21st October 2008 - LHC Inauguration Ceremony family photograph in SM18.

    CERN Multimedia

    CERN Photo Service


    21st October 2008 - LHC Inauguration Ceremony family photograph in SM18. Front row, from left to right : British Minister of State for Science and Innovation, Lord Drayson of Kensington; Hungarian Minister for Research, Science and Innovation K. Molnar; German Federal Minister of Education and Research A. Schavan; Slovak Deputy Prime Minister and Minister of Education J. Mikolaj; Président de la Confédération suisse P. Couchepin; Directeur général du CERN R. Aymar; Premier Ministre de la République française F. Fillon; Portuguese Minister for Science, Technology and Higher Education J. M. Gago; Ministre belge des PME, des Indépendants, de l'Agriculture et de la Politique scientifique S. Laruelle; Ambassador of Italy to the Office of the United Nations and other international organisations in Geneva G. Caracciolo di Vetri. Second row, from left to right: Czech Deputy Minister of Education, Youth and Sports, responsible for Science and Universities V. Ruzicka; Extraordinatory and Plenipotentiary Ambas...

  9. The analysis of speech acts patterns in two Egyptian inaugural speeches

    Directory of Open Access Journals (Sweden)

    Imad Hayif Sameer


    Full Text Available The theory of speech acts, which clarifies what people do when they speak, is not about individual words or sentences that form the basic elements of human communication, but rather about particular speech acts that are performed when uttering words. A speech act is the attempt at doing something purely by speaking. Many things can be done by speaking.  Speech acts are studied under what is called speech act theory, and belong to the domain of pragmatics. In this paper, two Egyptian inaugural speeches from El-Sadat and El-Sisi, belonging to different periods were analyzed to find out whether there were differences within this genre in the same culture or not. The study showed that there was a very small difference between these two speeches which were analyzed according to Searle’s theory of speech acts. In El Sadat’s speech, commissives came to occupy the first place. Meanwhile, in El–Sisi’s speech, assertives occupied the first place. Within the speeches of one culture, we can find that the differences depended on the circumstances that surrounded the elections of the Presidents at the time. Speech acts were tools they used to convey what they wanted and to obtain support from their audiences.

  10. [Acute respiratory failure as the sol inaugural sign of Arnold-Chiari malformation. Two cases]. (United States)

    Chaouch, N; Meraï, S; Cheikh Rouhou, S; Ben Romdhane, K; Ben Mrad, S; Besbes, M; Tritar, F


    Arnold-Chiari malformation is an occipitocervical malformation where the cerebellar amygdales descend below the occipital foramen. Acute respiratory failure is an exceptional inaugural sign. We report two cases disclosed by alveolar hypoventilation associated with type I Arnold-Chiari malformation. The two patients age 51 and 52 years had an uneventful past history and presented with hypercapnic encephalopathy with acute respiratory failure requiring ventilatory assistance. Respiratory function tests, helicoidal thoracic computed tomographic angiography, electromyogram, cardiac echography, and thyroid and immunological tests were normal. Blood gases and polysomnography were in favor of central hypoventilation without sleep apnea. Magnetic resonance imaging demonstrated type I Arnold-Chiari malformation. The course was complicated by recurrent respiratory failure in both patients. Surgical decompression performed for the first patient provided no improvement. This patient died two months after surgery subsequent to aspiration pneumonia. The second patient was treated with continuous positive pressure noninvasive ventilatory assistance and had a good outcome at 25 months. These two cases illustrate the absence of any neurological sign, acute respiratory failure being the only sign of Arnold-Chiari malformation.

  11. Advancing Product Quality: a Summary of the Inaugural FDA/PQRI Conference. (United States)

    Yu, Lawrence X; Baker, Jeffrey; Berlam, Susan C; Boam, Ashley; Brandreth, E J; Buhse, Lucinda; Cosgrove, Thomas; Doleski, David; Ensor, Lynne; Famulare, Joseph; Ganapathy, Mohan; Grampp, Gustavo; Hussong, David; Iser, Robert; Johnston, Gordon; Kesisoglou, Filippos; Khan, Mansoor; Kozlowski, Steven; Lacana, Emanuela; Lee, Sau L; Miller, Stephen; Miksinski, Sarah Pope; Moore, Christine M V; Mullin, Theresa; Raju, G K; Raw, Andre; Rosencrance, Susan; Rosolowsky, Mark; Stinavage, Paul; Thomas, Hayden; Wesdyk, Russell; Windisch, Joerg; Vaithiyalingam, Sivakumar


    On September 16 and 17, 2014, the Food and Drug Administration (FDA) and Product Quality Research Institute (PQRI) inaugurated their Conference on Evolving Product Quality. The Conference is conceived as an annual forum in which scientists from regulatory agencies, industry, and academia may exchange viewpoints and work together to advance pharmaceutical quality. This Conference Summary Report highlights key topics of this conference, including (1) risk-based approaches to pharmaceutical development, manufacturing, regulatory assessment, and post-approval changes; (2) FDA-proposed quality metrics for products, facilities, and quality management systems; (3) performance-based quality assessment and clinically relevant specifications; (4) recent developments and implementation of continuous manufacturing processes, question-based review, and European Medicines Agency (EMA)-FDA pilot for Quality-by-Design (QbD) applications; and (5) breakthrough therapies, biosimilars, and international harmonization, focusing on ICH M7 and Q3D guidelines. The second FDA/PQRI conference on advancing product quality is planned for October 5-7, 2015.

  12. Activité antérieure – Quatre universités ouest-africaines inaugurent ...

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

    Activité antérieure – Quatre universités ouest-africaines inaugurent une chaire de recherche pour lutter contre la pollution urbaine et les maladies non ... former des spécialistes dans le domaine de la pollution urbaine, qui tenteront daméliorer la compréhension des problèmes liés à la pollution de l'air en Afrique de l'Ouest.

  13. Demonstration of a New Smallsat Launch Vehicle: The Orbital/Suborbital Program (OSP) Space Launch Vehicle Inaugural Mission Results


    Schoneman, Scott; Buckley, MAJ Steven; Stoller, MAJ George; Marina, CPT Luis; Morris, LT Christopher


    The United States Air Force and Orbital Sciences Corporation (Orbital) completed development and demonstration of a new low cost space launch vehicle for launching small satellites using surplus Minuteman II rocket motors melded with commercial launch vehicle technology. The Orbital Suborbital Program Space Launch Vehicle (OSPSLV, aka OSP Minotaur) successfully achieved all mission objectives with the inaugural launch into a 405 nm circular, 100 deg inclination orbit on 26 January, 2000. This...

  14. Delivering bad news to patients (United States)

    Gentry, Lonnie; Cox, Thomas R.


    When physicians lack proper training, breaking bad news can lead to negative consequences for patients, families, and physicians. A questionnaire was used to determine whether a didactic program on delivering bad news was needed at our institution. Results revealed that 91% of respondents perceived delivering bad news as a very important skill, but only 40% felt they had the training to effectively deliver such news. We provide a brief review of different approaches to delivering bad news and advocate for training physicians in a comprehensive, structured model. PMID:26722188

  15. Address Points - Allegheny County Address Points 201601 (United States)

    NSGIC Education | GIS Inventory — This dataset contains Address Points in Allegheny County. The Address Points were created by GDR for the Allegheny County CAD project, October 2008. Data is updated...

  16. CERN and the Wigner Research Centre for Physics inaugurate CERN data centre’s extension in Budapest, Hungary

    CERN Multimedia

    Wigner Research Centre for Physics, Hungary


    On 13 June 2013 CERN and the Wigner Research Centre for Physics inaugurated the Hungarian data centre in Budapest, marking the completion of the facility hosting the extension for CERN computing resources. About 500 servers, 20,000 computing cores, and 5.5 Petabytes of storage are already operational at the site. The dedicated and redundant 100 Gbit/s circuits connecting the two sites are functional since February 2013 and are among the first transnational links at this distance. The capacity at Wigner will be remotely managed from CERN, substantially extending the capabilities of the Worldwide LHC Computing Grid (WLCG) Tier-0 activities and bolstering CERN’s infrastructure business continuity.

  17. Allegheny County Addressing Landmarks (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains address points which represent physical address locations assigned by the Allegheny County addressing authority. Data is updated by County...

  18. Allegheny County Address Points (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains address points which represent physical address locations assigned by the Allegheny County addressing authority. Data is updated by County...

  19. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    The information given in this document is divided into two parts. In part I the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials delivered by Members up to 31 December 1964 in compliance with requests the Agency had made under Article IX. D. Part II contains information about materials which had not been delivered by 31 December but which had been allocated, in accordance with Article XI. F. 1 of the Statute, to approved Agency projects for which project arrangements were in force on that date

  20. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    The information given in this document is divided into two parts. In part I the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials delivered by Members up to 30 June 1968 in compliance with requests the Agency had made under Article IX,D. Part II contains information about materials which had not been delivered by 30 June 1968 but which had been allocated, in accordance with Article XI.F.I of the Statute, to approved Agency projects for which project arrangements were in force on that date

  1. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    The information given in this document is divided into two parts. In part I the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials delivered by Members up to 31 December 1965 in compliance with requests the Agency had made under Article IX. D. Part III contains information about materials which had not been delivered by 31 December but which had been allocated, in accordance with Article XI. F. 1 of the Statute, to approved Agency projects for which project arrangements were in force on that date


    Directory of Open Access Journals (Sweden)

    Siti Nuraisiah


    Full Text Available The study deals with the United State of America elected president‘s attitude on inauguration speech revealed through the use of modality. It investigates category, level and orientation of modality and its translation technique used by two different news media. It employed descriptive qualitative approach. Its data were obtained through content analysis and analyzed by Systemic Functional Linguistics (SFL perspective as proposed by Halliday (1994 and translation technique as proposed by Molina and Albir (2002. The result indicates the followings. First, inauguration speech states inclination, probablity, obligation and usuality. It is dominated by median level of modality, then followed by high and low level. Its attitudes are expressed through subjective implicit, as the most frequent orientation, objective implicit, subjective explicit and objective explicit. Second, the first news media uses some translation techniques including established equivalent, reduction, combination and transposition. Third, the second news media uses some translation techniques including established equivalent, combination, reduction and transposition. It is argued that established equivalent produces the same category, level and orientation of modality. Besides, reduction and transposition tend to change modality into another linguistic entities.

  3. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    In this document the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials which Members had delivered up to the end of 1972, in compliance with requests the Agency had made under Article IX. D

  4. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    In this document the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials which Members had delivered up to 30 June 1975, in compliance with requests the Agency had made under Article IX. D

  5. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    In this document the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials which Members had delivered up to 31 March 1974, in compliance with requests the Agency had made under Article IX. D

  6. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    In this document the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials delivered by Members up to 30 June 1969 in compliance with requests the Agency had made under Article IX. D

  7. Materials Delivered by Member States

    International Nuclear Information System (INIS)


    In this document the Director General is reporting to the Members of the Agency, under Article IX. G of the Statute, the quantities of materials which Members had delivered up to the end of 1970, in compliance with requests the Agency had made under Article IX. D

  8. Reach Address Database (RAD) (United States)

    U.S. Environmental Protection Agency — The Reach Address Database (RAD) stores the reach address of each Water Program feature that has been linked to the underlying surface water features (streams,...

  9. Inaugural Technology Showcase Aims to Increase Industry Partnerships and Commercialization of Cancer-Related Inventions | FNLCR (United States)

    Biotechnology stakeholders from across the region will have the opportunity to learn about cutting-edge technologies addressing urgent and intractable problems in cancer research at the 2017 Technology Showcase, to be held at the Frederick National

  10. Dealing with Learner Resistance to Technology-Delivered Training. (United States)

    McCormick, Patricia


    Discussion of student resistance to technology-delivered training focuses on strategies at the IRS (Internal Revenue Service) that overcame learner resistance by maintaining a personal relationship with each student and flexibly addressing each student's personal style and concerns. Considers reasons for student resistance and the continued need…

  11. Delivering Results for Peace and Development

    International Nuclear Information System (INIS)

    Pattison, Hazel


    The IAEA’s technical cooperation programme is the primary mechanism for delivering the IAEA’s capacity-building services to its Member States. The programme supports the safe and secure application of nuclear technology for sustainable socioeconomic development in Member States. The overall strategic framework of the TC programme is determined by pertinent provisions laid down in key documents of the IAEA. Strategic direction for the multi-annual TC programme is provided by the Agency’s Members States and, more specifically, by relevant advisory and governance entities. The programme concentrates on: improving human health; supporting agriculture, rural development and food security; advancing water resource management; addressing environmental challenges; helping sustainable energy development, including the use of nuclear power for electricity; and promoting safety and security

  12. Análise crítica da metáfora no discurso inaugural de Nelson Mandela


    Candia, Guilene Detimermane de Souza


    Esta dissertação de mestrado refere-se à pesquisa, sob a perspectiva crítica e pragmática, das metáforas conceptuais e lingüísticas que tenham o sentido de portadora de ideologia e de estratégia de polidez num discurso político. Teve como base de estudo o Discurso Inaugural do líder sul-africano, Nelson Rolihlahla Mandela, proferido na ocasião de sua posse como presidente da África do Sul, em 10 de maio de 1994, na cidade de Johannesburgo, capital daquele país. O discurso fo...

  13. A National Curriculum of Fundamental Skills for Plastic Surgery Residency: Report of the Inaugural ACAPS Boot Camp. (United States)

    Davidson, Edward H; Barker, Jenny C; Egro, Francesco M; Krajewski, Alexandra; Janis, Jeffrey E; Nguyen, Vu T


    The Inaugural American Council of Academic Plastic Surgeons Plastic Surgery Boot Camp program was developed in response to ongoing changes in graduate medical education. The Boot Camp is a hands-on, practicum-based, 3-day course to introduce core concepts in plastic surgery for new plastic surgery residents (in both integrated and independent tracks). The course was held in Pittsburgh in July to August 2015. There were 43 attendees (35 integrated/8 independent) representing 22 residency programs across 15 states. Faculty was composed of 8 local personnel and 5 visiting. Lecture topics and practical sessions covered the full spectrum of plastic surgery. All trainees completed an online survey evaluation both during the course and at 6 months. Participant responses were overwhelmingly positive. A total of 72% of respondents rated the Boot Camp ≥ 8 on a 1 to 10 scale (10 is excellent) for the overall course rating; 79% of respondents agreed or strongly agreed with the statement that the simulation scenarios were realistic; and 75% of participants agreed or strongly agreed with the statement that they found simulation-based training to be a valuable way to teach this material. Respondents reported an increase in comfort and confidence across topics after attending the Boot Camp at both 0- and 6-month time points. Instructors received positive evaluations across all topics. This successful inaugural course serves as a benchmark for development of a logistical blueprint, business plan, and curriculum for a proposed expansion to regional centers, to potentially encompass all incoming residents in plastic surgery.

  14. Addressing Youth Violence in Guatemala, Honduras, and El Salvador

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

    Inaugural recipients of the Hopper-Bhatia Canada Fund. Thanks to a bequest from Ramesh and Pilar Bhatia, the David and Ruth Hopper and Ramesh and Pilar Bhatia Canada Fund was established in 2017. View moreInaugural recipients of the Hopper-Bhatia Canada Fund ...

  15. State of the Union Address, 1997. Remarks by the President in State of the Union Address. (United States)

    Executive Office of the President, Washington, DC.

    This document contains the text of President Clinton's State of the Union Address, delivered on February 4, 1997. The President issues a call to action to work together to prepare America for the twenty-first century. The United States must attend to the unfinished business of balancing the budget, enacting bipartisan campaign-finance reform, and…

  16. Addressing Ozone Layer Depletion (United States)

    Access information on EPA's efforts to address ozone layer depletion through regulations, collaborations with stakeholders, international treaties, partnerships with the private sector, and enforcement actions under Title VI of the Clean Air Act.

  17. Addressivity in cogenerative dialogues (United States)

    Hsu, Pei-Ling


    Ashraf Shady's paper provides a first-hand reflection on how a foreign teacher used cogens as culturally adaptive pedagogy to address cultural misalignments with students. In this paper, Shady drew on several cogen sessions to showcase his journey of using different forms of cogens with his students. To improve the quality of cogens, one strategy he used was to adjust the number of participants in cogens. As a result, some cogens worked and others did not. During the course of reading his paper, I was impressed by his creative and flexible use of cogens and at the same time was intrigued by the question of why some cogens work and not others. In searching for an answer, I found that Mikhail Bakhtin's dialogism, especially the concept of addressivity, provides a comprehensive framework to address this question. In this commentary, I reanalyze the cogen episodes described in Shady's paper in the light of dialogism. My analysis suggests that addressivity plays an important role in mediating the success of cogens. Cogens with high addressivity function as internally persuasive discourse that allows diverse consciousnesses to coexist and so likely affords productive dialogues. The implications of addressivity in teaching and learning are further discussed.

  18. Delivering Science from Big Data (United States)

    Quinn, Peter Joseph


    The SKA will be capable of producing a stream of science data products that are Exa-scale in terms of their storage and processing requirements. This Google-scale enterprise is attracting considerable international interest and excitement from within the industrial and academic communities. In this paper we examine the data flow, storage and processing requirements of a number of key SKA survey science projects to be executed on the baseline SKA1 configuration. Based on a set of conservative assumptions about trends for HPC and storage costs, and the data flow process within the SKA Observatory, it is apparent that survey projects of the scale proposed will potentially drive construction and operations costs beyond the current anticipated SKA1 budget. This implies a sharing of the resources and costs to deliver SKA science between the community and what is contained within the SKA Observatory. A similar situation was apparent to the designers of the LHC more than 10 years ago. We propose that it is time for the SKA project and broader community to consider the effort and process needed to design and implement a distributed science data system that leans on the lessons of other projects and looks to recent developments in Cloud technologies to ensure an affordable, effective and global achievement of science goals.

  19. Identifying potential programs and platforms to deliver multiple micronutrient interventions. (United States)

    Olney, Deanna K; Rawat, Rahul; Ruel, Marie T


    This article reviews the potential of four broad types of platforms, health, agriculture, market-based, and social protection programs, to deliver multiple micronutrient (MMN) interventions (supplementation, fortification, and dietary modification). We assessed the platforms' potential based on seven performance criteria related to programs within these platforms: 1) targeting, 2) efficacy of interventions, 3) quality of implementation, 4) utilization, 5) impact, 6) coverage, and 7) sustainability. We highlight one type of program per platform to illustrate strengths and weaknesses for delivering MMN interventions, identify critical knowledge gaps, and highlight what is needed to increase effectiveness for delivering MMN interventions. We found that all four platforms have the potential to effectively deliver MMN interventions if the following key program elements are addressed: 1) strong behavior change communication strategies to increase demand and proper utilization of services/products; 2) supply side interventions to ensure consistent availability of high quality interventions, products, and well-trained staff; 3) rigorous evaluations of effectiveness, quality of delivery, and impact pathways to generate best practices for replication and scale-up; and 4) timely dissemination of evaluation results to ensure use by program implementers and policy makers. The diversification of delivery platforms, which simultaneously addresses multiple determinants of MMN deficiencies and expands coverage, is needed to accelerate progress in reducing MMN deficiencies.

  20. The 2012 NCTE Presidential Address: Literacy, Rhetoric, Education, Democracy (United States)

    Gilyard, Keith


    This article presents the text of Keith Gilyard's presidential address, delivered at the National Council of Teachers of English (NCTE) Annual Convention in Las Vegas, Nevada, on November 18, 2012. In his address he proposes several core elements that he believes will instrumentally improve the education system in the United States: a rich…

  1. Remembering President Barack Obama's inauguration and the landing of US Airways Flight 1549: A comparison of the predictors of autobiographical and event memory

    DEFF Research Database (Denmark)

    Koppel, Jonathan Mark; Brown, Adam D.; Stone, Charles B.


    We examined and compared the predictors of autobiographical memory (AM) consistency and event memory accuracy across two publicly documented yet disparate public events: the inauguration of Barack Obama as the 44th president of the United States on January 20th 2009, and the emergency landing of US...... Airways Flight 1549, off the coast of Manhattan, on January 15th 2009. We tracked autobiographical and event memories for both events, with assessments taking place within 2½ weeks of both events (Survey 1), and again between 3½ and 4 months after both events (Survey 2). In a series of stepwise...... regressions we found that the psychological variables of recalled emotional intensity and personal importance/centrality predicted AM consistency and event memory accuracy for the inauguration. Conversely, the rehearsal variables of covert rehearsal and media attention predicted, respectively, AM consistency...

  2. The future of Evo-Devo: the inaugural meeting of the Pan American Society for evolutionary developmental biology. (United States)

    Lesoway, Maryna P


    What is the future of evolutionary developmental biology? This question and more were discussed at the inaugural meeting for the Pan American Society for Evolutionary Developmental Biology, held August 5-9, 2015, in Berkeley, California, USA. More than 300 participants attended the first meeting of the new society, representing the current diversity of Evo-Devo. Speakers came from throughout the Americas, presenting work using an impressive range of study systems, techniques, and approaches. Current research draws from themes including the role of gene regulatory networks, plasticity and the role of the environment, novelty, population genetics, and regeneration, using new and emerging techniques as well as traditional tools. Multiple workshops and a discussion session covered subjects both practical and theoretical, providing an opportunity for members to discuss the current challenges and future directions for Evo-Devo. The excitement and discussion generated over the course of the meeting demonstrates the current dynamism of the field, suggesting that the future of Evo-Devo is bright indeed. © 2016 Wiley Periodicals, Inc.

  3. His Excellency Mr Maurizio Enrico Serra Ambassador Permanent Representative of Italy to the United Nations Office and other international organisations in Geneva on the occasion of the Inauguration of the Industrial Exhibition Italy@ CERN

    CERN Multimedia

    Bennett, Sophia Elizabeth


    His Excellency Mr Maurizio Enrico Serra Ambassador Permanent Representative of Italy to the United Nations Office and other international organisations in Geneva on the occasion of the Inauguration of the Industrial Exhibition Italy@ CERN

  4. 21 October 2008 - LHC Inauguration - Swedish Minister for Higher Education and Research L. Leijonborg welcomed by CERN Director-General R. Aymar and CERN Chief Scientific Officer J. Engelen and signing the electronic guest book with T. Pettersson.

    CERN Multimedia

    CERN Photo Service


    21 October 2008 - LHC Inauguration - Swedish Minister for Higher Education and Research L. Leijonborg welcomed by CERN Director-General R. Aymar and CERN Chief Scientific Officer J. Engelen and signing the electronic guest book with T. Pettersson.

  5. 21 October 2008 - LHC Inauguration - Deputy Minister for Environment, Physical Planning and Public Works T. Xanthopulos welcomed by CERN Director-General R. Aymar, visiting the ATLAS cavern and LHC tunnel and signing the electronic guest book with E. Tsesmelis.

    CERN Document Server

    CERN Photo Service


    21 October 2008 - LHC Inauguration - Deputy Minister for Environment, Physical Planning and Public Works T. Xanthopulos welcomed by CERN Director-General R. Aymar, visiting the ATLAS cavern and LHC tunnel and signing the electronic guest book with E. Tsesmelis.

  6. 2 October 2013 - Israel Ambassador to the United Nations Office and other International Organizations at Geneva E. Manor on the occasion of the inauguration of the "Israel at CERN" Industrial Exhibition with CERN Director-General R. Heuer.

    CERN Multimedia

    Anna Pantelia


    2 October 2013 - Israel Ambassador to the United Nations Office and other International Organizations at Geneva E. Manor on the occasion of the inauguration of the "Israel at CERN" Industrial Exhibition with CERN Director-General R. Heuer.

  7. 19 May 2015 - M. Ciobanu Ambassador Extraordinary and Plenipotentiary Permanent Representative of Romania to the United Nations Office and other international organisations in Geneva on the occasion of the inauguration of the industrial event Romania@CERN

    CERN Multimedia

    Egli, Laurent


    Mrs Maria Ciobanu Ambassador Extraordinary and Plenipotentiary Permanent Representative of Romania to the United Nations Office and other international organisations in Geneva on the occasion of the inauguration of the industrial event Romania@CERN

  8. 21 October 2008 - LHC Inauguration - IHEP Beijing representative Prof. Chen, People's Republic of China, welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow.

    CERN Multimedia

    CERN Photo Service


    21 October 2008 - LHC Inauguration - IHEP Beijing representative Prof. Chen, People's Republic of China, welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow.

  9. CERN's Directors General present and future, C. Llewellyn Smith and L. Maiani with Ministerialdirigent Dr Hans C. Eschelbacher of the German Federal Ministry of Education and Research (BMBF) during the inauguration of the "Germany at CERN 1998"

    CERN Multimedia

    Laurent Guiraud


    CERN's Directors General present and future, C. Llewellyn Smith and L. Maiani with Ministerialdirigent Dr Hans C. Eschelbacher of the German Federal Ministry of Education and Research (BMBF) during the inauguration of the "Germany at CERN 1998"

  10. Addressing Sexual Harassment (United States)

    Young, Ellie L.; Ashbaker, Betty Y.


    This article discusses ways on how to address the problem of sexual harassment in schools. Sexual harassment--simply defined as any unwanted and unwelcome sexual behavior--is a sensitive topic. Merely providing students, parents, and staff members with information about the school's sexual harassment policy is insufficient; schools must take…

  11. Addressing Social Issues. (United States)

    Schoebel, Susan


    Maintains that advertising can help people become more aware of social responsibilities. Describes a successful nationwide newspaper advertising competition for college students in which ads address social issues such as literacy, drugs, teen suicide, and teen pregnancy. Notes how the ads have helped grassroots programs throughout the United…

  12. Sesotho Address Forms

    Directory of Open Access Journals (Sweden)

    Akindele, Dele Femi


    Full Text Available Address forms constitute an integral part of Basotho sociolinguistic etiquette. They are regarded as a kind of emotional capital that may be invested in putting others at ease. They are indicators of deference, politeness and markers of social distance. (Fasold 1990, Akindele 1990, 1991, 1993 This paper examines the address forms used by the Basotho people. It analyzes and discusses the various types and the factors determining their use. The discussion of address forms in Sesotho focuses on First Name, Title plus First Name, Title plus Last Name, Nickname, Multiple Names, and Teknonym. Drawing data from semi-literate and literate urban and rural population of Maseru district of Lesotho, it was found that the commonest form of address used by the Basotho people is title plus first name. e.g. ntate Thabo (father Thabo, 'm'e Puleng (mother Puleng, ausi Maneo (sister Maneo, abuti Mahao (brother Mahao. It is used by close relations, associates, and familiar people in both formal and informal situations.

  13. Addressivity in Cogenerative Dialogues (United States)

    Hsu, Pei-Ling


    Ashraf Shady's paper provides a first-hand reflection on how a foreign teacher used cogens as culturally adaptive pedagogy to address cultural misalignments with students. In this paper, Shady drew on several cogen sessions to showcase his journey of using different forms of cogens with his students. To improve the quality of cogens, one…

  14. Remembering President Barack Obama's inauguration and the landing of US Airways Flight 1549: a comparison of the predictors of autobiographical and event memory. (United States)

    Koppel, Jonathan; Brown, Adam D; Stone, Charles B; Coman, Alin; Hirst, William


    We examined and compared the predictors of autobiographical memory (AM) consistency and event memory accuracy across two publicly documented yet disparate public events: the inauguration of Barack Obama as the 44th president of the United States on January 20th 2009, and the emergency landing of US Airways Flight 1549, off the coast of Manhattan, on January 15th 2009. We tracked autobiographical and event memories for both events, with assessments taking place within 2½ weeks of both events (Survey 1), and again between 3½ and 4 months after both events (Survey 2). In a series of stepwise regressions we found that the psychological variables of recalled emotional intensity and personal importance/centrality predicted AM consistency and event memory accuracy for the inauguration. Conversely, the rehearsal variables of covert rehearsal and media attention predicted, respectively, AM consistency and event memory accuracy for the plane landing. We conclude from these findings that different factors may underlie autobiographical and event memory for personally and culturally significant events (e.g., the inauguration), relative to noteworthy, yet less culturally significant, events (e.g., the plane landing).

  15. Delivering the International Olympic Committee's mandate on Youth ...

    African Journals Online (AJOL)

    The International Olympic Committee (IOC) is currently planning the historic Youth Olympic Games (YOG), an international mul ti-sport event that will be inaugurated in Singapore in 2010. On the 6t h of July 2007, the establishment of the YOG was approved and will feature 14 to 18 year-old athletes. The purpose of the YOG ...

  16. A region addresses patient safety. (United States)

    Feinstein, Karen Wolk; Grunden, Naida; Harrison, Edward I


    The Pittsburgh Regional Healthcare Initiative (PRHI) is a coalition of 35 hospitals, 4 major insurers, more than 30 major and small-business health care purchasers, dozens of corporate and civic leaders, organized labor, and partnerships with state and federal government all working together to deliver perfect patient care throughout Southwestern Pennsylvania. PRHI believes that in pursuing perfection, many of the challenges facing today's health care delivery system (eg, waste and error in the delivery of care, rising costs, frustration and shortage among clinicians and workers, financial distress, overcapacity, and lack of access to care) will be addressed. PRHI has identified patient safety (nosocomial infections and medication errors) and 5 clinical areas (obstetrics, orthopedic surgery, cardiac surgery, depression, and diabetes) as ideal starting points. In each of these areas of work, PRHI partners have assembled multifacility/multidisciplinary groups charged with defining perfection, establishing region-wide reporting systems, and devising and implementing recommended improvement strategies and interventions. Many design and conceptual elements of the PRHI strategy are adapted from the Toyota Production System and its Pittsburgh derivative, the Alcoa Business System. PRHI is in the proof-of-concept phase of development.


    African Journals Online (AJOL)


    Several scholars had utilized human capital theory to study the relationships between business strategy, business units, and HRD. In this view, humans are resources that use their knowledge, skills, and abilities to enable companies to increase improve their performance. Snell and Dean (1992) stated that skills, knowledge ...


    African Journals Online (AJOL)


    and in nearby urban centres), the unsustainable harvesting of trees for firewood, timber and other non-timber products, increased use ... The project aimed at understanding the knowledge and attitudes of the local populations with regard to the local vegetation. .... Cures stomach ulcers, constipation. Treats diarrhoea when.


    African Journals Online (AJOL)



    Oct 17, 2005 ... Most people find it very difficult to give an account of the funds allocated to them by way of imprest, business proceeds or property that they own. This is not to say that they are completely ignorant of the necessity and importance of accounting for resources. The Impact of Culture on Financial Management in ...


    African Journals Online (AJOL)



    Oct 17, 2005 ... or obnoxious, hence the desire to avoid the unpleasantness. This was borne out by their responses about how they felt after watching. Nearly a half felt scared, terrified and “very bad”. The others had a slew of other negative emotions that they said they felt. Watching or reading about violence has an effect.


    African Journals Online (AJOL)


    introverted or extroverted, competitive or cooperative, independent or dependent and finally, cautious or impulsive. The best results from group exercises tend to be the result of consensus, cooperation and mutual agreement. Certain speech acts are likely to be particularly pertinent as they immediately correspond to the ...


    African Journals Online (AJOL)


    85% score by the electronic dictionary. The experienced garnered from designing the database for the words and sentences presented an opportunity to unpack the Kiswahili language and begin to wonder whether the same database could be tinkered with to create other Bantu languages such as Gikuyu, Kamba, Giriama, ...

  3. UC Merced's Inaugural Class (United States)

    Ochsner, Nancy


    The Office of Institutional Planning and Analysis (IPA) of the University of California, Merced collaborated with the Division of Student Affairs to launch three undergraduate surveys in the first year of operations at the new campus: the New Undergraduate Survey (NUS), administered to all new freshmen and transfers in fall 2005; the National…


    African Journals Online (AJOL)


    occupations are flocking back to college to either learn the basics or master at least one foreign language. However, these .... person, describing an object or a place. It calls for a broad us of adjectives. ... classroom setting, the instructor has a pretty good idea of the average aptitude of the group as a whole as well as of ...


    African Journals Online (AJOL)



    Oct 31, 2004 ... intellectual component, so argues Michael Kunczik, that would enable journalists to notice and ... executive, the legislature, and the judiciary but it wields a lot of power and sometimes more power than the .... to have a symbiotic relationship with the political power elites and the economic power barons, that ...


    African Journals Online (AJOL)


    go through the Kenyan education system can speak at least two languages, namely,. English, and Kiswahili which are ... The people living in Nairobi speak at least one or two language(s) in addition to their mother tongue. As a result of this ... Code switching is the alteration of various linguistic units from one distinct code to ...


    African Journals Online (AJOL)


    concerns of biodiversity loss and environmental degradation by tapping into whatever indigenous knowledge that still existed on wild plants and environmental conservation. It took cognisance of the fact that traditional and cultural values among varied and disparate communities across the region have governed the way in ...


    African Journals Online (AJOL)


    Within this paradigm, news is a product for sale. Therefore, there is need to create it, fashion it, perfume it (where necessary), package it, and present it for general human consumption. Moreover, the news product has to be marketed aggressively in a context like Kenya's where there is a cut-throat competition between the ...


    African Journals Online (AJOL)


    en la arquitectura, en la religión, en la lengua, en adelante casi se impondría. De hecho son pocos los préstamos léxicos tanto persas como árabes que se introdujeron al kiswahili en los siglos anteriores. “The majority of words in Swahili taken from Arabic are relatively recent and most likely derive from the recent Omani ...

  10. Counting addressing method: Command addressable element and extinguishing module

    Directory of Open Access Journals (Sweden)

    Ristić Jovan D.


    Full Text Available The specific requirements that appear in addressable fire detection and alarm systems and the shortcomings of the existing addressing methods were discussed. A new method of addressing of detectors was proposed. The basic principles of addressing and responding of a called element are stated. Extinguishing module is specific subsystem in classic fire detection and alarm systems. Appearing of addressable fire detection and alarm systems didn't caused essential change in the concept of extinguishing module because of long calling period of such systems. Addressable fire security system based on counting addressing method reaches high calling rates and enables integrating of the extinguishing module in addressable system. Solutions for command addressable element and integrated extinguishing module are given in this paper. The counting addressing method was developed for specific requirements in fire detection and alarm systems, yet its speed and reliability justifies its use in the acquisition of data on slowly variable parameters under industrial conditions. .

  11. Particle tracker system delivered to CERN

    CERN Multimedia

    Pitcher, Graham


    "The CCLRC Rutherford Appleton Laboratory (RAL) has delivered a system to CERN that will help to process the vast amounts of data generated by the silicon tracking detector within the Compact Muon Solenoid experiment." (1/2 page)

  12. DESIGNS MATTER: Delivering Information Sources for Tourism


    Margie A. Nolasco; Jonathan Dela Cruz


    Tourism has benefits not just for travelers, but also to the local economy. Since, Bicol Region has natural and cultural attractions; it is a potential travel destination in the country. Technology in delivering information sources played vital role for the success of the tourism industry in the Region. This allows travel enthusiasts to get more information about various tourist attractions. This paper analyzes the effectiveness of delivering information sources such as web advert...

  13. Positive thinking about the future in newspaper reports and presidential addresses predicts economic downturn. (United States)

    Sevincer, A Timur; Wagner, Greta; Kalvelage, Johanna; Oettingen, Gabriele


    Previous research has shown that positive thinking, in the form of fantasies about an idealized future, predicts low effort and poor performance. In the studies reported here, we used computerized content analysis of historical documents to investigate the relation between positive thinking about the future and economic development. During the financial crisis from 2007 to 2009, the more weekly newspaper articles in the economy page of USA Today contained positive thinking about the future, the more the Dow Jones Industrial Average declined in the subsequent week and 1 month later. In addition, between the New Deal era and the present time, the more presidential inaugural addresses contained positive thinking about the future, the more the gross domestic product and the employment rate declined in the presidents' subsequent tenures. These counterintuitive findings may help reveal the psychological processes that contribute to an economic crisis.

  14. Inaugural Technology Showcase Aims to Increase Industry Partnerships and Commercialization of Cancer-Related Inventions | FNLCR Staging (United States)

    Biotechnology stakeholders from across the region will have the opportunity to learn about cutting-edge technologies addressing urgent and intractable problems in cancer research at the 2017 Technology Showcase, to be held at the Frederick National

  15. Interactivity in an Electronically Delivered Marketing Course. (United States)

    Larson, Paul D.


    In a marketing course delivered using Lotus Notes, 32 students were randomly assigned to large or small groups with heavy or light coaching. No differences in interactivity appeared related to group size or gender. More coaching increased the quantity, not quality, of interactivity. Quality seemed to decrease as quantity increased. (Contains 35…

  16. Delivering Multimedia Teaching Modules via the Internet. (United States)

    Mudge, Stephen M.


    Discusses advantages and disadvantages of using the Internet for delivering teaching modules and makes recommendations for successful use of the Internet. Highlights include the availability of information at all times and from remote locations, multimedia capabilities, infrastructure needed, security issues, updating, needed skills, and…

  17. Delivering best care in war and peace. (United States)

    Moore, Alison


    Col Alan Finnegan, the fi rst Ministry of Defence professor of nursing, is driving forward research into preparing nurses for deployment and ensuring they deliver the best care possible in war and peace. Research topics range from the role of autonomous practitioners to the effects on soldiers of injuries to their genitalia.

  18. Utah Delivers Opportunities for Career Exploration (United States)

    Dobson, Kristine; Fischio, Shannon


    Providing information and resources to support career exploration is key to the mission of career and technical education (CTE) in Utah. Utah CTE has responded in a variety of ways to meet the career exploration needs of students of all ages. This article discusses how the career and technical education in Utah delivers opportunities for career…

  19. Delivering Online Examinations: A Case Study

    Directory of Open Access Journals (Sweden)

    John MESSING


    Full Text Available Delivering Online Examinations: A Case Study Jason HOWARTH John MESSING Irfan ALTAS Charles Sturt University Wagga Wagga-AUSTRALIA ABSTRACT This paper represents a brief case study of delivering online examinations to a worldwide audience. These examinations are delivered in partnership with a commercial online testing company as part of the Industry Master’s degree at Charles Sturt University (CSU. The Industry Master’s degree is an academic program for students currently employed in the IT industry. Using Internet Based Testing (IBT, these students are examined in test centres throughout the world. This offers many benefits. For example, students have the freedom of sitting exams at any time during a designated interval. Computer-based testing also provides instructors with valuable feedback through test statistics and student comments. In this paper, we document CSU’s use of the IBT system, including how tests are built and delivered, and how both human and statistical feedback is used to evaluate and enhance the testing process.

  20. On 23 November, the Duke of York visited CERN and, in his capacity as the UK's Special Representative for International Trade and Investment, inaugurated the UK@CERN Exhibition.

    CERN Multimedia

    Patrice Loiez


    Pictures 01 & 02 : The Duke of York chats before inaugurating the UK@CERN exhibition. From left to right: Robert Aymar, CERN's Director General, the Duke of York, and leading UK scientists at CERN: Jim Virdee, CMS deputy spokeman; theorist John Ellis ; and Steve Myers, head of the AB Department.

  1. Delivering Bad News: Attitudes, Feelings, and Practice Characteristics Among Speech-Language Pathologists. (United States)

    Gold, Rinat; Gold, Azgad


    The purpose of this study was to examine the attitudes, feelings, and practice characteristics of speech-language pathologists (SLPs) in Israel regarding the subject of delivering bad news. One hundred and seventy-three Israeli SLPs answered an online survey. Respondents represented SLPs in Israel in all stages of vocational experience, with varying academic degrees, from a variety of employment settings. The survey addressed emotions involved in the process of delivering bad news, training on this subject, and background information of the respondents. Frequency distributions of the responses of the participants were determined, and Pearson correlations were computed to determine the relation between years of occupational experience and the following variables: frequency of delivering bad news, opinions regarding training, and emotions experienced during the process of bad news delivery. Our survey showed that bad news delivery is a task that most participants are confronted with from the very beginning of their careers. Participants regarded training in the subject of delivering bad news as important but, at the same time, reported receiving relatively little training on this subject. In addition, our survey showed that negative emotions are involved in the process of delivering bad news. Training SLPs on specific techniques is required for successfully delivering bad news. The emotional burden associated with breaking bad news in the field of speech-language pathology should be noticed and addressed.

  2. Port virtual addressing for PC

    International Nuclear Information System (INIS)

    Bolanos, L.; Arista, E.; Osorio Deliz, J.F.


    Instruments for nuclear signal measurements based on add-on card for a personal computer (PC) are designed often. Then one faces the problem of the addressing of data input/output devices which show an integration level or intelligence that makes the use of several port address indispensable, and these are limited in the PC. The virtual addressing offers the advantage of the occupation of few addresses to accede to many of these devices. The principles of this technique and the appliances of a solution in radiometric in a radiometric card based on programmed logic are discussed in this paper

  3. Reclaiming unused IPv4 addresses

    CERN Multimedia

    IT Department


    As many people might know, the number of IPv4 addresses is limited and almost all have been allocated (see here and here for more information).   Although CERN has been allocated some 340,000 addresses, the way these are allocated across the site is not as efficient as we would like. As we face an increasing demand for IPv4 addresses with the growth in virtual machines, the IT Department’s Communication Systems Group will be reorganising address allocation during 2016 to make more efficient use of the IPv4 address ranges that have been allocated to CERN. We aim, wherever possible, to avoid giving out fixed IP addresses, and have all devices connected to the campus network obtain an address dynamically each time they connect. As a first stage, starting in February, IP addresses that have not been used for more than 9 months will be reclaimed. No information about the devices concerned will be deleted from LANDB, but a new IP address will have to be requested if they are ever reconnected to t...

  4. Inaugural Technology Transfer Showcase Aims to Increase Industry Partnerships and Commercialization of Cancer-Related Inventions | Poster (United States)

    Science and business professionals from across the region will have an opportunity to learn about—and perhaps even commercialize—cutting-edge technologies being used to address some of the most urgent and intractable problems in the biomedical sciences at an upcoming event held at the Frederick National Laboratory for Cancer Research.

  5. Delivering bad news in emergency care medicine


    Maynard, Douglas W.


    Forecasting is a strategy for delivering bad news and is compared to two other strategies, stalling and being blunt. Forecasting provides some warning that bad news is forthcoming without keeping the recipient in a state of indefinite suspense (stalling) or conveying the news abruptly (being blunt). Forecasting appears to be more effective than stalling or being blunt in helping a recipient to “realize” the bad news because it involves the deliverer and recipient in a particular social relati...

  6. Impact of peer delivered wellness coaching. (United States)

    Swarbrick, Margaret; Gill, Kenneth J; Pratt, Carlos W


    People receiving publicly funded behavioral health services for severe mental disorders have shorter lifespans and significantly impaired health-related quality of life compared to the general population. The aim of this article was to explore how peer wellness coaching (PWC), a manualized approach to pursue specific physical wellness goals, impacted goal attainment and overall health related quality of life. Deidentified archival program evaluation data were examined to explore whether peer delivered wellness coaching had an impact on 33 service recipients with regard to goal attainment and health-related quality of life. Participants were served by 1 of 12 wellness coach trainees from a transformation transfer initiative grant who had been trained in the manualized approach. Coaching participants and their coaches reported significant progress toward the attainment of individually chosen goals, 2 to 4 weeks after establishing their goals. After 8 to 10 weeks of peer delivered wellness coaching, improvements were evident in the self-report of physical health, general health, and perceived health. These improvements were sustained 90 days later. PWC is potentially a promising practice for helping people choose and pursue individual goals and facilitating positive health and wellness changes. Rigorous controlled research with larger samples is needed to evaluate the benefits of peer delivered wellness coaching. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  7. Capacity of health-care facilities to deliver HIV treatment and care services, Northern Tanzania, 2004.

    NARCIS (Netherlands)

    Landman, K.Z.; Kinabo, G.; Schimana, W.; Dolmans, W.M.V.; Swai, M.E.; Shao, J.F.; Crump, J.A.


    Few data exist on the current capacity of Tanzanian health-care facilities to deliver antiretroviral therapy (ART). We evaluated this capacity among Northern Zone facilities in 2004 using a questionnaire that addressed human resources, clinical facilities and services, and laboratory capacity. Of 19

  8. Delivering IT and eBusiness value

    CERN Document Server

    Willcocks, Leslie


    Delivering Business Value from IT' is focused on the evaluation issue in IT and how IT evaluation can proceed across the life-cycle of any IT investment and be linked positively to improving business performance. .Chapters 1,2 and 3 detail an approach to IT evaluation whilst chapters 4 and 5 build on these by showing two distinctive approaches to linking IT to business performance. The remaining three chapters deal with a range of evaluation issues emerging as important - specifically Internet evaluation, Y2K and beyond, EMU, quality outsourcing, infrastructure, role of benchmarking, and cost

  9. Can the Clean Development Mechanism (CDM) deliver?

    International Nuclear Information System (INIS)

    Subbarao, Srikanth; Lloyd, Bob


    The paper investigates whether the Clean Development Mechanism (CDM) under the Kyoto Protocol has played a significant role in the development of rural communities, specifically investigating uptake of small-scale renewable energy projects. The investigation involved an assessment of 500 registered small-scale CDM projects under the Kyoto Protocol in terms of their potential impact on the envisaged sustainable development goals for rural communities. Five case studies from the Indian subcontinent were also examined. The paper concludes that the CDM in its current state and design has typically failed to deliver the promised benefits with regard to development objectives in rural areas. Successful projects were found to have had good community involvement and such projects were typically managed by cooperative ventures rather than money making corporations. The paper puts forward a new framework for the assessment of such benefits in the hope that future projects can be better assessed in this regard. The key problem, however, remains on how to deal with the inherent contradiction between development and sustainability. - Research Highlights: → Role of CDM towards sustainable development of rural communities. → Assessment of 500 registered small-scale CDM projects. → CDM in its current state and design has typically failed to deliver. → A new framework for sustainable development assessment of small-scale CDM projects. → Inherent contradiction between development and sustainability.

  10. DESIGNS MATTER: Delivering Information Sources for Tourism

    Directory of Open Access Journals (Sweden)

    Margie A. Nolasco


    Full Text Available Tourism has benefits not just for travelers, but also to the local economy. Since, Bicol Region has natural and cultural attractions; it is a potential travel destination in the country. Technology in delivering information sources played vital role for the success of the tourism industry in the Region. This allows travel enthusiasts to get more information about various tourist attractions. This paper analyzes the effectiveness of delivering information sources such as web advertisement and desktop publishing for tourist promotion in the Bicol Region. Specifically, it determined the status of tourism, and identified common forms of promotions for tourism development. The study adopted mixed method of research. This method was utilized to confirm and validate findings. Interviews and focus group discussions were used to gather data from the respondents of the selected Local Government Units, Department of Tourism, Travel Agencies and Hotel Agents in the Region. Based on the findings, of the total foreign visitors in the country, only 9.14% visited Bicol Region in 2014. That is why, domestic tourist showed high percentage against foreign visitors with 25.7%. Brochures with EZ maps as most commonly used desktop publishing materials and websites and social media for web advertisement. Thus, there is a need to reevaluate promotional activities by the DOT and other agencies. Adoption suggestive features for creative desktop publishing materials and web services should be considered to increase tourist visitors in the Region.

  11. Delivering Data Reduction Pipelines to Science Users (United States)

    Freudling, Wolfram


    Producing science data products that can be used to extract science is the ultimate objective of astronomical observation. The complexity of modern instruments require highly specialized algorithms for data organization and data reduction. Data visualization and user interaction, both to fine tune individual algorithms and to modify the data flow itself, are essential for the production of science grade products that fully exploits the potential of the raw data. ESO has a long history of providing specialized algorithms called recipes for each of its instruments. ESOREFLEX is an environment to deliver complete data reduction workflows that include these recipes to the users. These workflows encapsulate the best practise data reduction for the data from a particular instrument, and at the same can easily be modified by the user. ESOREFLEX includes systems for automatic data organization and visualization, interaction with recipes, and the exploration of the provenance tree of intermediate and final data products. ESOREFLEX allows ESO to deliver recipes that are used in its unsupervised operational pipelines to [...

  12. Counseling preferences of parturients recently delivered by ...

    African Journals Online (AJOL)

    Counseling for caesarean section is an essential aspect of the pre-operative preparation. This consists of information on diagnosis, indication, safety, complications, pain management and addressing other concerns of the patient. This counseling leads to improved uptake of the procedure and increases patient satisfaction.

  13. Delivering an MBA Management Consulting Experience (United States)

    LeMaire, Ryan; Fisher, Kirk; Watson, Edward F., III


    This article reports on an innovative MBA elective consulting course that attempts to address how to better prepare inexperienced MBA students for a competitive job market. This article is a best practice paper designed to provide insights and encouragement to educators.

  14. Addressing adolescent pregnancy with legislation. (United States)

    Montgomery, Tiffany M; Folken, Lori; Seitz, Melody A


    Adolescent pregnancy is a concern among many women's health practitioners. While it is practical and appropriate to work to prevent adolescent pregnancy by educating adolescents in health care clinics, schools and adolescent-friendly community-based organizations, suggesting and supporting legislative efforts to reduce adolescent pregnancy can help address the issue on an even larger scale. This article aims to help nurses better understand current legislation that addresses adolescent pregnancy, and to encourage support of future adolescent pregnancy prevention legislation. © 2014 AWHONN.

  15. Combining Technologies to Deliver Distance Education

    Directory of Open Access Journals (Sweden)

    Vicki Freeman


    Full Text Available In 1997 a Health Resources and Services Administration (HRSA grant was awarded to the Department of Clinical Laboratory Sciences (CLS at The University of Texas Medical Branch - Galveston (UTMB for support of the Laboratory Education and Advancement Project (LEAP. The project entailed three primary objectives, targeting laboratory practitioners in rural and medically underserved areas of Texas for delivering a bachelor's degree, laboratory-intensive course of study via distance education. Several delivery mechanisms were utilized and evaluated for their effectiveness and friendliness to both the faculty and students. The authors discuss and describe the mechanisms utilized for delivery of courses, the advantages and disadvantages encountered with each mechanism, and subjective evaluation of the effectiveness of the courses. Also discussed are the lessons learned and plans for future development.

  16. Delivering wound management in a social setting. (United States)

    Dalzell, Louise

    As a District Nursing Sister based at a small village surgery, this is a personal account of the author's experiences introducing a new approach for delivering holistic wound management to patients. It deals with the practical and emotional challenges of overcoming barriers to change and forging new working relationships, both within the nursing team and with the patients and wider community. With the encouragement and support of Ellie Lindsay, originator of the Lindsay Leg Club model, Combs Ford Leg Club was set up in 2000 to provide leg ulcer management in an empowered and stigma-free environment. Through the commitment and efforts of nurses, volunteers and patients working together, difficulties and resistance have been confronted and overcome, and Combs Ford Leg Club today is a thriving and vibrant resource, treating, supporting and educating those experiencing leg ulcers or other leg related conditions.

  17. Empathic engineering: helping deliver dignity through design (United States)

    Hosking, Ian; Cornish, Katie; Bradley, Mike; Clarkson, P. John


    Abstract Dignity is a key value within healthcare. Technology is also recognized as being a fundamental part of healthcare delivery, but also a potential cause of dehumanization of the patient. Therefore, understanding how medical devices can be designed to help deliver dignity is important. This paper explores the role of empathy tools as a way of engendering empathy in engineers and designers to enable them to design for dignity. A framework is proposed that makes the link between empathy tools and outcomes of feelings of dignity. It represents a broad systems view that provides a structure for reviewing the evidence for the efficacy of empathy tools and also how dignity can be systematically understood for particular medical devices. PMID:26453036

  18. Temperature of gas delivered from ventilators. (United States)

    Chikata, Yusuke; Onodera, Mutsuo; Imanaka, Hideaki; Nishimura, Masaji


    Although heated humidifiers (HHs) are the most efficient humidifying device for mechanical ventilation, some HHs do not provide sufficient humidification when the inlet temperature to the water chamber is high. Because portable and home-care ventilators use turbines, blowers, pistons, or compressors to inhale in ambient air, they may have higher gas temperature than ventilators with piping systems. We carried out a bench study to investigate the temperature of gas delivered from portable and home-care ventilators, including the effects of distance from ventilator outlet, fraction of inspiratory oxygen (FIO2), and minute volume (MV). We evaluated five ventilators equipped with turbine, blower, piston, or compressor system. Ambient air temperature was adjusted to 24°C ± 0.5°C, and ventilation was set at FIO2 0.21, 0.6, and 1.0, at MV 5 and 10 L/min. We analyzed gas temperature at 0, 40, 80, and 120 cm from ventilator outlet and altered ventilator settings. While temperature varied according to ventilators, the outlet gas temperature of ventilators became stable after, at the most, 5 h. Gas temperature was 34.3°C ± 3.9°C at the ventilator outlet, 29.5°C ± 2.2°C after 40 cm, 25.4°C ± 1.2°C after 80 cm and 25.1°C ± 1.2°C after 120 cm (P < 0.01). FIO2 and MV did not affect gas temperature. Gas delivered from portable and home-care ventilator was not too hot to induce heated humidifier malfunctioning. Gas soon declined when passing through the limb.

  19. Introduction to IP address management

    CERN Document Server

    Rooney, Tim


    "The book begins with a basic overview of IP networking, followed by chapters describing each of the three core IPAM technologies: IPv4 and IPv6 addressing, DHCP, and DNS. The next three chapters describe IPAM management techniques and practice, followed by chapters on IPv4-IPv6 co-existence, security and the IPAM business case"--

  20. Current progress in public health models addressing the critical organ shortage. (United States)

    Shanmugarajah, Kumaran; Villani, Vincenzo; Madariaga, Maria Lucia L; Shalhoub, Joseph; Michel, Sebastian G


    Since its inauguration in 1954, the field of modern transplantation has made great strides in surgical technique, the prevention of acute and chronic rejection, the minimization of immunosuppression-related side-effects and transplant tolerance. As such, organ transplantation is used worldwide as a curative, life-saving treatment for people with end-stage organ failure. However, the successes of organ transplantation have resulted in the number of patients on transplant waiting lists far exceeding the number of organs available, with growing numbers of patients dying while awaiting transplants. In order to address this critical organ shortage, a number of legislative changes have been implemented worldwide to increase the number of individuals registering as organ donors. These have included presumed consent donation, incentivized organ donation, commercial organ transplantation and mandated choice models. This article will address these public health policies in turn. The implementation of these strategies and the evidence for their efficacy will be evaluated. Based on this, we have identified that well-supported transplant coordinators approaching next-of-kin, incentives and public health campaigns are key factors that increase organ donation. Finally we propose a modified mandated choice model that may be an alternative option to maximize the number of available organs for transplantation. Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  1. Discurso de posse: uma análise das avaliações positivas Inaugural speech: an analysis of positive evaluations

    Directory of Open Access Journals (Sweden)

    Eva Pereira da Rocha


    Full Text Available Esta pesquisa tem como objetivo analisar o discurso de posse do atual Secretário da Educação de São Paulo, tendo como base teórica a Linguística Sistêmico-Funcional, (HALLIDAY; MATHIESSEN, 2004; e sua extensão, bem como o Sistema de Avaliatividade (MARTINS; ROSE, 2005, a fim de verificar a construção discursiva que se realiza por meio da categoria Atitude, mais especificamente dos recursos pertencentes aos campos semânticos do Afeto, do Julgamento e da Apreciação, bem como suas subcategorias. O objetivo central é, desse modo, identificar a atitude presente no posicionamento discursivo do produtor do texto em relação aos seus interlocutores, tendo em vista as avaliações positivas e as propostas apresentadas para o futuro.This research aims to analyze the inaugural speech of the current Secretary of Education of São Paulo, based on theoretical Systemic Functional Linguistics, (HALLIDAY; MATHIESSEN, 2004; and its extension and the evaluative system (MARTIN; ROSE, 2005, to verify the discursive construction that takes place through the Attitude category, specifically the resources belonging to the semantic fields of Affect Judgment and Appreciation, as well as their subcategories. The main objective is thus to identify the attitude present in the discursive positioning of the producer of the text in relation to interlocutors, in view of the positive evaluations and proposals for the future.

  2. 8 October 2014 - Inauguration of the Industrial exhbition Italy@CERN by Ambassador M. Serra, permanent representative of Italy to the UNOG with CERN Director-General R. Heuer.

    CERN Multimedia

    Egli, Laurent


    His Excellency Mr Maurizio Serra Ambassador Permanent Representative of Italy to the United Nations Office and other international organisations in Geneva on the occasion of the Inauguration of the Industrial Exhibition Italy@CERN Wednesday 8 October 2014 H. E. Mr Maurizio Serra Ambassador, Permanent Representative of Italy to the United Nations Office and other international organisations in Geneva Dr Sergio Bertolucci Director for Research and Scientific Computing Prof. Rolf Heuer Director-General Mr Sigurd Lettow Director for Administration and General Infrastructure

  3. Delivering affordable cancer care in high-income countries. (United States)

    Sullivan, Richard; Peppercorn, Jeffrey; Sikora, Karol; Zalcberg, John; Meropol, Neal J; Amir, Eitan; Khayat, David; Boyle, Peter; Autier, Philippe; Tannock, Ian F; Fojo, Tito; Siderov, Jim; Williamson, Steve; Camporesi, Silvia; McVie, J Gordon; Purushotham, Arnie D; Naredi, Peter; Eggermont, Alexander; Brennan, Murray F; Steinberg, Michael L; De Ridder, Mark; McCloskey, Susan A; Verellen, Dirk; Roberts, Terence; Storme, Guy; Hicks, Rodney J; Ell, Peter J; Hirsch, Bradford R; Carbone, David P; Schulman, Kevin A; Catchpole, Paul; Taylor, David; Geissler, Jan; Brinker, Nancy G; Meltzer, David; Kerr, David; Aapro, Matti


    The burden of cancer is growing, and the disease is becoming a major economic expenditure for all developed countries. In 2008, the worldwide cost of cancer due to premature death and disability (not including direct medical costs) was estimated to be US$895 billion. This is not simply due to an increase in absolute numbers, but also the rate of increase of expenditure on cancer. What are the drivers and solutions to the so-called cancer-cost curve in developed countries? How are we going to afford to deliver high quality and equitable care? Here, expert opinion from health-care professionals, policy makers, and cancer survivors has been gathered to address the barriers and solutions to delivering affordable cancer care. Although many of the drivers and themes are specific to a particular field-eg, the huge development costs for cancer medicines-there is strong concordance running through each contribution. Several drivers of cost, such as over-use, rapid expansion, and shortening life cycles of cancer technologies (such as medicines and imaging modalities), and the lack of suitable clinical research and integrated health economic studies, have converged with more defensive medical practice, a less informed regulatory system, a lack of evidence-based sociopolitical debate, and a declining degree of fairness for all patients with cancer. Urgent solutions range from re-engineering of the macroeconomic basis of cancer costs (eg, value-based approaches to bend the cost curve and allow cost-saving technologies), greater education of policy makers, and an informed and transparent regulatory system. A radical shift in cancer policy is also required. Political toleration of unfairness in access to affordable cancer treatment is unacceptable. The cancer profession and industry should take responsibility and not accept a substandard evidence base and an ethos of very small benefit at whatever cost; rather, we need delivery of fair prices and real value from new technologies

  4. Delivering bad news in emergency care medicine. (United States)

    Maynard, Douglas W


    Forecasting is a strategy for delivering bad news and is compared to two other strategies, stalling and being blunt. Forecasting provides some warning that bad news is forthcoming without keeping the recipient in a state of indefinite suspense (stalling) or conveying the news abruptly (being blunt). Forecasting appears to be more effective than stalling or being blunt in helping a recipient to "realize" the bad news because it involves the deliverer and recipient in a particular social relation. The deliverer of bad news initiates the telling by giving an advance indication of the bad news to come; this allows the recipient to calculate the news in advance of its final presentation, when the deliverer confirms what the recipient has been led to anticipate. Thus, realization of bad news emerges from intimate collaboration, whereas stalling and being blunt require recipients to apprehend the news in a social vacuum. Exacerbating disruption to recipients' everyday world, stalling and being blunt increase the probability of misapprehension (denying, blaming, taking the situation as a joke, etc.) and thereby inhibit rather than facilitate realization. Particular attention is paid to the "perspective display sequence", a particular forecasting strategy that enables both confirming the recipient's perspective and using that perspective to affirm the clinical news. An example from acute or emergency medicine is examined at the close of the paper.

  5. Delivering new physics at impressive speed

    CERN Multimedia


    The speed with which the heavy ion run at the LHC is delivering new physics is impressive not only for the insights it is bringing to the early Universe, but also for the clear demonstration it gives of the value of competition and complementarity between the experiments.   ALICE was the first off the mark to publish papers from the ion run, as you’d expect from the LHC’s dedicated ion experiment, but results emerging from ATLAS and CMS are bringing new understanding in their own right. Each collaboration’s result plays to the strengths of its detector, and it is by taking all the results together that our knowledge advances. The creation, observation and understanding of the hot dense matter that would have existed in the early Universe, normally known as Quark Gluon Plasma (QGP), is complex science and one of the ion programme’s key goals. Many signals for QGP exist, and like pieces of a puzzle, we must assemble all of them to get the full picture. At th...

  6. Delivering flavonoids into solid tumors using nanotechnologies. (United States)

    Wang, Shengpeng; Zhang, Jinming; Chen, Meiwan; Wang, Yitao


    Long-term epidemiological studies have demonstrated that regular ingestion of flavonoids contained in dietary sources is associated with a reduced risk for many chronic diseases including cancer. However, although flavonoids are largely consumed in the diet and high concentrations may exist in the intestine after oral administration, the plasma/tissue concentrations of flavonoids are lower than their effective therapeutic doses due to poor bioavailability, resulting in the limited efficacy of flavonoids in various clinical studies. Therefore, the application of nanotechnology to deliver flavonoids to tumor sites has received considerable attention in recent years. In this review, after a general review of the potential benefits of flavonoids in cancer therapy and several key factors affecting their bioavailability, the current efforts in improving the delivery efficacy of promising candidates that are particularly important in the human diet, namely quercetin, epigallocatechin-3-gallate (EGCG) and genistein were focused on. Finally, the challenges of developing flavonoid delivery systems that improve flavonoid bioavailability and their anticancer therapy potentials were summarized. The design of suitable molecular carriers for flavonoids is an area of research that is in rapid progress. A large number of unheeded promising favonoids are suffering from poor in vivo parameters, their potential benefits deserves further research. Furthermore, more effort should be placed on developing active targeting systems, evaluating the efficacy and toxicity of novel flavonoid delivery systems through small and large scale clinical trials.

  7. Apparatus for delivering and receiving radioactive gas

    International Nuclear Information System (INIS)

    Dansky, B.; Epifano, L.; Farella, R.


    An apparatus for delivering and receiving gas to and from a patient, such as for lung ventilation studies. In accordance with the invention there is provided a restrictive breathing chamber adapted for coupling to the patient's breathing organs. A system, including a first check valve, is provided for coupling the breathing chamber to an inflatable gas receptacle so as to allow flow only toward the inflatable gas receptacle. Active gas input apparatus, including a second check valve, is also coupled to the breathing chamber, the second check valve allowing flow only toward the breathing chamber means. First and second auxiliary tubes and a gas filter are also provided. A system is provided for coupling the first auxiliary tube from the inflatable receptacle through the gas filter and to an ambient air environment. The second auxiliary tube is coupled from the inflatable receptacle to an ambient air environment. Finally, a gas pump is switchably coupled as between the first and second auxiliary tubes and operative to selectively cause gas flow in the first auxiliary tube toward the ambient environment, and in the second auxiliary tube toward the inflatable receptacle. A gas trap structure is also disclosed

  8. The Study of Address Tree Coding Based on the Maximum Matching Algorithm in Courier Business (United States)

    Zhou, Shumin; Tang, Bin; Li, Wen

    As an important component of EMS monitoring system, address is different from user name with great uncertainty because there are many ways to represent it. Therefore, address standardization is a difficult task. Address tree coding has been trying to resolve that issue for many years. Zip code, as its most widely used algorithm, can only subdivide the address down to a designated post office, not the recipients' address. This problem needs artificial identification method to be accurately delivered. This paper puts forward a new encoding algorithm of the address tree - the maximum matching algorithm to solve the problem. This algorithm combines the characteristics of the address tree and the best matching theory, and brings in the associated layers of tree nodes to improve the matching efficiency. Taking the variability of address into account, the thesaurus of address tree should be updated timely by increasing new nodes automatically through intelligent tools.

  9. Keynote Address from T. Varjoranta

    International Nuclear Information System (INIS)

    Varjoranta, T.


    Linking the three core processes of any business - the strategy, its implementation and the people doing the work - determines the success or failure of every organization. And the strength of the link between these three processes determines the degree to which a business is able to deliver what it wants to achieve. The IAEA is no exception. So, what do we want to achieve- Our starting point can be taken from the Safeguards Resolution adopted by the General Conference last month. That resolution reconfirmed that the Agency's safeguards are a fundamental component of nuclear non-proliferation and that they promote greater confidence among States by providing assurance that States are complying with their obligations under relevant safeguards agreements. It went on to say that Agency safeguards also contribute to strengthening collective security and help to create an environment conducive to nuclear cooperation. Further to that statement, I would add my personal vision for the future of Agency safeguards: it is a future in which our Member States and their nuclear industries see us as not as adversaries, but as important partners; a future in which the independence of our work and soundness of our conclusions remains paramount; and a future in which any non-compliance is firmly dealt with. To achieve this vision, meet our obligations and fulfil the expectation of our Member States requires the careful and successful linking of strategy, implementation and people

  10. Addressing the workforce pipeline challenge

    Energy Technology Data Exchange (ETDEWEB)

    Leonard Bond; Kevin Kostelnik; Richard Holman


    A secure and affordable energy supply is essential for achieving U.S. national security, in continuing U.S. prosperity and in laying the foundations to enable future economic growth. To meet this goal the next generation energy workforce in the U.S., in particular those needed to support instrumentation, controls and advanced operations and maintenance, is a critical element. The workforce is aging and a new workforce pipeline, to support both current generation and new build has yet to be established. The paper reviews the challenges and some actions being taken to address this need.

  11. Delivering a Multi-Functional and Resilient Urban Forest

    Directory of Open Access Journals (Sweden)

    James D. Hale


    Full Text Available Tree planting is widely advocated and applied in urban areas, with large-scale projects underway in cities globally. Numerous potential benefits are used to justify these planting campaigns. However, reports of poor tree survival raise questions about the ability of such projects to deliver on their promises over the long-term. Each potential benefit requires different supporting conditions—relating not only to the type and placement of the tree, but also to the broader urban system within which it is embedded. This set of supporting conditions may not always be mutually compatible and may not persist for the lifetime of the tree. Here, we demonstrate a systems-based approach that makes these dependencies, synergies, and tensions more explicit, allowing them to be used to test the decadal-scale resilience of urban street trees. Our analysis highlights social, environmental, and economic assumptions that are implicit within planting projects; notably that high levels of maintenance and public support for urban street trees will persist throughout their natural lifespan, and that the surrounding built form will remain largely unchanged. Whilst the vulnerability of each benefit may be highly context specific, we identify approaches that address some typical weaknesses, making a functional, resilient, urban forest more attainable.

  12. Problems and solutions to filling the drying drug pipeline for psychiatric disorders: a report from the inaugural 2012 CINP Think Tank. (United States)

    Dean, Brian; Moller, Hans-Jürgen; Svensson, Torgny H; Geyer, Mark A; Rujescu, Dan; Scarr, Elizabeth; Millan, Mark J


    The inaugural Collegium Internationale Neuro-Psychopharmacologicum (CINP) Think Tank, a small open meeting sponsored by the CINP, discussed impediments to developing new drugs for psychiatric disorders and approaches to overcome these impediments. Whilst neuropsycharmacology has a rich pharmacopeia (current treatments benefiting many individuals), issues of treatment resistance, sub-optimal response and unwanted side effects remain problematic. Many scientific, economic and social issues are impeding the development of drugs (e.g. higher risk of failure, placebo effects, problematic regulatory environments, pressures imposed by patent protection, downward pressure on reimbursements and financial, legal and social risk aversion). A consensus of the meeting was that efforts to understanding the core pathophysiology of psychiatric disorders are fundamental to increasing the chance of developing new drugs. However, findings from disorders such as Huntington's chorea, have shown that knowing the cause of a disorder may not reveal new drug targets. By contrast, clinically useful biomarkers that define target populations for new drugs and models that allow findings to be accurately translated from animals to humans will increase the likelihood of developing new drugs. In addition, a greater accent on experimental medicine, creative clinical investigations and improved communication between preclinical neuropsychopharmacologists, clinicians committed to neuropsychopharmacological research, industry and the regulators would also be a driver to the development of new treatments. Finally, it was agreed that the CINP must continue its role as a conduit facilitating vibrant interactions between industry and academia as such communications are a central component in identifying new drug targets, developing new drugs and transitioning new drugs into the clinic.

  13. Information technology investments must deliver value

    International Nuclear Information System (INIS)

    Schulz, Y.


    The value of information technology (IT) management for the petroleum industry was discussed. There are currently two points of view regarding the subject. Adherents of one view hold that the strategic uses of information technology are relevant to the oil and gas industry, while those opposed find no demonstrated connection between information technology investments and business results. This paper addresses the impact of the information paradox, but maintains that information technology is not only valuable but essential to the oil and gas industry. This paper maintains that whenever it is perceived as being of limited use and too expensive, it is usually because it is not well managed. Value management can and should lead to superior outcomes. Neither exploration, nor drilling nor production, nor marketing could exist without information technology as the value is imperative. To further make the case, the nature of information technology value management and the strategies required to achieve value from information technology are reviewed. figs

  14. Palliative Care: Delivering Comprehensive Oncology Nursing Care. (United States)

    Dahlin, Constance


    To describe palliative care as part of comprehensive oncology nursing care. A review of the palliative care, oncology, and nursing literature over the past 10 years. Palliative care is mandated as part of comprehensive cancer care. A cancer diagnosis often results in distress in the physical, psychosocial, spiritual, and emotional domains of care. Oncology nurses are essential in providing palliative care from diagnosis to death to patients with cancer. They address the myriad aspects of cancer. With palliative care skills and knowledge, oncology nurses can provide quality cancer care. There are many opportunities in which oncology nurses can promote palliative care. Oncology nurses must obtain knowledge and skills in primary palliative care to provide comprehensive cancer care. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Moral hypocrisy: addressing some alternatives. (United States)

    Batson, C Daniel; Thompson, Elizabeth R; Chen, Hubert


    Two studies addressed alternative explanations for 3 pieces of evidence supporting the existence of moral hypocrisy. In Study 1, no support was found for the idea that low salience of social standards accounts for falsifying the result of a coin flip to assign oneself a more desirable task. In Study 2, no support was found for the idea that responses of those who honestly win the flip account for the higher ratings of morality of their action by participants who assign themselves the more desirable task after flipping the coin. Also, no support was found for the idea that responses of those who honestly win the flip account for the inability of personal moral responsibility measures to predict moral action. Instead, results of both studies provided additional evidence of moral hypocrisy.

  16. Delivering power system transition in China

    International Nuclear Information System (INIS)

    Yuan Jiahai; Xu Yan; Hu Zhaoguang


    This paper studies the transition to low carbon power systems in China. The methodology is built on the newly developed multi-level perspective (MLP) transitions, as well as literature on innovation systems. Three lines of thought on the transition process are integrated to probe the possible transition pathways in China's power sector. Five transition pathways, namely reproduction, transformation, substitution, reconfiguration, de-alignment/re-alignment and reconfiguration, with their possible technology options are presented. The requirements for a smart grid in the socio-technical transition process are addressed within the MLP framework. The paper goes further to propose an interactive framework for low carbon transition management in China. Representative technology options are appraised by employing innovation theory to demonstrate the logic of policy design within the framework. The work presented in this paper will be useful in informing policy-makers and other stakeholders in China and it may prove to be a valuable reference for other countries in energy transition management. - Highlights: ► The transition to low carbon power systems is studied from a multi-level perspective. ► Transition pathways with possible technology options are presented. ► An interactive framework is proposed for managing this transition. ► Representative technology options are appraised within the framework to show the logic of policy design.

  17. Delivering educational programs via telephone: teleconferencing. (United States)

    Anderson, P; Emerson, D; Robertson, W O


    Professionals participating in poison network programs not only need to maintain technical and scientific updatedness but also need to develop colleagual relationships between and among themselves regardless of geographic location. In an effort to achieve both objectives in a cost-effective and cost-efficient manner, we have explored the use of telephone conferencing. With the "speaker" located in Seattle, and the connecting bridge established and manned in Boise, Idaho, three one and one half hour presentations were brought to 90 sites scattered throughout rural and semi-rural Idaho; and received by more than 1,200 attendees. Hosting groups of 8-20, each location had a speaker phone enabling two-way communication to take place, i.e. they could hear the speaker and individuals could interrupt and address the speaker. Moreover, each location had a slide projector and duplicated set of slides used by the speaker in the presentation. Post presentation evaluations were obtained and the actual costs of the entire program have been determined. As a group utilizing telephones as a way of life, members of the AAPCC have an opportunity to lead the way in validating and verifying the effectiveness and potential cost savings of telephone conferences.

  18. Delivering Results for Peace and Development

    International Nuclear Information System (INIS)

    Felix Barrio


    Regular budget and Technical Cooperation Fund are the two main financial resources allowing IAEA financing his missions and activities concerning nuclear applications in Member States. The IAEA is composed by six Department among which the Department of Technical Cooperation (TC). The TC Program is a bridge between Member States and the Agency allowing the IAEA to enhance the contribution of nuclear technologies for development. Improving human health, supporting agriculture and rural development, advancing water resource management, addressing environmental challenges, providing analysis for sustainable energy development and promoting safety and security are the main intervention’s field of the TC Programme. In africa, around 350 projects per year are conducted by the Technical cooperation programme involving members states and IAEA in different domains. The project team is composed by Programme Management Officer (PMO) composed by Programme Management Officer (PMO), Technical Officer(s), National Liaison Officer (NLO) and the National Counterpart. After establishment of a National Framework Programme for 5 years, budget is estimated for cycles of 2 years and approved annually.In partnerships with other UN organisations, the NLO play an important roles for the success of projects between IAEA and his member states.

  19. Addressing Semantic Geographic Information Systems

    Directory of Open Access Journals (Sweden)

    Salvatore F. Pileggi


    Full Text Available The progressive consolidation of information technologies on a large scale has been facilitating and progressively increasing the production, collection, and diffusion of geographic data, as well as facilitating the integration of a large amount of external information into geographic information systems (GIS. Traditional GIS is transforming into a consolidated information infrastructure. This consolidated infrastructure is affecting more and more aspects of internet computing and services. Most popular systems (such as social networks, GPS, and decision support systems involve complex GIS and significant amounts of information. As a web service, GIS is affected by exactly the same problems that affect the web as a whole. Therefore, next generation GIS solutions have to address further methodological and data engineering challenges in order to accommodate new applications’ extended requirements (in terms of scale, interoperability, and complexity. The conceptual and semantic modeling of GIS, as well as the integration of semantics into current GIS, provide highly expressive environments that are capable of meeting the needs and requirements of a wide range of applications.

  20. Training the Next Generation of School Psychologists to Deliver Evidence Based Mental Health Practices: Current Challenges and Future Directions (United States)

    Shernoff, Elisa S.; Bearman, Sarah Kate; Kratochwill, Thomas R.


    School psychologists are uniquely positioned to support the delivery of evidence-based mental health practices (EBMHPs) to address the overwhelming mental health needs of children and youth. Graduate training programs can promote EBMHPs in schools by ensuring school psychologists enter the workplace prepared to deliver and support high-quality,…

  1. Oral microflora in infants delivered vaginally and by caesarean section

    DEFF Research Database (Denmark)

    Nelun Barfod, Mette; Magnusson, Kerstin; Lexner, Michala Oron


    International Journal of Paediatric Dentistry 2011 Background. Early in life, vaginally delivered infants exhibit a different composition of the gut flora compared with infants delivered by caesarean section (C-section); however, it is unclear whether this also applies to the oral cavity. Aim...

  2. Realization and Addressing Analysis In Blockchain Bitcoin (United States)

    Sakti Arief Daulay, Raja; Michrandi Nasution, Surya; Paryasto, Marisa W.


    The implementation research and analyze address blockchain on this bitcoin will have the results that refers to making address bitcoin a safe and boost security of address the bitcoin. The working mechanism of blockchain in making address bitcoin which is already in the blockchain system.

  3. The 2016 AANS Presidential Address: Leading the way. (United States)

    Batjer, H Hunt; Ban, Vin Shen


    This AANS presidential address focuses on enduring values of the neurosurgical profession that transcend the current political climate. The address was delivered by Dr. Batjer during a US presidential election year, but the authors have intentionally avoided discussing the current chaos of the American health care system in the knowledge that many pressing issues will change depending on the outcome of the 2016 elections. Instead, they have chosen to focus on clarifying what neurosurgeons, and the American Association of Neurological Surgeons, in particular, stand for; identifying important challenges to these fundamental principles and values; and proposing specific actions to address these challenges. The authors cite "de-professionalism" and commoditization of medicine as foremost among the threats that confront medicine and surgery today and suggest concrete action that can be taken to reverse these trends as well as steps that can be taken to address other significant challenges. They emphasize the importance of embracing exceptionalism and never compromising the standards that have characterized the profession of neurosurgery since its inception.

  4. Locally-Delivered T-Cell-Derived Cellular Vehicles Efficiently Track and Deliver Adenovirus Delta24-RGD to Infiltrating Glioma

    Directory of Open Access Journals (Sweden)

    Rutger K. Balvers


    Full Text Available Oncolytic adenoviral vectors are a promising alternative for the treatment of glioblastoma. Recent publications have demonstrated the advantages of shielding viral particles within cellular vehicles (CVs, which can be targeted towards the tumor microenvironment. Here, we studied T-cells, often having a natural capacity to target tumors, for their feasibility as a CV to deliver the oncolytic adenovirus, Delta24-RGD, to glioblastoma. The Jurkat T-cell line was assessed in co-culture with the glioblastoma stem cell (GSC line, MGG8, for the optimal transfer conditions of Delta24-RGD in vitro. The effect of intraparenchymal and tail vein injections on intratumoral virus distribution and overall survival was addressed in an orthotopic glioma stem cell (GSC-based xenograft model. Jurkat T-cells were demonstrated to facilitate the amplification and transfer of Delta24-RGD onto GSCs. Delta24-RGD dosing and incubation time were found to influence the migratory ability of T-cells towards GSCs. Injection of Delta24-RGD-loaded T-cells into the brains of GSC-bearing mice led to migration towards the tumor and dispersion of the virus within the tumor core and infiltrative zones. This occurred after injection into the ipsilateral hemisphere, as well as into the non-tumor-bearing hemisphere. We found that T-cell-mediated delivery of Delta24-RGD led to the inhibition of tumor growth compared to non-treated controls, resulting in prolonged survival (p = 0.007. Systemic administration of virus-loaded T-cells resulted in intratumoral viral delivery, albeit at low levels. Based on these findings, we conclude that T-cell-based CVs are a feasible approach to local Delta24-RGD delivery in glioblastoma, although efficient systemic targeting requires further improvement.

  5. Contractor firm strategies in delivering green project: A review (United States)

    Powmya, Ayisha; Abidin, Nazirah Zainul; Azizi, Nurul Sakina Mokhtar


    Building green requires effort from various parties, from those who plan, design, manage and construct the building. Contractors are responsible for converting the design on paper into a real building and their role at the construction site support environmental sustainability by implementing responsible construction practices. Inefficient or inexperienced contractor in green construction project may find that delivering this type of project is not an easy task due to added requirement in design, stringent practices at site and the use of green technology and materials. Adopting suitable strategies at firm level will assist in preparatory process and readiness of delivering the green project. This paper reviews the strategies at firm level to deliver green construction project. From extensive literature review, it was discovered that there are six strategies to be adopted by the contractor. Understanding these strategies is expected to promote more contractors to be proactive in delivering green projects.

  6. A dynamic allocation mechanism of delivering capacity in coupled networks

    International Nuclear Information System (INIS)

    Du, Wen-Bo; Zhou, Xing-Lian; Zhu, Yan-Bo; Zheng, Zheng


    Traffic process is ubiquitous in many critical infrastructures. In this paper, we introduce a mechanism to dynamically allocate the delivering capacity into the data-packet traffic model on the coupled Internet autonomous-system-level network of South Korea and Japan, and focus on its effect on the transport efficiency. In this mechanism, the total delivering capacity is constant and the lowest-load node will give one unit delivering capacity to the highest-load node at each time step. It is found that the delivering capacity of busy nodes and non-busy nodes can be well balanced and the effective betweenness of busy nodes with interconnections is significantly reduced. Consequently, the transport efficiency such as average traveling time and packet arrival rate is remarkably improved. Our work may shed some light on the traffic dynamics in coupled networks.

  7. Delivered Pricing, FOB Pricing, and Collusion in Spatial Markets


    Maria Paz Espinosa


    This article examines price discrimination and collusion in spatial markets. The problem is analyzed in the context of a repeated duopoly game. I conclude that the prevailing pricing systems depend on the structural elements of the market. Delivered pricing systems emerge in equilibrium in highly monopolistic and highly competitive industries, while FOB is used in intermediate market structures. The fact driving this result is that delivered pricing policies allow spatial price discrimination...

  8. Expert assessment concludes negative emissions scenarios may not deliver


    Vaughan, Naomi E; Gough, Clair


    Many integrated assessment models (IAMs) rely on the availability and extensive use of biomass energy with carbon capture and storage (BECCS) to deliver emissions scenarios consistent with limiting climate change to below 2 °C average temperature rise. BECCS has the potential to remove carbon dioxide (CO2) from the atmosphere, delivering ‘negative emissions’. The deployment ofBECCS at the scale assumed in IAM scenarios is highly uncertain: biomass energy is commonly used but not at such a sca...

  9. 77 FR 48429 - Commission Address Change (United States)


    ... Commission Address Change AGENCY: Federal Mine Safety and Health Review Commission (FMSHRC). ACTION: Final... office and is amending its regulations to inform the public of the address change. DATES: This final rule... dealing with only a change in address. The Commission is an independent regulatory agency and, as such, is...

  10. 33 CFR 135.9 - Fund address. (United States)


    ... FINANCIAL RESPONSIBILITY AND COMPENSATION OFFSHORE OIL POLLUTION COMPENSATION FUND General § 135.9 Fund address. The address to which correspondence relating to the Coast Guard's administration of the Fund... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Fund address. 135.9 Section 135.9...

  11. Are There Any Downsides, Barriers, or Challenges in Delivering Hemodiafiltration in Everyday Clinical Practice? (United States)

    Blankestijn, Peter J; Grooteman, Muriel; Nube, Menso


    There is considerable evidence to suggest that on-line hemodiafiltration (HDF) is superior to standard hemodialysis when comparing effects on clinical end points, especially when a certain minimum convection volume can be achieved. In this chapter we address the question of whether there are any downsides, challenges, or barriers in delivering on-line HDF in everyday clinical practice. We discuss the subject from a medical/practical point of view and briefly from a financial/economic perspective. © 2017 S. Karger AG, Basel.

  12. Clinical contributions to addressing the social determinants of health. (United States)

    Patel, Kiran C R; Spilsbury, Peter; Shukla, Rashmi


    The drive to address social determinants of health is gaining momentum. Appreciating that health outcomes are only partly affected by healthcare, clinicians and clinical communities can play a significant role in this crusade by action at local, regional, national and global levels. A concerted and systematic focus on integrating and industrialising upstream interventions at every healthcare encounter is essential to prevent future illness, thus enabling a paradigm shift in the healthcare service from being one of illness management to health preservation. The evidence base demonstrates the cost efficacy of upstream interventions. The challenge is how this evidence is utilised to implement these interventions in everyday healthcare. Today, with a global economic crisis and challenged public sector funding, the need to address prevention has never been more pressing. Clinical engagement at all levels, from the front line to the boardroom is vital. Clinicians must address access, communication, strategy and commissioning to fulfil a professional responsibility to become and remain the corporate memory of a health service focused on preventing illness while simultaneously delivering cost-effective healthcare.

  13. The First 100 Years of American College of Surgeons Presidential Addresses. (United States)

    Ghanem, Omar M; Heitmiller, Richard F


    We reviewed the first 100 years of presidential addresses delivered at the fall congress of the American College of Surgeons (ACS). Our hypothesis was that these addresses would be an excellent indicator of the College's position on surgical policy, ethics, methods, and education. All ACS presidential addresses from 1913 to 2013 were identified through the ACS archives website. This included the presenter, title, year, and citation if published in a peer reviewed journal. The text of each address was obtained from the ACS archives, or from the listed citations. Addresses were then classified into 1 of 6 subgroups based on content-surgical credo, medical innovation, medical education, surgical history, business and legal, and personal tribute. The 100-year period was divided into 5 interval each of 20-year and the frequency of each category was graphed over time. There were 111 ACS presidential addresses delivered in the study period. Distribution by category was surgical credo (57%), surgical history (14%), medical innovation (10%), medical education (8%), business and legal (6%), and personal tributes (5%). The frequency of surgical credo has remained stable over time. Business and legal emerged as a new category in 1975. The other topics had low, but stable frequency. ACS presidential addresses do reflect the College's position on surgical policy and practice. The college has remained consistent in serving its members, maintaining, and defining the role of its organization, the qualifications for membership, and the expectations for the professional conduct of its members. Copyright © 2016. Published by Elsevier Inc.

  14. Fathers of the Nation: Barack Obama Addresses Nelson Mandela

    Directory of Open Access Journals (Sweden)

    Elisa Bordin


    Full Text Available This essay analyzes Barack Obama’s Nelson Mandela Memorial speech together with other seminal texts of Obama’s political and personal creed, such as his book Dreams from My Father (1995 and his speech “A More Perfect Union” (2008. This reading becomes helpful to understand Mandela’s transnational power, which Obama uses to comment on the United States by comparing Madiba to other American “fathers of the nation.” Thus, he uproots Mandela’s from a specifically South African legacy, expands his figure, and addresses him as a transnational father of his own nation, whose power, influence, and example transcend South African borders. As a consequence of this enlargement and transnational validation of Mandela’s figure, the speech delivered at the Memorial becomes an occasion to tackle American past and future, while the memory of Madiba and his driving example in Obama’s life serve to reinforce previous positions conveyed in other discourses by the American President, such as the “A More Perfect Union” speech delivered in Philadelphia in 2008.

  15. Experiences of instructors delivering the Mental Health First Aid training programme: a descriptive qualitative study. (United States)

    Terry, J


    Mental health literacy among the public is often poor, and although people frequently encounter others experiencing mental distress in their workplace, families and communities, they may be ill-equipped to provide appropriate support. 'Mental Health First Aid' (MHFA), a 12-h mental health promotion programme seeks to address this, training people in the knowledge and skills needed to engage with someone experiencing mental health problems. Research relating to the MHFA programme has centred on course attendees, with a paucity of research surrounding the delivery of basic mental health training programmes. Understanding experiences of instructors delivering such programmes is key to the success of future delivery. This study sought to identify the views and experiences of instructors delivering the MHFA programme in Wales. Fourteen MHFA instructors participated in semi-structured audio-recorded interviews, with the transcripts analysed to identify key themes. This paper explores two of the identified themes namely prerequisite skills and support required by instructors. The study highlighted that because of the ensuing emotional labour experienced by instructors, universal mental health training programmes must put in place a clear infrastructure to train, support and monitor those delivering them, for programme roll-out to be effective.

  16. How does Software Process Improvement Address Global Software Engineering?

    DEFF Research Database (Denmark)

    Kuhrmann, Marco; Diebold, Philipp; Münch, Jürgen


    of SPI. Our findings show the analyzed papers delivering a substantial discussion of cultural models and how such models can be used to better address and align SPI programs with multi-national environments. Furthermore, experience is shared discussing how agile approaches can be implemented in companies...... working at the global scale. Finally, success factors and barriers are studied to help companies implementing SPI in a GSE context....... a systematic mapping study on the state-of-the-art in SPI from a general perspective, we observed Global Software Engineering (GSE) becoming a topic of interest in recent years. Therefore, in this paper, we provide a detailed investigation of those papers from the overall systematic mapping study that were...

  17. GRACEnet: addressing policy needs through coordinated cross-location research (United States)

    Jawson, Michael D.; Walthall, Charles W.; Shafer, Steven R.; Liebig, Mark; Franzluebbers, Alan J.; Follett, Ronald F.


    GRACEnet (Greenhouse gas Reduction through Agricultural Carbon Enhancement network) was conceived to build upon ongoing USDA Agricultural Research Service (ARS) research to improve soil productivity, while addressing the challenges and opportunities of interest in C sequestration from a climate change perspective. The vision for GRACEnet was and remains: Knowledge and information used to implement scientifically based agricultural management practices from the field to national policy scales on C sequestration, greenhouse gas (GHG) emissions, and environmental benefits. The national focus of GRACEnet uses a standardized approach by ARS laboratories and university and land manager (e.g. farmer and rancher) cooperators to assess C sequestration and GHG emission from different crop and grassland systems. Since 2002, GRACEnet has significantly expanded GHG mitigation science and delivered usable information to agricultural research and policy organizations. Recent developments suggest GRACEnet will have international impact by contributing leadership and technical guidance for the Global Research Alliance on Agricultural Greenhouse Gases.

  18. Radiographer Delivered Fluoroscopy Reduces Radiation Exposure During Endoscopic Urological Procedures. (United States)

    Martin, J; Hennessey, D B; Young, M; Pahuja, A


    The 1999 Ionising Radiation Regulations recommend that medical professionals using ionising radiation should aim to keep exposure as 'low as reasonably practicable'. Urologists regularly use fluoroscopy during endoscopic surgical procedures. In some institutions, this is delivered by a radiographer whereas in others, it is delivered by the urological surgeon. To determine if radiographer-delivered fluoroscopy can reduce the exposure to ionising radiation during urological procedures. An analysis of 395 consecutive patients, who underwent endoscopic urological procedures requiring fluoroscopy, was performed simultaneously across two institutions, over a 4 month period. 321 patients were matched and included in the analysis. Radiographer delivered fluoroscopy was associated with reduced ionising radiation exposure for retrograde pyelography procedures ED 0.09626 vs. 1.323 mSev, p= 0.0003, and endoscopic stone surgeries ED 0.3066 Vs. 0.5416 mSev, p=0.0039, but not for ureterorenoscopic stone surgeries 0.4880 vs. 0.2213 mSev, p=0.8292. Radiographer delivered fluoroscopy could reduce the patient's exposure to ionising radiation for some urological procedures.

  19. Organization of Control Units with Operational Addressing


    Alexander A. Barkalov; Roman M. Babakov; Larysa A. Titarenko


    The using of operational addressing unit as the block of control unit is proposed. The new structure model of Moore finite-state machine with reduced hardware amount is developed. The generalized structure of operational addressing unit is suggested. An example of synthesis process for Moore finite-state machine with operational addressing unit is given. The analytical researches of proposed structure of control unit are executed.

  20. Do new anesthesia ventilators deliver small tidal volumes accurately during volume-controlled ventilation? (United States)

    Bachiller, Patricia R; McDonough, Joseph M; Feldman, Jeffrey M


    During mechanical ventilation of infants and neonates, small changes in tidal volume may lead to hypo- or hyperventilation, barotrauma, or volutrauma. Partly because breathing circuit compliance and fresh gas flow affect tidal volume delivery by traditional anesthesia ventilators in volume-controlled ventilation (VCV) mode, pressure-controlled ventilation (PCV) using a circle breathing system has become a common approach to minimizing the risk of mechanical ventilation for small patients, although delivered tidal volume is not assured during PCV. A new generation of anesthesia machine ventilators addresses the problems of VCV by adjusting for fresh gas flow and for the compliance of the breathing circuit. In this study, we evaluated the accuracy of new anesthesia ventilators to deliver small tidal volumes. Four anesthesia ventilator systems were evaluated to determine the accuracy of volume delivery to the airway during VCV at tidal volume settings of 100, 200, and 500 mL under different conditions of breathing circuit compliance (fully extended and fully contracted circuits) and lung compliance. A mechanical test lung (adult and infant) was used to simulate lung compliances ranging from 0.0025 to 0.03 L/cm H(2)O. Volumes and pressures were measured using a calibrated screen pneumotachograph and custom software. We tested the Smartvent 7900, Avance, and Aisys anesthesia ventilator systems (GE Healthcare, Madison, WI) and the Apollo anesthesia ventilator (Draeger Medical, Telford, PA). The Smartvent 7900 and Avance ventilators use inspiratory flow sensors to control the volume delivered, whereas the Aisys and Apollo ventilators compensate for the compliance of the circuit. We found that the anesthesia ventilators that use compliance compensation (Aisys and Apollo) accurately delivered both large and small tidal volumes to the airway of the test lung under conditions of normal and low lung compliance during VCV (ranging from 95.5% to 106.2% of the set tidal volume

  1. A qualitative examination of psychology graduate students' experiences with guided Internet-delivered cognitive behaviour therapy

    Directory of Open Access Journals (Sweden)

    Lindsay N. Friesen


    Full Text Available Guided Internet-delivered cognitive behaviour therapy (ICBT is efficacious for the treatment of a variety of clinical disorders (Spek et al., 2007, yet minimal research has investigated training students in guided ICBT. To contribute to the training literature, through qualitative interviews, this study explored how ICBT was perceived by student therapists (n = 12 trained in guided ICBT. Additionally, facilitators and challenges encountered by students learning guided ICBT were examined. Qualitative analysis revealed that students perceived training to enhance their professional skills in guided ICBT such as how to gain informed consent, address emergencies, and facilitate communication over the Internet. Students described guided ICBT as beneficial for novice therapists learning cognitive behavior therapy as asynchronous communication allowed them to reflect on their clinical emails and seek supervision. Further, students perceived guided ICBT as an important skill for future practice and an avenue to improve patient access to mental health care. Specific facilitators of learning guided ICBT included having access to formal and peer supervision as well as technical assistance, ICBT modules, a functional web application, and detailed policies and procedures for the practice of guided ICBT. Challenges in delivering guided ICBT were also identified by participants such as finding time to learn the approach given other academic commitments, working with non-responsive clients, addressing multiple complex topics over email, and communicating through asynchronous emails. Based on the feedback collected from participants, recommendations for training in guided ICBT are offered along with future research directions.

  2. Novel Duplicate Address Detection with Hash Function.

    Directory of Open Access Journals (Sweden)

    GuangJia Song

    Full Text Available Duplicate address detection (DAD is an important component of the address resolution protocol (ARP and the neighbor discovery protocol (NDP. DAD determines whether an IP address is in conflict with other nodes. In traditional DAD, the target address to be detected is broadcast through the network, which provides convenience for malicious nodes to attack. A malicious node can send a spoofing reply to prevent the address configuration of a normal node, and thus, a denial-of-service attack is launched. This study proposes a hash method to hide the target address in DAD, which prevents an attack node from launching destination attacks. If the address of a normal node is identical to the detection address, then its hash value should be the same as the "Hash_64" field in the neighboring solicitation message. Consequently, DAD can be successfully completed. This process is called DAD-h. Simulation results indicate that address configuration using DAD-h has a considerably higher success rate when under attack compared with traditional DAD. Comparative analysis shows that DAD-h does not require third-party devices and considerable computing resources; it also provides a lightweight security resolution.

  3. IP Address Management Principles and Practice

    CERN Document Server

    Rooney, Timothy


    This book will be the first covering the subject of IP address management (IPAM). The practice of IPAM includes the application of network management disciplines to IP address space and associated network services, namely DHCP (Dynamic Host Configuration Protocol) and DNS (Domain Name System). The consequence of inaccurately configuring DHCP is that end users may not be able to obtain IP addresses to access the network. Without proper DNS configuration, usability of the network will greatly suffer as the name-to-address lookup process may fail. Imagine having to navigate to a website or send a

  4. A Summary of the NASA Design Environment for Novel Vertical Lift Vehicles (DELIVER) Project (United States)

    Theodore, Colin R.


    The number of new markets and use cases being developed for vertical take-off and landing vehicles continues to explode, including the highly publicized urban air taxi and package deliver applications. There is an equally exploding variety of novel vehicle configurations and sizes that are being proposed to fill these new market applications. The challenge for vehicle designers is that there is currently no easy and consistent way to go from a compelling mission or use case to a vehicle that is best configured and sized for the particular mission. This is because the availability of accurate and validated conceptual design tools for these novel types and sizes of vehicles have not kept pace with the new markets and vehicles themselves. The Design Environment for Novel Vertical Lift Vehicles (DELIVER) project was formulated to address this vehicle design challenge by demonstrating the use of current conceptual design tools, that have been used for decades to design and size conventional rotorcraft, applied to these novel vehicle types, configurations and sizes. In addition to demonstrating the applicability of current design and sizing tools to novel vehicle configurations and sizes, DELIVER also demonstrated the addition of key transformational technologies of noise, autonomy, and hybrid-electric and all-electric propulsion into the vehicle conceptual design process. Noise is key for community acceptance, autonomy and the need to operate autonomously are key for efficient, reliable and safe operations, and electrification of the propulsion system is a key enabler for these new vehicle types and sizes. This paper provides a summary of the DELIVER project and shows the applicability of current conceptual design and sizing tools novel vehicle configurations and sizes that are being proposed for urban air taxi and package delivery type applications.

  5. The Art and Skill of Delivering Culturally Responsive TF-CBT in Tanzania and Kenya (United States)

    Kava, Christine M.; Akiba, Christopher F.; Lucid, Leah; Dorsey, Shannon


    Objective This study explored the facilitators, barriers, and strategies used to deliver a child mental health evidence-based treatment (EBT), trauma-focused cognitive behavioral therapy (TF-CBT), in a culturally responsive manner. In low- and middle-income countries most individuals with mental health problems do not receive treatment due to a shortage of mental health professionals. One approach to addressing this problem is task-sharing, in which lay counselors are trained to deliver mental health treatment. Combining this approach with a focus on EBT provides a strategy for bridging the mental health treatment gap. However, little is known how about western-developed EBTs are delivered in a culturally responsive manner. Method Semistructured qualitative interviews were conducted with 12 TF-CBT lay counselors involved in a large randomized controlled trial of TF-CBT in Kenya and Tanzania. An inductive approach was used to analyze the data. Results Lay counselors described the importance of being responsive to TF-CBT participants’ customs, beliefs, and socioeconomic conditions and highlighted the value of TF-CBT for their community. They also discussed the importance of partnering with other organizations to address unmet socioeconomic needs. Conclusion The findings from this study provide support for the acceptability and appropriateness of TF-CBT as a treatment approach for improving child mental health. Having a better understanding of the strategies used by lay counselors to ensure that treatment is relevant to the cultural and socioeconomic context of participants can help to inform the implementation of future EBTs. PMID:27414470

  6. Alternative metro architectures for delivering next-generation data services (United States)

    Parikh, Anand


    Data services are a primary target for increasing carrier revenues. As carriers prepare to capture this opportunity, they must determine how to cost-effectively deliver the more flexible and scalable bandwidth customers are requesting. Ethernet has emerged as a key technology for delivering these next-generation services; it is easy-to-use, widely understood and offers lower cost to both carriers and end customers. With more bandwidth available in the carrier core, the next challenge is the Metropolitan Area Network (MAN), where data services have been constrained by technologies optimized for voice services. This paper describes an Ethernet-over-SDH/SONET migration scenario that enables a portfolio of metro data services, such as Internet access and Virtual Private Lines, which can be delivered. It illustrates how optimizing SONET/SDH networks for next-generation data services will prove to be more cost-effective, scalable, manageable and resilient.

  7. 21 October 2008 - LHC Inauguration - Spanish State Secretary for Research C. Martinez welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow and signing the electronic guest book with theoretical physicist A. de Rújula.

    CERN Multimedia

    LHC 2008


    21 October 2008 - LHC Inauguration - Spanish State Secretary for Research C. Martinez welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow and signing the electronic guest book with theoretical physicist A. de Rújula.

  8. 21 October 2008 - LHC Inauguration - Czech Deputy Minister of Education, Youth and Sports, responsible for Science and Universities V. Ruzicka welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow and signing the electronic guest book with CERN user R. Leitner.

    CERN Multimedia

    CERN Photo Service


    21 October 2008 - LHC Inauguration - Czech Deputy Minister of Education, Youth and Sports, responsible for Science and Universities V. Ruzicka welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow and signing the electronic guest book with CERN user R. Leitner.

  9. 21 October 2008 - LHC Inauguration -Extraordinary and plenipotentiary Ambassador pf the Kingdom of the Netherlands to the UN B. J. Van Eenennaam welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow and signing the electronic guest book with ATLAS engineer H. ten Kate.

    CERN Multimedia

    CERN Photo Service


    21 October 2008 - LHC Inauguration -Extraordinary and plenipotentiary Ambassador pf the Kingdom of the Netherlands to the UN B. J. Van Eenennaam welcomed by CERN Director-General R. Aymar, CERN Chief Scientific Officer J. Engelen and CERN Financial Officer S. Lettow and signing the electronic guest book with ATLAS engineer H. ten Kate.

  10. The exhibition"La France au CERN" was inaugurated by Danièle Hulin, Directrice adjointe Secteur Physique, Chimie, Sciences pour l'Ingénieur (PCSI), Ministère délégué à l'Enseignement supérieur et à la recherche.

    CERN Multimedia

    Patrice Loïez


    The exhibition"La France au CERN" was inaugurated by Danièle Hulin, Directrice adjointe Secteur Physique, Chimie, Sciences pour l'Ingénieur (PCSI), Ministère délégué à l'Enseignement supérieur et à la recherche.

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

    CERN Multimedia

    Claudia Marcelloni


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

  12. Tuesday 28 January 2014 - K. E. Huthmacher Ministerialdirektor Provision for the Future - Basic and Sustainability Research Federal Ministry of Education and Research (BMBF) visiting the stands with R. Heuer CERN Director-General on the occasion of the Inauguration of the Industrial Exhibition Germany@CERN and visiting the ATLAS Cavern with D. Charlton ATLAS Collaboration Spokesperson and R. Voss Head of International Relations.

    CERN Multimedia

    Pantelia, Anna


    Tuesday 28 January - K. E. Huthmacher Ministerialdirektor Provision for the Future - Basic and Sustainability Research Federal Ministry of Education and Research (BMBF) visiting the stands with R. Heuer CERN Director-General on the occasion of the Inauguration of the Industrial Exhibition Germany@CERN and visiting the ATLAS Cavern with D. Charlton ATLAS Collaboration Spokesperson and R. Voss Head of International Relations.

  13. His Excellency Mr Farukh Amil, Ambassador Extraordinary and Plenipotentiary Permanent Representative of the Islamic Republic of Pakistan to the United Nations Office and other international organisations in Geneva on the occasion of the inauguration of the Pakistan@CERN industrial exhibition

    CERN Multimedia

    Ordan, Julien Marius


    Visit of His Excellency Mr Farukh Amil, Ambassador Extraordinary and Plenipotentiary Permanent Representative of the Islamic Republic of Pakistan to the United Nations Office and other international organisations in Geneva on the occasion of the inauguration of the Pakistan@CERN industrial exhibition

  14. Is there an increased frequency of food allergy in children delivered by caesarean section compared to those delivered vaginally? (United States)

    Kvenshagen, Bente; Halvorsen, Ragnhild; Jacobsen, Morten


    Allergic diseases are increasing. At the same time an increasing number of children are delivered by caesarean section. These children do not get the same contact with their mother's gut flora as babies delivered vaginally. Theoretically, lack of exposure to maternal vaginal and perineal bacteria might change the gut flora, with secondary changes in the immune system. The aim of this study was to investigate whether children delivered by caesarean section were more prone to develop food allergy. Six hundred and nine children were included at birth. At 2-year follow-up, 512 children participated, 171 delivered by caesarean section, 341 born vaginally. The children reported to have symptoms consistent with possible food allergy, were examined at the outpatient clinic. The diagnosis was based on the history, skin prick test (SPT), specific IgE, elimination/challenge test and double blind placebo controlled challenge. Thirty-five (6.8%) children were diagnosed with adverse reactions to food, 27 with non-IgE-mediated and eight with IgE-mediated allergy. There was no over representation of children born by caesarean section. In this study there seems to be no increased risk for food allergy in the first 2 years of life in children delivered by caesarean section.

  15. Approaches for Resolving Dynamic IP Addressing. (United States)

    Foo, Schubert; Hui, Siu Cheung; Yip, See Wai; He, Yulan


    A problem with dynamic Internet protocol (IP) addressing arises when the Internet connection is through an Internet provider since the IP address is allocated only at connection time. This article examines a number of online and offline methods for resolving the problem. Suggests dynamic domain name system (DNS) and directory service look-up are…

  16. 16 CFR 1000.4 - Commission address. (United States)


    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Commission address. 1000.4 Section 1000.4 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL COMMISSION ORGANIZATION AND FUNCTIONS § 1000.4 Commission address. The principal Offices of the Commission are at 4330 East West Highway...

  17. 37 CFR 251.1 - Official addresses. (United States)


    ... Express, United Parcel Service and similar corporate courier services), use the following address... through the U.S. Postal Service, use the following address: Copyright Arbitration Royalty Panel, P.O. Box 70977, Southwest Station, Washington, DC 20024-0977. (d) Federal Express, United Parcel Service and...

  18. Generative Street Addresses from Satellite Imagery

    Directory of Open Access Journals (Sweden)

    İlke Demir


    Full Text Available We describe our automatic generative algorithm to create street addresses from satellite images by learning and labeling roads, regions, and address cells. Currently, 75% of the world’s roads lack adequate street addressing systems. Recent geocoding initiatives tend to convert pure latitude and longitude information into a memorable form for unknown areas. However, settlements are identified by streets, and such addressing schemes are not coherent with the road topology. Instead, we propose a generative address design that maps the globe in accordance with streets. Our algorithm starts with extracting roads from satellite imagery by utilizing deep learning. Then, it uniquely labels the regions, roads, and structures using some graph- and proximity-based algorithms. We also extend our addressing scheme to (i cover inaccessible areas following similar design principles; (ii be inclusive and flexible for changes on the ground; and (iii lead as a pioneer for a unified street-based global geodatabase. We present our results on an example of a developed city and multiple undeveloped cities. We also compare productivity on the basis of current ad hoc and new complete addresses. We conclude by contrasting our generative addresses to current industrial and open solutions.

  19. A Multi-Agent Alphavirus DNA Vaccine Delivered by Intramuscular Electroporation Elicits Robust and Durable Virus Specific Immune Responses in Mice and Rabbits and Completely Protects Mice against Lethal Venezuelan, Western, and Eastern Equine Encephalitis Virus Aerosol Challenges (United States)


    A Multi-Agent Alphavirus DNA Vaccine Delivered by Intramuscular Electroporation Elicits 1 Robust and Durable Virus-Specific Immune Responses in Mice...Agent Alphavirus DNA Vaccine Protects Mice 12 13 #Address correspondence to Lesley C. Dupuy, 14 *Present address...virus (VEEV) DNA vaccine 21 that was optimized for increased antigen expression and delivered by intramuscular (IM) 22 electroporation (EP) elicits

  20. The Role of Universities in Supporting and Delivering Enterprise Education (United States)

    Edwards, Louise-Jayne; Muir, Elizabeth J.


    While the academic debate has moved beyond the question of whether or not entrepreneurship can be taught and whether or not there is a need or demand for it, there is still considerable debate as to the most appropriate methods of delivering entrepreneurship education. This paper provides an overview of teaching strategies, pedagogies and methods…

  1. Hepatitis B virus infection among pregnant women delivering at ...

    African Journals Online (AJOL)

    Objective: To determine the prevalence of hepatitis B virus (HBV) carrier and infectivity status among women delivering at Harare Maternity Hospital. Design: A serological survey study of pregnant women admitted for labour and delivery. Setting: Harare Maternity Hospital, Harare, Zimbabwe between June 1996 and June ...

  2. Delivering Instruction via Streaming Media: A Higher Education Perspective. (United States)

    Mortensen, Mark; Schlieve, Paul; Young, Jon


    Describes streaming media, an audio/video presentation that is delivered across a network so that it is viewed while being downloaded onto the user's computer, including a continuous stream of video that can be pre-recorded or live. Discusses its use for nontraditional students in higher education and reports on implementation experiences. (LRW)

  3. Capacity to deliver pharmaceutical care by community pharmacies ...

    African Journals Online (AJOL)

    Pharmacy practice has transcended from largely a dispensary practice to pharmaceutical care practice. The capacity of community pharmacies to deliver pharmaceutical care was studied using pretested self survey methods. Ninety five percent (95%) of the respondents always educated customers on drug related needs, ...

  4. A Review of Physical Activity Interventions Delivered via Facebook. (United States)

    Ferrer, David A; Ellis, Rebecca


    The use of social networking sites to deliver behavioral interventions is becoming more prevalent. The purpose of this review was to systematically evaluate the published research to determine the effectiveness of Facebook-delivered interventions for promoting physical activity behavior change. A search of interventions delivered via Facebook (as the primary delivery method or part of a multifaceted intervention) in which physical activity was the primary or secondary outcome resulted in 8 studies for review. Overall, 87.5% of the Facebook interventions reported some type of significant physical activity behavior change (ie, interactions, main effects for time, differences between conditions); however, only 2 of these interventions found this change to be significantly better for the treatment group than the control group. Future researchers are encouraged to test the effectiveness of Facebook-delivered physical activity interventions with additional control groups that receive no aspects of the intervention within experimental study designs, more diverse samples, theory-based content with assessment of mediators of behavior change, direct observations of physical activity, and long-term follow-ups. Although based on a small sample of studies, Facebook appears to be a promising delivery method for physical activity interventions.

  5. Delivering Healthy Diets to Low-Income Families through ...

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

    Delivering Healthy Diets to Low-Income Families through Community Kitchens in Peru ... These kitchens provide more than 500,000 lunches to Peruvian families living in poverty. Established in 1978 to respond to ... Incidence des prix et des taxes sur la consommation de produits du tabac en Argentine, en Bolivie et au Chili.

  6. Delivering on grants-plus | IDRC - International Development ...

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


    Delivering on grants-plus. November 02, 2010. IDRC Communications. Strategic evaluations, appropriate human resource policies, communicating results and contributing to key debates, and investing in technology: all contribute to IDRC's successful implementation of its grants-plus model. Evaluation Unit. The Evaluation ...

  7. The Challenges of Globalisation: Delivering an MBA Programme in Eritrea. (United States)

    Dence, Roger; O'Toole, John


    Describes the experiences of delivering an MBA (Master in Business Administration) program in Eritrea (North East Africa) through the United Kingdom's Open University. Discusses tutoring teams that travel to Eritrea, localizing case examples and assignments, sensitivity to local cultural contexts, writing assignments, student assessment, and…

  8. Inefficient charging for delivered gas by local gas distributors

    Directory of Open Access Journals (Sweden)

    Siniša Bikić


    Full Text Available In this region, especially in Serbia, common belief is that local distributors of gas used by households don’t charge for gas properly. It is suspected that there are two sources for improper ways of gas charging. Local distributors charge for delivered gas only, according to flow rat but not according to gas quality. It is usual that local distributors deliver gas of different quality than one signed in contract. In this work will be considered only one of aspects inefficient charging for delivered gas by local gas distributors, which is connected to variable atmospheric pressure. There is doubt, that local distributors make mistakes during accounting for delivered gas to costumers in regard atmospheric pressure. At the beginning of every investigation, problem has to be located and recognized. Authors are going to collect as much as possible available data, to elaborate and analyze data by scientific methods and to represent conclusions. So, the aim of this work is to diagnose current state and to approve or disapprove above mentioned suspicions. In our region this theme is very interesting, both because of energy efficiency and air pollution control. In this way both consumer and distributor will know, how mush energy they have really spent.

  9. Term tubal ectopic pregnancy delivered by laparotomy with a viable ...

    African Journals Online (AJOL)

    We describe an extremely rare medical phenomenon in a 28 year old who presented with undiagnosed tubal ectopic pregnancy at 41 weeks gestation and was delivered by laparotomy with linear salpingostomy at the Kenyatta National Hospital, Nairobi, Kenya. Key words: Term ectopic pregnancy, Ultrasound ...

  10. post partum haemorhage among women delivered at mbeya referral

    African Journals Online (AJOL)

    To assess the prevalence, associated risk factors and outcome of post partum hemorrhage (PPH) among women delivering at the hospital setting. DESIGN. Descriptive retrospective hospital based cross-section study. RESULTS. The targeted respondents were 344 pregnant women. Prevalence of PPH was 11.9% with re- ...

  11. Speech Delivered at an Awards Ceremony | Livingstone | English in ...

    African Journals Online (AJOL)

    Speech Delivered at an Awards Ceremony. D Livingstone. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors ...

  12. VET Providers Planning to Deliver Degrees: Good Practice Guide (United States)

    National Centre for Vocational Education Research (NCVER), 2015


    This good practice guide is intended to assist public and private registered training organisations (RTOs) planning to commence higher education (HE) delivery. The guide is based on research undertaken by Victor Callan and Kaye Bowman, who completed case studies with six providers currently delivering higher education qualifications in addition to…

  13. Intelligent Infrastructure: Delivering the Competitiveness Benefits and Enterprise Opportunities



    Intelligent infrastructure is the application of technology to deliver a more effective and efficient infrastructure service. This Forfás report explores the potential for the deployment of intelligent infrastructure in Ireland and focuses specifically on the core infrastructures of energy, water, transport and waste.

  14. Using technology to deliver quality education in Asia | IDRC ...

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


    Jun 8, 2016 ... An IDRC-funded project in Asia found that distance education can be as effective as traditional face-to-face education in delivering quality teaching and a good learning experience. This finding is particularly significant for remote and resource-poor regions in countries such as Mongolia and Cambodia.

  15. Delivering Healthy Diets to Low-Income Families through ...

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

    Delivering Healthy Diets to Low-Income Families through Community Kitchens in Peru ... These kitchens provide more than 500,000 lunches to Peruvian families living in poverty. ... Researchers will use the information to design and implement strategies to promote healthier food choices in the Comedores Populares.

  16. Portable devices for delivering imagery and modelling interventions ...

    African Journals Online (AJOL)

    The main objective of this study was to investigate the effectiveness of portable devices (MP4) and a stationary device (DVD and fixed point stationary computer) in delivering imagery and modelling training among female netball players, examining the effect on imagery adherence, performance, self-efficacy, and the relative ...

  17. Essential medical laboratory services: their role in delivering ...

    African Journals Online (AJOL)

    This paper examines the establishment of Essential Medical Laboratory Services (EMLS) and their crucial role for delivering equitable health care to the poor population of Malawi as part of the Essential Health Package. We examine each of the major areas identified for intervention (maternal health, malaria, tuberculosis ...

  18. Local address and emergency contact details

    CERN Multimedia


    The HR Department would like to remind members of the personnel that they are responsible for ensuring that their personal data concerning local address and preferred emergency contact details remains valid and up-to-date.   Both are easily accessible via the links below: Local address:   Emergency contacts:   Please take a few minutes to check your details and modify if necessary. Thank you in advance. HR Department Head Office

  19. Addressing barriers to low carbon energy

    International Nuclear Information System (INIS)

    Berry, Fiona; Dunstan, Chris


    Full text: Two energy solutions gaining attention are cogeneration and trigeneration, mostly fuelled by natural gas, although other renewable sources can be used, such as sewage, agricultural waste and municipal waste. Trigeneration has become increasingly popular in Australia's urban centres as a relatively cost-effective means to cut the carbon-intensity of energy supply by more than half compared to traditional coal- fired electricity. Some examples of trigeneration projects include the City of Sydney's planned 360 megawatt trigeneration networks by 2030, the University of Technology Sydney's campus master plan and the six star Green Star Commonwealth Bank Place building in Sydney. Trigeneration and cogeneration can present opportunities such as addressing the issue of rising peak demand, which is a major driver for the current $9 billion per annum of network infrastructure spending. They can also face barriers. For example, depending on the current state of the network, additional network costs can be required to accommodate trigeneration. Furthermore, under the current National Electricity Market regulations and conventions, challenges do exist to timely and financially viable connection to the grid. Here we present two examples of barriers to trigeneration and cogeneration and solutions being considered and implemented. The University of Technology Sydney campus master plan is underway, with approximately 100,000sq.m of floor area being built by 2019 and includes plans for trigeneration. During the master planning phase of development, the university considered small trigeneration units in individual buildings in order to reduce the carbon intensity of electricity supply and deliver high ratings under Green Star ratings. When considering connecting trigeneration with the grid at multiple buildings on an individual basis, a number of barriers were encountered by UTS. The largest barrier was appropriate charging for connecting to and using the

  20. VT E911 ESITE geocoder - address points (United States)

    Vermont Center for Geographic Information — VT E911 ESITE geocoder - address points. VCGI, in collaboration with the VT E911 Board, has created a suite of geocoding services that can be used to batch geocode...

  1. South African address standard and initiatives towards an international address standard

    CSIR Research Space (South Africa)

    Cooper, Antony K


    Full Text Available Various countries and international organizations have address standards or are developing them. An address is needed for many more applications than just postal delivery, such as: goods delivery; connecting utilities; opening bank accounts; voting...

  2. South African address standard and initiatives towards an international address standard.

    CSIR Research Space (South Africa)

    Cooper, Anthony K


    Full Text Available Various countries and international organizations have address standards or are developing them. An address is needed for many more applications than just postal delivery, such as: goods delivery; connecting utilities; opening bank accounts; voting...

  3. Delivering phage therapy per os: benefits and barriers. (United States)

    Zelasko, Susan; Gorski, Andrzej; Dabrowska, Krystyna


    Multidrug-resistant bacterial infections of the gastrointestinal tract pose a serious public health concern. High levels of antibiotic drug resistance, along with the potential for antibiotics to precipitate disease or alter the gut microbiome has prompted research into alternative treatment methods. Evidence suggests that bacteriophage therapy delivered per os may be well-suited to target such infections. Areas covered: Herein, we discuss the specific advantages and challenges of using orally administered phage therapy. Our literature review encompasses recent works using phages to target various clinically-relevant bacteria in vivo. We also provide insights into methods that aim to overcome the barriers to effective phage transit through the harsh gastrointestinal environment. Expert commentary: Evidence from a number of in vivo animal studies suggests that targeting bacterial infections using phages delivered orally holds potential. Efficacious oral phage therapy depends on the delivery of sufficient phage titers to the infection site, which may be hindered by the host's gastrointestinal tract and immune response.

  4. Power Delivered to Mechanical Systems by Random Vibrations

    Directory of Open Access Journals (Sweden)

    Timothy S. Edwards


    Full Text Available This paper develops deformational response power descriptions of multiple degree-of-freedom systems due to stationary random vibration excitation. Two new concepts are developed. The deformational response power density (DRPD can be computed when a structure's natural frequencies and modal masses are available. The DRPD shows the spectral content of the deformational power delivered to a specific structure by the stationary, random excitation. This function can be found through a weighted windowing of the power spectrum of the input acceleration excitation. Deformational response input power spectra (DRIPS, similar to the input energy spectrum and shock response spectrum, give the power delivered to single-degree-of-freedom systems as a function of natural frequency. It is shown that the DRIPS is simply a smoothed version of the power spectrum of the input acceleration excitation. The DRIPS gives rise to a useful power-based data smoothing operation.

  5. Enter your email-address: how German internet users manage their email addresses

    NARCIS (Netherlands)

    Utz, S.


    Writing E-mail is the most popular Internet activity. Meanwhile, many people have more than one E-mail address. The question how people manage their E-mail addresses, more specifically, whether they use them deliberately for different purposes, is the central question of this paper. E-mail addresses

  6. 46 CFR 67.113 - Managing owner designation; address; requirement to report change of address. (United States)


    ... change of address. The owner of each vessel must designate a managing owner on the Application for...) Whenever the address of the managing owner changes, the managing owner shall notify the Director, National... 46 Shipping 2 2010-10-01 2010-10-01 false Managing owner designation; address; requirement to...

  7. Delivering business analytics practical guidelines for best practice

    CERN Document Server

    Stubbs, Evan


    AVOID THE MISTAKES THAT OTHERS MAKE - LEARN WHAT LEADS TO BEST PRACTICE AND KICKSTART SUCCESS This groundbreaking resource provides comprehensive coverage across all aspects of business analytics, presenting proven management guidelines to drive sustainable differentiation. Through a rich set of case studies, author Evan Stubbs reviews solutions and examples to over twenty common problems spanning managing analytics assets and information, leveraging technology, nurturing skills, and defining processes. Delivering Business Analytics also outlines the Data Scientist's Code, fifteen principle


    Directory of Open Access Journals (Sweden)

    Dan VELICU


    Full Text Available This article aims to analyze the seller's obligations under the Convention on International Sale of Goods (CISG and in particular the obligation to deliver the goods showing the main issues that arise in an international sale. We also wish to point the major innovations or improvements brought by the CISG in comparison to the European civil codes regulation and to conclude if the CSIG managed to revolutionize the tradition view on this issue.

  9. Examining the cost of delivering routine immunization in Honduras. (United States)

    Janusz, Cara Bess; Castañeda-Orjuela, Carlos; Molina Aguilera, Ida Berenice; Felix Garcia, Ana Gabriela; Mendoza, Lourdes; Díaz, Iris Yolanda; Resch, Stephen C


    Many countries have introduced new vaccines and expanded their immunization programs to protect additional risk groups, thus raising the cost of routine immunization delivery. Honduras recently adopted two new vaccines, and the country continues to broaden the reach of its program to adolescents and adults. In this article, we estimate and examine the economic cost of the Honduran routine immunization program for the year 2011. The data were gathered from a probability sample of 71 health facilities delivering routine immunization, as well as 8 regional and 1 central office of the national immunization program. Data were collected on vaccinations delivered, staff time dedicated to the program, cold chain equipment and upkeep, vehicle use, infrastructure, and other recurrent and capital costs at each health facility and administrative office. Annualized economic costs were estimated from a modified societal perspective and reported in 2011 US dollars. With the addition of rotavirus and pneumococcal conjugate vaccines, the total cost for routine immunization delivery in Honduras for 2011 was US$ 32.5 million. Vaccines and related supplies accounted for 23% of the costs. Labor, cold chain, and vehicles represented 54%, 4%, and 1%, respectively. At the facility level, the non-vaccine system costs per dose ranged widely, from US$ 25.55 in facilities delivering fewer than 500 doses per year to US$ 2.84 in facilities with volume exceeding 10,000 doses per year. Cost per dose was higher in rural facilities despite somewhat lower wage rates for health workers in these settings; this appears to be driven by lower demand for services per health worker in sparsely populated areas, rather than increased cost of outreach. These more-precise estimates of the operational costs to deliver routine immunizations provide program managers with important information for mobilizing resources to help sustain the program and for improving annual planning and budgeting as well as longer

  10. Water quality guidelines for chemicals: learning lessons to deliver meaningful environmental metrics. (United States)

    Merrington, Graham; An, Youn-Joo; Grist, Eric P M; Jeong, Seung-Woo; Rattikansukha, Chuthamat; Roe, Susan; Schneider, Uwe; Sthiannopkao, Suthipong; Suter, Glenn W; Van Dam, Rick; Van Sprang, Patrick; Wang, Ju-Ying; Warne, Michael St J; Yillia, Paul T; Zhang, Xiao-Wei; Leung, Kenneth M Y


    Many jurisdictions around the globe have well-developed regulatory frameworks for the derivation and implementation of water quality guidelines (WQGs) or their equivalent (e.g. environmental quality standards, criteria, objectives or limits). However, a great many more still do not have such frameworks and are looking to introduce practical methods to manage chemical exposures in aquatic ecosystems. There is a potential opportunity for learning and sharing of data and information between experts from different jurisdictions in order to deliver efficient and effective methods to manage potential aquatic risks, including the considerable reduction in the need for aquatic toxicity testing and the rapid identification of common challenges. This paper reports the outputs of an international workshop with representatives from 14 countries held in Hong Kong in December 2011. The aim of the workshop and this paper was to identify 'good practice' in the development of WQGs to deliver to a range of environmental management goals. However, it is important to broaden this consideration to cover often overlooked facets of implementable WQGs, such as demonstrable field validation (i.e. does the WQG protect what it is supposed to?), fit for purpose of monitoring frameworks (often an on-going cost) and finally how are these monitoring data used to support management decisions in a manner that is transparent and understandable to stakeholders. It is clear that regulators and the regulated community have numerous pressures and constraints on their resources. Therefore, the final section of this paper addresses potential areas of collaboration and harmonisation. Such approaches could deliver a consistent foundation from which to assess potential chemical aquatic risks, including, for example, the adoption of bioavailability-based approaches for metals, whilst reducing administrative and technical burdens in jurisdictions.

  11. Hospitalized patients' acceptability of nurse-delivered screening, brief intervention, and referral to treatment. (United States)

    Broyles, Lauren M; Rosenberger, Emily; Hanusa, Barbara H; Kraemer, Kevin L; Gordon, Adam J


    Inpatient healthcare providers in the United States may soon be required to offer alcohol screening, brief intervention, and referral to treatment (SBIRT) for hospital accreditation, but little is known about inpatient acceptability for SBIRT, particularly when performed by nonphysician providers such as nurses. The purpose of this study was to assess patient acceptability for and comfort with nurse-delivered SBIRT care among hospitalized patients and to identify factors associated with SBIRT acceptability. We conducted a cross-sectional survey of 370 hospitalized medical-surgical patients at a large university-affiliated medical center, which is part of the U.S. Department of Veterans Affairs. Patient acceptability for 8 of 10 individual nurse-delivered SBIRT tasks was >84%. Patients were more accepting of SBIRT tasks if they felt able to determine their alcohol risk, able to reduce alcohol-related health risks, and expressed some degree of concern about their own use of alcohol. Approximately 20% of patients reported some degree of personal discomfort with alcohol-related discussions. Patients who were less comfortable with these discussions had lower perceived ability to reduce alcohol-related health risk, were >60 years old, had a positive AUDIT-C screening, and were of nonblack race. Among hospitalized patients, patient acceptability for nurse-delivered SBIRT is high, and alcohol-related risk perceptions appear to be important factors associated with acceptability for SBIRT tasks. Providers can proceed with greater confidence in SBIRT-related discussions with most hospitalized patients but may need particular sensitivity and skill addressing alcohol with patient subgroups such as older patients and those with positive alcohol screenings. Copyright © 2012 by the Research Society on Alcoholism.

  12. Mobile and web-based education: delivering emergency department discharge and aftercare instructions. (United States)

    Saidinejad, Mohsen; Zorc, Joseph


    Prior research has identified deficiencies in the standard process of providing instructions for care at discharge from the emergency department (ED). Patients typically receive a brief verbal instruction, along with preformatted written discharge documents. Studies have found that understanding and retention of such information by families are very poor, leading to nonadherence in follow-up care, unnecessary return visit to the ED, and poor health outcomes. The combination of systems factors (information content, delivery methods, and timing) and patient factors (health literacy, language proficiency, and cultural factors) contributes to the challenge of providing successful discharge communication. Internet and mobile devices provide a novel opportunity to better engage families in this process.Mobile health can address both system- and patient-level challenges. By incorporating images, animation, and full Web-based video content, more comprehensible content that is better suited for patients with lower health literacy and today's visual learners can be created. Information can also be delivered both synchronously and asynchronously, enabling the health care providers to deliver health education to the patients electronically to their home, where health care occurs. Furthermore, the providers can track information access by patients, customize content to the individual patients, and reach other caregivers who may not be present during the ED visit. Further research is needed to develop the systems and best practices for incorporating mobile health in the ED setting.

  13. "Someone like us": delivering maternal mental health through peers in two South Asian contexts. (United States)

    Singla, Daisy; Lazarus, Anisha; Atif, Najia; Sikander, Siham; Bhatia, Urvita; Ahmad, Ikhlaq; Nisar, Anum; Khan, Sonia; Fuhr, Daniela; Patel, Vikram; Rahman, Atif


    Peer-led psychosocial interventions are one solution to address the great paucity of skilled mental health human resources in South Asia. The aim of this study was to explore peer-delivered care for maternal depression in two diverse contexts in South Asia. The study was carried out in the urban setting of Goa, India and rural setting in Rawalpindi, Pakistan. In total, 61 in-depth interviews (IDIs) and 3 focus group discussions (FGDs), and 38 IDIs and 10 FGDs, were conducted with multiple stakeholders in urban Goa and rural Rawalpindi respectively. We used the framework approach to analyze data. Peers from the same community were the most preferred delivery agents of a community-based psychosocial intervention in both sites. There were contextual similarities and differences between the two sites. Preferred characteristics among peers included local, middle-aged, educated mothers with similar experiences to participants, good communication skills and a good character. Key differences between the two contexts included a greater emphasis on the peer׳s family social standing in rural Rawalpindi and financial incentives as motivators for individual peers in urban Goa. Generalizability of our findings is limited to two specific contexts in a vast and diverse region. Our study demonstrates that peers have the potential to deliver maternal psychosocial interventions in low-income settings. There are contextual differences in the preferred characteristics and motivators between the sites, and these should be carefully considered in program implementation. Copyright © 2014 Elsevier B.V. All rights reserved.

  14. Feasibility of a home-delivered Internet obesity prevention program for fourth-grade students. (United States)

    Owens, Scott; Lambert, Laurel; McDonough, Suzanne; Green, Kenneth; Loftin, Mark


    This pilot study examined the feasibility of an interactive obesity prevention program delivered to a class of fourth-grade students utilizing daily e-mail messages sent to the students' home computers. The study involved a single intact class of 22 students, 17 (77%) of whom submitted parental permission documentation and received e-mail messages each school day over the course of one month. Concerns regarding Internet safety and children's use of e-mail were addressed fairly easily. Cost/benefit issues for the school did not seem prohibitive. Providing e-mail access to students without a home computer was accomplished by loaning them personal digital assistant (PDA) devices. In larger interventions, loaning PDAs is probably not feasible economically, although cell phones may be an acceptable alternative. It was concluded that this type of interactive obesity prevention program is feasible from most perspectives. Data from a larger scale effectiveness study is still needed.

  15. Centrally managed unified shared virtual address space

    Energy Technology Data Exchange (ETDEWEB)

    Wilkes, John


    Systems, apparatuses, and methods for managing a unified shared virtual address space. A host may execute system software and manage a plurality of nodes coupled to the host. The host may send work tasks to the nodes, and for each node, the host may externally manage the node's view of the system's virtual address space. Each node may have a central processing unit (CPU) style memory management unit (MMU) with an internal translation lookaside buffer (TLB). In one embodiment, the host may be coupled to a given node via an input/output memory management unit (IOMMU) interface, where the IOMMU frontend interface shares the TLB with the given node's MMU. In another embodiment, the host may control the given node's view of virtual address space via memory-mapped control registers.

  16. Centrally managed unified shared virtual address space (United States)

    Wilkes, John


    Systems, apparatuses, and methods for managing a unified shared virtual address space. A host may execute system software and manage a plurality of nodes coupled to the host. The host may send work tasks to the nodes, and for each node, the host may externally manage the node's view of the system's virtual address space. Each node may have a central processing unit (CPU) style memory management unit (MMU) with an internal translation lookaside buffer (TLB). In one embodiment, the host may be coupled to a given node via an input/output memory management unit (IOMMU) interface, where the IOMMU frontend interface shares the TLB with the given node's MMU. In another embodiment, the host may control the given node's view of virtual address space via memory-mapped control registers.

  17. Constituting Antebellum African American Identity: Resistance, Violence, and Masculinity in Henry Highland Garnet's (1843) "Address to the Slaves" (United States)

    Jasinski, James


    In August 1843 Presbyterian minister Henry Highland Garnet delivered his "Address to the Slaves of the United States of America" to the National Convention of Colored Citizens in Buffalo, NY. While often read (and almost as often dismissed) as either an unqualified call for a violent slave rebellion or, at the least, a celebration of…

  18. Content addressable memories in scientific instruments

    International Nuclear Information System (INIS)

    Lotto, I. de; Golinelli, S.


    The content-addressable-memory feature of a new system designed in these laboratories for non-destructive testing of nuclear reactor pressure vessels based on acoustic emission analysis is presented. The content addressable memory is divided into two parts: the first selects the most frequent events among incoming ones (FES: Frequent Event Selection memory), the second stores the frequent events singled out (FEM: Frequent Event Memory). The statistical behaviour of FES is analyzed, and experimental results are compared with theoretical ones; the model presented proved to be a useful tool in dimensioning the instrument store capacity. (Auth.)

  19. Initiative Addresses Subsurface Energy and Environment Problems (United States)

    Bodvarsson, Gudmundur S.; Majer, Ernest L.; Wang, Joseph S. Y.; Colwell, Frederick; Redden, George


    Members of the geoscience community are cooperating in conceptualizing fundamental, crosscutting research to address major obstacles to solving energy and environmental problems related to the subsurface, through the SECUREarth initiative, which began in 2004. Addressing problems, such as reliable nuclear waste storage and safe carbon dioxide (CO2) sequestration, are critical to maintaining an economical and safe energy supply and clean environment. A recent workshop in Golden, Colo., helped to further the development of the SECUREarth (Scientific Energy/Environmental Crosscutting Underground Research for Urgent Solutions to Secure the Earth's Future) initiative by identifying the key scientific challenges in the geosciences, as well as to target possible approaches for overcoming roadblocks.

  20. Welfare work addressing immigrants and refugees

    DEFF Research Database (Denmark)

    Øland, Trine

    In this presentation I will discuss the ways in which welfare workers addressing immigrants and refugees (re)produce integrationist visions, symbolizing society as an integrated whole and immigrants/refugees as a distraction to that whole. Paradoxically, welfare workers also oppose...... these integrationist visions in their quest to protect immigrants’ and refugees’ fundamental wellbeing and status as human beings with equal rights, group life and history. These opposing elements generate ambiguity and contradiction within integrationist welfare work. The ambition of the presentation is to enquire......, nurses and more) addressing immigrants and refugees and their families and descendants in the Danish welfare nation-state....

  1. Addressing techniques of liquid crystal displays

    CERN Document Server

    Ruckmongathan, Temkar N


    Unique reference source that can be used from the beginning to end of a design project to aid choosing an appropriate LCD addressing technique for a given application This book will be aimed at design engineers who are likely to embed LCD drivers and controllers in many systems including systems on chip. Such designers face the challenge of making the right choice of an addressing technique that will serve them with best performance at minimal cost and complexity. Readers will be able to learn about various methods available for driving matrix LCDs and the comparisons at the end of each chap

  2. Shared address collectives using counter mechanisms (United States)

    Blocksome, Michael; Dozsa, Gabor; Gooding, Thomas M; Heidelberger, Philip; Kumar, Sameer; Mamidala, Amith R; Miller, Douglas


    A shared address space on a compute node stores data received from a network and data to transmit to the network. The shared address space includes an application buffer that can be directly operated upon by a plurality of processes, for instance, running on different cores on the compute node. A shared counter is used for one or more of signaling arrival of the data across the plurality of processes running on the compute node, signaling completion of an operation performed by one or more of the plurality of processes, obtaining reservation slots by one or more of the plurality of processes, or combinations thereof.

  3. Helping oxytocin deliver: considerations in the development of oxytocin-based therapeutics for brain disorders. (United States)

    Macdonald, K; Feifel, D


    Concerns regarding a drought in psychopharmacology have risen from many quarters. From one perspective, the wellspring of bedrock medications for anxiety disorders, depression, and schizophrenia was serendipitously discovered over 30 year ago, the swell of pharmaceutical investment in drug discovery has receded, and the pipeline's flow of medications with unique mechanisms of action (i.e., glutamatergic agents, CRF antagonists) has slowed to a trickle. Might oxytocin (OT)-based therapeutics be an oasis? Though a large basic science literature and a slowly increasing number of studies in human diseases support this hope, the bulk of extant OT studies in humans are single-dose studies on normals, and do not directly relate to improvements in human brain-based diseases. Instead, these studies have left us with a field pregnant with therapeutic possibilities, but barren of definitive treatments. In this clinically oriented review, we discuss the extant OT literature with an eye toward helping OT deliver on its promise as a therapeutic agent. To this end, we identify 10 key questions that we believe future OT research should address. From this overview, several conclusions are clear: (1) the OT system represents an extremely promising target for novel CNS drug development; (2) there is a pressing need for rigorous, randomized controlled clinical trials targeting actual patients; and (3) in order to inform the design and execution of these vital trials, we need further translational studies addressing the questions posed in this review. Looking forward, we extend a cautious hope that the next decade of OT research will birth OT-targeted treatments that can truly deliver on this system's therapeutic potential.

  4. Helping Oxytocin Deliver: Considerations in the Development of Oxytocin-Based Therapeutics for Brain Disorders.

    Directory of Open Access Journals (Sweden)

    Kai eMacdonald


    Full Text Available Concerns regarding a drought in psychopharmacology have risen from many quarters. From one perspective, the wellspring of bedrock medications for anxiety disorders, depression, and schizophrenia was serendipitously discovered over thirty year ago, the swell of pharmaceutical investment in drug discovery has receded, and the pipeline’s flow of medications with unique mechanisms of action (i.e. glutamatergic agents, CRF antagonists has slowed to a trickle. Might oxytocin (OT-based therapeutics be an oasis? Though a large basic science literature and a slowly increasing number of studies in human diseases support this hope, the bulk of extant OT studies in humans are single-dose studies on normals, and do not directly relate to improvements in human brain-based diseases. Instead, these studies have left us with a field pregnant with therapeutic possibilities, but barren of definitive treatments. In this clinically-oriented review, we discuss the extant OT literature with an eye toward helping OT deliver on its promise as a therapeutic agent. To this end, we identify ten key questions that we believe future OT research should address. From this overview, several conclusions are clear: 1 the OT system represents an extremely promising target for novel CNS drug development; 2 there is a pressing need for rigorous, randomized controlled clinical trials targeting actual patients; and 3 in order to inform the design and execution of these vital trials, we need further translational studies addressing the questions posed in this review. Looking forward, we extend a cautious hope that the next decade of OT research will birth oxytocin-targetted therapeutics that can truly deliver on this system’s therapeutic potential.

  5. Road Map to Address Cognitive Health

    Centers for Disease Control (CDC) Podcasts


    In this podcast, CDC’s Dr. Lynda Anderson highlights the important roles that states and communities can play in addressing cognitive health as part of overall health.  Created: 6/9/2014 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 6/9/2014.

  6. Addressing production stops in the food industry

    DEFF Research Database (Denmark)

    Hansen, Zaza Nadja Lee; Herbert, Luke Thomas; Jacobsen, Peter


    This paper investigates the challenges in the food industry which causes the production lines to stop, illustrated by a case study of an SME size company in the baked goods sector in Denmark. The paper proposes key elements this sector needs to be aware of to effectively address production stops......, and gives examples of the unique challenges faced by the SME food industry....

  7. Innovations for Addressing the Canker of Corruption

    African Journals Online (AJOL)

    There is a global consensus that addressing corruption and building good governance are pre-requisites for developing people, markets and the environment. Many researches on corruption and institutions measuring corruption perceptions have rated many African countries as being corrupt and suggestions for ...

  8. Address tracing of parallel systems via TRAPEDS (United States)

    Stunkel, Craig B.; Janssens, Bob; Fuchs, W. K.


    Trace-driven simulation is an important aid in performance analysis of computer systems. Capturing address traces to use in these simulations, however, is a difficult problem for parallel processor architectures. A technique termed TRAPEDS modifies executable code (at the assembly language level) to dynamically collect the address trace from executing code. TRAPEDS has recently been implemented on both a hypercube multicomputer and a shared-memory multiprocessor. Particular attention is focused on strategies for efficiently and accurately collecting traces from both classes of parallel machines. The iPSC/2 hypercube multicomputer implementation traces both user and system code, and performs simulation on-the-fly to avoid large storage costs. Strategies are detailed for mitigating address trace distortion when collecting operating system traces. The Encore Multimax multiprocessor implementation uses a timer-based approach to reflect the interleaving of the processor traces and stores the traces to disc. Time and space overhead results are presented for both TRAPEDS implementations. Experimental cache simulation results derived from iPSC/2 address traces are presented to illustrate the importance of tracing operating system references.

  9. Addressing Measurement Issues Related to Bullying Involvement (United States)

    Casper, Deborah M.; Meter, Diana J.; Card, Noel A.


    In this article, we address measurement issues related to select aspects of bullying involvement with the goal of moving psychometrically sound measurement practices toward applied bullying research. We first provide a nontechnical introduction to psychometric considerations in measuring bullying involvement, highlighting the importance of…

  10. Addressing Youth Employment Through Micro- and Small ...

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

    ... -provide empirical evidence to inform the design of Ethiopia's second Growth and Transformation Plan, specifically as it relates to addressing youth unemployment. The Association of Ethiopian Microfinance Institutions will manage the project, bringing together a multidisciplinary group of experts from various institutions.

  11. Addressing the Global Burden of Breast Cancer (United States)

    The US National Cancer Institute’s Center for Global Health (CGH) has been a key partner in a multi-institutional expert team that has developed a set of publications to address foundational concerns in breast cancer care across the cancer care continuum and within limited resource settings.

  12. Addressing African feminism | Chidammodzi | Journal of Humanities

    African Journals Online (AJOL)

    Journal of Humanities. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 8-9, No 1 (1995) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Addressing African feminism. HF Chidammodzi. Abstract.

  13. 37 CFR 301.2 - Official addresses. (United States)


    ... courier (excluding Federal Express, United Parcel Service and similar courier services), the envelope must... of overnight delivery services such as Federal Express, United Parcel Service, etc., due to delays in... overnight delivery using United States Postal Service Express Mail), the envelope should be addressed to...


    African Journals Online (AJOL)

    The paper discusses the role of nutritional information for addressing under-five child malnutrition in Tanzania. The paper is based on a master's dissertation whose objective was to determine the sources of nutritional information used to provide nutritional information to mothers in Maternal and Child Health (MCH) clinics, ...

  15. Parallel Memory Addressing Using Coincident Optical Pulses (United States)


    defined for Al and M, respectively, and at each does not have to be the same for every pair of adjacent destination nodeje D, u D2, the number of...system, a register SKIP may be used at each nodej has to skip before reading the messages addressed node to indicate the number of messages to be

  16. Volume 1: president's address, CNA committee reports

    International Nuclear Information System (INIS)

    The president's address summarizes the 1974-75 activities of the CNA and reports are given by CNA subcommittees on codes, standards and practices, economic development, education and manpower, international affairs, nuclear insurance, nuclear safety and environment, public relations, and technology. (E.C.B.)

  17. Addressing Youth Employment Through Micro- and Small ...

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

    Addressing Youth Employment Through Micro- and Small-Enterprise Development in Ethiopia ... This project aims to provide solid evidence on whether the Ethiopian government's efforts are helping youth, who is benefiting and who is not, and how policies ... GrowInclusive : la plateforme tant attendue est en construction.

  18. Promoting inclusive approaches to address urbanisation challenges ...

    African Journals Online (AJOL)

    Promoting inclusive approaches to address urbanisation challenges in Kigali. ... Kigali has embarked on a rapid urbanisation and modernisation process. ... housing for the majority of urban residents remains a challenge which continues to impact on both the population's living conditions and sustainable urban planning.

  19. Addressing the market research skills gap


    Nunan, Daniel


    This Viewpoint focuses on the debate in market research around the gap between academia and practitioners. It argues that the debate misses the key role that universities play in the provision of market research skills and that it is this skills gap that needs to be addressed in order to ensure the future of research as a profession.

  20. How Sociology Texts Address Gun Control (United States)

    Tonso, William R.


    William R. Tonso has chosen an issue that he knows something about to examine how sociology textbooks address controversy. Appealing for gun control is fashionable, but it is at odds with a fondness that ordinary Americans have for their firearms--one that is supported by a growing body of research on deterrence to crime. There are two sides to…

  1. Rational Rhymes for Addressing Common Childhood Issues (United States)

    Warren, Jeffrey M.


    Music-based interventions are valuable tools counselors can use when working with children. Specific types of music-based interventions, such as songs or rhymes, can be especially pertinent in addressing the thoughts, feelings, and behaviors of children. Rational-emotive behavior therapy (REBT) provides a therapeutic framework that encourages…

  2. Registering Names and Addresses for Information Technology. (United States)

    Knapp, Arthur A.

    The identification of administrative authorities and the development of associated procedures for registering and accessing names and addresses of communications data systems are considered in this paper. It is noted that, for data communications systems using standards based on the Open Systems Interconnection (OSI) Reference Model specified by…

  3. Violence Goes to School. Keynote Address. (United States)

    Levin, Jack


    Increased juvenile violence in schools has led to suggested solutions that are politically expedient but fail to address what makes violence so appealing. Instead of school uniforms, conflict resolution programs, or media rating systems, a grass roots approach of alternative programs, parental involvement, and youth support systems could repair…

  4. Optimizing a Drone Network to Deliver Automated External Defibrillators. (United States)

    Boutilier, Justin J; Brooks, Steven C; Janmohamed, Alyf; Byers, Adam; Buick, Jason E; Zhan, Cathy; Schoellig, Angela P; Cheskes, Sheldon; Morrison, Laurie J; Chan, Timothy C Y


    Public access defibrillation programs can improve survival after out-of-hospital cardiac arrest, but automated external defibrillators (AEDs) are rarely available for bystander use at the scene. Drones are an emerging technology that can deliver an AED to the scene of an out-of-hospital cardiac arrest for bystander use. We hypothesize that a drone network designed with the aid of a mathematical model combining both optimization and queuing can reduce the time to AED arrival. We applied our model to 53 702 out-of-hospital cardiac arrests that occurred in the 8 regions of the Toronto Regional RescuNET between January 1, 2006, and December 31, 2014. Our primary analysis quantified the drone network size required to deliver an AED 1, 2, or 3 minutes faster than historical median 911 response times for each region independently. A secondary analysis quantified the reduction in drone resources required if RescuNET was treated as a large coordinated region. The region-specific analysis determined that 81 bases and 100 drones would be required to deliver an AED ahead of median 911 response times by 3 minutes. In the most urban region, the 90th percentile of the AED arrival time was reduced by 6 minutes and 43 seconds relative to historical 911 response times in the region. In the most rural region, the 90th percentile was reduced by 10 minutes and 34 seconds. A single coordinated drone network across all regions required 39.5% fewer bases and 30.0% fewer drones to achieve similar AED delivery times. An optimized drone network designed with the aid of a novel mathematical model can substantially reduce the AED delivery time to an out-of-hospital cardiac arrest event. © 2017 American Heart Association, Inc.

  5. A service model for delivering care closer to home. (United States)

    Dodd, Joanna; Taylor, Charlotte Elizabeth; Bunyan, Paul; White, Philippa Mary; Thomas, Siân Myra; Upton, Dominic


    Upton Surgery (Worcestershire) has developed a flexible and responsive service model that facilitates multi-agency support for adult patients with complex care needs experiencing an acute health crisis. The purpose of this service is to provide appropriate interventions that avoid unnecessary hospital admissions or, alternatively, provide support to facilitate early discharge from secondary care. Key aspects of this service are the collaborative and proactive identification of patients at risk, rapid creation and deployment of a reactive multi-agency team and follow-up of patients with an appropriate long-term care plan. A small team of dedicated staff (the Complex Care Team) are pivotal to coordinating and delivering this service. Key skills are sophisticated leadership and project management skills, and these have been used sensitively to challenge some traditional roles and boundaries in the interests of providing effective, holistic care for the patient.This is a practical example of early implementation of the principles underlying the Department of Health's (DH) recent Best Practice Guidance, 'Delivering Care Closer to Home' (DH, July 2008) and may provide useful learning points for other general practice surgeries considering implementing similar models. This integrated case management approach has had enthusiastic endorsement from patients and carers. In addition to the enhanced quality of care and experience for the patient, this approach has delivered value for money. Secondary care costs have been reduced by preventing admissions and also by reducing excess bed-days. The savings achieved have justified the ongoing commitment to the service and the staff employed in the Complex Care Team. The success of this service model has been endorsed recently by the 'Customer Care' award by 'Management in Practice'. The Surgery was also awarded the 'Practice of the Year' award for this and a number of other customer-focussed projects.

  6. Internet delivered diabetes self-management education: a review. (United States)

    Pereira, Katherine; Phillips, Beth; Johnson, Constance; Vorderstrasse, Allison


    Diabetes self-management education is a cornerstone of successful diabetes management. Various methods have been used to reach the increasing numbers of patients with diabetes, including Internet-based education. The purpose of this article is to review various delivery methods of Internet diabetes education that have been evaluated, as well as their effectiveness in improving diabetes-related outcomes. Literature was identified in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Medline, EBSCO, the Cochrane Library, and the Web of Science databases through searches using the following terms: "type 2 diabetes AND internet/web based AND education" and "type 2 diabetes AND diabetes self-management education (DSME) AND web-based/internet OR technology assisted education." The search was limited to English language articles published in the last 10 years. The search yielded 111 articles; of these, 14 met criteria for inclusion in this review. Nine studies were randomized controlled trials, and study lengths varied from 2 weeks to 24 months, for a total of 2,802 participants. DSME delivered via the Internet is effective at improving measures of glycemic control and diabetes knowledge compared with usual care. In addition, results demonstrate that improved eating habits and increased attendance at clinic appointments occur after the online DSME, although engagement and usage of Internet materials waned over time. Interventions that included an element of interaction with healthcare providers were seen as attractive to participants. Internet-delivered diabetes education has the added benefit of easier access for many individuals, and patients can self-pace themselves through materials. More research on the cost-benefits of Internet diabetes education and best methods to maintain patient engagement are needed, along with more studies assessing the long-term impact of Internet-delivered DSME.

  7. Capturing, Harmonizing and Delivering Data and Quality Provenance (United States)

    Leptoukh, Gregory; Lynnes, Christopher


    Satellite remote sensing data have proven to be vital for various scientific and applications needs. However, the usability of these data depends not only on the data values but also on the ability of data users to assess and understand the quality of these data for various applications and for comparison or inter-usage of data from different sensors and models. In this paper, we describe some aspects of capturing, harmonizing and delivering this information to users in the framework of distributed web-based data tools.

  8. Delivering Sustainability Through Supply Chain Distribution Network Redesign

    Directory of Open Access Journals (Sweden)

    Denise Ravet


    Full Text Available Purpose - Companies could gain (cost, service, green/sustainable competitive advantage through the supply chain network. The goal of this article is to study how to deliver sustainability through the supply chain distribution network redesign.Design/methodology/approach - A literature review is conducted to examine research relating to sustainable supply chain strategies and supply chain distribution network redesign.Findings - A study of the supply chain literature reveals the importance to rethink the supply chain distribution network design and to treat sustainability as integral to operations.

  9. HYDRAFLOW : a novel approach in addressing flow assurance problems

    Energy Technology Data Exchange (ETDEWEB)

    Azarinezhad, R.; Chapoy, A.; Anderson, R.; Tohidi, B. [Heriot-Watt Univ., Edinburgh (United Kingdom). Inst. for Petroleum Engineering, Centre for Gas hydrate Research


    This paper presented a new method to prevent hydrate plugs which are particularly problematic for offshore production and flow lines. The current methods of avoiding hydrate blockages are based on preventing solid formation by injecting thermodynamic or kinetic inhibitors outside the hydrate stability zone. However, these techniques are neither economical nor practical. The newly patented HYDRAFLOW cold flow assurance technology is based on allowing hydrates to form, but preventing their agglomeration and pipeline blockage. It is based on the concept of converting most or all of the gas phase into hydrates in the presence of excess water, and then transferring them in the form of hydrate slurry in the pipeline. In HYDRAFLOW, anti-agglomerants prevent hydrate crystals from agglomerating, thus eliminating the need for expensive thermal or chemical inhibition strategies. The technology involves a loop concept whereby the liquid phase plays a role of carrier fluid, collecting produced fluids from various wells and delivering them to the production unit prior to being recycled. This study addressed the issue of recycling the anti-agglomerants in the context of the loop concept. The distribution of anti-agglomerant components between different phases were measured. The performance of the residual anti-agglomerants in the free water phase and of its components absorbed in the oil or hydrate phase were also evaluated. 9 refs., 4 tabs., 7 figs.

  10. [Trends in nursing research in Korea: research trends for studies published from the inaugural issue to 2010 in the Journal of Korean Academy of Nursing and the journals published by member societies under Korean Academy of Nursing Science]. (United States)

    Choe, Myoung Ae; Kim, Nam Cho; Kim, Kyung Mi; Kim, Sung Jae; Park, Kyung Sook; Byeon, Young Soon; Shin, Sung Rae; Yang, Soo; Lee, Kyung Sook; Lee, Eun Hyun; Lee, In Sook; Lee, Tae Wha; Cho, Myung Ok; Kim, Jin Hak


    The purpose of this study was to identify trends for studies published in the Journal of Korean Academy of Nursing and journals published by member societies from inaugural issues to 2010. A total of 6890 studies were analyzed using descriptive statistics. Quantitative studies accounted for 83.6% while qualitative studies accounted for 14.4%. Most frequently used research designs were quasi-experimental (91.1%) for experimental research and survey (85.2%) for non-experimental research. Most frequent study participants were healthy people (35.8%), most frequent nursing interventions, nursing skills (53.5%), and 39.8% used knowledge, attitude and behavior outcomes for dependent variables. Most frequently used keyword was elderly. Survey studies decreased from 1991 to 2010 by approximately 50%, while qualitative studies increased by about 20%. True experimental research (1.2%) showed no significant changes. Studies focusing on healthy populations increased from 2001-2005 (37.5%) to 2006-2010 (41.0%). From 1970 to 2010, studies using questionnaire accounted for over 50% whereas physiological measurement, approximately 5% only. Experimental studies using nursing skill interventions increased from 1970-1980 (30.4%) to 2006-2010 (64.0%). No significant changes were noted in studies using knowledge, attitude and behavior (39.9%) as dependent variables. The results suggest that further expansion of true experimental, qualitative studies and physiological measurements are needed.

  11. Telephone delivered interventions for reducing morbidity and mortality in people with HIV infection. (United States)

    Gentry, Sarah; van-Velthoven, Michelle H M M T; Tudor Car, Lorainne; Car, Josip


    This is one of three Cochrane reviews examining the role of the telephone in HIV/AIDS services. Telephone interventions, delivered either by landline or mobile phone, may be useful in the management of people living with HIV (PLHIV) in many situations. Telephone delivered interventions have the potential to reduce costs, save time and facilitate more support for PLHIV. To assess the effectiveness of voice landline and mobile telephone delivered interventions for reducing morbidity and mortality in people with HIV infection. We searched The Cochrane Central Register of Controlled Trials, MEDLINE, PubMed Central, EMBASE, PsycINFO, ISI Web of Science, Cumulative Index to Nursing & Allied Health, World Health Organisation's The Global Health Library and Current Controlled Trials from 1980 to June 2011. We searched the following grey literature sources: Dissertation Abstracts International, Centre for Agriculture Bioscience International Direct Global Health database, The System for Information on Grey Literature Europe, The Healthcare Management Information Consortium database, Google Scholar, Conference on Retroviruses and Opportunistic Infections, International AIDS Society, AIDS Educational Global Information System and reference lists of articles. Randomised controlled trials (RCTs), quasi-randomised controlled trials, controlled before and after studies, and interrupted time series studies comparing the effectiveness of telephone delivered interventions for reducing morbidity and mortality in persons with HIV infection versus in-person interventions or usual care, regardless of demographic characteristics and in all settings. Both mobile and landline telephone interventions were included, but mobile phone messaging interventions were excluded. Two reviewers independently searched, screened, assessed study quality and extracted data. Primary outcomes were change in behaviour, healthcare uptake or clinical outcomes. Secondary outcomes were appropriateness of the

  12. Maternal and neonatal complications in term breech delivered vaginally

    International Nuclear Information System (INIS)

    Jadoon, S.; Jadoon, S.M.K.; Shah, R.


    To evaluate the maternal and neonatal complications in terms of genital tract trauma to mother, perinatal mortality. Apgar score at 5 minutes and neonatal trauma in all singleton term breech cases delivered vaginally. A 100 consecutive patients with singleton breech presentation, whether booked or unbooked, were admitted and delivered vaginally in hospital during the study period. They were studied for maternal and neonatal complications. Maternal complication included any genital tract trauma during delivery while neonatal complications were perinatal mortality, low Apgar score (less than eight at 5 minutes) and birth trauma. There were a total 3977 deliveries during this study period, 145 breech presentation (incidence 3.6%). Out of those, 100 were included in the study. All were unbooked cases, 87% were multigravida while 13% were primigravida. An Apgar score of eight was recorded in 87% babies while 10% had an Apgar score of less than eight after 5 minutes. There were 3 still births and one neonatal death. Aggregated perinatal mortality rate was 40/1000 live births. Only one baby had birth trauma (Erbs paralysis) during vaginal breech delivery. Ninety seven (97%) mothers had no complications while only 3 (3%) had complications. Out of these, one had cervical tear and 2 had vaginal tears. Offering a trial of vaginal breech delivery to strictly selected and well-counselled patients remains an appropriate option without compromising perinatal and maternal outcome. It also decreases the rate of operative delivery for this malpresentation. (author)

  13. Femoral venous catheters: a safe alternative for delivering parenteral alimentation. (United States)

    Friedman, B; Kanter, G; Titus, D


    Femoral vein catheterization is an alternative method of obtaining central venous access. Placement of femoral venous catheters (FVCs) is possible in the majority of patients, suitable for most indications, and associated with a low complication rate during insertion. We wished to determine the incidence of infections or other complications resulting when parenteral nutrition was delivered through FVCs. Fifty-two patients were followed from a hospital-wide population including patients in the critical care units. Triple-lumen catheters were placed by using the sterile Seldinger technique, and sites were examined daily for inflammation. Bacteriologic surveillance was accomplished by submitting the catheter tip for semiquantitative cultures. If catheter line sepsis was suspected, blood samples for cultures were drawn through the catheter and peripherally. The rate of occurrence of colonized catheters was 9.6% (five of 52), and catheter sepsis was found in one case (1.9%). Other than inflammation at six (11.5%) of 52 catheter sites, noninfectious complications of FVCs were not found. On the basis of these findings, we consider FVC-delivered parenteral alimentation a safe and effective alternative to other forms of central venous access.

  14. Expert assessment concludes negative emissions scenarios may not deliver (United States)

    Vaughan, Naomi E.; Gough, Clair


    Many integrated assessment models (IAMs) rely on the availability and extensive use of biomass energy with carbon capture and storage (BECCS) to deliver emissions scenarios consistent with limiting climate change to below 2 °C average temperature rise. BECCS has the potential to remove carbon dioxide (CO2) from the atmosphere, delivering ‘negative emissions’. The deployment of BECCS at the scale assumed in IAM scenarios is highly uncertain: biomass energy is commonly used but not at such a scale, and CCS technologies have been demonstrated but not commercially established. Here we present the results of an expert elicitation process that explores the explicit and implicit assumptions underpinning the feasibility of BECCS in IAM scenarios. Our results show that the assumptions are considered realistic regarding technical aspects of CCS but unrealistic regarding the extent of bioenergy deployment, and development of adequate societal support and governance structures for BECCS. The results highlight concerns about the assumed magnitude of carbon dioxide removal achieved across a full BECCS supply chain, with the greatest uncertainty in bioenergy production. Unrealistically optimistic assumptions regarding the future availability of BECCS in IAM scenarios could lead to the overshoot of critical warming limits and have significant impacts on near-term mitigation options.

  15. Lebanese medical students' intention to deliver smoking cessation advice. (United States)

    Jradi, Hoda; Wewers, Mary Ellen; Pirie, Phyllis P; Binkley, Philip F; Ferketich, Amy K


    Objectives of this study were to examine the constructs of the Theory of Planned Behavior and determine how they predict Lebanese medical students' behavioral intention to advise patients to quit smoking. This was a cross-sectional study conducted among 191 medical students from six medical schools in Lebanon. The instrument contained scales that measured attitudes toward the behavior, behavioral beliefs, subjective norms, and perceived behavioral control. Psychometric properties of the scale were examined. Item to total scale score correlations were determined and linear regression was conducted to predict the intention to advise smokers to quit. Respondents had a positive, but not very high, intention to deliver smoking cessation advice. Students reported a positive attitude toward advising patients to quit cigarette smoking and a strong belief in the physician's obligations in smoking cessation advising. The majority reported lack of time to provide smoking cessation advice, insufficient knowledge of pharmacological aids, and the lack of openness of the patient to receive the advice. The attitude scale was the only variable that yielded a significant prediction of the intended behavior. The construct of attitude toward the behavior appeared to be the most predictive of the intention to deliver advice to quit smoking among Lebanese medical students. Focusing training efforts on this construct could improve the rate of delivery of brief cessation counseling. Copyright © 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  16. REOSC Delivers the Best Astronomical Mirror in the World to ESO (United States)


    On December 14, 1999, REOSC , the Optical Department of the SAGEM Group , finished the polishing of the fourth 8.2-m main mirror for the Very Large Telescope (VLT) of the European Southern Observatory. The mirror was today delivered to ESO at a ceremony at the REOSC factory in Saint Pierre du Perray, just south of Paris. The precision of the form of the mirror that was achieved during the polishing process is 8.5 nanometer (1 nanometer = 1 millionth of a millimetre) over the optical surface. This exceptional value corresponds to an optical resolution (theoretical image sharpness) of 0.03 arcseconds in the visible spectrum. This corresponds to distinguishing two objects separated by only 15 cm at a distance of 1000 km and will allow to detect astronomical objects that are 10,000 million times fainter than what can be perceived with the unaided eye. This impressive measure of quality, achieved by the REOSC teams during much painstaking work, implies that this VLT mirror is the most accurate in the world. In fact, all four 8.2-m VLT main mirrors polished by REOSC are well within the very strict specifications set by ESO, but this is the best of them all. The celebration today is the successful highlight of a contract initiated more than ten years ago, during which REOSC has perfected new polishing and control techniques - innovations improved and developed in a unique workshop dedicated to these giant mirrors. These methods and means are directly applicable to the new generations of segmented mirrors that are now being developed for astronomy and space observations. They are, in this sense, at the foremost front of optical technology. REOSC, the Optical Department of the SAGEM Group , is specialised in the study and realisation of high-precision optics for astronomy, space, defence, science and industry. For earlier information about the work on the VLT mirrors, cf. ESO Press Release 15/95 (13 November 1995). The SAGEM Group is a French high-technology group. It

  17. Addressing food waste reduction in Denmark

    DEFF Research Database (Denmark)

    Halloran, Afton Marina Szasz; Clement, Jesper; Kornum, Niels


    Global food demand is driven by population and economic growth, and urbanization. One important instrument to meet this increasing demand and to decrease the pressure on food production is to minimize food losses and food waste. Food waste and loss is a major societal, economic, nutritional...... and environmental challenge. Using the case of Denmark, this paper analyses causes of food waste, and discusses how different stakeholders address the prevention and reuse of the €1.18. billion of annual edible food waste. Currently, the majority of food waste is still incinerated with energy recovery. However......, improvements in technology have made it more efficient to utilize food waste for biogas and compost, which improves nutrient cycling through the food system. Major efforts to address food waste in Denmark have mainly been promoted through civil society groups with governmental support, as well as by industry...

  18. Transformed composite sequences for improved qubit addressing (United States)

    Merrill, J. True; Doret, S. Charles; Vittorini, Grahame; Addison, J. P.; Brown, Kenneth R.


    Selective laser addressing of a single atom or atomic ion qubit can be improved using narrow-band composite pulse sequences. We describe a Lie-algebraic technique to generalize known narrow-band sequences and introduce sequences related by dilation and rotation of sequence generators. Our method improves known narrow-band sequences by decreasing both the pulse time and the residual error. Finally, we experimentally demonstrate these composite sequences using 40Ca+ ions trapped in a surface-electrode ion trap.

  19. Do pediatric gastroenterology doctors address pediatric obesity?


    Batra, Suruchi; Yee, Caitlin; Diez, Bernadette; Nguyen, Nicholas; Sheridan, Michael J; Tufano, Mark; Sikka, Natalie; Townsend, Stacie; Hourigan, Suchitra


    Objectives: To assess how often obesity is acknowledged at pediatric gastroenterology outpatient visits. Methods: A retrospective chart review was performed to identify obese children seen at a gastroenterology subspecialty clinic over a 1-year period of time; 132 children were identified. Demographics, obesity comorbidities, reasons for referral, diagnosis of obesity, and a plan to address obesity were abstracted. Chi-square or Fisher?s exact tests were used to examine statistical associatio...

  20. Addressing language barriers to healthcare in India. (United States)

    Narayan, Lalit


    In spite of a growing recognition of the importance of doctor-patient communication, the issue of language barriers to healthcare has received very little attention in India. The Indian population speaks over 22 major languages with English used as the lingua franca for biomedicine. Large-scale internal migration has meant that health workers are encountering increasing instances of language discordance within clinical settings. Research done predominantly in the West has shown language discordance to significantly affect access to care, cause problems of comprehension and adherence, and decrease the satisfaction and quality of care. Addressing language barriers to healthcare in India requires a stronger political commitment to providing non-discriminatory health services, especially to vulnerable groups such as illiterate migrant workers. Research will have to address three broad areas: the ways in which language barriers affect health and healthcare, the efficacy of interventions to overcome language barriers, and the costs of language barriers and efforts to overcome them. There is a need to address such barriers in health worker education and clinical practice. Proven strategies such as hiring multilingual healthcare workers, providing language training to health providers, employing in situ translators or using telephone interpretation services will have to be evaluated for their appropriateness to the Indian context. Internet-based initiatives, the proliferation of mobile phones and recent advances in machine translation promise to contribute to the solution. Copyright 2013, NMJI.

  1. Innovative Legal Approaches to Address Obesity (United States)

    Pomeranz, Jennifer L; Teret, Stephen P; Sugarman, Stephen D; Rutkow, Lainie; Brownell, Kelly D


    Context: The law is a powerful public health tool with considerable potential to address the obesity issue. Scientific advances, gaps in the current regulatory environment, and new ways of conceptualizing rights and responsibilities offer a foundation for legal innovation. Methods: This article connects developments in public health and nutrition with legal advances to define promising avenues for preventing obesity through the application of the law. Findings: Two sets of approaches are defined: (1) direct application of the law to factors known to contribute to obesity and (2) original and innovative legal solutions that address the weak regulatory stance of government and the ineffectiveness of existing policies used to control obesity. Specific legal strategies are discussed for limiting children's food marketing, confronting the potential addictive properties of food, compelling industry speech, increasing government speech, regulating conduct, using tort litigation, applying nuisance law as a litigation strategy, and considering performance-based regulation as an alternative to typical regulatory actions. Finally, preemption is an overriding issue and can play both a facilitative and a hindering role in obesity policy. Conclusions: Legal solutions are immediately available to the government to address obesity and should be considered at the federal, state, and local levels. New and innovative legal solutions represent opportunities to take the law in creative directions and to link legal, nutrition, and public health communities in constructive ways. PMID:19298420

  2. Matching Alternative Addresses: a Semantic Web Approach (United States)

    Ariannamazi, S.; Karimipour, F.; Hakimpour, F.


    Rapid development of crowd-sourcing or volunteered geographic information (VGI) provides opportunities for authoritatives that deal with geospatial information. Heterogeneity of multiple data sources and inconsistency of data types is a key characteristics of VGI datasets. The expansion of cities resulted in the growing number of POIs in the OpenStreetMap, a well-known VGI source, which causes the datasets to outdate in short periods of time. These changes made to spatial and aspatial attributes of features such as names and addresses might cause confusion or ambiguity in the processes that require feature's literal information like addressing and geocoding. VGI sources neither will conform specific vocabularies nor will remain in a specific schema for a long period of time. As a result, the integration of VGI sources is crucial and inevitable in order to avoid duplication and the waste of resources. Information integration can be used to match features and qualify different annotation alternatives for disambiguation. This study enhances the search capabilities of geospatial tools with applications able to understand user terminology to pursuit an efficient way for finding desired results. Semantic web is a capable tool for developing technologies that deal with lexical and numerical calculations and estimations. There are a vast amount of literal-spatial data representing the capability of linguistic information in knowledge modeling, but these resources need to be harmonized based on Semantic Web standards. The process of making addresses homogenous generates a helpful tool based on spatial data integration and lexical annotation matching and disambiguating.

  3. Addressing fisheries bycatch in a changing world

    Directory of Open Access Journals (Sweden)

    Lisa Marie Komoroske


    Full Text Available Fisheries bycatch is a threat to species of marine megafauna across the world’s oceans. Work over the past several decades has greatly advanced our understanding of the species affected, the magnitude and the spatial extent of bycatch. In the same time period, there have been substantial advances in the development of mitigation strategies and best practices to reduce bycatch. In this paper, we take stock of bycatch knowledge and science to address the critical question Where do we go from here? First, we review the current state of global bycatch science, including bycatch rate estimation and biological effects of bycatch, and bycatch mitigation practices and gear. We then identify knowledge gaps as well as socio-cultural constraints that hamper effective knowledge transfer or implementation, and discuss emerging transdisciplinary approaches to address these issues. Finally, we discuss the need to consider bycatch in a changing ocean and socio-cultural context where species, ecosystems, and people are responding to multiple stressors and dynamic conditions. As the field of bycatch research moves into the 21st century, a new perspective is needed to develop responsive strategies that effectively address the shifting ecological, social, cultural and economic contexts of the global bycatch seascape.

  4. Biological approaches for addressing the grand challenge of providing access to clean drinking water (United States)


    The U.S. National Academy of Engineering (NAE) recently published a document presenting "Grand Challenges for Engineering". This list was proposed by leading engineers and scientists from around the world at the request of the U.S. National Science Foundation (NSF). Fourteen topics were selected for these grand challenges, and at least seven can be addressed using the tools and methods of biological engineering. Here we describe how biological engineers can address the challenge of providing access to clean drinking water. This issue must be addressed in part by removing or inactivating microbial and chemical contaminants in order to properly deliver water safe for human consumption. Despite many advances in technologies this challenge is expanding due to increased pressure on fresh water supplies and to new opportunities for growth of potentially pathogenic organisms. PMID:21453515

  5. Delivering an evidence-based outdoor journey intervention to people with stroke: Barriers and enablers experienced by community rehabilitation teams

    Directory of Open Access Journals (Sweden)

    Middleton Sandy


    Full Text Available Abstract Background Transferring knowledge from research into practice can be challenging, partly because the process involves a change in attitudes, roles and behaviour by individuals and teams. Helping teams to identify then target potential barriers may aid the knowledge transfer process. The aim of this study was to identify barriers and enablers, as perceived by allied health professionals, to delivering an evidence-based (Level 1 outdoor journey intervention for people with stroke. Methods A qualitative design and semi-structured interviews were used. Allied health professionals (n = 13 from two community rehabilitation teams were interviewed, before and after receiving feedback from a medical record audit and attending a training workshop. Interviews allowed participants to identify potential and actual barriers, as well as enablers to delivering the intervention. Qualitative data were analysed using theoretical domains described by Michie and colleagues. Results Two barriers to delivery of the intervention were the social influence of people with stroke and their family, and professionals' beliefs about their capabilities. Other barriers included professionals' knowledge and skills, their role identity, availability of resources, whether professionals remembered to provide the intervention, and how they felt about delivering the intervention. Enablers to delivering the intervention included a belief that they could deliver the intervention, a willingness to expand and share professional roles, procedures that reminded them what to do, and feeling good about helping people with stroke to participate. Conclusions This study represents one step in the quality improvement process. The interviews encouraged reflection by staff. We obtained valuable data which have been used to plan behaviour change interventions addressing identified barriers. Our methods may assist other researchers who need to design similar behaviour change interventions.

  6. Internet-delivered cognitive-behavioral treatment for adolescents with chronic pain and their parents: a randomized controlled multicenter trial. (United States)

    Palermo, Tonya M; Law, Emily F; Fales, Jessica; Bromberg, Maggie H; Jessen-Fiddick, Tricia; Tai, Gabrielle


    Internet-delivered interventions are emerging as a strategy to address barriers to care for individuals with chronic pain. This is the first large multicenter randomized controlled trial of Internet-delivered cognitive-behavioral therapy (CBT) for pediatric chronic pain. Participants included were 273 adolescents (205 females and 68 males), aged 11 to 17 years with mixed chronic pain conditions and their parents, who were randomly assigned in a parallel-group design to Internet-delivered CBT (n = 138) or Internet-delivered Education (n = 135). Assessments were completed before treatment, immediately after treatment, and at 6-month follow-up. All data collection and procedures took place online. The primary analysis used linear growth models. Results demonstrated significantly greater reduction on the primary outcome of activity limitations from baseline to 6-month follow-up for Internet CBT compared with Internet education (b = -1.13, P = 0.03). On secondary outcomes, significant beneficial effects of Internet CBT were found on sleep quality (b = 0.14, P = 0.04), on reducing parent miscarried helping (b = -2.66, P = 0.007) and protective behaviors (b = -0.19, P = 0.001), and on treatment satisfaction (P values parent-perceived impact (ie, reductions in depression, anxiety, self-blame about their adolescent's pain, and improvement in parent behavioral responses to pain). In conclusion, our Internet-delivered CBT intervention produced a number of beneficial effects on adolescent and parent outcomes, and could ultimately lead to wide dissemination of evidence-based psychological pain treatment for youth and their families.

  7. The New Digital [St]age: Barriers to the Adoption and Adaptation of New Technologies to Deliver Extension Programming and How to Address Them (United States)

    Seger, Jamie


    With the rise of social media and the need for statewide program cohesiveness, The Ohio State University Extension has the opportunity to position itself as a catalyst for technology adoption and adaptation nationwide. Unfortunately, many barriers exist to the successful use and implementation of technology, including an organizational structure…

  8. Interventions before consultations for helping patients address their information needs. (United States)

    Kinnersley, P; Edwards, A; Hood, K; Cadbury, N; Ryan, R; Prout, H; Owen, D; Macbeth, F; Butow, P; Butler, C


    Patients often do not get the information they require from doctors and nurses. To address this problem, interventions directed at patients to help them gather information in their healthcare consultations have been proposed and tested. To assess the effects on patients, clinicians and the healthcare system of interventions which are delivered before consultations, and which have been designed to help patients (and/or their representatives) address their information needs within consultations. We searched: the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library (issue 3 2006); MEDLINE (1966 to September 2006); EMBASE (1980 to September 2006); PsycINFO (1985 to September 2006); and other databases, with no language restriction. We also searched reference lists of articles and related reviews, and handsearched Patient Education and Counseling (1986 to September 2006). Randomised controlled trials of interventions before consultations designed to encourage question asking and information gathering by the patient. Two researchers assessed the search output independently to identify potentially-relevant studies, selected studies for inclusion, and extracted data. We conducted a narrative synthesis of the included trials, and meta-analyses of five outcomes. We identified 33 randomised controlled trials, from 6 countries and in a range of settings. A total of 8244 patients was randomised and entered into studies. The most common interventions were question checklists and patient coaching. Most interventions were delivered immediately before the consultations.Commonly-occurring outcomes were: question asking, patient participation, patient anxiety, knowledge, satisfaction and consultation length. A minority of studies showed positive effects for these outcomes. Meta-analyses, however, showed small and statistically significant increases for question asking (standardised mean difference (SMD) 0.27 (95% confidence interval (CI) 0.19 to 0.36)) and

  9. IMRT delivers lower radiation doses to dental structures than 3DRT in head and neck cancer patients

    International Nuclear Information System (INIS)

    Fregnani, Eduardo Rodrigues; Parahyba, Cláudia Joffily; Morais-Faria, Karina; Fonseca, Felipe Paiva; Ramos, Pedro Augusto Mendes; Moraes, Fábio Yone de; Conceição Vasconcelos, Karina Gondim Moutinho da; Menegussi, Gisela; Santos-Silva, Alan Roger; Brandão, Thais B.


    Radiotherapy (RT) is frequently used in the treatment of head and neck cancer, but different side-effects are frequently reported, including a higher frequency of radiation-related caries, what may be consequence of direct radiation to dental tissue. The intensity-modulated radiotherapy (IMRT) was developed to improve tumor control and decrease patient’s morbidity by delivering radiation beams only to tumor shapes and sparing normal tissue. However, teeth are usually not included in IMRT plannings and the real efficacy of IMRT in the dental context has not been addressed. Therefore, the aim of this study is to assess whether IMRT delivers lower radiation doses to dental structures than conformal 3D radiotherapy (3DRT). Radiation dose delivery to dental structures of 80 patients treated for head and neck cancers (oral cavity, tongue, nasopharynx and oropharynx) with IMRT (40 patients) and 3DRT (40 patients) were assessed by individually contouring tooth crowns on patients’ treatment plans. Clinicopathological data were retrieved from patients’ medical files. The average dose of radiation to teeth delivered by IMRT was significantly lower than with 3DRT (p = 0.007); however, only patients affected by nasopharynx and oral cavity cancers demonstrated significantly lower doses with IMRT (p = 0.012 and p = 0.011, respectively). Molars received more radiation with both 3DRT and IMRT, but the latter delivered significantly lower radiation in this group of teeth (p < 0.001), whereas no significant difference was found for the other dental groups. Maxillary teeth received lower doses than mandibular teeth, but only IMRT delivered significantly lower doses (p = 0.011 and p = 0.003). Ipsilateral teeth received higher doses than contralateral teeth with both techniques and IMRT delivered significantly lower radiation than 3DRT for contralateral dental structures (p < 0.001). IMRT delivered lower radiation doses to teeth than 3DRT, but only for some groups of patients and

  10. Electrons in Molecules

    Indian Academy of Sciences (India)

    ... J C Slater, who gave the determinantal form to the orbital wavefunction, was once about to be tipped as a hotel boy because he had transported some delegates of a conference to their hotel and carried their luggage himself (next day, the delegates found the "hotel boy" delivering the inaugural'address of the conference).


    Indian Academy of Sciences (India)



    May 16, 2010 ... There were about ninety participants from various institutions of medical, engineering and arts and science colleges in and around Chennai. This seminar was inaugurated by Dr.S.Shanmugavel, Registrar,. Anna University Chennai on the 15th May 2010 at 9.30 am. The presidential address was delivered ...

  12. L-Asparaginase delivered by Salmonella typhimurium suppresses solid tumors

    Directory of Open Access Journals (Sweden)

    Kwangsoo Kim

    Full Text Available Bacteria can be engineered to deliver anticancer proteins to tumors via a controlled expression system that maximizes the concentration of the therapeutic agent in the tumor. L-asparaginase (L-ASNase, which primarily converts asparagine to aspartate, is an anticancer protein used to treat acute lymphoblastic leukemia. In this study, Salmonellae were engineered to express L-ASNase selectively within tumor tissues using the inducible araBAD promoter system of Escherichia coli. Antitumor efficacy of the engineered bacteria was demonstrated in vivo in solid malignancies. This result demonstrates the merit of bacteria as cancer drug delivery vehicles to administer cancer-starving proteins such as L-ASNase to be effective selectively within the microenvironment of cancer tissue.

  13. A Fetus with Iniencephaly Delivered at the Third Trimester

    Directory of Open Access Journals (Sweden)

    Esra Cinar Tanriverdi


    Full Text Available Iniencephaly is an uncommon neural tube defect, having retroflexion of the head without a neck and severe distortion of the spine. Iniencephaly is classified into two groups, iniencephaly apertus (with encephalocele and iniencephaly clausus (without encephalocele. Incidence ranges from 0.1 to 10 in 10.000 pregnancies and it is seen more frequently in girls. Most of the fetuses with this defect die before birth or soon after birth, while those with the milder forms may live through childhood. Recurrence risk is around 1–5%. Family should be offered termination to reduce maternal risks and counseled for folic acid supplementation before the next planned pregnancy. Here we present a rare case of iniencephaly clausus which was diagnosed at 18th week of gestation by ultrasonography and delivered in the third trimester of pregnancy due to rejection of termination.

  14. Competitive advantage of diferric transferrin in delivering iron to reticulocytes. (United States)

    Huebers, H A; Csiba, E; Huebers, E; Finch, C A


    Radioiron- and radioiodine-labeled forms of human diferric and monoferric transferrin and apotransferrin, isolated by preparative isoelectric focusing, were used to define transferrin-iron uptake by human reticulocytes. In mixtures of human diferric and monoferric transferrin, the diferric molecule had a constant 7-fold advantage in delivering iron to reticulocytes, as compared with the 2-fold advantage when single solutions of mono- and diferric transferrins were compared. This was shown to be due to competitive interaction in iron delivery, probably at a common membrane-receptor binding site for transferrin. Apotransferrin did not interfere with the iron-donating process and its limited cellular uptake was inhibited in noncompetitive fashion by diferric transferrin. PMID:6572005

  15. Adaptation finance: How can Durban deliver on past promises?

    Energy Technology Data Exchange (ETDEWEB)

    Ciplet, David; Roperts, J. Timmons; He, Linlang; Fields, Spencer [Brown University (United States); Khan, Mizan [North South University (Bangladesh)


    There is an ever-widening chasm between the support developing countries need to adapt to climate change, and the funding promised and delivered by wealthy nations. While UN climate meetings endlessly debate terms such as 'new and additional' or 'balanced allocation', even some basic commitments to adaptation funding are going unfulfilled. And as we approach the final year of the 'fast-start' phase for climate finance, there is no plan for the crucial 'scale-up' period of 2013–2019, when contributions must swell tenfold. At the Durban negotiations, countries should take three steps to ensure the developed world can meet its agreed responsibilities: establish funding sources based on international trade; define annual targets for the scale-up; and adopt a transparent, centralised accounting system.

  16. Addressing data access challenges in seismology (United States)

    Trabant, C. M.; Ahern, T.; Weertman, B.; Benson, R. B.; Van Fossen, M.; Weekly, R. T.; Casey, R. E.; Suleiman, Y. Y.; Stults, M.


    The development of web services at the IRIS Data Management Center (DMC) over the last 6 years represents the most significant enhancement of data access ever introduced at the DMC. These web services have allowed the us to focus our internal operations around a single, consistent data access layer while facilitating development of a new generation of tools and methods for researchers to conduct their work. This effort led the DMC to propose standardized web service interfaces within the International Federation of Digital Seismograph Networks (FDSN), enabling other seismological data centers to offer data using compatible interfaces. With this new foundation, we now turn our attention to more advanced data access challenges. In particular, we will present the status of two developments intending to address 1) access to data of consistent quality for science and 2) discovery and access of data from multiple data centers. To address the challenge of requesting high or consistent quality data we will introduce our Research-Ready Data Sets (RRDS) initiative. The purpose of the RRDS project is to reduce the time a researcher spends culling and otherwise identifying data appropriate for given study. RRDS will provide users with additional criteria related to data quality that can be specified when requesting data. Leveraging the data quality measurements provided by our MUSTANG system, these criteria will include ambient noise, completeness, dead channel identification and more. To address the challenge of seismological data discovery and access, we have built and continue to improve the IRIS Federator. The Federator takes advantage of the FDSN-standard web services at various data centers to help a user locate specific channels, wherever they may be offered globally. The search interface provides results that are pre-formatted requests, ready for submission to each data center that serves that data. These two developments are aimed squarely at reducing the time

  17. Rebamipide delivered by brushite cement enhances osteoblast and macrophage proliferation.

    Directory of Open Access Journals (Sweden)

    Michael Pujari-Palmer

    Full Text Available Many of the bioactive agents capable of stimulating osseous regeneration, such as bone morphogenetic protein-2 (BMP-2 or prostaglandin E2 (PGE2, are limited by rapid degradation, a short bioactive half-life at the target site in vivo, or are prohibitively expensive to obtain in large quantities. Rebamipide, an amino acid modified hydroxylquinoline, can alter the expression of key mediators of bone anabolism, cyclo-oxygenase 2 (COX-2, BMP-2 and vascular endothelial growth factor (VEGF, in diverse cell types such as mucosal and endothelial cells or chondrocytes. The present study investigates whether Rebamipide enhances proliferation and differentiation of osteoblasts when delivered from brushite cement. The reactive oxygen species (ROS quenching ability of Rebampide was tested in macrophages as a measure of bioactivity following drug release incubation times, up to 14 days. Rebamipide release from brushite occurs via non-fickian diffusion, with a rapid linear release of 9.70% ± 0.37% of drug per day for the first 5 days, and an average of 0.5%-1% per day thereafter for 30 days. Rebamipide slows the initial and final cement setting time by up to 3 and 1 minute, respectively, but does not significantly reduce the mechanical strength below 4% (weight percentage. Pre-osteoblast proliferation increases by 24% upon exposure to 0.4 uM Rebamipide, and by up to 73% when Rebamipide is delivered via brushite cement. Low doses of Rebamipide do not adversely affect peak alkaline phosphatase activity in differentiating pre-osteoblasts. Rebamipide weakly stimulates proliferation in macrophages at low concentrations (118 ± 7.4% at 1 uM, and quenches ROS by 40-60%. This is the first investigation of Rebamipide in osteoblasts.

  18. Engineering a plant community to deliver multiple ecosystem services. (United States)

    Storkey, Jonathan; Döring, Thomas; Baddeley, John; Collins, Rosemary; Roderick, Stephen; Jones, Hannah; Watson, Christine


    The sustainable delivery of multiple ecosystem services requires the management of functionally diverse biological communities. In an agricultural context, an emphasis on food production has often led to a loss of biodiversity to the detriment of other ecosystem services such as the maintenance of soil health and pest regulation. In scenarios where multiple species can be grown together, it may be possible to better balance environmental and agronomic services through the targeted selection of companion species. We used the case study of legume-based cover crops to engineer a plant community that delivered the optimal balance of six ecosystem services: early productivity, regrowth following mowing, weed suppression, support of invertebrates, soil fertility building (measured as yield of following crop), and conservation of nutrients in the soil. An experimental species pool of 12 cultivated legume species was screened for a range of functional traits and ecosystem services at five sites across a geographical gradient in the United Kingdom. All possible species combinations were then analyzed, using a process-based model of plant competition, to identify the community that delivered the best balance of services at each site. In our system, low to intermediate levels of species richness (one to four species) that exploited functional contrasts in growth habit and phenology were identified as being optimal. The optimal solution was determined largely by the number of species and functional diversity represented by the starting species pool, emphasizing the importance of the initial selection of species for the screening experiments. The approach of using relationships between functional traits and ecosystem services to design multifunctional biological communities has the potential to inform the design of agricultural systems that better balance agronomic and environmental services and meet the current objective of European agricultural policy to maintain viable food

  19. HEP technologies to address medical imaging challenges

    CERN Multimedia

    CERN. Geneva


    Developments in detector technologies aimed at solving challenges in present and future CERN experiments, particularly at the LHC, have triggered exceptional advances in the performance of medical imaging devices, allowing for a spectacular progress in in-vivo molecular imaging procedures, which are opening the way for tailored therapies of major diseases. This talk will briefly review the recent history of this prime example of technology transfer from HEP experiments to society, will describe the technical challenges being addressed by some ongoing projects, and will present a few new ideas for further developments and their foreseeable impact.

  20. What is an address in South Africa?

    CSIR Research Space (South Africa)

    Coetzee, S


    Full Text Available expressed as coordinates, for human use, an address should be a form of spatial referencing by geographic identifiers, that is, containing intelligible names and context, such as a hierarchy of names (such as street, suburb, town, province and country.... The most common semantic problem is which name is pre- ferred, such as whether the colloquial or registered suburb name should be used (for example, Pretoriuspark Extensions 1, 6 and 8 in the City of Tshwane are much better known by their colloquial...

  1. Capacity of mesoporous bioactive glass nanoparticles to deliver therapeutic molecules (United States)

    El-Fiqi, Ahmed; Kim, Tae-Hyun; Kim, Meeju; Eltohamy, Mohamed; Won, Jong-Eun; Lee, Eun-Jung; Kim, Hae-Won


    Inorganic bioactive nanomaterials are attractive for hard tissue regeneration, including nanocomponents for bone replacement composites and nanovehicles for delivering therapeutics. Bioactive glass nanoparticles (BGn) have recently gained potential usefulness as bone and tooth regeneratives. Here we demonstrate the capacity of the BGn with mesopores to load and deliver therapeutic molecules (drugs and particularly genes). Spherical BGn with sizes of 80-90 nm were produced to obtain 3-5 nm sized mesopores through a sono-reacted sol-gel process. A simulated body fluid test of the mesoporous BGn confirmed their excellent apatite forming ability and the cellular toxicity study demonstrated their good cell viability up to 100 μg ml-1. Small molecules like chemical drug (Na-ampicillin) and gene (small interfering RNA; siRNA) were introduced as model drugs considering the mesopore size of the nanoparticles. Moreover, amine-functionalization allowed switchable surface charge property of the BGn (from -20-30 mV to +20-30 mV). Loading of ampicillin or siRNA saturated within a few hours (~2 h) and reflected the mesopore structure. While the ampicillin released relatively rapidly (~12 h), the siRNA continued to release up to 3 days with almost zero-order kinetics. The siRNA-nanoparticles were easily taken up by the cells, with a transfection efficiency as high as ~80%. The silencing effect of siRNA delivered from the BGn, as examined by using bcl-2 model gene, showed dramatic down-regulation (~15% of control), suggesting the potential use of BGn as a new class of nanovehicles for genes. This, in conjunction with other attractive properties, including size- and mesopore-related high surface area and pore volume, tunable surface chemistry, apatite-forming ability, good cell viability and the possible ion-related stimulatory effects, will potentiate the usefulness of the BGn in hard tissue regeneration.Inorganic bioactive nanomaterials are attractive for hard tissue regeneration

  2. Addressing Veteran Homelessness to Prevent Veteran Suicides. (United States)

    Tsai, Jack; Trevisan, Louis; Huang, Minda; Pietrzak, Robert H


    The U.S. Department of Veterans Affairs (VA) is shifting its focus from ending veteran homelessness to preventing veteran suicides. With supporting data, this Open Forum argues that VA homelessness services also help address veteran suicides. Analysis of a nationally representative survey of U.S. veterans in 2015 shows that veterans with a history of homelessness attempted suicide in the previous two years at a rate >5.0 times higher compared with veterans without a history of homelessness (6.9% versus 1.2%), and their rates of two-week suicidal ideation were 2.5 times higher (19.8% versus 7.4%). Because the majority of veterans who die by suicide are not engaged in VA care, VA services for the homeless that include outreach efforts to engage new veterans may be reaching some of these veterans. Thus continued federal support for VA homelessness services not only may help address homelessness but also may help prevent suicide of veterans.

  3. The Gettysburg Address as Foreign Policy

    Directory of Open Access Journals (Sweden)

    Jared Peatman


    Full Text Available During the Cold War agents of the United States government frequently invoked the Gettysburg Address in an attempt to spread pro-American sentiment across the globe. Throughout this period the Cold War and Civil Rights Movement were the U.S.’s two main concerns. While the one was seemingly an international issue and the other a domestic one, in reality they were closely linked. At a time when America was competing with the Soviet Union for global influence, particularly in the newly independent nations in Africa, the racial discord in the country was a major tool used against the United States. Consequently, in the early 1960s American officials began to look for ways to counter the negative image racial discrimination was giving the country. An examination of the ways the Gettysburg Address was invoked in 1959 during the Lincoln Birth Sesquicentennial, and then in 1963 as a part of the Civil War Centennial, shows how the speech’s meaning was recast from democracy to equality.

  4. Fidelity scorecard: evaluation of a caregiver-delivered symptom management intervention. (United States)

    Frambes, Dawn; Lehto, Rebecca; Sikorskii, Alla; Tesnjak, Irena; Given, Barbara; Wyatt, Gwen


    To evaluate and quantify the intervention fidelity of a symptom management protocol through implementation of a scorecard, using an exemplar study of caregiver-delivered reflexology for people with breast cancer. Studies on caregiver-delivered symptom management interventions seldom include adequate information on protocol fidelity, contributing to potentially suboptimal provision of the therapeutic intervention, hindering reproducibility and generalizability of the results. Fidelity assessment of a 4-week intervention protocol in a randomized controlled trial (RCT) with data collection between 2012 - 2016. The National Institutes of Health Behaviour Change Consortium (NIH-BCC) conceptual model for intervention fidelity guided the study. The five NIH-BCC fidelity elements are: (1) dose; (2) provider training; (3) intervention delivery; (4) intervention receipt; and (5) enactment. To illustrate the elements, an intervention protocol was deconstructed and each element quantified using a newly developed fidelity scorecard. Mean scores and frequency distributions were derived for the scorecard elements. For dose, the mean number of sessions was 4·4, 96% used the correct intervention duration and 29% had 4 weeks with at least one session. Provider training was achieved at 80% of the maximum score, intervention delivery was 96%, intervention receipt was 99% and enactment indicated moderate adoption at 3·8 sessions per patient. The sample mean score was 15·4 out of 16, indicating the high overall fidelity. Research findings that include description of how fidelity is both addressed and evaluated are necessary for clinical translation. Clinicians can confidently recommend symptom management strategies to patients and caregivers when fidelity standards are explicitly reported and measured. © 2017 John Wiley & Sons Ltd.

  5. Addressing submarine geohazards through scientific drilling (United States)

    Camerlenghi, A.


    Natural submarine geohazards (earthquakes, volcanic eruptions, landslides, volcanic island flank collapses) are geological phenomena originating at or below the seafloor leading to a situation of risk for off-shore and on-shore structures and the coastal population. Addressing submarine geohazards means understanding their spatial and temporal variability, the pre-conditioning factors, their triggers, and the physical processes that control their evolution. Such scientific endeavour is nowadays considered by a large sector of the international scientific community as an obligation in order to contribute to the mitigation of the potentially destructive societal effects of submarine geohazards. The study of submarine geohazards requires a multi-disciplinary scientific approach: geohazards must be studied through their geological record; active processes must be monitored; geohazard evolution must be modelled. Ultimately, the information must be used for the assessment of vulnerability, risk analysis, and development of mitigation strategies. In contrast with the terrestrial environment, the oceanic environment is rather hostile to widespread and fast application of high-resolution remote sensing techniques, accessibility for visual inspection, sampling and installation of monitoring stations. Scientific Drilling through the IODP (including the related pre site-survey investigations, sampling, logging and in situ measurements capability, and as a platform for deployment of long term observatories at the surface and down-hole) can be viewed as the centre of gravity of an international, coordinated, multi-disciplinary scientific approach to address submarine geohazards. The IODP Initial Science Plan expiring in 2013 does not address openly geohazards among the program scientific objectives. Hazards are referred to mainly in relation to earthquakes and initiatives towards the understanding of seismogenesis. Notably, the only drilling initiative presently under way is the

  6. Delivering refractive error services: primary eye care centres and outreach


    Naidoo, Kovin; Ravilla, Dhivya


    Addressing refractive errors, the second major cause of preventable blindness, is now a priority for eye care programmes.Although a simple pair of spectacles will correct refractive error, there exists a high prevalence of uncorrected refractive error. This is due in large part to the cost and inaccessibility of refraction and spectacle dispensing services, which are usually offered only at secondary and tertiary eye care centres.

  7. Addressing health literacy in patient decision aids (United States)


    Background Effective use of a patient decision aid (PtDA) can be affected by the user’s health literacy and the PtDA’s characteristics. Systematic reviews of the relevant literature can guide PtDA developers to attend to the health literacy needs of patients. The reviews reported here aimed to assess: 1. a) the effects of health literacy / numeracy on selected decision-making outcomes, and b) the effects of interventions designed to mitigate the influence of lower health literacy on decision-making outcomes, and 2. the extent to which existing PtDAs a) account for health literacy, and b) are tested in lower health literacy populations. Methods We reviewed literature for evidence relevant to these two aims. When high-quality systematic reviews existed, we summarized their evidence. When reviews were unavailable, we conducted our own systematic reviews. Results Aim 1: In an existing systematic review of PtDA trials, lower health literacy was associated with lower patient health knowledge (14 of 16 eligible studies). Fourteen studies reported practical design strategies to improve knowledge for lower health literacy patients. In our own systematic review, no studies reported on values clarity per se, but in 2 lower health literacy was related to higher decisional uncertainty and regret. Lower health literacy was associated with less desire for involvement in 3 studies, less question-asking in 2, and less patient-centered communication in 4 studies; its effects on other measures of patient involvement were mixed. Only one study assessed the effects of a health literacy intervention on outcomes; it showed that using video to improve the salience of health states reduced decisional uncertainty. Aim 2: In our review of 97 trials, only 3 PtDAs overtly addressed the needs of lower health literacy users. In 90% of trials, user health literacy and readability of the PtDA were not reported. However, increases in knowledge and informed choice were reported in those studies

  8. Overview of an address and purpose of the workshop [ISO Workshop on address standards: Considering the issues related to an international address standard

    CSIR Research Space (South Africa)

    Cooper, Antony K


    Full Text Available ’ international address standard would be to provide the platform for developing more integrative standards. Further, such a standard would be less likely to generate resistance to it, as it would not attempt to impinge on the unique socio-cultural addressing... to an address standard (de facto, industry consortia, inter-governmental agencies and open standards generating bodies). They conclude with several recommendations for an international address standard: • It should not prescribe an universal addressing system...

  9. Topically Delivered Adipose Derived Stem Cells Show an Activated-Fibroblast Phenotype and Enhance Granulation Tissue Formation in Skin Wounds (United States)

    Hong, Seok Jong; Xu, Wei; Leung, Kai P.; Mustoe, Thomas A.; Galiano, Robert D.


    Multipotent mesenchymal stem cells (MSCs) are found in various tissues and can proliferate extensively in vitro. MSCs have been used in preclinical animal studies and clinical trials in many fields. Adipose derived stem cells (ASCs) have several advantages compared to other MSCs for use in cell-based treatments because they are easy to isolate with relative abundance. However, quantitative approaches for wound repair using ASCs have been limited because of lack of animal models which allow for quantification. Here, we addressed the effect of topically delivered ASCs in wound repair by quantitative analysis using the rabbit ear model. We characterized rabbit ASCs, and analyzed their multipotency in comparison to bone marrow derived-MSCs (BM-MSCs) and dermal fibroblasts (DFs) in vitro. Topically delivered ASCs increased granulation tissue formation in wounds when compared to saline controls, whereas BM-MSCs or DFs did not. These studies suggest that ASCs and BM-MSCs are not identical, though they have similar surface markers. We found that topically delivered ASCs are engrafted and proliferate in the wounds. We showed that transplanted ASCs exhibited activated fibroblast phenotype, increased endothelial cell recruitment, and enhanced macrophage recruitment in vivo. PMID:23383253

  10. Professional Culture and Climate: Addressing Unconscious Bias (United States)

    Knezek, Patricia


    Unconscious bias reflects expectations or stereotypes that influence our judgments of others (regardless of our own group). Everyone has unconscious biases. The end result of unconscious bias can be an accumulation of advantage or disadvantage that impacts the long term career success of individuals, depending on which biases they are subject to. In order to foster a professional culture and climate, being aware of these unconscious biases and mitigating against them is a first step. This is particularly important when judgements are needed, such as in cases for recruitment, choice of speakers for conferences, and even reviewing papers submitted for publication. This presentation will cover how unconscious bias manifests itself, what evidence exists to demonstrate it exists, and ways it can be addressed.

  11. Addressing consumerization of IT risks with nudging

    Directory of Open Access Journals (Sweden)

    Iryna Yevseyeva


    Full Text Available In this work we address the main issues of Information Technology (IT consumerization that are related to security risks, and vulnerabilities of devices used within Bring Your Own Device (BYOD strategy in particular. We propose a ‘soft’ mitigation strategy for user actions based on nudging, widely applied to health and social behavior influence. In particular, we propose a complementary, less strict, more flexible Information Security policies, based on risk assessment of device vulnerabilities and threats to corporate data and devices, combined with a strategy of influencing security behavior by nudging. We argue that nudging, by taking into account the context of the decision-making environment, and the fact that the employee may be in better position to make a more appropriate decision, may be more suitable than strict policies in situations of uncertainty of security-related decisions. Several examples of nudging are considered for different tested and potential scenarios in security context.

  12. Addressing Complexity in Environmental Management and Governance

    Directory of Open Access Journals (Sweden)

    Sabrina Kirschke


    Full Text Available Governance for complex problem solving has been increasingly discussed in environmental sustainability research. Above all, researchers continuously observe that sustainability problems are complex or “wicked”, and suggest participatory models to address these problems in practice. In order to add to this debate, this study suggests a more differentiated theoretical approach to define governance for complex environmental problem solving than in previous studies. The approach consists of two vital steps: First, we operationalize complexity and define management strategies for solving environmental sustainability problems based on findings from psychology research. Second, we identify governance strategies that facilitate these management strategies. Linking those strategies suggests that the role of diverse institutions, actors, and interactions differs for five key dimensions of complexity: goals, variables, dynamics, interconnections, and informational uncertainty. The results strengthen systematic analyses of environmental sustainability problems in both theory and practice.

  13. Applying evolutionary biology to address global challenges (United States)

    Carroll, Scott P.; Jørgensen, Peter Søgaard; Kinnison, Michael T.; Bergstrom, Carl T.; Denison, R. Ford; Gluckman, Peter; Smith, Thomas B.; Strauss, Sharon Y.; Tabashnik, Bruce E.


    Two categories of evolutionary challenges result from escalating human impacts on the planet. The first arises from cancers, pathogens and pests that evolve too quickly, and the second from the inability of many valued species to adapt quickly enough. Applied evolutionary biology provides a suite of strategies to address these global challenges that threaten human health, food security, and biodiversity. This review highlights both progress and gaps in genetic, developmental and environmental manipulations across the life sciences that either target the rate and direction of evolution, or reduce the mismatch between organisms and human-altered environments. Increased development and application of these underused tools will be vital in meeting current and future targets for sustainable development. PMID:25213376

  14. Battling with breast cancer - addressing the issues

    International Nuclear Information System (INIS)

    Amin, S.; Wahid, N.; Wasim, B.; Tabassum, S.


    In the background of the current situation of breast cancer in Pakistan, with its rising incidence and mortality, non afford ability and inaccessibility to screening, diagnosis and treatment, Patel Hospital took up the task of addressing these issues at a local level, by initiating an annual free breast camp in the year 2006. In 2008 an inclusion criteria was defined to focus on high risk women for breast cancer. A comparative analysis over a period of three years was done. In the focused camps, in which 28% patients were found to have a positive family history. Most women were symptomatic. Total 11 patients were diagnosed to have cancer after evaluation. Six patients underwent definitive treatment. A problem with lack of awareness, regarding screening and treatment protocols was identified. Family history seems to be an important risk factor in our set up signifying the need to introduce extensive screening programmes. (author)

  15. World Federation of Vascular Societies: presidential address

    DEFF Research Database (Denmark)

    Sillesen, Henrik Hegaard


    The presidential address describes briefly the history of the World Federation for Vascular Societies (WFVS) and its objectives. Vascular Surgery today includes interventional procedures (open surgical and endovascular) in addition to risk factor reduction and medical treatment. It is equally....... Similar, in order to be able to train with relevant case mix and numbers, and in order always to have both complex open and endovascular skills on call 24 hours per day, 365 days a year, centralisation into larger units is necessary. The WFVS is important simply looking at the huge demographic differences...... throughout the world. In addition, for introduction of new treatments, training issues and dissemination of science a global organisation like the WFVS is needed....

  16. How is environmental conflict addressed by SIA?

    International Nuclear Information System (INIS)

    Barrow, C.J.


    The fields of Environmental Conflict Management (ECM), Environmental Conflict Resolution (ECR), and Peace and Conflict Impact Assessment (PCIA) have become well established; however, as yet there has not been much use of Social Impact Assessment (SIA) to manage environmental conflicts. ECM, ECR and PCIA are mainly undertaken when problems are advanced or, more likely, have run their course (post-conflict). This paper examines how conflict is addressed by SIA and whether there is potential to develop it for more proactive assessment of conflicts (pre-conflict or while things develop). SIA has the potential to identify and clarify the cause(s) of environmental and natural resources conflicts, and could possibly enable some avoidance or early mitigation. A promising approach may be for 'conflict-aware' SIA to watch for critical conflict stages or thresholds and to monitor stakeholders. Effective conflict-aware SIA might also significantly contribute to efforts to achieve sustainable development.

  17. Neurocognitive Impairment: Addressing Couple and Family Challenges. (United States)

    Rolland, John S


    Conditions involving neurocognitive impairment pose enormous challenges to couples and families. However, research and practice tend to focus narrowly on immediate issues for individual caregivers and their dyadic relationship with the affected member. A broad family systems approach with attention to family processes over time is needed in training, practice, and research. In this paper, Rolland's Family Systems Illness model provides a guiding framework to consider the interaction of different psychosocial types of neurocognitive conditions and their evolution over time with individual, couple, and family life-course development. Discussion addresses key family and couple issues with mild-to-severe cognitive impairment and progressive dementias, including: communication, multigenerational legacies, threatened future neurocognitive disability, ambiguous loss, decisional capacity, reaching limits, placement decisions, issues for adult children and spousal caregivers, and the transformation of intimate bonds. Principles and guidelines are offered to help couples and families master complex challenges, deepen bonds, and forge positive pathways ahead. © 2017 Family Process Institute.

  18. Hybrid content addressable memory MSD arithmetic (United States)

    Li, Yao; Kim, Dai Hyun; Kostrzewski, Andrew A.; Eichmann, George


    The modified signed-digit (MSD) number system, because of its inherent weak interdigit dependance, has been suggested as a useful means for a fast and parallel digital arithmetic. To maintain a fast processing speed, a single-stage holographic optical content-addressable memory (CAM) based MSD algorithm was suggested. In this paper, a novel non-holographic opto-electronic CAM based fast MSD addition processing architecture is proposed. The proposed concept has been verified with our first-order proof-of-principle experiments. A figure of merit comparison of this and other existing approaches is also presented. Based on this key opto-electronic CAM element, implementation of more sophisticated I'VISD arithmetic, such as optical MSD subtraction and multiplication operations, are proposed.

  19. Selected international efforts to address climate change

    Energy Technology Data Exchange (ETDEWEB)

    Seki, M.; Christ, R. [Atmosphere Unit, United Nations Environment Programme UNEP, Nairobi (Kenya)


    Over the past two decades, concern about human-induced climate change has become an increasingly important item on the environmental and political agenda. The signing of the United Nations Framework Convention on Climate Change and the adoption of Agenda 21 at the United Nations Conference on Environment and Development in Rio de Janeiro in 1992 provided international organizations and the nations of the world with a new focus for climate-related activities. Although there remains considerable scientific uncertainty about the extent, magnitude, and rate of climate change and the impacts of such change, actions to address climate change have been initiated both internationally and nationally. Major international activities include the World Climate Programme, the Intergovernmental Panel on Climate Change, the United Nations Framework Convention on Climate Change. and the United Nations Environment Program me. 16 refs.

  20. Addressing the health needs of the homeless. (United States)

    John, William; Law, Kate


    Several authors have alluded to the complex health needs of the homeless population in the UK. The correlation between homelessness and a wide range of health problems has been explored in the literature. This paper presents a literature review exploring the biological, psychosocial and sexual health needs of single homeless people. The relationship between health and homelessness is analysed in relation to theories of health inequalities, which suggest that being homeless may be both a cause and a consequence of ill health. The contemporary nurse can play a vital role in helping to overcome the barriers that homeless people face when accessing health services. This paper explores the skills and approaches that nurses in a wide variety of settings can employ in addressing the health issues of homeless clients.

  1. Addressing uncertainty in atomistic machine learning

    DEFF Research Database (Denmark)

    Peterson, Andrew A.; Christensen, Rune; Khorshidi, Alireza


    of the predictions. In this perspective, we address the types of errors that might arise in atomistic machine learning, the unique aspects of atomistic simulations that make machine-learning challenging, and highlight how uncertainty analysis can be used to assess the validity of machine-learning predictions. We......Machine-learning regression has been demonstrated to precisely emulate the potential energy and forces that are output from more expensive electronic-structure calculations. However, to predict new regions of the potential energy surface, an assessment must be made of the credibility...... suggest this will allow researchers to more fully use machine learning for the routine acceleration of large, high-accuracy, or extended-time simulations. In our demonstrations, we use a bootstrap ensemble of neural network-based calculators, and show that the width of the ensemble can provide an estimate...

  2. Addressing cultural diversity: the hepatitis B clinical specialist perspective. (United States)

    Wallace, Jack; Smith, Elizabeth; Hajarizadeh, Behzad; Richmond, Jacqueline; Lucke, Jayne


    Hepatitis B is a viral infection primarily affecting people from culturally diverse communities in Australia. While vaccination prevents infection, there is increasing mortality resulting from liver damage associated with chronic infection. Deficits in the national policy and clinical response to hepatitis B result in a low diagnosis rate, inadequate testing and diagnosis processes, and poor access to hepatitis B treatment services. While research identifies inadequate hepatitis B knowledge among people with the virus and primary health care workers, this project sought to identify how specialist clinicians in Australia negotiate cultural diversity, and provide often complex clinical information to people with hepatitis B. A vignette was developed and presented to thirteen viral hepatitis specialist clinicians prior to an electronically recorded interview. Recruitment continued until saturation of themes was reached. Data were thematically coded into themes outlined in the interview schedule. Ethical approval for the research was provided by the La Trobe University Human Research Ethics Committee. Key messages provided to patients with hepatitis B by clinical specialists were identified. These messages were not consistently provided to all patients with hepatitis B, but were determined on perceptions of patient knowledge, age and highest educational level. While the vignette stated that English was not an issue for the patient, most specialists identified the need for an interpreter. Combating stigma related to hepatitis B was seen as important by the specialists and this was done through normalising the virus. Having an awareness of different cultural understandings about hepatitis B specifically, and health and well-being generally, was noted as a communication strategy. Key core competencies need to be developed to deliver educational messages to people with hepatitis B within clinical encounters. The provision of adequate resources to specialist clinics will

  3. Governance of Public Benefit Funds to Promote Innovation in Energy by Addressing Early Adopter Risks

    Energy Technology Data Exchange (ETDEWEB)

    Paterson, Andrew; Oppenheim, Jerrold; Dubravka Pineda, Maria


    Building a better energy future will be expensive, in part, because it will require modernizing energy infrastructure and bringing more innovative technologies to deliver energy more efficiently to consumers with less environmental impact. With the extended recession and turmoil in credit markets in 2008, some states have turned to public benefit funds to address critical risks in adopting innovative energy technologies and systems. This paper updates valuable observations for governing PBFs to promote wider adoption of innovative energy technologies enabling a better balance of risk and return in concert with other policy tools by negotiating mitigation of early adopter risks.

  4. Mouse embryonic retina delivers information controlling cortical neurogenesis.

    Directory of Open Access Journals (Sweden)

    Ciro Bonetti


    Full Text Available The relative contribution of extrinsic and intrinsic mechanisms to cortical development is an intensely debated issue and an outstanding question in neurobiology. Currently, the emerging view is that interplay between intrinsic genetic mechanisms and extrinsic information shape different stages of cortical development. Yet, whereas the intrinsic program of early neocortical developmental events has been at least in part decoded, the exact nature and impact of extrinsic signaling are still elusive and controversial. We found that in the mouse developing visual system, acute pharmacological inhibition of spontaneous retinal activity (retinal waves-RWs during embryonic stages increase the rate of corticogenesis (cell cycle withdrawal. Furthermore, early perturbation of retinal spontaneous activity leads to changes of cortical layer structure at a later time point. These data suggest that mouse embryonic retina delivers long-distance information capable of modulating cell genesis in the developing visual cortex and that spontaneous activity is the candidate long-distance acting extrinsic cue mediating this process. In addition, these data may support spontaneous activity to be a general signal coordinating neurogenesis in other developing sensory pathways or areas of the central nervous system.

  5. Delivering effective science communication: advice from a professional science communicator. (United States)

    Illingworth, Sam


    Science communication is becoming ever more prevalent, with more and more scientists expected to not only communicate their research to a wider public, but to do so in an innovative and engaging manner. Given the other commitments that researchers and academics are required to fulfil as part of their workload models, it is unfair to be expect them to also instantly produce effective science communication events and activities. However, by thinking carefully about what it is that needs to be communicated, and why this is being done, it is possible to develop high-quality activities that are of benefit to both the audience and the communicator(s). In this paper, I present some practical advice for developing, delivering and evaluating effective science communication initiatives, based on over a decade of experience as being a professional science communicator. I provide advice regarding event logistics, suggestions on how to successfully market and advertise your science communication initiatives, and recommendations for establishing effective branding and legacy. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  6. Can the capitalist economic system deliver environmental justice? (United States)

    Bell, Karen


    Can a healthy environment for all social groups be delivered through capitalism via market mechanisms? Or is it the capitalist system, itself, that has been at the root of the environmental and social crises we now face? This letter engages with this ongoing debate by drawing on material from a wider study, ‘Achieving Environmental Justice’, which examined the extent, form and causes of environmental justice and injustice in a range of countries with varying depths of marketization—United States, South Korea, United Kingdom, Sweden, China, Bolivia and Cuba. The analysis described here focuses on the interview material from this mixed methods study, drawing on over 140 interviews with officials, policy makers, and civil society leaders. The letter argues that there is an apparent propensity for capitalist processes to exacerbate, rather than reduce, environmental problems and inequities though the pursuit of relentless economic growth and profit accumulation. Therefore, we should perhaps let go of efforts to resolve environmental injustice within the constraints of capitalism and, instead, build an alternative economic system that can meet human needs in the context of a harmonious and respectful relationship with nature.

  7. Can natural polymers assist in delivering insulin orally? (United States)

    Nur, Mokhamad; Vasiljevic, Todor


    Diabetes mellitus is one of the most grave and lethal non communicable diseases. Insulin is normally used to medicate diabetes. Due to bioavailability issues, the most regular route of administration is through injection, which may pose compliance problems to treatment. The oral administration thus appears as a suitable alternative, but with several important problems. Low stability of insulin in the gastrointestinal tract and low intestinal permeation are some of the issues. Encapsulation of insulin into polymer-based particles emerges as a plausible strategy. Different encapsulation approaches and polymers have been used in this regard. Polymers with different characteristics from natural or synthetic origin have been assessed to attain this goal, with natural polymers being preferable. Natural polymers studied so far include chitosan, alginate, carrageenan, starch, pectin, casein, tragacanth, dextran, carrageenan, gelatine and cyclodextrin. While some promising knowledge and results have been gained, a polymeric-based particle system to deliver insulin orally has not been introduced onto the market yet. In this review, effectiveness of different natural polymer materials developed so far along with fabrication techniques are evaluated. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Habitable Worlds: Delivering on the Promises of Online Education (United States)

    Horodyskyj, Lev B.; Mead, Chris; Belinson, Zack; Buxner, Sanlyn; Semken, Steven; Anbar, Ariel D.


    Critical thinking and scientific reasoning are central to higher education in the United States, but many courses (in-person and online) teach students information about science much more than they teach the actual process of science and its associated knowledge and skills. In the online arena specifically, the tools available for course construction exacerbate this problem by making it difficult to build the types of active learning activities that research shows to be the most effective. Here, we present a report on Habitable Worlds, offered by Arizona State University for 12 semesters over the past 6 years. This is a unique online course that uses an array of novel technologies to deliver an active, inquiry-driven learning experience. Learning outcomes and quantitative data from more than 3000 students demonstrate the success of our approach but also identify several remaining challenges. The design and development of this course offers valuable lessons for instructional designers and educators who are interested in fully capitalizing on the capabilities of 21st-century technology to achieve educational goals.

  9. The challenges of delivering validated personas for medical equipment design. (United States)

    Vincent, Christopher James; Blandford, Ann


    Representations of archetypal users (personas) have been advocated as a way to avoid designing in isolation. They allow communication of user needs and orient teams towards user experience. One of the challenges for developers of interactive medical devices is that most devices are used by a wide variety of people, and that developers have limited access to those people; personas have the potential to make developers more aware of who they are designing for. But this raises the question of whether it is possible to deliver useful, valid personas of interactive medical device users. The aim of this research was to develop and test a rigorous, empirically grounded process of constructing personas, with the objective of reflecting on that process. Many challenges were encountered: we found that directly linking the personas to a user population was not possible and although personas were a useful tool for supporting communication and elicitation across disciplines, it was hard to make them representative when picking details that were relevant and checking accuracy. Checking the content resulted in disparate, possibly incommensurable, views. Despite this, the personas proved useful in supporting the transfer of knowledge across professional perspectives. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  10. Increasing capacity to deliver diabetes self-management education

    DEFF Research Database (Denmark)

    Carey, M. E.; Mandalia, P. K.; Daly, H.


    Aim: To develop and test a format of delivery of diabetes self-management education by paired professional and lay educators. Methods: We conducted an equivalence trial with non-randomized participant allocation to a Diabetes Education and Self Management for Ongoing and Newly Diagnosed Type 2 di...... educator role can provide equivalent patient benefits. This could provide a method that increases capacity, maintains quality and is cost-effective, while increasing access to self-management education.......Aim: To develop and test a format of delivery of diabetes self-management education by paired professional and lay educators. Methods: We conducted an equivalence trial with non-randomized participant allocation to a Diabetes Education and Self Management for Ongoing and Newly Diagnosed Type 2...... diabetes (DESMOND) course, delivered in the standard format by two trained healthcare professional educators (to the control group) or by one trained lay educator and one professional educator (to the intervention group). A total of 260 people with Type 2 diabetes diagnosed within the previous 12 months...

  11. Delivering Key Graduate Attributes via Teams Working in Virtual Space

    Directory of Open Access Journals (Sweden)

    Lyn Brodie


    Full Text Available Transferable skills are gaining an increasing emphasis in engineering education. The skills of teamwork, communication, self directed learning and problem solving feature in most of the accrediting agencies criteria. This paper is a case study of a course which uses Problem Based Learning method to deliver key transferable skills to engineering students studying via distance education The students use a range of communication systems including a Learning Management System which offers synchronous and asynchronous communications to work in a team where there is no face to face contact between either the team members or with the supervising academic. The teams solve open ended, contextualised engineering problems. These teams form a learning community which scaffolds individual and team learning goals. Results from a longitudinal study show that students significantly increase their teamwork, communication, problem solving and self directed learning skills. These are key graduate attributes now required by professional accreditation bodies. In addition specific theoretical and technical skills and knowledge are learnt and applied to new problems.

  12. Biomarkers: Delivering on the expectation of molecularly driven, quantitative health. (United States)

    Wilson, Jennifer L; Altman, Russ B


    Biomarkers are the pillars of precision medicine and are delivering on expectations of molecular, quantitative health. These features have made clinical decisions more precise and personalized, but require a high bar for validation. Biomarkers have improved health outcomes in a few areas such as cancer, pharmacogenetics, and safety. Burgeoning big data research infrastructure, the internet of things, and increased patient participation will accelerate discovery in the many areas that have not yet realized the full potential of biomarkers for precision health. Here we review themes of biomarker discovery, current implementations of biomarkers for precision health, and future opportunities and challenges for biomarker discovery. Impact statement Precision medicine evolved because of the understanding that human disease is molecularly driven and is highly variable across patients. This understanding has made biomarkers, a diverse class of biological measurements, more relevant for disease diagnosis, monitoring, and selection of treatment strategy. Biomarkers' impact on precision medicine can be seen in cancer, pharmacogenomics, and safety. The successes in these cases suggest many more applications for biomarkers and a greater impact for precision medicine across the spectrum of human disease. The authors assess the status of biomarker-guided medical practice by analyzing themes for biomarker discovery, reviewing the impact of these markers in the clinic, and highlight future and ongoing challenges for biomarker discovery. This work is timely and relevant, as the molecular, quantitative approach of precision medicine is spreading to many disease indications.

  13. Development of oral microencapsulated forms for delivering viral vaccines. (United States)

    Nechaeva, Elena


    Rapid development in biotechnology during the last decade has allowed novel ideas in the development of antiviral vaccines to be considered and provides interesting technological approaches to their realization. Designing of microencapsulated forms for delivering bacterial and viral antigens or antigenic complexes using biodegradable biopolymers is an important novel direction. This approach involves the production of polymeric spherical particles with a diameter of 1 microm to 3 mm, containing isolated viral antigens or whole viral particles. Microencapsulated antigens administered orally are protected from low pH values of the gastric juice, bile acids, their salts and proteolytic enzymes of the gastrointestinal tract. The ability to drastically potentiate the immune response to encapsulated antigens, together with the ability to penetrate into the intestinal and respiratory mucosae upon oral and tracheal administrations, respectively, with induction of local and systemic immune reactions are the special merits of such polymers. However, the majority of data on microencapsulated viral vaccines has so far been obtained in animal models, as well as a limited number of studies on the protective effect they elicit. Certain success in the development of vaccines against a number of human viral infections, such as hepatitis B, cytomegalovirus and rotavirus, gives hope to successful completion of this research. Presumably, such vaccines will be safe and innocuous, simple in administration and capable of inducing both the systemic and local immune responses at the primary portal of viral infection.

  14. The efficacy of computer-delivered treatment for smoking cessation. (United States)

    Reitzel, Lorraine R; McClure, Jennifer B; Cofta-Woerpel, Ludmila; Mazas, Carlos A; Cao, Yumei; Cinciripini, Paul M; Vidrine, Jennifer Irvin; Li, Yisheng; Wetter, David W


    The current study evaluated the efficacy of an individualized, hand-held computer-delivered treatment (CDT) versus standard treatment (ST) for the maintenance of smoking abstinence following a quit attempt. Participants were 303 adult daily smokers randomized to CDT or ST, plus pharmacotherapy. Abstinence though 1 year was examined using logistic random intercept models, a type of generalized linear mixed model regression. Results did not support the efficacy of the CDT program through 1 year postquit in analyses adjusted for time and study site (OR = 0.84, 95% CI = 0.55-1.30), or after further adjusting for race/ethnicity, age, gender, education, marital status, and the number of cigarettes smoked per day before quitting (OR = 0.89, 95% CI = 0.57-1.39). CDT did not increase short- or long-term abstinence rates over ST in this study. Findings differ from some in the literature and suggest the need for continued research on the use of CDT for smoking cessation. ©2011 AACR

  15. Sequentially delivered boost plans are superior to simultaneously delivered plans in head and neck cancer when the boost volume is located further away from the parotid glands

    NARCIS (Netherlands)

    Lamers-Kuijper, Emmy; Heemsbergen, Wilma; van Mourik, Anke; Rasch, Coen


    To find parameters that predict which head and neck patients benefit from a sequentially delivered boost treatment plan compared to a simultaneously delivered plan, with the aim to spare the salivary glands. We evaluated 50 recently treated head and neck cancer patients. Apart from the clinical plan

  16. Effectiveness of psychological interventions delivered by non-psychologists on low back pain and disability: a qualitative systematic review. (United States)

    Bostick, Geoff P


    Psychological treatments delivered by non-psychologists have been proposed as a way to increase access to care to address important psychological barriers to recovery in people with low back pain (LBP). This review aimed to synthesize randomized controlled trials (RCTs) that assess the effectiveness of psychological interventions delivered by non-psychologists in reducing pain intensity and disability in adults with LBP, compared with usual care. A systematic review without meta-analysis was carried out. Randomized controlled trials including adult patients with all types of musculoskeletal LBP were eligible. Interventions included those based on psychological principles and delivered by non-psychologists. The primary outcomes of interest were self-reported pain intensity and disability. Information sources included Medline, EMBASE, and the Cochrane Central Registrar for Controlled Trials. The Cochrane Collaboration's tool for assessing risk of bias was used for the evaluation of internal validity. There were 1,101 records identified, 159 were assessed for eligibility, 16 were critically appraised, and 11 studies were included. Mild to moderate risk of bias was present in the included studies, with personnel and patient blinding, treatment fidelity, and attrition being the most common sources of bias. Considerable heterogeneity existed for patient population, intervention components, and comparison groups. Although most studies demonstrated statistical and clinical improvements in pain and disability, few were statistically superior to the comparison group. Consistent with the broader psychological literature, psychological interventions delivered by non-psychologists have modest effects on low back pain and disability. Additional high quality research is needed to understand what patients are likely to respond to psychological interventions, the appropriate dose to achieve the desired outcome, the amount of training required to implement psychological

  17. Process evaluation of a technology-delivered screening and brief intervention for substance use in primary care

    Directory of Open Access Journals (Sweden)

    Steven J. Ondersma


    Full Text Available Psychotherapy process research examines the content of treatment sessions and their association with outcomes in an attempt to better understand the interactions between therapists and clients, and to elucidate mechanisms of behavior change. A similar approach is possible in technology-delivered interventions, which have an interaction process that is always perfectly preserved and rigorously definable. The present study sought to examine the process of participants' interactions with a computer-delivered brief intervention for drug use, from a study comparing computer- and therapist-delivered brief interventions among adults at two primary health care centers in New Mexico. Specifically, we sought to describe the pattern of participants' (N = 178 choices and reactions throughout the computer-delivered brief intervention, and to examine associations between that process and intervention response at 3-month follow-up. Participants were most likely to choose marijuana as the first substance they wished to discuss (n = 114, 64.0%. Most participants indicated that they had not experienced any problems as a result of their drug use (n = 108, 60.7%, but nearly a third of these (n = 32, 29.6% nevertheless indicated a desire to stop or reduce its use; participants who did report negative consequences were most likely to endorse financial or relationship concerns. However, participant ratings of the importance of change or of the helpfulness of personalized normed feedback were unrelated to changes in substance use frequency. Design of future e-interventions should consider emphasizing possible benefits of quitting rather than the negative consequences of drug use, and—when addressing consequences—should consider focusing on the impacts of substance use on relationship and financial aspects. These findings are an early but important step toward using process evaluation to optimize e-intervention content.

  18. Pro SQL Server 2008 Analytics Delivering Sales and Marketing Dashboards

    CERN Document Server

    Paulen, B


    Pro SQL Server 2008 Analytics provides everything you need to know to develop sophisticated and visually appealing sales and marketing dashboards using SQL Server 2008 and to integrate those dashboards with SharePoint, PerformancePoint, and other key Microsoft technologies. The book begins by addressing the many misconceptions that surround the use of Key Performance Indicators (KPIs) and giving a brief overview of the business intelligence (BI) and reporting tools that can be combined on the Microsoft platform to help you generate the results that you need. The focus of the book is to help yo

  19. Implementation of a Network Address Translation Mechanism Over IPv6

    National Research Council Canada - National Science Library

    Baumgartner, Trevor


    ...; however, NAT provides several other benefits. NAT can be used to mask the internal IP addresses of an Intranet - IPv6, the emerging standard for Internet addressing, provides three times the number of bits for IP addressing...

  20. Assessing what to address in science communication (United States)

    Bruine de Bruin, Wändi; Bostrom, Ann


    As members of a democratic society, individuals face complex decisions about whether to support climate change mitigation, vaccinations, genetically modified food, nanotechnology, geoengineering, and so on. To inform people’s decisions and public debate, scientific experts at government agencies, nongovernmental organizations, and other organizations aim to provide understandable and scientifically accurate communication materials. Such communications aim to improve people’s understanding of the decision-relevant issues, and if needed, promote behavior change. Unfortunately, existing communications sometimes fail when scientific experts lack information about what people need to know to make more informed decisions or what wording people use to describe relevant concepts. We provide an introduction for scientific experts about how to use mental models research with intended audience members to inform their communication efforts. Specifically, we describe how to conduct interviews to characterize people’s decision-relevant beliefs or mental models of the topic under consideration, identify gaps and misconceptions in their knowledge, and reveal their preferred wording. We also describe methods for designing follow-up surveys with larger samples to examine the prevalence of beliefs as well as the relationships of beliefs with behaviors. Finally, we discuss how findings from these interviews and surveys can be used to design communications that effectively address gaps and misconceptions in people’s mental models in wording that they understand. We present applications to different scientific domains, showing that this approach leads to communications that improve recipients’ understanding and ability to make informed decisions. PMID:23942122

  1. Assessing what to address in science communication. (United States)

    Bruine de Bruin, Wändi; Bostrom, Ann


    As members of a democratic society, individuals face complex decisions about whether to support climate change mitigation, vaccinations, genetically modified food, nanotechnology, geoengineering, and so on. To inform people's decisions and public debate, scientific experts at government agencies, nongovernmental organizations, and other organizations aim to provide understandable and scientifically accurate communication materials. Such communications aim to improve people's understanding of the decision-relevant issues, and if needed, promote behavior change. Unfortunately, existing communications sometimes fail when scientific experts lack information about what people need to know to make more informed decisions or what wording people use to describe relevant concepts. We provide an introduction for scientific experts about how to use mental models research with intended audience members to inform their communication efforts. Specifically, we describe how to conduct interviews to characterize people's decision-relevant beliefs or mental models of the topic under consideration, identify gaps and misconceptions in their knowledge, and reveal their preferred wording. We also describe methods for designing follow-up surveys with larger samples to examine the prevalence of beliefs as well as the relationships of beliefs with behaviors. Finally, we discuss how findings from these interviews and surveys can be used to design communications that effectively address gaps and misconceptions in people's mental models in wording that they understand. We present applications to different scientific domains, showing that this approach leads to communications that improve recipients' understanding and ability to make informed decisions.

  2. Addressing terrain masking in orbital reconnaissance (United States)

    Mehta, Sharad; Cico, Luke


    During aerial orbital reconnaissance, a sensor system is mounted on an airborne platform for imaging a region on the ground. The latency between the image acquisition and delivery of information to the end-user is critical and must be minimized. Due to fine ground pixel resolution and a large field-of-view for wide-area surveillance applications, a massive volume of data is gathered and imagery products are formed using a real-time multi-processor system. The images are taken at oblique angles, stabilized and ortho-rectified. The line-of-sight of the sensor to the ground is often interrupted by terrain features such as mountains or tall structures as depicted in Figure1. The ortho-rectification process renders the areas hidden from the line-of sight of the sensor with spurious information. This paper discusses an approach for addressing terrain masking in size, weight, and power (SWaP) and memory-restricted onboard processing systems.

  3. Addressing uncertainty in atomistic machine learning

    DEFF Research Database (Denmark)

    Peterson, Andrew A.; Christensen, Rune; Khorshidi, Alireza


    Machine-learning regression has been demonstrated to precisely emulate the potential energy and forces that are output from more expensive electronic-structure calculations. However, to predict new regions of the potential energy surface, an assessment must be made of the credibility of the predi......Machine-learning regression has been demonstrated to precisely emulate the potential energy and forces that are output from more expensive electronic-structure calculations. However, to predict new regions of the potential energy surface, an assessment must be made of the credibility...... of the predictions. In this perspective, we address the types of errors that might arise in atomistic machine learning, the unique aspects of atomistic simulations that make machine-learning challenging, and highlight how uncertainty analysis can be used to assess the validity of machine-learning predictions. We...... suggest this will allow researchers to more fully use machine learning for the routine acceleration of large, high-accuracy, or extended-time simulations. In our demonstrations, we use a bootstrap ensemble of neural network-based calculators, and show that the width of the ensemble can provide an estimate...

  4. Quantitative tools for addressing hospital readmissions

    Directory of Open Access Journals (Sweden)

    Lagoe Ronald J


    Full Text Available Abstract Background Increased interest in health care cost containment is focusing attention on reduction of hospital readmissions. Major payors have already developed financial penalties for providers that generate excess readmissions. This subject has benefitted from the development of resources such as the Potentially Preventable Readmissions software. This process has encouraged hospitals to renew efforts to improve these outcomes. The aim of this study was to describe quantitative tools such as definitions, risk estimation, and tracking of patients for reducing hospital readmissions. Findings This study employed the Potentially Preventable Readmissions software to develop quantitative tools for addressing hospital readmissions. These tools included two definitions of readmissions that support identification and management of patients. They also included analytical approaches for estimation of the risk of readmission for individual patients by age, discharge status of the initial admission, and severity of illness. They also included patient specific spreadsheets for tracking of target populations and for evaluation of the impact of interventions. Conclusions The study demonstrated that quantitative tools including the development of definitions of readmissions, estimation of the risk of readmission, and patient specific spreadsheets could contribute to the improvement of patient outcomes in hospitals.

  5. Adult immunization: the need to address. (United States)

    Mehta, Bharti; Chawla, Sumit; Kumar, Vijay; Jindal, Harashish; Bhatt, Bhumika


    Vaccination is recommended throughout life to prevent vaccine-preventable diseases and their sequel. The primary focus of vaccination programs has historically been directed to childhood immunizations. For adults, chronic diseases have been the primary focus of preventive and medical health care, though there has been increased emphasis on preventing infectious diseases. Adult vaccination coverage, however, remains low for most of the routinely recommended vaccines. Though adults are less susceptible to fall prey to traditional infectious agents, the probability of exposure to infectious agents has increased manifold owing to globalization and increasing travel opportunities both within and across the countries. Thus, there is an urgent need to address the problem of adult immunization. The adult immunization enterprise is more complex, encompassing a wide variety of vaccines and a very diverse target population. There is no coordinated public health infrastructure to support an adult immunization program as there is for children. Moreover, there is little coordination among adult healthcare providers in terms of vaccine provision. Substantial improvement in adult vaccination is needed to reduce the health consequences of vaccine-preventable diseases among adults. Routine assessment of adult patient vaccination needs, recommendation, and offer of needed vaccines for adults should be incorporated into routine clinical care of adults.

  6. Addressing social resistance in emerging security technologies. (United States)

    Mitchener-Nissen, Timothy


    In their efforts to enhance the safety and security of citizens, governments and law enforcement agencies look to scientists and engineers to produce modern methods for preventing, detecting, and prosecuting criminal activities. Whole body scanners, lie detection technologies, biometrics, etc., are all being developed for incorporation into the criminal justice apparatus. Yet despite their purported security benefits these technologies often evoke social resistance. Concerns over privacy, ethics, and function-creep appear repeatedly in analyses of these technologies. It is argued here that scientists and engineers continue to pay insufficient attention to this resistance; acknowledging the presence of these social concerns yet failing to meaningfully address them. In so doing they place at risk the very technologies and techniques they are seeking to develop, for socially controversial security technologies face restrictions and in some cases outright banning. By identifying sources of potential social resistance early in the research and design process, scientists can both engage with the public in meaningful debate and modify their security technologies before deployment so as to minimize social resistance and enhance uptake.

  7. Programming chemistry in DNA-addressable bioreactors. (United States)

    Fellermann, Harold; Cardelli, Luca


    We present a formal calculus, termed the chemtainer calculus, able to capture the complexity of compartmentalized reaction systems such as populations of possibly nested vesicular compartments. Compartments contain molecular cargo as well as surface markers in the form of DNA single strands. These markers serve as compartment addresses and allow for their targeted transport and fusion, thereby enabling reactions of previously separated chemicals. The overall system organization allows for the set-up of programmable chemistry in microfluidic or other automated environments. We introduce a simple sequential programming language whose instructions are motivated by state-of-the-art microfluidic technology. Our approach integrates electronic control, chemical computing and material production in a unified formal framework that is able to mimic the integrated computational and constructive capabilities of the subcellular matrix. We provide a non-deterministic semantics of our programming language that enables us to analytically derive the computational and constructive power of our machinery. This semantics is used to derive the sets of all constructable chemicals and supermolecular structures that emerge from different underlying instruction sets. Because our proofs are constructive, they can be used to automatically infer control programs for the construction of target structures from a limited set of resource molecules. Finally, we present an example of our framework from the area of oligosaccharide synthesis. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

  8. Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care. (United States)

    Barnett, Miya L; Lau, Anna S; Miranda, Jeanne


    Mobilizing lay health workers (LHWs) to deliver evidence-based treatments (EBTs) is a workforce strategy to address mental health disparities in underserved communities. LHWs can be leveraged to support access to EBTs in a variety of ways, from conducting outreach for EBTs delivered by professional providers to serving as the primary treatment providers. This critical review provides an overview of how LHW-supported or -delivered EBTs have been leveraged in low-, middle-, and high-income countries (HICs). We propose a conceptual model for LHWs to address drivers of service disparities, which relate to the overall supply of the EBTs provided and the demand for these treatments. The review provides illustrative case examples that demonstrate how LHWs have been leveraged globally and domestically to increase access to mental health services. It also discusses challenges and recommendations regarding implementing LHW-supported or -delivered EBTs. Expected final online publication date for the Annual Review of Clinical Psychology Volume 14 is May 7, 2018. Please see for revised estimates.

  9. Developing and Delivering National-Scale Gridded Phenology Data Products (United States)

    Marsh, L.; Crimmins, M.; Crimmins, T. M.; Gerst, K.; Rosemartin, A.; Switzer, J.; Weltzin, J. F.


    The USA National Phenology Network (USA-NPN; is now producing and freely delivering daily maps and short-term forecasts of accumulated growing degree days and spring onset dates (based on the Extended Spring Indices) at fine spatial scale for the conterminous United States. These data products have utility for a wide range of natural resource planning and management applications, including scheduling invasive species and pest detection and control activities, determining planting dates, anticipating allergy outbreaks and planning agricultural harvest dates. Accumulated growing degree day (AGDD) maps were selected because accumulated temperature is a strong driver of phenological transitions in plants and animals, including leaf-out, flowering, fruit ripening and migration. The Extended Spring Indices (SI-x) are based on predictive climate models for lilac and honeysuckle leaf and bloom; they have been widely used to summarize changes in the timing of spring onset. The SI-x is used as a national indicator of climate change impacts by the US Global Change Research Program and the Environmental Protection Agency. The USA-NPN is a national-scale program that supports scientific advancement and decision-making by collecting, storing, and sharing phenology data and information. To best serve various audiences, the AGDD and SI-x gridded maps are available in various formats through a range of access tools, including the USA-NPN online visualization tool as well as industry standards compliant web services. We plan to expand the suite of gridded map products offered by the USA-NPN to include predictive maps of phenological transitions for additional plant and animal species at fine spatial and temporal resolution in the near future. USA-NPN invites you to use freely available daily and short-term forecast maps of accumulated growing degree days and spring onset dates at fine spatial scale for the conterminous United States.

  10. Protein Nanoscaffolds for Delivering Toxic Inorganic Cargo to Cancer Cells (United States)

    Cioloboc, Daniela

    Targeted delivery of anticancer drugs or prodrugs to tumors can minimize systemic toxicity and side effects. This study develops platforms for targeted delivery of two potentially less systemically toxic prodrugs by exploiting the native and/or bioinorganic properties of two ferritins, both of which function naturally as iron storage proteins. Two delivery approaches were investigated. The first system was designed to serve as either an enhancement or alternative to traditional photodynamic therapy by generating hydroxyl radical in addition to singlet oxygen as the toxic reactive oxygen species. This system used Escherichia coli bacterioferritin (Bfr) loaded with 2,500 irons and multiple zinc-porphyrin (ZnP) photosensitizers. Ferrous iron was released by photoreduction of ferric iron stored within the Bfr protein shell. Hydroxyl radicals were generated via the Fenton reaction between hydrogen peroxide and the released ferrous iron. The outer surface of the Bfr protein shell was coated with peptides that specifically bind to a receptor known to be overexpressed in many tumor cells and tumor vasculature. The iron-loaded peptide-ZnP-Bfr was endocytosed by melanoma cells, where it showed photo-triggered release of iron and light-dependent cytotoxicity. The second system, built around human heavy chain ferritin (HFn), was loaded with arsenate as a less toxic "prodrug" and designed to release arsenic in its toxic, therapeutically effective reduced form, arsenic trioxide (ATO). The Hfn shell was coated with peptides targeting receptors that are hyperexpressed in triple negative breast cancers. The arsenate/iron-loaded-Hfn was endocytosed by a breast cancer cell line and showed cytotoxicity equivalent to that of free ATO on an arsenic basis, whereas the "empty" or iron-only loaded Hfn showed no cytotoxicity. Although HFn has previously been used to deliver organic drugs and imaging agents, these new results demonstrate that both Bfr and HFn can be manipulated to function

  11. Novel drug delivering conduit for peripheral nerve regeneration (United States)

    Labroo, Pratima; Shea, Jill; Edwards, Kyle; Ho, Scott; Davis, Brett; Sant, Himanshu; Goodwin, Isak; Gale, Bruce; Agarwal, Jay


    Objective. This paper describes the design of a novel drug delivery apparatus integrated with a poly lactic-co-glycolic acid (PLGA) based nerve guide conduit for controlled local delivery of nerve growth factor (NGF) and application in peripheral nerve gap injury. Approach. An NGF dosage curve was acquired to determine the minimum in vitro concentration for optimal neurite outgrowth of dorsal root ganglion (DRG) cells; PLGA based drug delivery devices were then designed and tested in vitro and in vivo across 15 mm rat sciatic nerve gap injury model. Main results. The drug delivery nerve guide was able to release NGF for 28 d at concentrations (0.1–10 ng ml‑1) that were shown to enhance DRG neurite growth. Furthermore, the released NGF was bioactive and able to enhance DRG neurite growth. Following these tests, optimized NGF-releasing nerve conduits were implanted across 15 mm sciatic nerve gaps in a rat model, where they demonstrated significant myelination and muscle innervation in vivo as compared to empty nerve conduits (p  nerve guide can release NGF for extended periods of time and enhance axon growth in vitro and in vivo and has the potential to improve nerve regeneration following a peripheral nerve injury. Significance. This integrated drug delivering nerve guide simplifies the design process and provides increased versatility for releasing a variety of different growth factors. This innovative device has the potential for broad applicability and allows for easier customization to change the type of drugs and dosage of individual drugs without devising a completely new biomaterial–drug conjugate each time.

  12. Nursing leaders can deliver a new model of care. (United States)

    Shalala, Donna E


    Millions more insured Americans. Increasing numbers of older patients. Higher rates of chronic illness. Fewer providers. How can our healthcare system not only manage these challenges but also improve performance and access to care while containing costs? The answer lies with our nurses. In some parts of the United States, nurses provide the full spectrum of primary and preventive care. They have successfully improved access and quality in rural areas. In other parts, nurses' hands are tied by antiquated laws and regulations that limit their ability to expand access to care. Our system cannot increase access when we have providers who are not allowed to perform to the top of their education, training, and capability. It is time to rethink how we deliver primary and preventive care and redefine the roles of doctors and nurses. This article examines the history of the Institute of Medicine's (IOM) Future of Nursing report (chaired by the author) and the resulting Future of Nursing Campaign for Action, which is working to institute the report's recommendations in all 50 states. The IOM report's recommendations are simple: 1. Remove outdated restrictions on nursing practice. 2. Promote nurse leadership on hospital boards and in all healthcare sectors. 3. Strengthen nurse education and training, and increase the number of nurses with advanced degrees. 4. Increase diversity in the nursing workforce to better reflect the patient population. 5. Improve data reporting and compilation to predict workforce needs. New York, Kentucky, and Minnesota are three recent states to remove barriers pre venting advanced practice registered nurses from practicing at the top of their license. Similar efforts in California, Florida, and Indiana failed initially but are expected to make progress in the near future. The article makes clear how and why the Center to Champion Nursing in America (an initiative of AARP, the AARP Foundation, and the Robert Wood Johnson Foundation) is working to

  13. Quality assurance of the dose delivered by small radiation segments

    International Nuclear Information System (INIS)

    Hansen, Vebeke N.; Evans, Philip M.; Budgell, Geoffrey J.; Mott, Judith H.L.; Williams, Peter C.; Brugmans, Marco J.P.; Wittkaemper, Frits W.; Mijnheer, Ben J.; Brown, Kevin


    The use of intensity modulation with multiple static fields has been suggested by many authors as a way to achieve highly conformal fields in radiotherapy. However, quality assurance of linear accelerators is generally done only for beam segments of 100 MU or higher, and by measuring beam profiles once the beam has stabilized. We propose a set of measurements to check the stability of dose delivery in small segments, and present measured data from three radiotherapy centres. The dose delivered per monitor unit, MU, was measured for various numbers of MU segments. The field flatness and symmetry were measured using either photographic films that are subsequently scanned by a densitometer, or by using a diode array. We performed the set of measurements at the three radiotherapy centres on a set of five different Philips SL accelerators with energies of 6 MV, 8 MV, 10 MV and 18 MV. The dose per monitor unit over the range of 1 to 100 MU was found to be accurate to within ±5% of the nominal dose per monitor unit as defined for the delivery of 100 MU for all the energies. For four out of the five accelerators the dose per monitor unit over the same range was even found to be accurate to within ±2%. The flatness and symmetry were in some cases found to be larger for small segments by a maximum of 9% of the flatness/symmetry for large segments. The result of this study provides the dosimetric evidence that the delivery of small segment doses as top-up fields for beam intensity modulation is feasible. However, it should be stressed that linear accelerators have different characteristics for the delivery of small segments, hence this type of measurement should be performed for each machine before the delivery of small dose segments is approved. In some cases it may be advisable to use a low pulse repetition frequency (PRF) to obtain more accurate dose delivery of small segments. (author)

  14. Child and youth participatory interventions for addressing lifestyle-related childhood obesity: a systematic review. (United States)

    Frerichs, L; Ataga, O; Corbie-Smith, G; Tessler Lindau, S


    A growing number of childhood obesity interventions involve children and youth in participatory roles, but these types of interventions have not been systematically reviewed. We aimed to identify child and youth participatory interventions in the peer-reviewed literature in order to characterize the approaches and examine their impact on obesity and obesity-related lifestyle behaviours. We searched PubMed/Medline, psychINFO and ERIC for quasi-experimental and randomized trials conducted from date of database initiation through May 2015 that engaged children or youth in implementing healthy eating, physical activity or weight management strategies. Eighteen studies met our eligibility criteria. Most (n = 14) trained youth to implement pre-defined strategies targeting their peers. A few (n = 4) assisted youth to plan and implement interventions that addressed environmental changes. Thirteen studies reported at least one statistically significant weight, physical activity or dietary change outcome. Participatory approaches have potential, but variation in strategies and outcomes leave questions unanswered about the mechanisms through which child and youth engagement impact childhood obesity. Future research should compare child-delivered or youth-delivered to adult-delivered health promotion interventions and more rigorously evaluate natural experiments that engage youth to implement environmental changes. With careful attention to theoretical frameworks, process and outcome measures, these studies could strengthen the effectiveness of child and youth participatory approaches. © 2016 World Obesity Federation.

  15. Improving Employee Well-Being and Effectiveness: Systematic Review and Meta-Analysis of Web-Based Psychological Interventions Delivered in the Workplace


    Carolan, Stephany; Harris, Peter R; Cavanagh, Kate


    Background: Stress, depression and anxiety amongst working populations can result in reduced work performance and increased absenteeism, but while there is evidence that these common mental health problems are preventable and treatable in the workplace, uptake of psychological treatments amongst the working population is low. One way to address this may be the delivery of occupational digital mental health interventions, but while there is convincing evidence for delivering digital psychologi...

  16. Address Points - COUNTY_ADDRESS_POINTS_IDHS_IN: Address Points Maintained by County Agencies in Indiana (Indiana Department of Homeland Security, Point feature class) (United States)

    NSGIC State | GIS Inventory — COUNTY_ADDRESS_POINTS_IDHS_IN is an ESRI Geodatabase point feature class that contains address points maintained by county agencies in Indiana, provided by personnel...

  17. Opening Address [Presented by M. Dondi

    International Nuclear Information System (INIS)

    Burkart, W.; Chhem, R.


    days. The core of the IAEA's programme in dosimetry has two components. One is the dissemination of radiation measurement standards through the IAEA-WHO network of SSDLs. The other involves verification of the accuracy of the dosimetry standards at the user's level in hospitals via the IAEA-WHO postal thermoluminescent dosimeter service. In the first component, the IAEA enables its Member States to measure radiation dose and in the second component, the IAEA helps its Member States to provide independent evidence of the correctness of their dosimetry measurements. Ideally, all radiation beams used to treat cancer patients would be checked by an independent national or international body on a periodic basis, and whenever new machines are installed and commissioned. At present, the IAEA-WHO postal thermoluminescent dosimeter service checks only about 600 photon beams and none of the electron beams used to treat cancer patients. It is estimated that the reference dose in approximately half of the clinical beams and in most of the electron beams used worldwide to treat patients is not checked at all. Furthermore, only a handful of radiation beams are checked outside the conditions for reference dosimetry by specialized auditing institutions. The IAEA is fully aware of the needs in the field and works to bridge the gap. Specifically, the IAEA intends to request extrabudgetary funding to support the growing needs of its Member States for dosimetry audits. As you are certainly aware, within the IAEA, the mandate of the Division of Human Health is to enhance the capabilities in Member States to address needs related to the prevention, diagnosis and treatment of health problems through the application of nuclear techniques. Therefore, we have a strong focus on quality assurance to ensure the safe and effective use of radiation in medicine. This symposium will address all areas of dosimetry, not only in radiotherapy but also in imaging, covering both diagnostic radiology and

  18. Delivering health care on the streets: challenges and opportunities for quality management. (United States)

    Howe, Evan C; Buck, David S; Withers, Jim


    Street Medicine focuses on the health needs of unsheltered homeless through mobile teams that provide care in the locations where individuals are found. Innovative strategies are needed to manage the quality of care provided within the atypical clinical settings encountered. In our study, contextual elements and practices for managing quality of care were explored through qualitative analysis of program components presented at the 2007 and 2008 International Street Medicine Symposia. Our analysis identified several common contextual elements, including unconventional living situations and lack of financial resources of patients, inconsistency in contact with transient patient populations, and informal clinical settings. Several practices were developed to address these elements and improve the quality of care delivered. Best practices included the use of mobile clinic vans, electronic medical records, collaboration with community clinics and hospitals, and provision of comprehensive social support. An example of quality auditing was also found in the reviewed programs. Additional work is needed to further quality management in Street Medicine and support achievement of replicable practices and measurable outcomes. We propose that 2 short-term outcome measures be used that acknowledge the contextual challenges faced in Street Medicine. These are patient engagement and patients' subjective assessment of their well-being.

  19. Integrated Diabetes Care Delivered by Patients – A Case Study from Bulgaria

    Directory of Open Access Journals (Sweden)

    Verena Struckmann


    Full Text Available Introduction: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian ‘Diabetic care’ non-profit (DCNPO programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. Methods: The DCNPO programme was selected as one of eight ‘high potential’ programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU project, covering 31 European countries. Data was first gathered with a questionnaire after which semi-structured interviews with project staff and participants were conducted during a site visit. Results: The programme trains diabetic patients to act as carers, case managers, self-management trainers and health system navigators for diabetic patients and their family. The programme improved care coordination and patient-centered care by offering free care delivered by a multidisciplinary team. It facilitates the collaboration between patients, volunteers, health providers and the community. Internal evaluations demonstrate reduced hospital admissions and avoidable amputations, with consequent cost savings for the health care system. Conclusion: Integrated care provided by volunteering patients can empower people suffering from diabetes and their co-morbidities and address health and social inequalities in resource-poor settings. It can also contribute to an increased trust and improved satisfaction among vulnerable patients with complex care needs.

  20. New Ways of Delivering Marine Scientific Evidence for Policy Needs in the UK (United States)

    Dorrington, T.


    The UK Department for Environment, Food, and Rural Affairs (Defra) is responsible for safeguarding the natural environment, supporting a world-leading food and farming industry, and sustaining a thriving rural economy. This includes the marine environment which makes a significant contribution to the economy of the UK through fisheries, aquaculture, transport, leisure and recreation, energy (including renewable), coastal tourism, and naval defence. The overall vision for the Defra marine programme is to therefore achieve clean, healthy, safe, productive and biologically diverse oceans and seas. In order to attain this it is essential that the decisions that government makes can be justified and that these decisions use the best available evidence and allow for any uncertainty. However, reductions across the budgets of departments such as Defra means that new ways of delivering evidence for policy needs must be sought. To do this we must consider marine monitoring efficiencies including the use of novel technologies, more integrated monitoring programmes, and greater collaboration with the research councils, industry, and academia. We must also seek to leverage other sources of funding from the European Union and other international partners. This presentation will address the main policy drivers (e.g. EU Marine Strategy Framework Directive) and future needs of the marine programme, the Defra Evidence Action Plan (EAP), and how we plan to use new avenues of gaining high quality marine scientific evidence in an era of declining budgets.

  1. Product training for the technical expert the art of developing and delivering Hands-On Learning

    CERN Document Server

    Bixby, Daniel W.


    "I was pleased to review Dan's new book - pleased because he addresses an old topic in a new way. He is making no assumptions for trainers who are not fully experienced and seasoned. He takes them step-by-step through practical and realistic methods to set up training graduates to actually be on-the-job performers. Enjoy, learn and be inspired." Jim Kirkpatrick, PhD, Senior Consultant, Kirkpatrick Partners, USA "Daniel Bixby's approach to product training for technical experts is practical, relevant and exactly what anyone who is required to train others on technical content really needs. He writes with candor and with a sense of ease, making the reader feel as though he is right there with you helping to develop your training competency. A must read for anyone on your team required to provide technical training to others!" Jennifer Alfa o, Chief Human Resources Officer, USA An expert guide to developing and delivering technical product training programs While there are many books on talent development...

  2. Better Strength, Better Balance! Partnering to deliver a fall prevention program for older adults. (United States)

    Taing, Darcie; McKay, Kelly


    Falls incur significant health and economic costs, particularly among older adults. Physical activity has been found to be the single most important fall prevention behaviour an older adult can do. This manuscript describes Ottawa Public Health's (OPH) experience implementing the Better Strength, Better Balance! (BSBB) program, a fall prevention exercise program for older adults, through an innovative partnership with the local Recreation, Cultural & Facility Services (RCFS) Department. BSBB aims to reach 1300 community-dwelling adults (aged 65 years and older) per year through approximately 86-130 exercise programs. Designed as a universal program, BSBB addresses participation barriers such as transportation, cost and location. BSBB was enabled with funding from the Champlain Local Health Integration Network, and coincided with the implementation of an Older Adult Plan for the City of Ottawa. BSBB is a beginner-level, fall prevention exercise and education program that takes place twice a week, over 12 weeks. Certified RCFS instructors delivered the exercise components of the program and OPH staff incorporated fall prevention messaging and conducted the evaluation. The formative evaluation indicated that participants experienced improved strength and balance, decreased fear of falling and the intent to adopt new fall prevention behaviours following the program. The partnership between OPH and RCFS allowed both partners to leverage their unique and mutual strengths to continually improve the program. Improving access to strength and balance programming is an important public health strategy to reduce falls. The recreation sector is an ideal partner to help public health in this pursuit.

  3. Product training for the technical expert the art of developing and delivering hands-on learning

    CERN Document Server

    Bixby, Daniel W


    I was pleased to review Dan's new book - pleased because he addresses an old topic in a new way. He is making no assumptions for trainers who are not fully experienced and seasoned. He takes them step-by-step through practical and realistic methods to set up training graduates to actually be on-the-job performers. Enjoy, learn and be inspired. Jim Kirkpatrick, PhD Senior Consultant, Kirkpatrick Partners, USA Daniel Bixby's approach to Product Training for technical experts is practical, relevant and exactly what anyone who is required to train others on technical content really needs. He writes with candor and with a sense of ease, making the reader feel as though he is right there with you helping to develop your training competency. A must read for anyone on your team required to provide technical training to others! Jennifer Alfaro Chief Human Resources Officer, USA An expert guide to developing and delivering technical product training programs While there are many books on talent developmen...

  4. Harm reduction text messages delivered during alcohol drinking: feasibility study protocol. (United States)

    Renner, Karen Adell


    Recent research using mobile phone interventions to address public health issues such as smoking, obesity, depression, and diabetes provides a basis for trialing a similar approach toward reducing the negative consequences of risky drinking. This feasibility study aims to recruit drinkers between 18-34 years to a website where they will design and enter their own personal messages (repeating or one-off) to be sent to their mobile phones when they are drinking to remind them of their pre-drinking safety intentions. Participants in the treatment group will have access to the messaging function for 3 months and will be compared to a control group who will have 3 months access to a web chat site only. Data collection will occur at baseline, 3 months, and 6 months. The primary outcome is a change in unintended negative consequences from drinking at 3 months. Secondary outcomes include the acceptability of the intervention to this population, recruitment rate, participant retention, reduction in alcohol consumption, and the self-motivation discourse in participant messages. Existing alcohol interventions in New Zealand attempt to reduce alcohol consumption in the population, but with little effect. This study aims to target unintended negative consequences resulting from drinking by empowering the drinkers themselves to deliver safety messages during the drinking session. If proven effective, this strategy could provide a cost-effective means of reducing the public health burden associated with risky drinking. Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12611000242921.

  5. Australian nursing and midwifery educators delivering evidence-based education in Tanzania: A qualitative study. (United States)

    Gower, Shelley; van den Akker, Jose; Jones, Mark; Dantas, Jaya A R; Duggan, Ravani


    Since 2011, Western Australian nursing and midwifery educators have been providing evidence-based continuing education to Tanzanian health professionals. Despite thorough preparation before departure, differences in local resource levels and available facilities have necessitated impromptu adaptation of curriculum content and delivery methods to ensure an effective program was delivered. This study explored the personal, cultural and teaching strategies utilised by Western Australian nursing and midwifery educators in Tanzania and examined if the transferability of education packages was influenced by the educators' cultural competence. Using a qualitative exploratory approach, data was collected from 15 Western Australian nursing and midwifery educators using a demographic survey and in-depth individual semi-structured interviews. The core themes identified from the analysis were Determination to learn, Assessing needs, Communication skills and Greater understanding. These findings are described using the conceptual framework of Campinha-Bacote's The Process of Cultural Competence in the Delivery of Healthcare Services. With appropriate levels of cultural competence, international health professionals can be effective at providing ongoing professional development to colleagues in developing country contexts, which may help address difficulties with retention and motivation of staff. It is essential that prior to departure cultural competence training is provided to educators to enhance their teaching capacity and effectiveness in international settings. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Creating a spiritual tapestry: nurses' experiences of delivering spiritual care to patients in an Irish hospice.

    LENUS (Irish Health Repository)

    Bailey, Maria E


    This study aims to describe nurses\\' experiences of delivering spiritual support in a palliative care setting in the Republic of Ireland. The authors conducted semi-structured interviews with 22 nurses working in the area of specialist palliative care. A content analysis of the transcriptions revealed five sub-themes: understanding spirituality; the art of nursing in spiritual care; education and learning; the challenge of spiritual caring; and the dimensions of time. The resulting creation of a spiritual tapestry provided an overall theme. Nurses in this study were spiritually self-aware and placed a high value on the spiritual element of their caring role. Nurses described their individual understanding of spirituality and discussed how they recognized and addressed a patient\\'s spiritual needs. Time was described as essential to the provision of spiritual support and appeared to be a significant resource challenge to the provision of spiritual care. The challenges of assessing spiritual needs and measuring outcomes of care were also reported. Participants in this study described the creation of a spiritual tapestry that \\'weaves\\' together care and compassion with skills and knowledge in their nursing practice.

  7. Nuclear techniques to address HAB concerns

    International Nuclear Information System (INIS)

    Vu Nhu Ngoc; Phan Son; Nguyen Ngoc Lam and Chu Van Thuoc


    In December, 1998, The Project Formulation meeting on application of Nuclear Techniques to address red tide (Harmful Algal Bloom concerns) was held in Manila Philippines. This is an IAEA/RCA project with the participation of Australia, China, Indonesia, Malaysia, Pakistan, The Philippines, Thailand and Vietnam. The main objectives of this project (RAS/8/076) included: - Conduct of segmentation studies to gain information on the natural histories of sediments and to correlated these with Red Tide occurrences. - Development of descriptive and predictive of the behaviour of Algal Bloom as affected by the interplay of the causative organism with the environment parameters in the water column and sediments. - Development and field testing of a rapid assay technique based on tritium - labeled saxitoxin for toxin determination. The first phase has been completed in 2002 and the second phase will be completed in 2004. In the two years of 2001 - 2002 Ted Tide occurred in very larger area in Vietnam, for example, in the coast of Binh Thuan Province with the density of 39.10 9 cells/litre. The Ministry of science - technology environment of Vietnam has support 5.000 USD each years for sediment and algal sampling in Cam Ranh Bay (Nha Trang, 11 o 45N and 10 o 15E) and Ha Long Bay in the North - East of Vietnam (21 o 15 and 107 o 3E) and in 2003 in Tuy Phong Bay (Binh Thuan province) (10 o 15N, 108 o 45E). Three sediment core has been taken from Cam Ranh Bay, Ha Long Bay and Tuy Phong Bay. The volume of sediment core is Φ = 8 cm and h = 60 cm. The algal samples have been collected by Bongo nets in Cam Ranh, Ha Long Bay and Tuy Phong Bay. (author)

  8. USGS Science: Addressing Our Nation's Challenges (United States)

    Larson, Tania M.


    With 6.6 billion people already living on Earth, and that number increasing every day, human influence on our planet is ever more apparent. Changes to the natural world combined with increasing human demands threaten our health and safety, our national security, our economy, and our quality of life. As a planet and a Nation, we face unprecedented challenges: loss of critical and unique ecosystems, the effects of climate change, increasing demand for limited energy and mineral resources, increasing vulnerability to natural hazards, the effects of emerging diseases on wildlife and human health, and growing needs for clean water. The time to respond to these challenges is now, but policymakers and decisionmakers face difficult choices. With competing priorities to balance, and potentially serious - perhaps irreversible - consequences at stake, our leaders need reliable scientific information to guide their decisions. As the Nation's earth and natural science agency, the USGS monitors and conducts scientific research on natural hazards and resources and how these elements and human activities influence our environment. Because the challenges we face are complex, the science needed to better understand and deal with these challenges must reflect the complex interplay among natural and human systems. With world-class expertise in biology, geology, geography, hydrology, geospatial information, and remote sensing, the USGS is uniquely capable of conducting the comprehensive scientific research needed to better understand the interdependent interactions of Earth's systems. Every day, the USGS helps decisionmakers to minimize loss of life and property, manage our natural resources, and protect and enhance our quality of life. This brochure provides examples of the challenges we face and how USGS science helps decisionmakers to address these challenges.

  9. Final Report on Internet Addressable Lightswitch

    Energy Technology Data Exchange (ETDEWEB)

    Rubinstein, Francis; Pettler, Peter


    This report describes the work performed to develop and test a new switching system and communications network that is useful for economically switching lighting circuits in existing commercial buildings. The first section of the report provides the general background of the IBECS (Integrated Building Environmental Communications System) research and development work as well as the context for the development of the new switching system. The research and development effort that went into producing the first proof-of-concept (the IBECS Addressable Power Switch or APS) and the physical prototype of that concept is detailed in the second section. In the third section of the report, we detail the refined Powerline Carrier Based IBECS Title 24 Wall Switch system that evolved from the APS prototype. The refined system provided a path for installing IBECS switching technology in existing buildings that may not be already wired for light level switching control. The final section of the report describes the performance of the IBECS Title 24 Switch system as applied to a small demonstration in two offices at LBNL's Building 90. We learned that the new Powerline Carrier control systems (A-10 technology) that have evolved from the early X-10 systems have solved most of the noise problems that dogged the successful application of X-10 technologies in commercial buildings. We found that the new A-10 powerline carrier control technology can be reliable and effective for switching lighting circuits even in electrically noisy office environments like LBNL. Thus we successfully completed the task objectives by designing, building and demonstrating a new switching system that can provide multiple levels of light which can be triggered either from specially designed wall switches or from a digital communications network. By applying commercially available powerline carrier based technologies that communicate over the in-place lighting wiring system, this type of control can be

  10. Addressing the Public About Science and Religion (United States)

    Peshkin, Murray


    Attacks on the integrity of science teaching in our public schools have recently become increasingly threatening. Geology and Darwinian evolution are the primary targets and cosmology is at risk. Up to now, the Supreme Court has excluded teachings based on religion from public schools for constitutional, not scientific, reasons. But now the incumbent Supreme Court seem less committed to strict separation of church and state than were their predecessors, and federal courts are beginning to judge the science itself. In this situation, we need to create a climate of public opinion favorable to the protection of good science by explaining the issues both to students and to others. I have been trying to do that by addressing audiences such as church groups, other community groups, and high school and college classes. I do not seek to convert committed anti-evolutionists. I am trying to inform the reasonable majority who do not really know what science is and does, or what a theory is and how we know when it's right, or why we tell them that all knowledge is provisional but still insist that we are teaching the right science. Many have been advised by their religious teachers that there is no conflict between science and their religious beliefs but do not see how that can be. I try to explain how they are disjoint discussions. I also discuss the likely consequences for our country if we degrade the teaching of science in the public schools. My audiences have generally been receptive. Here I will relate some lessons I have learned from my experience with such talks. Without doubt, the most important lesson is that most Americans have religious beliefs that are important to them and are willing to consider what I say only because they know I respect their beliefs. This work was partially supported by the U.S. Dept. of Energy, Office of Nuclear Physics, under contract DE-AC02-06CH11357.

  11. An Inaugural Girl Scout Destinations Astronomy Camp (United States)

    Lebofsky, Larry A.; McCarthy, Donald W.; Wright, Joe; Wright, Rita; Mace, Mikayla; Floyd, Charmayne


    The University of Arizona (UA) conducted its first teenage Girl Scout Destinations Astronomy Camp. This program was preceded by 24 Leadership Workshops for Adult Girl Scout Leaders, initially supported by EPO funding from NIRCam for JWST. For five days in late June, 24 girls (ages 13-17 years) attended from 16 states. The Camp was led by UA astronomers and long-term educators. Representing Girl Scouts of the USA (GSUSA) were a husband/wife amateur astronomer team who are SOFIA Airborne Astronomy and NASA Solar System Ambassadors. Other leaders included a Stanford undergraduate engineering student who is a lifelong Girl Scout and Gold Award recipient and a recent UA Master’s degree science journalist. The Camp is a residential, hands-on “immersion” adventure in scientific exploration using telescopes in southern Arizona’s Catalina Mountains near Tucson. Under uniquely dark skies girls become real astronomers, operating telescopes (small and large) and associated technologies, interacting with scientists, obtaining images and quantitative data, investigating their own questions, and most importantly having fun actually doing science and building observing equipment. Girls achieve a basic understanding of celestial objects, how and why they move, and their historical significance, leading to an authentic understanding of science, research, and engineering. Girls can lead these activities back home in their own troops and councils, encouraging others to consider STEM field careers. These programs are supported by a 5-year NASA Collaborative Agreement, Reaching for the Stars: NASA Science for Girl Scouts (, through the SETI Institute in collaboration with the UA, GSUSA, Girl Scouts of Northern California, the Astronomical Society of the Pacific, and Aries Scientific, Inc. The Girl Scout Destinations Astronomy Camp aligns with the GSUSA Journey: It’s Your Planet-Love It! and introduces the girls to some of the activities being developed by the Girl Scout Stars team for GSUSA’s new space science badges for all Girl Scout levels as a part of Reaching for the Stars. Reaching for the Stars: NASA Science for Girl Scouts is supported by NASA SMD’s Education Cooperative Agreement # NNX16AB90.

  12. LHC INAUGURATION, LHC Fest highlights: exhibition time!

    CERN Multimedia


    David Gross, one of the twenty-one Nobel Laureates who have participated in the project.Tuesday 21 October 2008 Accelerating Nobels Colliding Charm, Atomic Cuisine, The Good Anomaly, A Quark Somewhere on the White Paper, Wire Proliferation, A Tale of Two Liquids … these are just some of the titles given to artworks by Physics Nobel Laureates who agreed to make drawings of their prize-winning discoveries (more or less reluctantly) during a special photo session. Science photographer Volker Steger made portraits of Physics Nobel Laureates and before the photo sessions he asked them to make a drawing of their most important discovery. The result is "Accelerating Nobels", an exhibition that combines unusual portraits of and original drawings by twenty-one Nobel laureates in physics whose work is closely related to CERN and the LHC. This exhibition will be one of the highlights of the LHC celebrations on 21 October in the SM18 hall b...

  13. [Cavernous haemangiomas: hearing and vestibular inaugural symptoms]. (United States)

    Dumas, G; Schmerber, S


    Cavernous haemangiomas (cavernomas)(CH) are relatively rare (2% of cranial tumoral pathology) vascular malformations mostly observed in the central nervous system. Their most common topographical site in brain stem is midline in the pons, for which clinical course may mimic symptoms of peripheral origin (sudden deafness, fluctuating hearing loss, Meniere-like vertigo). To establish the correlation between the clinical manifestations of hearing and balance disturbance and the anatomical site within the pons of cavernous haemangiomas, and to describe their clinical features, and the findings on auditory brainstem response (ABR) and magnetic resonance imaging (MRI). To propose a literature review about CH and its implications. We made a retrospective review of the histories of three patients aged 24, 44 and 45 years, diagnosed as having cavernomas of the brainstem in which audiometric evaluation, videonystagmography (VNG), ABR and imaging techniques lead to the diagnosis of intracranial cavernoma. The clinical and radiological files were reviewed and a direct relationship between symptoms and localization was found in all 3 patients, especially in relation to our understanding of the auditory and vestibular pathways within the brainstem. The literature regarding cavernomas of the pons is reviewed and the clinical, neuroimage, pathological, natural course and management aspects of the disease are discussed. We recommend the use of cerebral MRI for initial diagnosis which shows a typical rosette-like appearance with a heterogeneous signal on T2-weighted images, along with follow-up and investigation into similar profiles among family members. At present there is no consensus about the treatment to follow when cavernomas are located in the brain stem. There is no specific medical treatment for this condition, and surgery is indicated only exceptionally. Anticoagulant therapy, platelet-dispersing medication and violent sports activities are contraindicated.

  14. Summary of the ACRE inaugural meeting. (United States)

    Bloomgarden, Zachary T


    The charter meeting of the Association of Clinical Researchers and Educators (ACRE) provided a powerful set of arguments against assertions that physician-industry collaboration is harmful and represents a "conflict of interest." Such collaboration has, in fact, improved medical care for patients, a case made overwhelmingly by patients and patient advocacy groups at the meeting. The contentions that physician-industry collaboration is problematic are not based on evidence. They depend on unjustified generalization from inevitable, sometimes egregious, but vanishingly uncommon adverse outcomes of industry-physician interaction without reference to how so much more commonly these interactions add value. Furthermore, the claim that physician-industry collaboration is unprofessional is refuted by rational scrutiny. Indeed, the term "conflict of interest" itself is vague, inviting subjectivity and deserving to be rejected. The unwarranted success of conflict of interest regulation has prevailed because of the failure of physicians, educators, and innovators, through apathy and intimidation, to pay attention to its fallacies and resist its dangers. It has arisen from activist ambitions and from misalignment between the purposes of medical practitioners, educators, and innovators and those of administrators in medical journals and in academic medical centers. The media and politicians have not appreciated these misalignments and have accepted conflict of interest arguments at face value. Regulation emanating from conflict of interest criticism is confusing, onerous, expensive, disrespectful, and damaging. Prohibitions against speaking about medical products inhibit physician and patient education concerning rapidly emerging and complex therapies. Input by physicians cognizant of compliance requirements into such presentations should be encouraged. Restrictions to the free flow of corporate support of academic health centers, professional societies, and patient organizations threaten to delay medical innovation and education.

  15. The LHC inauguration in pictures - LHCfest

    CERN Multimedia


    After the VIPs had left, 3000 other ‘very important people’ turned up to celebrate at the LHCfest. The party for CERN personnel involved in the LHC was a huge success and very popular. At the mention of food the crowd moved into SM18 where the buffet was being served. Some of the equipment in SM18 served as useful tables. AlpineKat performed the now notorious LHC rap, with a little help from Lyn Evans who joined her on stage as a backing dancer. You can watch a video of the rap at Even when most people thought that the last shuttles had left, the party was still going strong with the Canettes blues band.

  16. A Stake in the Unknown : Inaugural Lecture

    NARCIS (Netherlands)

    N. Adusei-Poku


    As a University of Applied Sciences located in Rotterdam, one of the most diverse cities in The Netherlands, we aspire to a diverse community, not only students but also of faculty and staff. While diversity is portrayed by the community's national, racial, class, (dis)ability, sexual and gender

  17. Multi Sensor Approach to Address Sustainable Development (United States)

    Habib, Shahid


    The main objectives of Earth Science research are many folds: to understand how does this planet operates, can we model her operation and eventually develop the capability to predict such changes. However, the underlying goals of this work are to eventually serve the humanity in providing societal benefits. This requires continuous, and detailed observations from many sources in situ, airborne and space. By and large, the space observations are the way to comprehend the global phenomena across continental boundaries and provide credible boundary conditions for the mesoscale studies. This requires a multiple sensors, look angles and measurements over the same spot in accurately solving many problems that may be related to air quality, multi hazard disasters, public health, hydrology and more. Therefore, there are many ways to address these issues and develop joint implementation, data sharing and operating strategies for the benefit of the world community. This is because for large geographical areas or regions and a diverse population, some sound observations, scientific facts and analytical models must support the decision making. This is crucial for the sustainability of vital resources of the world and at the same time to protect the inhabitants, endangered species and the ecology. Needless to say, there is no single sensor, which can answer all such questions effectively. Due to multi sensor approach, it puts a tremendous burden on any single implementing entity in terms of information, knowledge, budget, technology readiness and computational power. And, more importantly, the health of planet Earth and its ability to sustain life is not governed by a single country, but in reality, is everyone's business on this planet. Therefore, with this notion, it is becoming an impractical problem by any single organization/country to bear this colossal responsibility. So far, each developed country within their means has proceeded along satisfactorily in implementing

  18. Addressing contrasting cognitive models in scientific collaboration (United States)

    Diviacco, P.


    If the social aspects of scientific communities and their internal dynamics is starting to be recognized and acknowledged in the everyday lives of scientists, it is rather difficult for them to find tools that could support their activities consistently with this perspective. Issues span from gathering researchers to mutual awareness, from information sharing to building meaning, with the last one being particularly critical in research fields as the geo-sciences, that deal with the reconstruction of unique, often non-reproducible, and contingent processes. Reasoning here is, in fact, mainly abductive, allowing multiple and concurrent explanations for the same phenomenon to coexist. Scientists bias one hypothesis over another not only on strictly logical but also on sociological motivations. Following a vision, scientists tend to evolve and isolate themselves from other scientists creating communities characterized by different cognitive models, so that after some time these become incompatible and scientists stop understanding each other. We address these problems as a communication issue so that the classic distinction into three levels (syntactic, semantic and pragmatic) can be used. At the syntactic level, we highlight non-technical obstacles that condition interoperability and data availability and transparency. At the semantic level, possible incompatibilities of cognitive models are particularly evident, so that using ontologies, cross-domain reconciliation should be applied. This is a very difficult task to perform since the projection of knowledge by scientists, in the designated community, is political and thus can create a lot of tension. The strategy we propose to overcome these issues pertains to pragmatics, in the sense that it is intended to acknowledge the cultural and personal factors each partner brings into the collaboration and is based on the idea that meaning should remain a flexible and contingent representation of possibly divergent views

  19. The 2016 Ferno Award Address: Three Things. (United States)

    Baker, Timothy B


    Researchers may optimize smoking treatment by addressing three research topics that have been relatively neglected. First, researchers have neglected to intensively explore how counseling contents affect smoking cessation success. Worldwide, millions of smokers are exposed to different smoking cessation contents and messages, yet existing research evidence does not permit strong inference about the value of particular counseling contents or strategies. Research in this area could enhance smoking outcomes and yield new insights into smoking motivation. Second, researchers have focused great attention on inducing smokers to make quit attempts when they contact healthcare systems; the success of such efforts may have plateaued. Also, the vast majority of quit attempts are self-quit attempts, largely unsuccessful, that occur outside such contacts. Researchers should explore strategies for using healthcare systems as conduits for digital- and other population-based interventions independent of healthcare visits. Such resources should be used to graft timely access to evidence-based intervention onto self-quitting, yielding evidence-based, patient-managed quit attempts. Third, most smoking treatments are assembled via selection of components based on informal synthesis of empirical and impressionistic evidence and are evaluated as a package. However, recent factorial experiments show that components of smoking treatments often interact meaningfully; for example, some components may interfere with the effectiveness of other components. Many extant treatments likely comprise suboptimal sets of components; future treatment development should routinely use factorial experiments to permit the assembly of components that yield additive or synergistic effects.Research in the above three areas should significantly advance our understanding of tobacco use and its treatment. A lack of relevant research, and the likely prospect of significant clinical and public health benefit

  20. Evaluating Judicial Performance and Addressing Gender Bias

    Directory of Open Access Journals (Sweden)

    Angela Melville


    Full Text Available Elek and Rottman argue that judicial evaluation is often biased against women and minority judges. The need to address bias is important, however often the desire for diversity seems so self-evident as to belie deeper analysis. This paper examines the two main rationales for gender equality on the bench. First, female judges are often considered necessary in order to bring a gendered perspective to judging, however it is argued that this rationale is flawed. Second, an alternative rationale based on equality and legitimacy is offered which avoids gender essentialism. While debates typically focus on these two rationales, a third rationale embraces both difference and equality/legitimacy. The presence of female judges has an important symbolic value which destabilises existing fraternal legal norms. Finally, increasing the number of female judges may not necessarily change judging, and this paper also analyses how the transformative potential offered by judicial diversity can work in practice. Elek y Rottman defienden que la evaluación judicial suele estar sesgada en contra de las mujeres y los jueces pertenecientes a minorías. La necesidad de abordar el sesgo es importante, sin embargo a menudo el deseo de diversidad parece tan evidente como para contradecir un análisis más profundo. Este artículo examina los dos motivos principales para la igualdad de género en el banquillo. En primer lugar, las mujeres jueces a menudo se consideran necesarias para aportar una perspectiva de género al hecho de juzgar, sin embargo, se defiende que este razonamiento es erróneo. En segundo lugar, se ofrece una alternativa lógica basada en la igualdad y la legitimidad que evita el esencialismo de género. Mientras que los debates suelen centrarse en estas dos razones, una tercera justificación abarca tanto la diferencia como la igualdad/legitimidad. La presencia de mujeres en la judicatura tiene un importante valor simbólico que desestabiliza las normas

  1. Moving to world's best uranium address

    International Nuclear Information System (INIS)

    Noakes, Frank


    Most exploration dollars spent in South Australia are focused on exploiting uranium. This is for good reason as South Australia is the world's best address for uranium. Pressure to cut CO 2 emissions and the ballistic growth of the Chinese and Indian economies has heightened expectations that the worldwide use of uranium for power generation will mushroom beyond its current 17% market share. The recent Australia-China deal only seems to confirm this; hence uranium's growing popularity among miners and explorers. Such is the attractiveness of uranium-related floats, when Toro Energy sought $18m in March it was swamped with more than three times share application volume. In the north west, Southern Gold and Hindmarsh Resources are expectantly drilling for commercial uranium deposits all around the acreage that hosts the Challenger gold mine in the Gawler Craton. The first exploration drilling for uranium in quaternary-age river channels will take place in South Australia's far north in May. Red Metal says while older and deeper tertiary river channels in the area that host the Beverley uranium mine were explored for uranium, the younger near-surface channel has not had a single hole drilled for uranium. This is despite the area being one of the 'hottest radiogenic terrains in South Australia'. The company will target calcrete-style uranium mineralisation similar to the Yerrlirrie deposit in Western Australia (52,000t U308). Tasman Resources will start drilling to test seven uranium targets within 30km of Olympic Dam, the world's largest known uranium deposit, later this year. Tasman also holds tenements adjoining the Warrior uranium deposit near Tarcoola that contains known radiometric anomalies within the 40km-long Wynbring paleochannels. They are the fourth largest uranium explorer in South Australia. Alliance Resources and its JV partner Quasar Resources are exploring the Beverley 4 Mile uranium prospect at Arkaroola. Quasar is an affiliate of Heathgate Resources

  2. The health of women and girls: how can we address gender equality and gender equity? (United States)

    Payne, Sarah


    This article focuses on the health of women and girls, and the role of addressing gender inequalities experienced by women and girls. The health of both males and females is influenced by sex, or biological factors, and gender, or socially constructed influences, including gender differences in the distribution and impact of social determinants of health, access to health promoting resources, health behaviors and gender discourse, and the ways in which health systems are organized and financed, and how they deliver care. Various strategies to address the health of women and girls have been developed at intergovernmental, regional, and national level, and by international nongovernmental organizations. These include vertical programs which aim to target specific health risks and deliver services to meet women and girl's needs, and more cross-cutting approaches which aim at "gender" policy making. Much of this work has developed following the adoption of gender mainstreaming principles across different policy arenas and scales of policy making, and this article reviews some of these strategies and the evidence for their success, before concluding with a consideration of future directions in global policy. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  3. Delivering stepped care: an analysis of implementation in routine practice

    Directory of Open Access Journals (Sweden)

    Richards David A


    Full Text Available Abstract Background In the United Kingdom, clinical guidelines recommend that services for depression and anxiety should be structured around a stepped care model, where patients receive treatment at different 'steps,' with the intensity of treatment (i.e., the amount and type increasing at each step if they fail to benefit at previous steps. There are very limited data available on the implementation of this model, particularly on the intensity of psychological treatment at each step. Our objective was to describe patient pathways through stepped care services and the impact of this on patient flow and management. Methods We recorded service design features of four National Health Service sites implementing stepped care (e.g., the types of treatments available and their links with other treatments, together with the actual treatments received by individual patients and their transitions between different treatment steps. We computed the proportions of patients accessing, receiving, and transiting between the various steps and mapped these proportions visually to illustrate patient movement. Results We collected throughput data on 7,698 patients referred. Patient pathways were highly complex and very variable within and between sites. The ratio of low (e.g., self-help to high-intensity (e.g., cognitive behaviour therapy treatments delivered varied between sites from 22:1, through 2.1:1, 1.4:1 to 0.5:1. The numbers of patients allocated directly to high-intensity treatment varied from 3% to 45%. Rates of stepping up from low-intensity treatment to high-intensity treatment were less than 10%. Conclusions When services attempt to implement the recommendation for stepped care in the National Institute for Health and Clinical Excellence guidelines, there were significant differences in implementation and consequent high levels of variation in patient pathways. Evaluations driven by the principles of implementation science (such as targeted planning

  4. History of the World Federation of Societies for Laser Medicine and Surgery (WFSLMS) and its Non-Profit Organization (NPO-WFSLMS): Part 1: Origins to Inaugural Meeting, 2005. (United States)

    Ohshiro, Toshio


    The first society formed to represent the "new" field of laser applications in medicine and surgery was the late Professor Kaplan's International Society for Laser Surgery and Medicine, held in Israel in 1975. Following the ISLSM lead, a large number of national and international societies were very swiftly formed. As the number grew, it became obvious that some sort of linking forum would help all these separate societies to pool the knowledge of their members for the good of the clinicians and their patients. The World Federation of Societies for Laser Medicine and Surgery was formed to attempt to fill this role. The History: At the 1996 meeting of the Greek Medical Laser Association, the first international forum of representatives from 17 international and national laser societies was convened by Professor Nick Nicolopoulos, and the seed of an idea for a centralized forum to help separate laser societies coordinate efforts and knowledge was planted. This seed was nurtured by the ISLSM as the first medical laser society, and forums were called together at each meeting of the ISLSM and the other related societies from 1997 to 2003. At the 2004 Chinese Medical Laser Society meeting, the idea of worldwide federation of laser societies crystallized into a more tangible form The Inaugural WFSLMS Congress: The convening of the first WFSLMS congress took place in Tokyo in 2005, under the leadership of Professor Kazuhiko Atsumi. At this meeting, Professor Kaplan proposed that a Medical Laser Foundation should be established and donated the first seed money for its formation. Because of the Japanese legal requirements, a foundation was impossible and so a Non-profit Organization (NPO-WFSLMS) was started, based in Japan, to oversee the work and fund the tasks of promoting laser surgery and medicine worldwide, for the good of mankind: the financing, running and holding WFSLMS congresses became one of the tasks of NPO-WFSLMS. Both the WFSLMS and NPO-WFSLMS were therefore on

  5. 21 CFR 1321.01 - DEA mailing addresses. (United States)


    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false DEA mailing addresses. 1321.01 Section 1321.01 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE DEA MAILING ADDRESSES § 1321.01 DEA mailing addresses. The following table provides information regarding mailing addresses to be used...

  6. An efficacy trial of brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial

    Directory of Open Access Journals (Sweden)

    Fanaian Mahnaz


    Full Text Available Abstract Background Lifestyle risk factors, in particular smoking, nutrition, alcohol consumption and physical inactivity (SNAP are the main behavioural risk factors for chronic disease. Primary health care (PHC has been shown to be an effective setting to address lifestyle risk factors at the individual level. However much of the focus of research to date has been in general practice. Relatively little attention has been paid to the role of nurses working in the PHC setting. Community health nurses are well placed to provide lifestyle intervention as they often see clients in their own homes over an extended period of time, providing the opportunity to offer intervention and enhance motivation through repeated contacts. The overall aim of this study is to evaluate the impact of a brief lifestyle intervention delivered by community nurses in routine practice on changes in clients' SNAP risk factors. Methods/Design The trial uses a quasi-experimental design involving four generalist community nursing services in NSW Australia. Services have been randomly allocated to an 'early intervention' group or 'late intervention' (comparison group. 'Early intervention' sites are provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. 'Late intervention site' provide usual care and will be offered the study intervention following the final data collection point. A total of 720 generalist community nursing clients will be recruited at the time of referral from participating sites. Data collection consists of 1 telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness to change 2 nurse survey at baseline, six and 12 months to examine changes in nurse confidence, attitudes and practices in the assessment and management of SNAP risk factors 3 semi-structured interviews/focus with nurses, managers and clients

  7. An efficacy trial of brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial). (United States)

    Laws, Rachel A; Chan, Bibiana C; Williams, Anna M; Davies, Gawaine Powell; Jayasinghe, Upali W; Fanaian, Mahnaz; Harris, Mark F


    Lifestyle risk factors, in particular smoking, nutrition, alcohol consumption and physical inactivity (SNAP) are the main behavioural risk factors for chronic disease. Primary health care (PHC) has been shown to be an effective setting to address lifestyle risk factors at the individual level. However much of the focus of research to date has been in general practice. Relatively little attention has been paid to the role of nurses working in the PHC setting. Community health nurses are well placed to provide lifestyle intervention as they often see clients in their own homes over an extended period of time, providing the opportunity to offer intervention and enhance motivation through repeated contacts. The overall aim of this study is to evaluate the impact of a brief lifestyle intervention delivered by community nurses in routine practice on changes in clients' SNAP risk factors. The trial uses a quasi-experimental design involving four generalist community nursing services in NSW Australia. Services have been randomly allocated to an 'early intervention' group or 'late intervention' (comparison) group. 'Early intervention' sites are provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. 'Late intervention site' provide usual care and will be offered the study intervention following the final data collection point. A total of 720 generalist community nursing clients will be recruited at the time of referral from participating sites. Data collection consists of 1) telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness to change 2) nurse survey at baseline, six and 12 months to examine changes in nurse confidence, attitudes and practices in the assessment and management of SNAP risk factors 3) semi-structured interviews/focus with nurses, managers and clients in 'early intervention' sites to explore the

  8. Heterogeneous access and processing of EO-Data on a Cloud based Infrastructure delivering operational Products (United States)

    Niggemann, F.; Appel, F.; Bach, H.; de la Mar, J.; Schirpke, B.; Dutting, K.; Rucker, G.; Leimbach, D.


    To address the challenges of effective data handling faced by Small and Medium Sized Enterprises (SMEs) a cloud-based infrastructure for accessing and processing of Earth Observation(EO)-data has been developed within the project APPS4GMES( To gain homogenous multi mission data access an Input Data Portal (IDP) been implemented on this infrastructure. The IDP consists of an Open Geospatial Consortium (OGC) conformant catalogue, a consolidation module for format conversion and an OGC-conformant ordering framework. Metadata of various EO-sources and with different standards is harvested and transferred to an OGC conformant Earth Observation Product standard and inserted into the catalogue by a Metadata Harvester. The IDP can be accessed for search and ordering of the harvested datasets by the services implemented on the cloud infrastructure. Different land-surface services have been realised by the project partners, using the implemented IDP and cloud infrastructure. Results of these are customer ready products, as well as pre-products (e.g. atmospheric corrected EO data), serving as a basis for other services. Within the IDP an automated access to ESA's Sentinel-1 Scientific Data Hub has been implemented. Searching and downloading of the SAR data can be performed in an automated way. With the implementation of the Sentinel-1 Toolbox and own software, for processing of the datasets for further use, for example for Vista's snow monitoring, delivering input for the flood forecast services, can also be performed in an automated way. For performance tests of the cloud environment a sophisticated model based atmospheric correction and pre-classification service has been implemented. Tests conducted an automated synchronised processing of one entire Landsat 8 (LS-8) coverage for Germany and performance comparisons to standard desktop systems. Results of these tests, showing a performance improvement by the factor of six, proved the high flexibility and

  9. Hipparcos to deliver its final results catalogue soon (United States)


    them, almost 30 years ago, to propose carrying out these observations from the relatively benign environment of space. Hipparcos is, by present standards, a medium-sized satellite, with a 30 cm telescope sensing simply ordinary light. But it has been described as the most imaginative in the short history of space astronomy. This foresight has been amply repaid. In the long history of stargazing it ranks with the surveys by Hipparchus the Greek in the 2nd Century BC and by Tichy Brahe the Dane in the 16th Century AD, both of which transformed human perceptions of the Universe. Positions derived from the Hipparcos satellite are better than a millionth of a degree, and newly a thousand times more accurate than star positions routinely determined from he ground. This accuracy makes it possible to measure directly the distances to the stars. While it took 250 years between astronomers first setting out on the exacting task of measuring the distance to a star, and a stellar distance being measured for the first time, ESA's Hipparcos mission has revolutionised this long, painstaking, and fundamental task by measuring accurate distances and movements of more than one hundred thousand. The measurement concept involved he satellite triangulating its way between he stars all wound the sky, building up a celestial map in much the same way as land surveyors use triangulation between hill-tops to measure distances accurately. Only the angles involved are much smaller : the accuracy that has been achieved with the Hipparcos Catalogue is such that he two edges of a coin, viewed from he other side of the Atlantic Ocean, could be distinguished. The results from Hipparcos will deliver scientists with long-awaited details of our place in he Milky Way Galaxy. Most of he stars visible to the naked eye are, to a large extent, companions of the Sun, in a great orbital march around the centre of the Galaxy, a journey so long that it takes individual stars 250 million years to complete, in

  10. Resource Requirements and Costs of Developing and Delivering MOOCs

    Directory of Open Access Journals (Sweden)

    Fiona M. Hollands


    Full Text Available Given the ongoing alarm regarding uncontrollable costs of higher education, it would be reasonable to expect not only concern about the impact of MOOCs on educational outcomes, but also systematic efforts to document the resources expended on their development and delivery. However, there is little publicly available information on MOOC costs that is based on rigorous analysis. In this article, we first address what institutional resources are required for the development and delivery of MOOCs, based on interviews conducted with 83 administrators, faculty members, researchers, and other actors in the MOOCspace. Subsequently, we use the ingredients method to present cost analyses of MOOC production and delivery at four institutions. We find costs ranging from $38,980 to $325,330 per MOOC, and costs per completer of $74-$272, substantially lower than costs per completer of regular online courses, by merit of scalability. Based on this metric, MOOCs appear more cost-effective than online courses, but we recommend judging MOOCs by impact on learning and caution that they may only be cost-effective for the most self-motivated learners. By demonstrating the methods of cost analysis as applied to MOOCs, we hope that future assessments of the value of MOOCs will combine both cost information and effectiveness data to yield cost-effectiveness ratios that can be compared with the cost-effectiveness of alternative modes of education delivery. Such information will help decision-makers in higher education make rational decisions regarding the most productive use of limited educational resources, to the benefit of both learners and taxpayers.

  11. Operator models for delivering municipal solid waste management services in developing countries. Part A: The evidence base. (United States)

    Wilson, David C; Kanjogera, Jennifer Bangirana; Soós, Reka; Briciu, Cosmin; Smith, Stephen R; Whiteman, Andrew D; Spies, Sandra; Oelz, Barbara


    This article presents the evidence base for 'operator models' - that is, how to deliver a sustainable service through the interaction of the 'client', 'revenue collector' and 'operator' functions - for municipal solid waste management in emerging and developing countries. The companion article addresses a selection of locally appropriate operator models. The evidence shows that no 'standard' operator model is effective in all developing countries and circumstances. Each city uses a mix of different operator models; 134 cases showed on average 2.5 models per city, each applying to different elements of municipal solid waste management - that is, street sweeping, primary collection, secondary collection, transfer, recycling, resource recovery and disposal or a combination. Operator models were analysed in detail for 28 case studies; the article summarises evidence across all elements and in more detail for waste collection. Operators fall into three main groups: The public sector, formal private sector, and micro-service providers including micro-, community-based and informal enterprises. Micro-service providers emerge as a common group; they are effective in expanding primary collection service coverage into poor- or peri-urban neighbourhoods and in delivering recycling. Both public and private sector operators can deliver effective services in the appropriate situation; what matters more is a strong client organisation responsible for municipal solid waste management within the municipality, with stable political and financial backing and capacity to manage service delivery. Revenue collection is also integral to operator models: Generally the municipality pays the operator from direct charges and/or indirect taxes, rather than the operator collecting fees directly from the service user.

  12. Galactosylated LDL nanoparticles: a novel targeting delivery system to deliver antigen to macrophages and enhance antigen specific T cell responses. (United States)

    Wu, Fang; Wuensch, Sherry A; Azadniv, Mitra; Ebrahimkhani, Mohammad R; Crispe, I Nicholas


    We aim to define the role of Kupffer cells in intrahepatic antigen presentation, using the selective delivery of antigen to Kupffer cells rather than other populations of liver antigen-presenting cells. To achieve this we developed a novel antigen delivery system that can target antigens to macrophages, based on a galactosylated low-density lipoprotein nanoscale platform. Antigen was delivered via the galactose particle receptor (GPr), internalized, degraded and presented to T cells. The conjugation of fluoresceinated ovalbumin (FLUO-OVA) and lactobionic acid with LDL resulted in a substantially increased uptake of FLUO-OVA by murine macrophage-like ANA1 cells in preference to NIH3T3 cells, and by primary peritoneal macrophages in preference to primary hepatic stellate cells. Such preferential uptake led to enhanced proliferation of OVA specific T cells, showing that the galactosylated LDL nanoscale platform is a successful antigen carrier, targeting antigen to macrophages but not to all categories of antigen presenting cells. This system will allow targeted delivery of antigen to macrophages in the liver and elsewhere, addressing the question of the role of Kupffer cells in liver immunology. It may also be an effective way of delivering drugs or vaccines directly at macrophages.

  13. Increase of doses delivered to patients during medical imagery examinations. Conclusions of 16 September 2010 seminar organized by the ASN

    International Nuclear Information System (INIS)


    This document reports the contributions of the participants to the seminar which aimed at discussing the increase of doses delivered in medical imagery, and the actions to undertake to limit this increase. The authors recall the regulatory and legal context regarding the optimization of medical procedures and the organisation of radiation protection for medical exposures, comment the assessment of exposures by medical imagery in 2007, comment the CE marking of medical devices, the recent evolutions in dose optimization of radiology and scanography devices. Other sets of interventions address the application of the justification and optimization principle by professionals (in new scanography practices, in radio-paediatrics), the professional training issue (radiologist continuous training, electro-radiology operator training), the comparison between scanner and RMI (new fields for RMI, imagery benchmark), the assessment of professional practices (tools for continuous professional development of health professionals, medical imagery initiatives in Belgium), and international recommendations (by the IAEA, the WHO, the European Union)

  14. Who will deliver comprehensive healthy lifestyle interventions to combat non-communicable disease? Introducing the healthy lifestyle practitioner discipline. (United States)

    Arena, Ross; Lavie, Carl J; Hivert, Marie-France; Williams, Mark A; Briggs, Paige D; Guazzi, Marco


    Unhealthy lifestyle characteristics (i.e., physical inactivity, excess body mass, poor diet, and smoking) as well as associated poor health metrics (i.e., dyslipidemia, hyperglycemia, and hypertension) are the primary reasons for the current non-communicable disease crisis. Compared to those with the poorest of lifestyles and associated health metrics, any movement toward improving lifestyle and associated health metrics improves health outcomes. To address the non-communicable disease crisis we must: 1) acknowledge that healthy lifestyle (HL) interventions are a potent medicine; and 2) move toward a healthcare system that embraces primordial as much as, if not more than, secondary prevention with a heavy focus on HL medicine. This article introduces the Healthy Lifestyle Practitioner, focused on training health professionals to deliver HL medicine.

  15. Health effects of training laypeople to deliver emergency care in underserviced populations: a systematic review protocol. (United States)

    Orkin, Aaron M; Curran, Jeffrey D; Fortune, Melanie K; McArthur, Allison; Mew, Emma J; Ritchie, Stephen D; Van de Velde, Stijn; VanderBurgh, David


    The Disease Control Priorities Project recommends emergency care training for laypersons in low-resource settings, but evidence for these interventions has not yet been systematically reviewed. This review will identify the individual and community health effects of educating laypeople to deliver prehospital emergency care interventions in low-resource settings. This systematic review addresses the following question: in underserviced populations and low-resource settings (P), does first aid or emergency care training or education for laypeople (I) confer any individual or community health benefit for emergency health conditions (O), in comparison with no training or other forms of education (C)? We restrict this review to studies reporting quantitatively measurable outcomes, and search 12 electronic bibliographic databases and grey literature sources. A team of expert content and methodology reviewers will conduct title and abstract screening and full-text review, using a custom-built online platform. Two investigators will independently extract methodological variables and outcomes related to patient-level morbidity and mortality and community-level effects on resilience or emergency care capacity. Two investigators will independently assess external validity, selection bias, performance bias, measurement bias, attrition bias and confounding. We will summarise the findings using a narrative approach to highlight similarities and differences between the gathered studies. Formal ethical approval is not required. The results will be disseminated through a peer-reviewed publication and knowledge translation strategy. CRD42014009685. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  16. Delivering a radiation protection dividend: systemic capacity-building for the radiation safety profession in Africa

    Directory of Open Access Journals (Sweden)

    Julian Hilton


    Full Text Available Many African countries planning to enter the nuclear energy “family” have little or no experience of meeting associated radiation safety demands, whether operational or regulatory. Uses of radiation in medicine in the continent, whether for diagnostic or clinical purposes, are rapidly growing while the costs of equipment, and hence of access to services, are falling fast. In consequence, many patients and healthcare workers are facing a wide array of unfamiliar challenges, both operational and ethical, without any formal regulatory or professional framework for managing them safely. This, combined with heighted awareness of safety issues post Fukushima, means the already intense pressure on radiation safety professionals in such domains as NORM industries and security threatens to reach breaking point. A systematic competency-based capacity-building programme for RP professionals in Africa is required (Resolution of the Third AFRIRPA13 Regional Conference, Nairobi, September 2010. The goal is to meet recruitment and HR needs in the rapidly emerging radiation safety sector, while also addressing stakeholder concerns in respect of promoting and meeting professional and ethical standards. The desired outcome is an RP “dividend” to society as a whole. A curriculum model is presented, aligned to safety procedures and best practices such as Safety Integrity Level and Layer of Protection analysis; it emphasizes proactive risk communication both with direct and indirect stakeholders; and it outlines disciplinary options and procedures for managers and responsible persons for dealing with unsafe or dangerous behavior at work. This paper reports on progress to date. It presents a five-tier development pathway starting from a generic foundation course, suitable for all RP professionals, accompanied by specialist courses by domain, activity or industry. Delivery options are discussed. Part of the content has already been developed and delivered as

  17. The challenges and psychological impact of delivering nursing care within a war zone. (United States)

    Finnegan, Alan; Lauder, William; McKenna, Hugh


    Between 2001 and 2014, British military nurses served in Afghanistan caring for both service personnel and local nationals of all ages. However, there have been few research studies assessing the psychological impact of delivering nursing care in a war zone hospital. The purpose of the study was to explore the challenges and psychological stressors facing military nurses in undertaking their operational role. A constructivist grounded theory was used. Semi-structured interviews were conducted with 18 British Armed Forces nurses at Camp Bastion Hospital, Afghanistan, in June to July 2013. Military nurses faced prolonged periods of caring for seriously injured polytrauma casualties of all ages, and there were associated distressing psychological effects and prolonged periods of adjustment on returning home. Caring for children was a particular concern. The factors that caused stress, both on deployment and returning home, along with measures to address these issues such as time for rest and exercise, can change rapidly in response to the dynamic flux in clinical intensity common within the deployable environment. Clinical training, a good command structure, the requirement for rest, recuperation, exercise, and diet were important in reducing psychological stress within a war zone. No formal debriefing model was advocated for clinical staff who appear to want to discuss traumatic incidents as a group, and this may have contributed to stigma and nurses feeling isolated. On returning home, military nurses reported being disconnected from the civilian wards and departments. The study raised the question of who cares for the carers, as participants reported a perception that others felt that they should be able to cope without any emotional issues. It is envisioned that the results are transferable internationally to nurses from other armed forces and will raise awareness with civilian colleagues. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. 38 CFR 1.518 - Addresses of claimants. (United States)


    ... reasonable efforts to obtain an address have failed. The address will not be released when such disclosure would be prejudicial to the mental or physical health of the claimant. When an address is furnished it... mental health of the recipient. (d) Subject to the conditions set forth in § 1.922, the Department of...

  19. Pronouns and Terms of Address in "Neues Deutschland." (United States)

    Kempf, Renate


    Describes a study that investigated the distribution of the pronouns of address in the German Democratic Republic by looking at the pronouns and terms of address in different newspaper tests. Pronoun use was dependent on the kind of text, on party membership, nationality, social class, and the roles of the addressee and addressed. (SED)

  20. Research of future network with multi-layer IP address (United States)

    Li, Guoling; Long, Zhaohua; Wei, Ziqiang


    The shortage of IP addresses and the scalability of routing systems [1] are challenges for the Internet. The idea of dividing existing IP addresses between identities and locations is one of the important research directions. This paper proposed a new decimal network architecture based on IPv9 [11], and decimal network IP address from E.164 principle of traditional telecommunication network, the IP address level, which helps to achieve separation and identification and location of IP address, IP address form a multilayer network structure, routing scalability problem in remission at the same time, to solve the problem of IPv4 address depletion. On the basis of IPv9, a new decimal network architecture is proposed, and the IP address of the decimal network draws on the E.164 principle of the traditional telecommunication network, and the IP addresses are hierarchically divided, which helps to realize the identification and location separation of IP addresses, the formation of multi-layer IP address network structure, while easing the scalability of the routing system to find a way out of IPv4 address exhausted. In addition to modifying DNS [10] simply and adding the function of digital domain, a DDNS [12] is formed. At the same time, a gateway device is added, that is, IPV9 gateway. The original backbone network and user network are unchanged.

  1. Analyzing the Messages of the State of the Union Address (United States)

    Kissling, Mark T.; Martell, Christopher C.


    In the era of smartphones and 24-hour news networks, the State of the Union address is a major event. All national media outlets--in print, on television, on the Internet--report on the address, some almost exclusively in the days leading up to and after the speech. In this article, considering their experiences teaching about the address, and…

  2. Promised and Delivered Inducements and Contributions: An Integrated View of Psychological Contract Appraisal (United States)

    Lambert, Lisa Schurer


    The reciprocal exchange of employees' work for pay that is central to employment relationships is viewed here through the lens of the psychological contract. A psychological contract involves promised inducements, promised contributions, delivered inducements, and delivered contributions: How an employee cognitively integrates these 4 elements is…

  3. Extension through Partnerships: Research and Education Center Teams with County Extension to Deliver Programs (United States)

    Mullahey, J. Jeffrey


    Budget reductions have severely affected resources available to deliver agriculture and natural resource Extension programs in Florida. University of Florida/Institute of Food and Agricultural Sciences delivers Extension programming through a unique partnership between research and education centers and county Extension. Science-based information…

  4. 29 CFR 570.106 - “Ship or deliver for shipment in commerce”. (United States)


    ... Section 12(a) § 570.106 “Ship or deliver for shipment in commerce”. (a) Section 12(a) forbids producers, manufacturers, and dealers to “ship or deliver for shipment in commerce” the goods referred to therein. A producer, manufacturer, or dealer may “ship” goods in commerce either by moving them himself in interstate...

  5. Using a NLSI to deliver the Effective Learning Programme: problems and practicalities

    Directory of Open Access Journals (Sweden)

    Bob Hunter


    Full Text Available In 1996 the University of Lincolnshire and Humberside implemented its Effective Learning programme (ELP. This is delivered by a Networked Learning Support Intranet (NLSI. This paper discusses some of the issues raised in linking NLSI to centralised databases and the changing staff roles within Learning Support required to develop, deliver and support ELP and the NLSI.

  6. 25 CFR 171.310 - Can I use water delivered by BIA for livestock purposes? (United States)


    ... 25 Indians 1 2010-04-01 2010-04-01 false Can I use water delivered by BIA for livestock purposes? 171.310 Section 171.310 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER IRRIGATION OPERATION AND MAINTENANCE Water Use § 171.310 Can I use water delivered by BIA for livestock...

  7. The effect of support on Internet-delivered treatment for insomnia: Does baseline depression severity matter?

    NARCIS (Netherlands)

    Lancee, J.; Sorbi, M.J.; Eisma, M.C.; van Straten, A.; van den Bout, J.


    Internet-delivered cognitive-behavioral treatment is effective for insomnia. However, little is known about the beneficial effects of support. Recently we demonstrated that motivational support moderately improved the effects of Internet-delivered treatment for insomnia. In the present study, we

  8. A Comparison of Self- and Peer-Delivered Immediate Corrective Feedback on Multiplication Performance. (United States)

    Skinner, Christopher H.; And Others


    Compared effects of peer-delivered (PDF) and self-delivered (SDF) immediate corrective feedback intervention on multiplication performance of six second grade students. SDF resulted in greater multiplication performance for four of six students, suggesting that SDF interventions may be more efficient and less obtrusive than PDF interventions and…

  9. 20 CFR 669.330 - How are services delivered to the customer? (United States)


    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How are services delivered to the customer... Farmworker Jobs Program Customers and Available Program Services § 669.330 How are services delivered to the customer? To ensure that all services are focused on the customer's needs, services are provided through a...

  10. A gray wolf (Canis lupus) delivers live prey to a pup (United States)

    Mech, L. David


    A two-year-old sibling Gray Wolf (Canis lupus) carefully captured an Arctic Hare (Lepus arcticus) leveret alive on Ellesmere Island, Nunavut, Canada, and delivered it alive to a pup 28–33 days old. This appears to be the first observation of a Gray Wolf delivering live prey to a pup.

  11. Acceptability and Feasibility of Delivering Pentavalent Vaccines in a Compact, Prefilled, Autodisable Device in Vietnam and Senegal.

    Directory of Open Access Journals (Sweden)

    Elise Guillermet

    Full Text Available Prefilled syringes are the standard in developed countries but logistic and financial barriers prevent their widespread use in developing countries. The current study evaluated use of a compact, prefilled, autodisable device (CPAD to deliver pentavalent vaccine by field actors in Senegal and Vietnam.We conducted a logistic, programmatic, and anthropological study that included a interviews of immunization staff at different health system levels and parents attending immunization sessions; b observation of immunization sessions including CPAD use on oranges; and c document review.Respondents perceived that the CPAD would improve safety by being non-reusable and preventing needle and vaccine exposure during preparation. Preparation was considered simple and may reduce immunization time for staff and caretakers. CPAD impact on cold storage requirements depended on the current pentavalent vaccine being used; in both countries, CPAD would reduce the weight and volume of materials and safety boxes thereby potentially improving outreach strategies and waste disposal. CPAD also would reduce stock outages by bundling vaccine and syringes and reduce wastage by using a non-breakable plastic presentation. Respondents also cited potential challenges including ability to distinguish between CPAD and other pharmaceuticals delivered via a similar mechanism (such as contraceptives, safety, and concerns related to design and ease of administration (such as activation, ease of delivery, and needle diameter and length.Compared to current pentavalent vaccine presentations in Vietnam and Senegal, CPAD technology will address some of the main barriers to vaccination, such as supply chain issues and safety concerns among health workers and families. Most of the challenges we identified can be addressed with health worker training, minor design modifications, and health messaging targeting parents and communities. Potentially the largest remaining barrier is the

  12. Possible Role of Green Chemistry in Addressing Environmenal Plastic Debris: Scientific, Economic and Policy Issues (United States)

    Bayha, K. M.


    Plastics have revolutionized modern life, replacing other raw materials in a vast array of products, due to their ease in molding and shaping, as well as superior recalcitrance to wearing and aging. However, this functional benefit makes plastic one of the most problematic pollutants, since they accumulate as environmental debris for decades and possibly for centuries. Rightfully so, programs addressing plastic debris typically involve efforts to reduce consumption, reuse plastic products and recycle them when usefulness is complete. However, some of these options can be problematic for certain applications, as well as in countries that lack efficient municipal solid waste or recycling facilities. The principles of Green Chemistry were developed to help scientists design chemical products that reduce or eliminate the use or generation of hazardous substances. These principles have also been applied to developing sustainable or greener polymers for use in consumer plastics. For instance, the EPA's Green Chemistry Program awards the Presidential Green Chemistry Challenge Awards each year, with a large percentage of awards having gone to developments in greener polymers. Many of these advancements involve the development of sustainable bio-based, more degradable or more recyclable polymers that deliver significant environmental benefits. This presentation is meant to address what role the development of truly greener polymers might have in addressing environmental plastic debris in parallel with efforts to reduce, reuse and recycle. The intention is to evaluate the issues posed by traditional polymer types, address the ultimate goals of alternative polymer development and evaluate research on current alternative polymer technologies, in order to objectively assess their usefulness in addressing environmental plastic debris accumulation. In addition, the scientific, policy and market issues that may be impeding accurate development, evaluation and implementation of

  13. Son Excellence Monsieur Nicolas Niemtchinow Ambassadeur Représentant permanent de la France auprès de l’Office des Nations Unies à Genève et des organisations internationales en Suisse à l'occasion de l'inauguration de l'exposition industrielle la France au CERN et de l’ouverture de l’Assemblée générale du Groupement des Français du CERN

    CERN Multimedia

    Guillaume, Jeanneret


    Son Excellence Monsieur Nicolas Niemtchinow Ambassadeur Représentant permanent de la France auprès de l’Office des Nations Unies à Genève et des organisations internationales en Suisse à l'occasion de l'inauguration de l'exposition industrielle la France au CERN et de l’ouverture de l’Assemblée générale du Groupement des Français du CERN

  14. How can dental public health competencies be addressed at the undergraduate level? (United States)

    Brondani, Mario A; Pattanaporn, Komkham; Aleksejuniene, Jolanta


    To discuss the extent to which an undergraduate dental module addresses dental public health competencies via its different learning pedagogies and to explore the relevance of students' written reflections on these dental public health competencies. This article uses a literature review to situate the extent to which dental public health competencies are addressed by the University of British Columbia undergraduate dental module entitled "Professionalism and Community Services" (PACS). It also uses students' written individual self-reflections (between 100 and 500 words) on community service learning activities to critically illustrate how dental public health competencies support their learning. The PACS dental module is delivered to undergraduate students in all 4 years, more than 190 in total, and addresses six dental public health competencies, including oral health promotion, ethics, and evidence-based practice. The multifaceted pedagogical approach employed to discuss aspects of dentistry related to dental public health includes guest lectures, community activities, small group activities, self-reflection, and reports. Given the falling number of dental public health professionals in North America, the discussed undergraduate pedagogy aims to sensitize future dentists to a career focused on dental public health. Through reflections, students pondered ideas related to dental public health; they also engaged in developing meaningful activities in various underserved communities. Further studies are needed to evaluate the influence of this community-based curriculum upon students' practice choice. © 2014 American Association of Public Health Dentistry.

  15. The development of a lay health worker delivered collaborative community based intervention for people with schizophrenia in India

    Directory of Open Access Journals (Sweden)

    Balaji Madhumitha


    Full Text Available Abstract Background Care for schizophrenia in low and middle income countries is predominantly facility based and led by specialists, with limited use of non-pharmacological treatments. Although community based psychosocial interventions are emphasised, there is little evidence about their acceptability and feasibility. Furthermore, the shortage of skilled manpower is a major barrier to improving access to these interventions. Our study aimed to develop a lay health worker delivered community based intervention in three sites in India. This paper describes how the intervention was developed systematically, following the MRC framework for the development of complex interventions. Methods We reviewed the lierature on the burden of schizophrenia and the treatment gap in low and middle income countries and the evidence for community based treatments, and identified intervention components. We then evaluated the acceptability and feasibility of this package of care through formative case studies with individuals with schizophrenia and their primary caregivers and piloted its delivery with 30 families. Results Based on the reviews, our intervention comprised five components (psycho-education; adherence management; rehabilitation; referral to community agencies; and health promotion to be delivered by trained lay health workers supervised by specialists. The intervention underwent a number of changes as a result of formative and pilot work. While all the components were acceptable and most were feasible, experiences of stigma and discrimination were inadequately addressed; some participants feared that delivery of care at home would lead to illness disclosure; some participants and providers did not understand how the intervention related to usual care; some families were unwilling to participate; and there were delivery problems, for example, in meeting the targeted number of sessions. Participants found delivery by health workers acceptable, and

  16. The Impact of a Home-Delivered Meal Program on Nutritional Risk, Dietary Intake, Food Security, Loneliness, and Social Well-Being. (United States)

    Wright, Lauri; Vance, Lauren; Sudduth, Christina; Epps, James B


    Maintaining independence and continuing to live at home is one solution to manage the rising health care costs of aging populations in the United States; furthermore, seniors are at risk of malnutrition and food insecurity. Home-delivered meal programs are a tool to address food, nutrition, and well-being concerns of this population. Few studies have identified outcomes from these programs; this pilot study reviews the nutritional status, dietary intake, well-being, loneliness, and food security levels of seniors participating in a Meals on Wheels delivery service. Clients, new to the meal program, participated in pre- and postphone interviews, and 51 seniors completed the study. The survey was composed of five scales or questionnaires, and statistical analyses were conducted using SPSS. Improvements across all five measures were statistically significant after participating two months in the home-delivered meal program. Implications for further research, practice, and the Older Americans Act are discussed.

  17. Lay Health Workers' Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV: A Qualitative Study from Zimbabwe. (United States)

    Chibanda, Dixon; Cowan, Frances; Verhey, Ruth; Machando, Debra; Abas, Melanie; Lund, Crick


    There is growing evidence supporting the use of lay health workers (LHWs) to address the treatment gap for common mental disorders (CMD) through task-shifting. This study looks at the experience of LHWs delivering a problem solving therapy (PST) intervention for CMD for people living with HIV (PLWH) in a primary health care setting. Semi-structured interviews of LHWs (n = 7) and PLWH (10) who received PST were carried out using thematic content analysis. Over a 4 year period LHWs developed indigenous concepts of PST which were: Opening the mind (Kuvhura pfungwa), uplifting (kusimudzira), strengthening and strengthening further (kusimbisa and kusimbisisa) respectively. Using terms locally conceived through knowledge sharing amongst LHWs made it acceptable to deliver PST as part of their daily work. Indigenous terms conceived and developed by LWHs to describe components and processes of PST contribute to the therapy's acceptability and continued use in primary care facilities.

  18. Tough choices : addressing Ontario's power needs : final report to the Minister

    International Nuclear Information System (INIS)

    Pratt, C.; Boland, B.


    This report presents recommendations made by Ontario's Electricity Conservation and Supply Task Force regarding changes that need to be made to Ontario's electricity system to meet future energy demands. Ontario faces a future shortage in supply as coal-fired generation and aging nuclear plants are taken out of service. The Task Force emphasized that early action is needed to ensure a reliable electricity supply and competitive prices. The chapters of the report present: the process and recommendations; the demand and supply outlook; a plan that works for consumers; a plan for delivering sustainable conservation; ensuring adequate supply; enhancing the reliability and responsiveness of Ontario's electricity grid; and, a framework to address Ontario's power needs. The report states that the market approach of the late 1990s needs improvement if it is to deliver adequate new generation and energy conservation. The action plan should include stable prices that reflect the true cost of power, as determined by an independent regulator. A blended price approach has been recommended. The Task Force recognizes that renewable generation should be a vital part of the future energy supply mix, and calls for immediate implementation of the Renewable Portfolio Standard. tabs., figs

  19. Confessions of a Wannabe (American Folklore Society Presidential Invited Plenary Address, October 2009). (United States)

    Welsch, Roger


    This paper is a written rendering of a plenary address delivered at the 2009 Annual Meeting of the American Folklore Society. Drawing on materials from his forthcoming book Confessions of a Wannabe, the author provides a personal account of the deeply emotional sense of responsibility, obligation, and reciprocity involved in long-term ethnographic research among Native American communities, particularly the Omaha and Pawnee tribes of Nebraska. The author details the ways in which personal relations with the people and communities he has observed have shaped his personal and professional life, and he calls into question the ideal of purportedly neutral or distanced ethnography. Details are provided of the author's experiences in converting his farm into an appropriate reburial site for repatriated Pawnee remains recovered under the aegis of the Native American Graves Repatriation and Protection Act (NAGPRA).

  20. Sex education for local tourism/hospitality employees: addressing a local health need. (United States)

    Bauer, Irmgard L


    Health concerns arising from sexual relationships between tourists and locals usually focus on the travelling public. The local sex partners' health, and their impact on their communities' health, seem far less acknowledged. This paper describes a local health education session which implemented recommendations based on a study in Cuzco/Peru on tourists' and locals' views, knowledge, attitudes and experiences relating to sexual relationships between them. On location, fifteen discotheque employees received a health education session at the establishment's owner's request. Concluding from the positive experience, it is argued that researchers should, where possible, respond to requests to deliver ad hoc health education sessions while on location to address an identified local health need.

  1. Nuclear terrorism: How real is the threat? Keynote address/session 1

    International Nuclear Information System (INIS)

    Schmid, A.


    Full text: 1. The paper will be based on Open Source materials and focus mainly on non-state actors such as terrorist, criminal, guerrilla and other, including religious, groups. 2. It will discuss the trafficking of highly enriched nuclear materials and less radioactive materials in the post-Cold war period, focusing on the smuggling from the former Soviet Union and from former Warsaw Pact countries. 3. The capabilities of terrorist and other groups in acquiring, handling and delivering nuclear and radiological materials will be addressed. 4. The intentions of various groups to use such weapons are explored and the goals they might pursue will be analysed. 5. Forecasts about the future will be made, based on the incident database of the Terrorism Prevention Branch and other databases and on scenarios which are currently discussed. (author)

  2. Wheels For All: Addressing Social Determinants of Health One Bicycle at a Time. (United States)

    Zellmer, Lucas; Fleming, Nathan


    Wheels For All provides bicycles to individuals in La Crosse, Wisconsin to address the transportation barrier that often inhibits low-income individuals' ability to access community resources. Recipients are referred by social service, health care, or other community agencies based on their need for transportation or exercise. Donated bicycles are matched to a recipient, repaired, and delivered personally by volunteers. Through collaboration with social service agencies, health care systems, and the community at-large, Wheels For All received referrals from 21 different sources and provided 101 recipients with bicycles from April 2015 to July 2017. Using a cost-effective, community-engagement model, Wheels For All provides a means of transportation for recipients, resulting in an enhanced ability to access community resources.

  3. Name-Based Address Mapping for Virtual Private Networks (United States)

    Surányi, Péter; Shinjo, Yasushi; Kato, Kazuhiko

    IPv4 private addresses are commonly used in local area networks (LANs). With the increasing popularity of virtual private networks (VPNs), it has become common that a user connects to multiple LANs at the same time. However, private address ranges for LANs frequently overlap. In such cases, existing systems do not allow the user to access the resources on all LANs at the same time. In this paper, we propose name-based address mapping for VPNs, a novel method that allows connecting to hosts through multiple VPNs at the same time, even when the address ranges of the VPNs overlap. In name-based address mapping, rather than using the IP addresses used on the LANs (the real addresses), we assign a unique virtual address to each remote host based on its domain name. The local host uses the virtual addresses to communicate with remote hosts. We have implemented name-based address mapping for layer 3 OpenVPN connections on Linux and measured its performance. The communication overhead of our system is less than 1.5% for throughput and less than 0.2ms for each name resolution.

  4. Addressing Information Proliferation: Applications of Information Extraction and Text Mining (United States)

    Li, Jingjing


    The advent of the Internet and the ever-increasing capacity of storage media have made it easy to store, deliver, and share enormous volumes of data, leading to a proliferation of information on the Web, in online libraries, on news wires, and almost everywhere in our daily lives. Since our ability to process and absorb this information remains…

  5. The financial feasibility of delivering forest treatment residues to bioenergy facilities over a range of diesel fuel and delivered biomass prices (United States)

    Greg Jones; Dan Loeffler; Edward Butler; Susan Hummel; Woodam. Chung


    Forest treatments have the potential to produce significant quantities of forest residue biomass, which includes the tops and limbs from merchantable trees and smaller trees removed to meet management objectives. We spatially analyzed the sensitivity of financially feasible biomass volumes for delivery to a bioenergy facility across 16 combinations of delivered biomass...

  6. Addressing the Needs of Children and Families of Combat Injured (United States)


    08-2-0066 TITLE: Addressing the Needs of Children and Families of Combat Injured PRINCIPAL INVESTIGATOR: Dr. Stephen Cozza...Prescribed by ANSI Std. Z39.18 W81XWH-08-2-0066 Addressing the Needs of Children and Families of Combat Injured Dr. Stephen Cozza The Henry M...children under 18 years old and within 2 years of hospitalization or return from deployment), a training manual “Addressing the Needs of Children and

  7. Contemporary Scholarship in Public Address: A Research Editorial. (United States)

    Hart, Roderick P.


    Offers opinions on limitations in current scholarship and research in public address. Faults anecdotal fixation, personality fixation, translation fallacies, and other shortcomings perceived by the author. (MS)

  8. Dextromethorphan: a case study on addressing abuse of a safe and effective drug. (United States)

    Spangler, David C; Loyd, Catherine M; Skor, Emily E


    Dextromethorphan is a safe, effective cough suppressant, available without a prescription in the United States since 1958. Due to a perceived prevalence of abuse of dextromethorphan by teens, in 2007 the Drug Enforcement Administration requested the Food and Drug Administration evaluate whether dextromethorphan should be recommended for scheduling under the Controlled Substances Act. The Food and Drug Administration held an Advisory Committee meeting in 2010 to provide a scientific and medical evaluation of dextromethorphan and its abuse potential. To address reports of abuse, particularly by teens in the United States, the Consumer Healthcare Products Association initiated an abuse mitigation plan in 2010 with specific goals related to awareness of the behavior, perception of risk, social disapproval, and access to the products. In identifying abuse interventions, experts acknowledge that substance abuse among teens is a highly complex behavior and indicate that the best course of action is to address prevention by focusing on the factors that impact teen behavior. It is noteworthy that the annual prevalence of over-the-counter cough medicine abuse has sharply decreased since 2010. While a true cause-and-effect relationship cannot be assured, the Consumer Healthcare Products Association and its member companies believe that the increased awareness of the issue since the 2010 Food and Drug Administration Advisory Committee meeting, and the subsequent implementation of a well-delivered and targeted abuse mitigation plan that addressed the levers influencing teen decisions is contributing to the observed reduction in abuse. During the period of 2010-2015, reported abuse of dextromethorphan by 8(th), 10(th), and 12(th) graders decreased 35 %. The authors believe this reduction supports the view of the Consumer Healthcare Products Association at the outset of the abuse mitigation plan effort and today: Controlled substance scheduling or prescription requirements would

  9. Android App Incorporating the PVT to Deliver Individualized Fatigue Risk Management in Commercial Trucking (United States)

    National Aeronautics and Space Administration — The overarching objective of this project is to achieve an Android App that incorporates the Psychomotor Vigilance Task (PVT) to deliver Individualized Fatigue Risk...

  10. Device for delivering cryogen to rotary super-conducting winding of cryogen-cooled electrical machine

    International Nuclear Information System (INIS)

    Filippov, I.F.; Gorbunov, G.S.; Khutoretsky, G.M.; Popov, J.S.; Skachkov, J.V.; Vinokurov, A.A.


    A device is disclosed for delivering cryogen to a superconducting winding of a cryogen-cooled electrical machine comprising a pipe articulated along the axis of the electrical machine and intended to deliver cryogen. One end of said pipe is located in a rotary chamber which communicates through channels with the space of the electrical machine, and said space accommodating its superconducting winding. The said chamber accommodates a needle installed along the chamber axis, and the length of said needle is of sufficient length such that in the advanced position of said cryogen delivering pipe said needle reaches the end of the pipe. The layout of the electrical machine increases the reliability and effectiveness of the device for delivering cryogen to the superconducting winding, simplifies the design of the device and raises the efficiency of the electrical machine

  11. 77 FR 19479 - Closed Captioning of Internet Protocol-Delivered Video Programming: Implementation of the Twenty... (United States)


    ... that cover some of the same MVPD services, such as IPTV,\\12\\ that are covered by the Commission's... Protocol Television (``IPTV'') is a technology used by some MVPDs to deliver television services. Video...

  12. Organization-and-technological model of medical care delivered to patients with coronary heart disease

    Directory of Open Access Journals (Sweden)

    Popova Y.V.


    Full Text Available Organization-and-technological model of medical care delivered to patients with coronary heart disease based on IDEF0 methodology and corresponded with clinical guidelines is presented.

  13. Organization-and-technological model of medical care delivered to patients with arterial hypertension

    Directory of Open Access Journals (Sweden)

    Kiselev A.R.


    Full Text Available Organization-and-technological model of medical care delivered to patients with arterial hypertension based on IDEF0 methodology and corresponded with clinical guidelines is presented.

  14. Organization-and-technological model of medical care delivered to patients with chronic heart failure

    Directory of Open Access Journals (Sweden)

    Kiselev A.R.


    Full Text Available Organization-and-technological model of medical care delivered to patients with chronic heart failure based on IDEF0 methodology and corresponded with clinical guidelines is presented.

  15. Accuracy of Oxygen Flow Delivered by Compressed-Gas Cylinders in Hospital and Prehospital Emergency Care. (United States)

    Duprez, Frédéric; Michotte, Jean Bernard; Cuvelier, Gregory; Legrand, Alexandre; Mashayekhi, Sharam; Reychler, Gregory


    Oxygen cylinders are widely used both in hospital and prehospital care. Excessive or inappropriate F IO 2 may be critical for patients with hypercapnia or hypoxia. Moreover, over-oxygenation could be deleterious in ischemic disorders. Supplemental oxygen from oxygen cylinder should therefore be delivered accurately. The aim of this study was to assess the accuracy of oxygen flows for oxygen cylinder in hospital and prehospital care. A prospective trial was conducted to evaluate accuracy of delivered oxygen flows (2, 4, 6, 9 and 12 L/min) for different oxygen cylinder ready for use in different hospital departments. Delivered flows were analyzed randomly using a calibrated thermal mass flow meter. Two types of oxygen cylinder were evaluated: 78 oxygen cylinder with a single-stage regulator and 70 oxygen cylinder with a dual-stage regulator. Delivered flows were compared to the required oxygen flow. The residual pressure value for each oxygen cylinder was considered. A coefficient of variation was calculated to compare the variability of the delivered flow between the two types of oxygen cylinder. The median values of delivered flows were all ≥ 100% of the required flow for single stage (range 100-109%) and cylinders (no. = 148) ranged from 73 to 2,900 pounds per square inch, and no significant difference was observed between the 2 types ( P = .86). The calculated coefficient of variation ranged from 7% (±1%) for dual stage to 8% (±2%) for single stage. This study shows good accuracy of oxygen flow delivered via oxygen cylinders. This accuracy was higher with dual stage. Single stage was also accurate, however, at low flow this accuracy is slightly less. Moreover, with single stage, when residual pressure decreases, the median value of delivered flow decreased. Copyright © 2018 by Daedalus Enterprises.

  16. Development of a Health System-Based Nurse-Delivered Aromatherapy Program. (United States)

    Joswiak, Denise; Kinney, Mary Ellen; Johnson, Jill R; Kolste, Alison K; Griffin, Kristen H; Rivard, Rachael L; Dusek, Jeffery A


    Healthcare systems are increasingly looking to integrate aromatherapy (essential oils) as a safe, low-cost, and nonpharmacologic option for patient care to reduce pain, nausea, and anxiety and to improve sleep. This article describes the development and implementation of a healthcare system-wide program of nurse-delivered essential oil therapeutic interventions to inpatients throughout an acute care setting. In addition, we provide lessons learned for nursing administrators interested in developing similar nurse-delivered aromatherapy programs.

  17. Feasibility and preliminary efficacy of remotely delivering cognitive training to people with schizophrenia using tablets

    Directory of Open Access Journals (Sweden)

    Bruno Biagianti


    Conclusion: Although underpowered and not randomized, this study demonstrates that delivering CT remotely to people with SZ using tablets is feasible and results in retention rates, adherence, and cognitive and functional outcome improvements that are comparable to those observed when CT is delivered in the laboratory. This has important implications in terms of scalability and dissemination of CT. These results require confirmation in larger samples.

  18. Telephone Delivered Cognitive Behavioral Therapy for Chronic Pain Following Traumatic Brain Injury (United States)


    extensively on our training materials as these will be necessary to move towards implementation. We plan to work on developing a training manual based ...AWARD NUMBER: W81XWH-12-2-0109 TITLE: Telephone-Delivered Cognitive Behavioral Therapy for Chronic Pain Following Traumatic Brain Injury...2015 - 29 Sep 2016 4. TITLE AND SUBTITLE Telephone-Delivered Cognitive Behavioral Therapy for Chronic Pain 5a. CONTRACT NUMBER Following Traumatic

  19. Clinicians' concerns about delivering cognitive-behavioural therapy for eating disorders


    Turner, H.; Tatham, M.; Lant, M.; Mountford, V.A.; Waller, G.


    Despite research supporting the effectiveness of evidence-based interventions in the treatment of eating disorders, those interventions are under-utilised in routine clinical practice, possibly due to clinicians' concerns about delivering the relevant techniques. This study examined what elements of therapy clinicians worry about when delivering cognitive-behavioural therapy (CBT) for the eating disorders, and what clinician variables are associated with such concerns. The participants were 1...

  20. Emotional distress in mothers of preterm hospitalized infants: A feasibility trial of nurse-delivered treatment


    Segre, Lisa S.; Siewert, Rebecca Chuffo; Brock, Rebecca L.; O’Hara, Michael W.


    Objective Mothers of preterm infants in a hospital neonatal intensive care unit (NICU) are at risk for clinically significant depression and anxiety but, for these women, their own treatment is likely a secondary priority. This study evaluated the feasibility, acceptability, and effectiveness of an evidence-based, nurse-delivered, on-site depression treatment: Listening Visits. Study Design Therapeutic Listening Visits were delivered on site to 23 distressed mothers of NICU infants. The inter...

  1. Quantifying suspended sediment loads delivered to Cheney Reservoir, Kansas: Temporal patterns and management implications (United States)

    Stone, Mandy L.; Juracek, Kyle E.; Graham, Jennifer L.; Foster, Guy


    average, within ±20% of estimates based on streamflow and turbidity combined. Results demonstrate that large suspended sediment loads are delivered to Cheney Reservoir in very short time periods, indicating that sediment management plans eventually must address large, infrequent inflow events to be effective.

  2. Implementation of workflow engine technology to deliver basic clinical decision support functionality (United States)


    Background Workflow engine technology represents a new class of software with the ability to graphically model step-based knowledge. We present application of this novel technology to the domain of clinical decision support. Successful implementation of decision support within an electronic health record (EHR) remains an unsolved research challenge. Previous research efforts were mostly based on healthcare-specific representation standards and execution engines and did not reach wide adoption. We focus on two challenges in decision support systems: the ability to test decision logic on retrospective data prior prospective deployment and the challenge of user-friendly representation of clinical logic. Results We present our implementation of a workflow engine technology that addresses the two above-described challenges in delivering clinical decision support. Our system is based on a cross-industry standard of XML (extensible markup language) process definition language (XPDL). The core components of the system are a workflow editor for modeling clinical scenarios and a workflow engine for execution of those scenarios. We demonstrate, with an open-source and publicly available workflow suite, that clinical decision support logic can be executed on retrospective data. The same flowchart-based representation can also function in a prospective mode where the system can be integrated with an EHR system and respond to real-time clinical events. We limit the scope of our implementation to decision support content generation (which can be EHR system vendor independent). We do not focus on supporting complex decision support content delivery mechanisms due to lack of standardization of EHR systems in this area. We present results of our evaluation of the flowchart-based graphical notation as well as architectural evaluation of our implementation using an established evaluation framework for clinical decision support architecture. Conclusions We describe an implementation of

  3. Implementation of workflow engine technology to deliver basic clinical decision support functionality

    Directory of Open Access Journals (Sweden)

    Oberg Ryan


    Full Text Available Abstract Background Workflow engine technology represents a new class of software with the ability to graphically model step-based knowledge. We present application of this novel technology to the domain of clinical decision support. Successful implementation of decision support within an electronic health record (EHR remains an unsolved research challenge. Previous research efforts were mostly based on healthcare-specific representation standards and execution engines and did not reach wide adoption. We focus on two challenges in decision support systems: the ability to test decision logic on retrospective data prior prospective deployment and the challenge of user-friendly representation of clinical logic. Results We present our implementation of a workflow engine technology that addresses the two above-described challenges in delivering clinical decision support. Our system is based on a cross-industry standard of XML (extensible markup language process definition language (XPDL. The core components of the system are a workflow editor for modeling clinical scenarios and a workflow engine for execution of those scenarios. We demonstrate, with an open-source and publicly available workflow suite, that clinical decision support logic can be executed on retrospective data. The same flowchart-based representation can also function in a prospective mode where the system can be integrated with an EHR system and respond to real-time clinical events. We limit the scope of our implementation to decision support content generation (which can be EHR system vendor independent. We do not focus on supporting complex decision support content delivery mechanisms due to lack of standardization of EHR systems in this area. We present results of our evaluation of the flowchart-based graphical notation as well as architectural evaluation of our implementation using an established evaluation framework for clinical decision support architecture. Conclusions We

  4. Technical Quality of Delivered Care for Patients with Inflammatory Bowel Disease in Tabriz Care Centers

    Directory of Open Access Journals (Sweden)

    Mohammad Hosein Somi


    Full Text Available ​Background and objectives : Inflammatory Bowel Disease (IBD is a chronic disease and requires complex treatment. Due to the various treatment options and gradual understanding of specialists about the risks and benefits of different treatments of IBD, delivering care according to the treatment protocols and guidelines is essential. This study was conducted to assess delivered care from the perspective of patients with inflammatory bowel disease. Material and Methods : This cross-sectional study was conducted with 94 participants with IBD selected randomly in Emam Reza hospital and Golgasht clinic in Tabriz. Data were collected by an approved researcher-made questionnaire via interviewing patients. Chi-Squared Test was used to evaluate the relationship between demographic variables and accordance of delivered care with standards. SPSS17 was used for data analysis. Results : The results indicated that "visit by specialist" and "providing dietary recommendation by nutritionist" aspects had highest and lowest degree of accordance with standards, respectively. Furthermore, the aspects of “delivered care in exacerbation status of disease” and “delivered care by other specialists” had only 20 percent compliance with standards. Also, there was a significant relationship between age, job, education status, smoking and compliance with related standards in some care aspects (p Conclusion : The study results indicated that there is a deep gap between delivered cares for patients with inflammatory bowel disease and related standards. These deficiencies showed the parts that need improvement and require healthcare managers and policy makers’ attention.

  5. Stand & Deliver (United States)

    Villano, Matt


    October is national Cyber Security Awareness Month, and for the world of higher education, that means it is time to take a look at defense systems and plan for the future. Clearly, more planning is needed now than ever before. According to the majority of IT market research firms, phishing and identity theft have leapfrogged spam and spyware as…

  6. Importance of Addressing Sexuality in Certified Rehabilitation Counselor Practice (United States)

    Kazukauskas, Kelly A.; Lam, Chow S.


    This study investigated Certified Rehabilitation Counselors' (CRCs) beliefs about the importance of addressing sexuality issues during rehabilitation. A modified version of the Family Life Sex Education Goals Questionnaire (FLSEGQ) was completed by 199 CRCs to determine which issues CRCs believe are most important to address. Six sexuality-related…

  7. The "Depreciation" and "Appreciation" of Some Address Terms in China. (United States)

    Zhucheng, Ju


    Examines how the cultural revolution in China has changed, to some extent, the rules governing the use of address terms, discussing the close interrelation between the use of address terms and cultural values and how the change in mental outlook has led to the depreciation or appreciation of certain terms. (Author/CB)

  8. Pronominal Address in German: Rules, Anarchy and Embarrassment Potential (United States)

    Kretzenbacher, Heinz L.; Clyne, Michael; Schupbach, Doris


    Choice of address forms, a socially crucial feature in German communication, is context-dependent on situations (a) where the unmarked form of address is "du" (T), (b) where it is "Sie" (V), and (c) where the two systems (a and b) coexist. The first two situations are, apart from their fuzzy edges, rather clearcut. The third situation, however,…

  9. Presidential address - 1999 Towards a national rangeland policy ...

    African Journals Online (AJOL)

    Presidential address - 1999. Towards a national rangeland policy. AR Palmer ... The policy document addresses the problem by offering to improve effectiveness of support services (animal health, animal nutrition and marketing) to the producer. This offer needs to be taken seriously, and provides research opportunities in ...

  10. Terms of Address in the Chinese Business Enterprise (United States)

    Huang, Xiaoyan; Sultan, Robert


    This study examines terms of address currently used by employees of Chinese business enterprises. The authors find that a speaker's address selections are related significantly to the gender of the speaker, the location of the enterprise in Eastern or Western China, and the ownership type of the enterprise; that is, whether the enterprise is…

  11. 26 CFR 44.4905-2 - Change of address. (United States)


    ... TAXES TAXES ON WAGERING; EFFECTIVE JANUARY 1, 1955 Miscellaneous and General Provisions Applicable to Taxes on Wagering General Provisions Relating to Occupational Taxes § 44.4905-2 Change of address. (a... business or residence address to a location other than that specified in his last return on Form 11-C, he...

  12. Addressing software security risk mitigations in the life cycle (United States)

    Gilliam, David; Powell, John; Haugh, Eric; Bishop, Matt


    The NASA Office of Safety and Mission Assurance (OSMA) has funded the Jet Propulsion Laboratory (JPL) with a Center Initiative, 'Reducing Software Security Risk through an Integrated Approach' (RSSR), to address this need. The Initiative is a formal approach to addressing software security in the life cycle through the instantiation of a Software Security Assessment Instrument (SSAI) for the development and maintenance life cycles.

  13. 32 CFR Appendix B to Part 518 - Addressing FOIA Requests (United States)


    .... Address the medical treatment facility where the records are kept. If necessary request locator service. (3) Medical records of civilian employees and all dependents. Address the medical treatment facility... records. (1) Records of general courts-martial and special courts-martial in which bad conduct discharge...

  14. 43 CFR Appendix B to Part 2 - Internet Addresses (United States)


    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Internet Addresses B Appendix B to Part 2 Public Lands: Interior Office of the Secretary of the Interior RECORDS AND TESTIMONY; FREEDOM OF INFORMATION ACT Pt. 2, App. B Appendix B to Part 2—Internet Addresses 1. Department of the Interior (DOI) Home...

  15. Student Perceptions of Peer Credibility Based on Email Addresses (United States)

    Livermore, Jeffrey A.; Scafe, Marla G.; Wiechowski, Linda S.; Maier, David J.


    The purpose of this study was to evaluate students' perceptions of their peer's credibility based on email addresses. The survey was conducted at a community college in Michigan where all students were registered and actively taking at least one course. The survey results show that a student's selection of an email address does influence other…

  16. Method for the electro-addressable functionalization of electrode arrays

    Energy Technology Data Exchange (ETDEWEB)

    Harper, Jason C.; Polsky, Ronen; Dirk, Shawn M.; Wheeler, David R.; Arango, Dulce C.; Brozik, Susan M.


    A method for preparing an electrochemical biosensor uses bias-assisted assembly of unreactive -onium molecules on an electrode array followed by post-assembly electro-addressable conversion of the unreactive group to a chemical or biological recognition group. Electro-addressable functionalization of electrode arrays enables the multi-target electrochemical sensing of biological and chemical analytes.

  17. 27 CFR 555.54 - Change of address. (United States)


    ... notification of the new location of the business or operations to the Chief, Firearms and Explosives Licensing... address. (a) During the term of a license or permit, a licensee or permittee may move his business or operations to a new address at which he intends to regularly carry on his business or operations, without...

  18. Integrated Approach to Address Food and Nutrition Security in the ...

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

    Integrated Approach to Address Food and Nutrition Security in the Philippines. Malnutrition remains a serious problem in the Philippines, especially among children. Could integrated garden and nutrition programs at schools help address the problem? An estimated 3 million children in the Philippines are undernourished.

  19. The (Im)possibility of the Project: Radford Address (United States)

    Green, Bill


    In this address, the author engages both with the possibility "and" the impossibility of the educational project--and suggests something of what it means to say this. His presentation is specifically addressed to the theme of the (im)possibility of the educational project. He draws from philosophy, literature, psychoanalysis and history,…

  20. Addressing the Needs of Children of Combat Injured (United States)


    AD_________________ Award Number: W811XWH-08-2-0066 TITLE: “Addressing the Needs of Children of...COVERED 31 Mar 2009 to 30 Mar 2010 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER “Addressing the Needs of Children and Families of Combat Injured” 5b