WorldWideScience

Sample records for integrating case topics

  1. Topical lignocaine for vaginismus: a case report.

    Science.gov (United States)

    Praharaj, S K; Verma, P; Arora, M

    2006-01-01

    Vaginismus is a sexual dysfunction in which spasm of vaginal musculature precludes penetrative intercourse. In many cases associated pain or fear of pain may contribute to the maintenance of vaginismus. We report a case of primary vaginismus with associated pain that benefited from topical application of lignocaine gel along with systematic desensitization resulting in successful consummation, and suggest that it may be a useful adjunct during finger dilatation in the treatment of vaginismus, specifically in patients who have associated pain or areas of hyperesthesia in the introitus.

  2. Topical Session on the Decommissioning and Dismantling Safety Case

    International Nuclear Information System (INIS)

    2002-01-01

    practices is low, the idea being that it is important to understand differences in approaches. Frances Taylor, Head of Radioactive Waste Management and Decommissioning Strategy Unit, HM Nuclear Installations Inspectorate, Health and Safety Executive, served as Session Chair. Scott Moore, Section Chief of the Special Projects section, U.S. Nuclear Regulatory Commission, served as the Rapporteur for the Topical Session. Presentations during the topical session covered key aspects of the safety case, including: - international requirements and guidance, - environmental impact assessment, - plant configuration and decommissioning and dismantling (D and D) licensing, - accident assessment, - balancing radiological and industrial risk, and - the safety case for safe store and dormancy periods. At the end of each presentation time was allotted for discussion of the paper. Integral to the Topical Session was a facilitated plenary discussion on the topical issues identified above. The Rapporteur briefly reviewed the main points at the end of the topical session. The Topical Session is documented as follows. First a summary of the presentations is given along with the questions that were asked of each speaker; then follow a summary of the plenary discussions and the main points made. The extended abstracts or full papers supporting each presentation are given in Appendix 1. As a follow-on to the Topical Session a Task Group has been constituted in order to propose to the WPDD a more detailed work programme in this area

  3. Topical ketoconazole therapy in a recalcitrant case of seborrhoeic dermatitis

    Directory of Open Access Journals (Sweden)

    Baishya B

    1996-01-01

    Full Text Available Ketoconazole 2% cream and 2% shampoo were found to be effective in controlling seborrhoeic dermatitis in a recalcitrant case. This topical ketoconazole therapy seems to be better than other conventional topical preparations prescribed in seborrhoeic dermatitis.

  4. Topic-Focused Analysis of Verbal Interaction in a Case of Integrative Therapy with a Young Woman Presenting with Symptoms of Depression

    Science.gov (United States)

    Reichelt, Sissel; Skjerve, Jan; McLeod, John

    2017-01-01

    It is increasingly recognised that single-case analysis makes a valuable contribution to the evidence base for psychotherapy, alongside other methodologies. Such analyses make it possible to investigate the unfolding process of change in therapy, and develop an understanding of change factors that contribute to outcome. One of the key challenges…

  5. Performance on Interdisciplinary Topics in an Integrated Pharmacy Course

    Directory of Open Access Journals (Sweden)

    Joie Rowles

    2017-01-01

    Full Text Available Objectives: Many colleges and schools of Pharmacy combine interdisciplinary topics such as pathophysiology, pharmacology, medicinal chemistry and therapeutics into one integrated course. Our main aim for this study is to determine if students pass integrated courses and yet fail to pass interdisciplinary sections of those courses. Methods: Two representative integrated sequence courses were evaluated without any study-imposed intervention. Individual student examination scores (~140 students were evaluated for overall performance as well as for performance on the interdisciplinary topics of pathophysiology/pharmacology, medicinal chemistry, and therapeutics. The degree of difficulty of the examination questions, as well as the test item discrimination, were also measured. Results: There were students that passed the course but failed one, or more, of the interdisciplinary topics. Combining data from both courses, medicinal chemistry was the most frequently failed discipline (29 students, followed closely by pharmacology (22 students, and distantly by therapeutics (1 student. The examination questions for medicinal chemistry were not more difficult nor more discriminatory than the questions for the other disciplines. Conclusions: These data indicate that students pass integrated courses, but fail to pass interdisciplinary sections of those courses, especially the pharmaceutical sciences. It is not known if these results are consistent, nor what long-term adverse consequences may result. These results inform curricular and assessment aspects of the pharmacy academy as pertains to establishing the scientific foundation required by the CAPE 2013 Educational Outcomes.   Type: Original Research

  6. Case Of Iatrogenic Cushing's Syndrome By Topical Triamcinolone.

    Science.gov (United States)

    Zil-E-Ali, Ahsan; Janjua, Omer Hanif; Latif, Aiza; Aadil, Muhammad

    2018-01-01

    Cushing's syndrome is a collection of signs and symptoms due to hypercortisolism. Prolong use of topical steroid may cause this syndrome and suppression of hypothalamic and pituitary function, however such events are more common with oral and parenteral route. There are very few cases of Cushing's syndrome with a topical application amongst which triamcinolone is the rarest drug. We report a case of 11-year-old boy is presented who developed Cushing's disease by topical application. The child had body rashes for which the caregiver consulted a local quack, a topical cream of triamcinolone was prescribed. After application for three months, the patient became obese and developed a moon-like face. A thorough biochemical workup and diagnostic test for Cushing's disease was done to confirm. The following case report a dramatic example of development of the syndrome from chronic topical application of the least potent corticosteroid.

  7. Integrating nanophotonic concepts and topics into optics curricula

    Science.gov (United States)

    Sonek, Gregory J.

    2007-06-01

    Nanophotonics has emerged as a new and important field of study, not only in research, but also in undergraduate optics and photonics education and training. Beyond the study of classical and quantum optics, it is important for students to learn about how the flow of light can be manipulated on a nanoscale level, and used in applications such as telecommunications, imaging, and medicine. This paper reports on our work to integrate basic nanophotonic concepts and topics into existing optics and optical electronics courses, as well as independent study projects, at the undergraduate level. Through classroom lectures, topical readings, computer modeling exercises, and laboratory experiments, students are introduced to nanophotonic concepts subsequent to a study of physical and geometrical optics. A compare and contrast methodology is employed to help students identify similarities and differences that exist in the optical behavior of bulk and nanostructured media. Training is further developed through engineering design and simulation exercises that use advanced, vector-diffraction-based, modeling software for simulating the performance of various materials and structures. To date, the addition of a nanophotonics component to the optics curriculum has proven successful, been enthusiastically received by students, and should serve as a basis for further course development efforts that emphasize the combined capabilities of nanotechnology and photonics.

  8. Risk evaluation of impurities in topical excipients: The acetol case

    Directory of Open Access Journals (Sweden)

    Jente Boonen

    2014-10-01

    Full Text Available Pharmaceutical excipients for topical use may contain impurities, which are often neglected from a toxicity qualification viewpoint. The possible impurities in the most frequently used topical excipients were evaluated in-silico for their toxicity hazard. Acetol, an impurity likely present in different topical pharmaceutical excipients such as propylene glycol and glycerol, was withheld for the evaluation of its health risk after dermal exposure.An ex-vivo in-vitro permeation study using human skin in a Franz Diffusion Cell set-up and GC as quantification methodology showed a significant skin penetration with an overall Kp value of 1.82×10−3 cm/h. Using these data, limit specifications after application of a dermal pharmaceutical product were estimated. Based on the TTC approach of Cramer class I substances, i.e. 1800 µg/(day∙person, the toxicity-qualified specification limits of acetol in topical excipients were calculated to be 90 µg/mL and 180 µg/mL for propylene glycol and glycerol, respectively.It is concluded that setting specification limits for impurities within a quality-by-design approach requires a case-by-case evaluation as demonstrated here with acetol. Keywords: Acetol, Impurity, Excipients, Transdermal penetration, Specification limits

  9. [Otomycosis and topical application of thimerosal: study of 152 cases].

    Science.gov (United States)

    Tisner, J; Millán, J; Rivas, P; Adiego, I; Castellote, A; Valles, H

    1995-01-01

    To evaluate the effectiveness of the topical application of Timerosal (merthilate tintura) in mycosis involving the external auditory canal. The study includes 152 patients with the clinical, otoscopic and microscopic diagnosis of otomycosis. Results were assessed 72 hours and 10 days after the application. Bacteriological study was performed in 83 patients, finding Aspergilly niger in 54.0% of the cases, Candida albicans in 25.4%, Aspergillus fumigatus in 15.8% and Penicillium in 4.8%. Improvement at 72 h. was found in 66.4% and at 10 days in 93.4% of the patients. Bacteriological contamination was found in 6.6% of the total. In most of the patients, the otomycosis healed after cleaning of the external auditory canal and topical application of timerosal. This method is easy to apply, fast, effective, of low cost and few side effects.

  10. Topical Knowledge in L2 Speaking Assessment: Comparing Independent and Integrated Speaking Test Tasks

    Science.gov (United States)

    Huang, Heng-Tsung Danny; Hung, Shao-Ting Alan; Plakans, Lia

    2018-01-01

    Integrated speaking test tasks (integrated tasks) provide reading and/or listening input to serve as the basis for test-takers to formulate their oral responses. This study examined the influence of topical knowledge on integrated speaking test performance and compared independent speaking test performance and integrated speaking test performance…

  11. Lecture notes in topics in path integrals and string representations

    CERN Document Server

    Botelho, Luiz C L

    2017-01-01

    Functional Integrals is a well-established method in mathematical physics, especially those mathematical methods used in modern non-perturbative quantum field theory and string theory. This book presents a unique, original and modern treatment of strings representations on Bosonic Quantum Chromodynamics and Bosonization theory on 2d Gauge Field Models, besides of rigorous mathematical studies on the analytical regularization scheme on Euclidean quantum field path integrals and stochastic quantum field theory. It follows an analytic approach based on Loop space techniques, functional determinant exact evaluations and exactly solubility of four dimensional QCD loop wave equations through Elfin Botelho fermionic extrinsic self avoiding string path integrals.

  12. Integrating Occupational Health and Safety into TAFE Courses: Curriculum Topics.

    Science.gov (United States)

    Hall, Bob; Mageean, Pauline

    This guide is designed to help technical and further education (TAFE) curriculum writers in Australia integrate safety education into vocational education courses. It provides a general overview of occupational health and safety from the perspective of TAFE trade training and a brief summary of the major health and safety issues that might be…

  13. Topic structure affects semantic integration: evidence from event-related potentials.

    Science.gov (United States)

    Yang, Xiaohong; Chen, Xuhai; Chen, Shuang; Xu, Xiaoying; Yang, Yufang

    2013-01-01

    This study investigated whether semantic integration in discourse context could be influenced by topic structure using event-related brain potentials. Participants read discourses in which the last sentence contained a critical word that was either congruent or incongruent with the topic established in the first sentence. The intervening sentences between the first and the last sentence of the discourse either maintained or shifted the original topic. Results showed that incongruent words in topic-maintained discourses elicited an N400 effect that was broadly distributed over the scalp while those in topic-shifted discourses elicited an N400 effect that was lateralized to the right hemisphere and localized over central and posterior areas. Moreover, a late positivity effect was only elicited by incongruent words in topic-shifted discourses, but not in topic-maintained discourses. This suggests an important role for discourse structure in semantic integration, such that compared with topic-maintained discourses, the complexity of discourse structure in topic-shifted condition reduces the initial stage of semantic integration and enhances the later stage in which a mental representation is updated.

  14. Asymmetries: a fuzzy topic in the process of integration

    Directory of Open Access Journals (Sweden)

    Jaime Alberto Rendón Acevedo

    2012-12-01

    Full Text Available FTAs have gained prominence in the trade policy of Latin American countries to the detriment of other forms of economic integration. In this trend there is a predominance of south-north schemes, where all kinds of asymmetries are evident. The aim of this paper is to demonstrate that the reduction of asymmetries should be a primary goal of the FTAs. The methodology is a review of literature on Latin American FTAs with the United States, particularly those signed by Mexico, Chile and Colombia. As a result, we see that an appropriate treatment of the differences between involved economies is not only desirable for the development of Latin American countries but also it is possible through monetary and industrial policy adjusted to the reality of these countries.

  15. An Exploratory Study into Perceived Task Complexity, Topic Specificity and Usefulness for Integrated Search

    DEFF Research Database (Denmark)

    Ingwersen, Peter; Lioma, Christina; Larsen, Birger

    2012-01-01

    We investigate the relations between user perceptions of work task complexity, topic specificity, and usefulness of retrieved results. 23 academic researchers submitted detailed descriptions of 65 real-life work tasks in the physics domain, and assessed documents retrieved from an integrated...... collection consisting of full text research articles in PDF, abstracts, and bibliographic records [6]. Bibliographic records were found to be more precise than full text PDFs, regardless of task complexity and topic specificity. PDFs were found to be more useful. Overall, for higher task complexity and topic...

  16. Treatment of proctalgia fugax with topical nitroglycerin: report of a case.

    Science.gov (United States)

    Lowenstein, B; Cataldo, P A

    1998-05-01

    We report a single case of proctalgia fugax that responded to 0.3 percent nitroglycerin ointment. Case report. A single case of proctalgia fugax responded to topical application of 0.3 percent nitro glycerin ointment with no significant side effects. Nitroglycerin ointment is a newly described treatment for several painful anal conditions. We describe a single case of levator spasm or proctalgia fugax responding to topical application of nitroglycerin. This is only a single case report, and conclusive evidence awaits completion of a controlled clinical trial.

  17. Proceedings on safety case - IGSC Topical Session held 25 November 2001, Paris-France

    International Nuclear Information System (INIS)

    O'Sullivan, Patrik; Voinis, Sylvie; Ouzounian, Gerald; Van Luik, Abraham

    2002-01-01

    It is accepted universally that an assessment of the safety of proposed geological repositories is a key input to the decision-making process regarding the development of these facilities. Accordingly, implementing and regulatory organisations in many of the OECD/NEA countries are involved in the investigation and resolution of issues associated with repository safety and NEA has been concerned with this issue for several years. Most current repository development programmes envisage that repository development will occur in an incremental fashion, with decisions being taken by national authorities at several steps in the development process. It may be envisaged that safety assessments will become progressively more refined at successive stages of the development process, with an expectation of increasing levels of confidence that the assessed levels of safety can be realised in practice. Different countries are at different stages and therefore opinions can be expected to vary on where the key issues remain. In accordance with current terminology the Safety Case for a proposed facility should present the results of the safety assessment together with an illustration of the level of confidence in the results. The safety case should also discuss how levels of uncertainty would be reduced in succeeding development phases. The establishment of the IGSC (Integration Group for the Safety Case), to bring together all activities relating to the safety case, recognised its key role of the latter in the process of repository development. Initiatives currently being pursued by the IGSC include the development of a 'Safety Case Brochure', to synthesise current understanding about the requirements of the Safety Case. The IGSC has a role to develop common views on such key aspects of the Safety Case but should not be prescriptive. To go further in establishments of the safety case brochure, a 'Topical Session' on the Safety Case was organised as part of the

  18. Integrative Approach to Facilitate Fracture Healing: Topical Chinese Herbal Paste with Oral Strontium Ranelate

    Directory of Open Access Journals (Sweden)

    Wing-Sum Siu

    2017-01-01

    Full Text Available Strontium ranelate (SrR is one of the pharmaceutical agents reported to be effective on the promotion of fracture healing. This study aimed to evaluate the integrative effect of the oral SrR with a topical Chinese herbal paste, namely, CDR, on facilitation of bone healing. The in vivo efficacy was evaluated using rats with tibial fracture. They were treated with either CDR topically, or SrR orally, or their combined treatments. The in vivo results illustrated a significant additive effect of CDR on SrR in increasing the yield load of the fractured tibia. The in vitro results showed that neither SrR nor CDR exhibited a cytotoxic effect on UMR106 and bone-marrow stem cell (BMSC, but both of them increased the proliferation of BMSC at low concentrations. The combination of CDR at 200 μg/mL with SrR at 200 or 400 μg/ml also showed an additive effect on increasing the ALP activity of BMSC. Both SrR and CDR alone reduced osteoclast formation, and the effective concentration of SrR to inhibit osteoclastogenesis was reduced in the presence of CDR. This integrative approach by combining oral SrR and topical CDR is effective in promoting fracture healing properly due to their additive effects on proosteogenic and antiosteoclastogenic properties.

  19. A Case Report of Severe Corneal Toxicity following 0.5% Topical Moxifloxacin Use

    Directory of Open Access Journals (Sweden)

    A.P. Vignesh

    2015-02-01

    Full Text Available Moxifloxacin is a widely used topical antibiotic in various bacterial infections of the eye. Its safety and efficacy have been proved by many studies. We report a case of a rare adverse effect following its use. A 10-year-old female who had presented with acute bacterial conjunctivitis in both eyes with no corneal involvement was started on preservative-free 0.5% topical moxifloxacin four times a day. The child developed a severe form of corneal toxicity in both eyes with circumcorneal congestion and corneal edema following its use. The child's visual acuity had dropped from 20/20 to 20/400 in both the eyes. Topical moxifloxacin was discontinued, following which the cornea cleared dramatically and the visual acuity became normal. This case indicates that though rare, topical moxifloxacin can cause severe keratitis and that more studies need to be conducted to evaluate its safety.

  20. Topical session proceedings of the 5. IGSC meeting on: observations regarding the safety case in recent safety assessment studies

    International Nuclear Information System (INIS)

    Hooper, Alan J.; Voinis, Sylvie; Van Luik, Abraham E.

    2004-01-01

    Within the NEA, the IGSC (Integration Group for the Safety Case) has, as an essential role, to develop common views on such key aspects of the safety case. Therefore, since the inauguration of the IGSC in 2000, four meetings were organised with topical sessions to explore various of these key aspects. This is a report on the fifth such topical session, held as part of the 5. plenary meeting of the IGSC. The session was attended by 36 participants, representing waste management organisations and regulatory authorities from 16 NEA member countries, the IAEA and the European Commission. The purpose of this topical session was to provide support to the finalising of the IGSC safety case brochure by getting a description of the safety case content of the IAEA Draft Safety Requirements document and by getting an overview of progress that could be observed from national organisations on developing their cases for system safety and/or developing the required methodologies. The objective was that the IGSC safety case brochure should be supportive of the IAEA/NEA document, and be reflective of the experience of the IGSC member programmes and organisations. The topical session was mainly aimed at exchanging information on: - The safety case related content of the proposed IAEA/NEA document (currently titled: 'IAEA Safety Standards Series, Geological Disposal of Radioactive Waste, Draft Safety Requirements (DS-154)'). - National programmes where safety assessments have recently been completed, e.g. ONDRAF/NIRAS, Nagra and Andra. - Feedback from international peer reviews, e.g. the Andra Dossier 2001 Argile, the Belgian SAFIR 2 report, the SR 97 report and the US-DOE Yucca Mountain TSPA. - The evolution of some national assessment methods and approaches e.g. SKB and Nagra. - The content of the draft IGSC safety case brochure entitled: 'The Nature and Purpose of the Post-closure Safety Case in Geological Disposal'. This document presents the various

  1. Topic categorisation of statements in suicide notes with integrated rules and machine learning.

    Science.gov (United States)

    Kovačević, Aleksandar; Dehghan, Azad; Keane, John A; Nenadic, Goran

    2012-01-01

    We describe and evaluate an automated approach used as part of the i2b2 2011 challenge to identify and categorise statements in suicide notes into one of 15 topics, including Love, Guilt, Thankfulness, Hopelessness and Instructions. The approach combines a set of lexico-syntactic rules with a set of models derived by machine learning from a training dataset. The machine learning models rely on named entities, lexical, lexico-semantic and presentation features, as well as the rules that are applicable to a given statement. On a testing set of 300 suicide notes, the approach showed the overall best micro F-measure of up to 53.36%. The best precision achieved was 67.17% when only rules are used, whereas best recall of 50.57% was with integrated rules and machine learning. While some topics (eg, Sorrow, Anger, Blame) prove challenging, the performance for relatively frequent (eg, Love) and well-scoped categories (eg, Thankfulness) was comparatively higher (precision between 68% and 79%), suggesting that automated text mining approaches can be effective in topic categorisation of suicide notes.

  2. Nanomaterial Case Studies: Nanoscale Titanium Dioxide in Water Treatment and in Topical Sunscreen (Final)

    Science.gov (United States)

    EPA announced the availability of the final report, Nanomaterial Case Studies: Nanoscale Titanium Dioxide in Water Treatment and in Topical Sunscreen. This report is a starting point to determine what is known and what needs to be known about selected nanomaterials as par...

  3. Topical cyclosporin as an alternative treatment for vision threatening blepharokeratoconjunctivitis: a case report

    Directory of Open Access Journals (Sweden)

    Ismail AS

    2012-06-01

    Full Text Available Abdul-Salim Ismail,1,2 Rohana Taharin,2 Zunaina Embong11Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 2Department of Ophthalmology, Hospital Pulau Pinang, Jalan Resindensi, Pulau Pinang, MalaysiaAbstract: Here, a case of vision threatening blepharokeratoconjunctivitis that responded well to topical cyclosporin is reported. A 9-year-old Malay girl with a history of bilateral blepharokeratoconjunctivitis was regularly treated with lid scrubbing using diluted baby shampoo, fusidic acid gel, and topical steroids as well as an intermittent course of oral doxycycline for the past year. She developed acute onset bilateral eye redness associated with poor vision in her right eye. Both eyes showed marked diffuse hyperemic conjunctiva with corneal vascularization. The presence of corneal vascularization obscured the visual axis in the right eye. The condition did not improve with regular intensive lid hygiene using diluted baby shampoo, fusidic acid gel, and topical steroids. She was started on topical cyclosporin A 0.5% every 6 hours. There was a dramatic regression of corneal vascularization after 3 days on topical cyclosporin, with marked improvement in visual acuity. This is a single case in which cyclosporin improved the status of the ocular surface. A large cohort study is required to justify its effectiveness in treating blepharokeratoconjunctivitis and to test its potential as an alternative immunosuppressive agent in comparison to conventional corticosteroids.Keywords: blepharokeratoconjunctivitis, cyclosporin

  4. Case Studies in Environment Integration

    Science.gov (United States)

    1991-12-01

    such as CADRE Teamwork and Frame Technology FrameMaker , are integrated. Future plans include integrating additional software development tools into...Pictures, Sabre C, and Interleaf or FrameMaker . Cad- re Technologies has announced integration agreements with Saber C and Pansophic, as well as offering...access to the Interleaf and FrameMaker documentation tools. While some of the current agreements between vendors to create tool coalitions are

  5. Integrated marketing communication plan : Case company: Dr. Johanna Budwig

    OpenAIRE

    Pham, Van

    2013-01-01

    The study’s research topic is integrated marketing communication and this is a product-oriented thesis. This study is made to create an efficient integrated marketing communication plan for the case company Dr. Johanna Budwig. The main product line in focus is flaxseed oil, which is very healthy and also good in preventing different diseases including cancer. The company home market, Germany, is the target market of the study. The objective set by the company is to increase sales by 10000, wh...

  6. Improving Casing Integrity by Induction Brazing of Casing Connections

    NARCIS (Netherlands)

    Ernens, Dennis; Hariharan, Hari; van Haaften, Willem Maarten; Pasaribu, Rihard; Jabs, Matthew; McKim, Richard

    2017-01-01

    Brazing technology allows metallurgical joining of dissimilar materials using a filler material. In this paper brazing technology applied to casing connections is presented. The initial application was triggered by challenges with mechanical and pressure integrity after expansion of casing

  7. Topical Medical Cannabis: A New Treatment for Wound Pain-Three Cases of Pyoderma Gangrenosum.

    Science.gov (United States)

    Maida, Vincent; Corban, Jason

    2017-11-01

    Pain associated with integumentary wounds is highly prevalent, yet it remains an area of significant unmet need within health care. Currently, systemically administered opioids are the mainstay of treatment. However, recent publications are casting opioids in a negative light given their high side effect profile, inhibition of wound healing, and association with accidental overdose, incidents that are frequently fatal. Thus, novel analgesic strategies for wound-related pain need to be investigated. The ideal methods of pain relief for wound patients are modalities that are topical, lack systemic side effects, noninvasive, self-administered, and display rapid onset of analgesia. Extracts derived from the cannabis plant have been applied to wounds for thousands of years. The discovery of the human endocannabinoid system and its dominant presence throughout the integumentary system provides a valid and logical scientific platform to consider the use of topical cannabinoids for wounds. We are reporting a prospective case series of three patients with pyoderma gangrenosum that were treated with topical medical cannabis compounded in nongenetically modified organic sunflower oil. Clinically significant analgesia that was associated with reduced opioid utilization was noted in all three cases. Topical medical cannabis has the potential to improve pain management in patients suffering from wounds of all classes. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  8. Proposal for inclusion of topics of particle physics integrated electric charge through a potentially meaningful teaching units

    Directory of Open Access Journals (Sweden)

    Lisiane Barcellos Calheiro

    2014-03-01

    Full Text Available In this article the results of the analysis of free and concept maps produced are presented from the application and evaluation of a Potentially Meaningful Teaching Units – PMTU, which is a teaching sequence based on various learning theories and seeks to promote meaningful student learning. Presents, in this work, part of a research Masters in Science Education which deals with the inclusion of topics of particle physics integrated with traditional content of the third year of high school. It was implemented in a third grade high school class of a State School in Santa Maria, Rio Grande do Sul, and Brazil. The PMTU aimed to address in an integrated manner threads for Particle Physics and Electronics. A didactic sequence that integrated the topics of electric charge, atomic models, elementary particles, quantization and process electrification was applied. Such integration aimed at stimulating the interest on topics related to Modern and Contemporary Physics. It was developed using PMTU activities that aimed at promoting meaningful learning and knowledge construction in the classroom, Since the topics involved were quite complex, this made their integration a real challenge to the high school teachers, and resulted in changes in their teaching practices. Research showed that the inclusion of topics on physics of elementary particles the and electricity, through Potentially Meaningful Teaching Units, show satisfactory results in the students’ learning.

  9. Correlated Topics in a Scalable Multidimensional Text Cube: Algorithms and Aviation Safety Case Study

    Science.gov (United States)

    Zhao, Bo; Lin, Cindy X.; Srivastava, Ashok N.; Oza, Nikunj C.; Han, Jiawei

    2010-01-01

    As world-wide air traffic continues to grow even at a modest pace, the overall complexity of the system will increase significantly. This increased complexity can lead to a larger number of fatalities per year even if the extremely low fatality rate that we currently enjoy is maintained. One important source of information about the safety of the aviation system is in Aviation Safety Text Reports which are written by members of the flight crew, air traffic controllers, and other parties involved with the aviation system. These anonymized narrative reports contain fixed-field contextual information about the flight but also contain free-form narratives that describe, in the author s own words, the nature of the safety incident and, in many cases, the contributing factors that led to the safety incident. Several thousand such reports are filed each month, each of which is read and analyzed by highly trained experts. However, it is possible that there are emerging safety issues due to the fact that they may be reported very infrequently and in different contexts with different descriptions. The goal of this research paper is to develop correlated topic models which uncover correlations in the subspaces defined by the intersection of numerous fixed fields and discovered correlated topics. This task requires the discovery of latent topics in the text reports and the creation of a topic cube. Furthermore, because the number of potential cells in the topic cube is very large, we discuss novel methods of pruning the search space in the topic cells, thereby making the analysis feasible. We demonstrate the new algorithms on an analysis of pilot fatigue and its contributing factors, as well as the safety incidents that are correlated with this phenomenon.

  10. Detection of Cases of Noncompliance to Drug Treatment in Patient Forum Posts: Topic Model Approach.

    Science.gov (United States)

    Abdellaoui, Redhouane; Foulquié, Pierre; Texier, Nathalie; Faviez, Carole; Burgun, Anita; Schück, Stéphane

    2018-03-14

    Medication nonadherence is a major impediment to the management of many health conditions. A better understanding of the factors underlying noncompliance to treatment may help health professionals to address it. Patients use peer-to-peer virtual communities and social media to share their experiences regarding their treatments and diseases. Using topic models makes it possible to model themes present in a collection of posts, thus to identify cases of noncompliance. The aim of this study was to detect messages describing patients' noncompliant behaviors associated with a drug of interest. Thus, the objective was the clustering of posts featuring a homogeneous vocabulary related to nonadherent attitudes. We focused on escitalopram and aripiprazole used to treat depression and psychotic conditions, respectively. We implemented a probabilistic topic model to identify the topics that occurred in a corpus of messages mentioning these drugs, posted from 2004 to 2013 on three of the most popular French forums. Data were collected using a Web crawler designed by Kappa Santé as part of the Detec't project to analyze social media for drug safety. Several topics were related to noncompliance to treatment. Starting from a corpus of 3650 posts related to an antidepressant drug (escitalopram) and 2164 posts related to an antipsychotic drug (aripiprazole), the use of latent Dirichlet allocation allowed us to model several themes, including interruptions of treatment and changes in dosage. The topic model approach detected cases of noncompliance behaviors with a recall of 98.5% (272/276) and a precision of 32.6% (272/844). Topic models enabled us to explore patients' discussions on community websites and to identify posts related with noncompliant behaviors. After a manual review of the messages in the noncompliance topics, we found that noncompliance to treatment was present in 6.17% (276/4469) of the posts. ©Redhouane Abdellaoui, Pierre Foulquié, Nathalie Texier, Carole

  11. Topical session proceedings of the 6. IGSC Meeting. The role of monitoring in a safety case

    International Nuclear Information System (INIS)

    2005-01-01

    This report summarises the outcomes of a topical session focused on the role of monitoring in a safety case. It was held as part of the 6. plenary meeting of the IGSC. It was attended by 39 participants, representing waste management organisations and regulatory authorities from 15 NEA member countries, the IAEA and the European Commission. The main purpose of this topical session was to create a platform for exchanging views on the key monitoring issues of interest to build confidence in a safety case e.g. relationship with the post-closure phase, functions, requirements, and to determine to what extent the main actions are to be addressed by the IGSC on its ongoing activities on defining the elements of a safety case. The topical session was indeed mainly aimed at exchanging information on: - National strategies or programmes in NEA members' countries. Member countries have organisations planning their own strategy, but some are already, to some extend engaged in implementing monitoring activities, e.g. Posiva Oy, US-DOE-YM, Andra. - Feedback from international projects, e.g. the EC Thematic Network on 'The role of Monitoring in a Phased Approach to Geological Disposal of Radioactive Waste', and the IAEA programme of work. - The expectations of regulators, e.g. SKI. Part A of this document summarises the material orally presented and provides the main lessons drawn from the presentations and the discussions that followed them. The overheads presented are compiled without any further elaboration by the NEA Secretariat as Part B of the document. Part C gives the list of participants. The document as a whole provides a synthesis of current issues in monitoring of a deep geological disposal facility

  12. Curriculum Integration Using Enterprise Resource Planning: An Integrative Case Approach

    Science.gov (United States)

    Cannon, David M.; Klein, Helen A; Koste, Lori L.; Magal, Simha R.

    2004-01-01

    Efforts to achieve greater curriculum integration in schools of business have included team teaching, student group projects, multidisciplinary cases, and, more recently, the use of enterprise resource planning (ERP) systems. Although these approaches are beneficial, they tend to be implemented on an ad hoc basis rather than through curriculum…

  13. Safety First! The topic of safety in reversed integration of people with intellectual disabilities.

    NARCIS (Netherlands)

    Venema, Eleonora; Vlaskamp, Carla; Otten, Sabine

    2017-01-01

    Background: Physical integration is believed to be a precondition for social integration. One might expect that in so-called reversed integration, where people without intellectual disabilities (ID) actively choose to live next to people with ID, conditions for physical integration are more optimal,

  14. Effects of topical bevacizumab application on early bleb failure after trabeculectomy: observational case series

    Directory of Open Access Journals (Sweden)

    Klos-Rola J

    2013-09-01

    Full Text Available Justyna Klos-Rola, Maria Tulidowicz-Bielak, Tomasz Zarnowski Department of Ophthalmology, Medical University of Lublin, Lublin, Poland Background: The aim of this study was to evaluate the influence of topical bevacizumab on the formation and function of filtering blebs in eyes with early bleb failure after antiglaucoma surgery. Methods: Of all patients who underwent mitomycin-augmented trabeculectomy for glaucoma in the Department of Ophthalmology at the Medical University in Lublin, Poland, between March 2009 and March 2010, a total of 21 eyes from 20 patients with injected filtration bleb 9.8 ± 4.7 days after surgery were included in this observational case series. All patients were treated with standard steroid therapy and topical bevacizumab 5 mg/mL five times a day for 20.9 ± 9.8 days. Patients were followed up every other day, and a full eye examination was performed 14, 30, 60, and 180 days after initiation of treatment. Blebs were evaluated for vascularity by slit-lamp examination with concomitant photographic documentation and intraocular pressure measurement. Results: Elevated functional bleb with significantly reduced vascularity was present in 16 eyes, and was flat and nonfunctional in five eyes. Intraocular pressure in all eyes decreased from a mean of 26.6 ± 9.6 mmHg before surgery to 14.6 ± 7.7 mmHg and 15.8 ± 8.3 mmHg at 2 and 6 months after surgery, respectively. Filtration bleb leak was noted in three eyes while on treatment with bevacizumab. Conclusion: Topical application of bevacizumab might favor functional bleb formation after trabeculectomy in eyes with a high risk of failure. Keywords: glaucoma, trabeculectomy, bleb failure, bevacizumab

  15. Implicit integration in a case of integrative visual agnosia.

    Science.gov (United States)

    Aviezer, Hillel; Landau, Ayelet N; Robertson, Lynn C; Peterson, Mary A; Soroker, Nachum; Sacher, Yaron; Bonneh, Yoram; Bentin, Shlomo

    2007-05-15

    We present a case (SE) with integrative visual agnosia following ischemic stroke affecting the right dorsal and the left ventral pathways of the visual system. Despite his inability to identify global hierarchical letters [Navon, D. (1977). Forest before trees: The precedence of global features in visual perception. Cognitive Psychology, 9, 353-383], and his dense object agnosia, SE showed normal global-to-local interference when responding to local letters in Navon hierarchical stimuli and significant picture-word identity priming in a semantic decision task for words. Since priming was absent if these features were scrambled, it stands to reason that these effects were not due to priming by distinctive features. The contrast between priming effects induced by coherent and scrambled stimuli is consistent with implicit but not explicit integration of features into a unified whole. We went on to show that possible/impossible object decisions were facilitated by words in a word-picture priming task, suggesting that prompts could activate perceptually integrated images in a backward fashion. We conclude that the absence of SE's ability to identify visual objects except through tedious serial construction reflects a deficit in accessing an integrated visual representation through bottom-up visual processing alone. However, top-down generated images can help activate these visual representations through semantic links.

  16. The Integration of Immigrants Into the Labour Markets of the EU. IAB Labour Market Research Topics.

    Science.gov (United States)

    Werner, Heinz

    Integration of foreign workers into European Union (EU) labor markets was evaluated. Three indicators of labor market integration were analyzed: unemployment rate, employment rate, and self- employment rate. Results were drawn from the Labor Force Survey data compiled by Eurostat. Findings indicated that, in all EU countries, the unemployment rate…

  17. Integrative health coaching: an organizational case study.

    Science.gov (United States)

    Wolever, Ruth Q; Caldwell, Karen L; Wakefield, Jessica P; Little, Kerry J; Gresko, Jeanne; Shaw, Andrea; Duda, Linda V; Kosey, Julie M; Gaudet, Tracy

    2011-01-01

    The aim of this study was to describe integrative health (IH) coaching as developed in three different interventions offered through a major medical center, as a step toward further defining the field of health coaching. An organizational case study was conducted with document analysis and interviews. Interviewees were the first six IH coaches at Duke Integrative Medicine who provided 360 clients with individual and/or group coaching (two to 28 sessions) in a randomized clinical study and two work-site wellness programs. Qualitative analysis using the constant comparative method was conducted. Integrative health coaching is characterized by a process of self-discovery that informs goal setting and builds internal motivation by linking clients' goals to their values and sense of purpose. Time, commitment, and motivation are necessary in the IH coaching process. The underpinnings of IH coaching are distinct from the medical model, and the process is distinct from health education, executive coaching, and psychotherapy. Integrative health coaching fits well with the assumptions of integrative medicine and has a role in supporting behavior change. Copyright © 2011. Published by Elsevier Inc.

  18. Transdisciplinary knowledge integration : cases from integrated assessment and vulnerability assessment

    NARCIS (Netherlands)

    Hinkel, J.

    2008-01-01

    Keywords: climate change, integrated assessment, knowledge integration, transdisciplinary research, vulnerability, vulnerability assessment.
    This thesis explores how transdisciplinary knowledge integration can be facilitated in the context of integrated assessments and vulnerability

  19. Topic Detection Based on Weak Tie Analysis: A Case Study of LIS Research

    Directory of Open Access Journals (Sweden)

    Ling Wei

    2016-11-01

    Full Text Available Purpose: Based on the weak tie theory, this paper proposes a series of connection indicators of weak tie subnets and weak tie nodes to detect research topics, recognize their connections, and understand their evolution. Design/methodology/approach: First, keywords are extracted from article titles and preprocessed. Second, high-frequency keywords are selected to generate weak tie co-occurrence networks. By removing the internal lines of clustered sub-topic networks, we focus on the analysis of weak tie subnets' composition and functions and the weak tie nodes' roles. Findings: The research topics' clusters and themes changed yearly; the subnets clustered with technique-related and methodology-related topics have been the core, important subnets for years; while close subnets are highly independent, research topics are generally concentrated and most topics are application-related; the roles and functions of nodes and weak ties are diversified. Research limitations: The parameter values are somewhat inconsistent; the weak tie subnets and nodes are classified based on empirical observations, and the conclusions are not verified or compared to other methods. Practical implications: The research is valuable for detecting important research topics as well as their roles, interrelations, and evolution trends. Originality/value: To contribute to the strength of weak tie theory, the research translates weak and strong ties concepts to co-occurrence strength, and analyzes weak ties' functions. Also, the research proposes a quantitative method to classify and measure the topics' clusters and nodes.

  20. Topical corticosteroid-induced rosacea-like dermatitis: A clinical study of 110 cases

    Directory of Open Access Journals (Sweden)

    Sanjay K Rathi

    2011-01-01

    Full Text Available Background: Prolonged and continuous use of topical steroids leads to rosacea-like dermatitis with variable clinical presentations. Aims: To study the various clinical presentations of patients with topical corticosteroid-induced rosacea-like dermatitis (TCIRD, who had a history of prolonged and repeated use of topical steroids for reasons other than the known disease entities. Methods: A total of 110 patients were enrolled for the study over a period of 2 years, excluding all those with the known disease entity in which topical steroids were commonly used. Detailed history which also included the source and the type of topical steroid use was taken along with clinical examination. Results: There were 12 males and 98 females with their age ranging from 18 to 54 years. The duration of topical steroid use ranged from 4 months to 20 years. The most common clinical presentation was diffuse erythema of the face. Most of the patients had rebound phenomenon on discontinuation of the steroid. The most common topical steroid used was Betamethasone valerate, which could be due to its easy availability and low cost. Conclusion: Varied clinical presentations are seen with prolonged and continuous use of topical steroids. The treatment of this dermatitis is difficult, requiring complete cessation of the offending steroid, usually done in a tapering fashion.

  1. Review of the integrated thermal and nonthermal treatment system studies. Topical Report

    International Nuclear Information System (INIS)

    Durrani, H.A.; Schmidt, L.J.; Erickson, T.A.; Sondreal, E.A.; Erjavec, J.; Steadman, E.N.; Fabrycky, W.J.; Wilson, J.S.; Musich, M.A.

    1996-07-01

    This report analyzes three systems engineering (SE) studies performed on integrated thermal treatment systems (ITTSs) and integrated nonthermal treatment systems (INTSs) for the remediation of mixed low-level waste (MLLW) stored throughout the US Department of Energy (DOE) weapons complex. The review was performed by an independent team of nine researchers from the Energy and Environmental Research Center (EERC), Science Applications International Corporation (SAIC), the Waste Policy Institute (WPI), and Virginia Tech (VT). The three studies reviewed were as follows: Integrated Thermal Treatment System Study, Phase 1--issued July 1994; Integrated Thermal Treatment System Study, Phase 2--issued February 1996; and Integrated Nonthermal Treatment System Study--drafted March 1996. The purpose of this review was to (1) determine whether the assumptions taken in the studies might bias the resulting economic evaluations of both thermal and nonthermal systems, (2) identify the critical areas of the studies that would benefit from further investigation, and (3) develop a standard template that could be used in future studies to produce sound SE applications

  2. IGSC - Integration Group for the Safety Case

    International Nuclear Information System (INIS)

    2015-01-01

    Countries that rely on nuclear energy and materials have an ethical obligation to manage radioactive waste in a safe and environmentally responsible manner. For society to support the sustainable solutions envisaged, disposal concepts must be technologically sound and the safety of these concepts must be convincingly demonstrated. The Nuclear Energy Agency's Integration Group for the Safety Case (IGSC) establishes and documents the technical and scientific basis for developing and reviewing safety cases as a platform for dialogue among technical experts and as a tool for decision making. The IGSC addresses various strategic and policy aspects of radioactive waste management as the technical advisory body to the NEA Radioactive Waste Management Committee (RWMC) for all issues related to repository development. For more than two decades, the IGSC and its predecessor technical groups have promoted the exchange of national experience in evaluating and implementing geological repositories. IGSC activities foster consensus on best practices and encourage the development of innovative, advanced approaches covering the technical aspects at all stages of repository implementation, including: - strategies to characterise and evaluate potential disposal sites; - methods to design and test engineered barrier systems; - priorities for research and development programmes to improve the understanding of important processes and interactions; - tools for safety assessments; - techniques for the effective presentation and communication of the results of safety cases and other factors that provide the basis for increased confidence in the safety of geological disposal facilities. The IGSC has been instrumental in further developing the 'modern safety case', a concept that originally emerged from NEA work in the 1990's. Cooperation with the International Atomic Energy Agency (IAEA) and the European Commission (EC) has led to the worldwide adoption of this safety

  3. Topics, Texts, and Critical Approaches: Integrating Dimensions of Liberal Learning in an Undergraduate Management Course

    Science.gov (United States)

    Spee, James C.; Fraiberg, Allison

    2015-01-01

    In light of recent critiques of management education, this article examines the "Carnegie Report's" argument that the core components of liberal arts education (Analytical Thinking, Multiple Framing, The Reflective Exploration of Meaning, and Practical Reasoning) can and should be integrated into the undergraduate business…

  4. Measuring Knowledge Integration Learning of Energy Topics: A Two-Year Longitudinal Study

    Science.gov (United States)

    Liu, Ou Lydia; Ryoo, Kihyun; Linn, Marcia C.; Sato, Elissa; Svihla, Vanessa

    2015-01-01

    Although researchers call for inquiry learning in science, science assessments rarely capture the impact of inquiry instruction. This paper reports on the development and validation of assessments designed to measure middle-school students' progress in gaining integrated understanding of energy while studying an inquiry-oriented curriculum. The…

  5. Integrating STEM education through Project-Based Inquiry Learning (PIL) in topic space among year one pupils

    Science.gov (United States)

    Ng, Chee Hoe; Adnan, M.

    2018-01-01

    This research aims to investigate the effect of integrating STEM education through Project-based Inquiry Learning (PIL) and the users of the STEM modules which consists of five projects on topic Space in Year One Mathematics Syllabus in Kurikulum Standard Sekolah Rendah (KSSR) of Malaysia. STEM education in primary school focuses on the introduces and awareness of students about the importance of STEM education. The projects in STEM modules are covering the different ethnic cultures in Malaysia. The modules are designed using the four phases in PIL. Concepts and the explanation of STEM education on each project are emphasized and provided in the modules so the teachers able to carry out the projects by using the modules. By using the modules in primary Mathematics, the students and teachers will be more understanding on how to integrate the Mathematics’ concepts in STEM education.

  6. Institutional Barriers to Research on Sensitive Topics: Case of Sex Communication Research Among University Students

    Directory of Open Access Journals (Sweden)

    Carey M. Noland

    2012-11-01

    Full Text Available When conducting research on sensitive topics, it is challenging to use new methods of data collection given the apprehensions of Institutional Review Boards (IRBs. This is especially worrying because sensitive topics of research often require novel approaches. In this article a brief personal history of navigating the IRB process for conducting sex communication research is presented, along with data from a survey that tested the assumptions long held by many IRBs. Results support some of the assumptions IRBs hold about sex communication research, but do not support some other assumptions.

  7. Introduction of Team Self-Regulation for Teamwork Promotion. A Case Study in Energy Engineering Topics

    Science.gov (United States)

    González-Fernández, María Jesús; Sáiz-Manzanares, María Consuelo; Alaoui, Fatima E. M.; Aguilar, Fernando; Meneses, Jesús; Montero, Eduardo

    2013-01-01

    The learning and development of teamwork skill is only possible if its achievement is a self-building process of the student. In turn, the teachers must become guides in the process of a learning which is not limited only to the topic of their own course, but which must be imbedded with a good dose of this skill. Promotion of teamwork is not…

  8. Lectures on Selected Topics in Mathematical Physics: Elliptic Functions and Elliptic Integrals

    Science.gov (United States)

    Schwalm, William A.

    2015-12-01

    This volume is a basic introduction to certain aspects of elliptic functions and elliptic integrals. Primarily, the elliptic functions stand out as closed solutions to a class of physical and geometrical problems giving rise to nonlinear differential equations. While these nonlinear equations may not be the types of greatest interest currently, the fact that they are solvable exactly in terms of functions about which much is known makes up for this. The elliptic functions of Jacobi, or equivalently the Weierstrass elliptic functions, inhabit the literature on current problems in condensed matter and statistical physics, on solitons and conformal representations, and all sorts of famous problems in classical mechanics. The lectures on elliptic functions have evolved as part of the first semester of a course on theoretical and mathematical methods given to first- and second-year graduate students in physics and chemistry at the University of North Dakota. They are for graduate students or for researchers who want an elementary introduction to the subject that nevertheless leaves them with enough of the details to address real problems. The style is supposed to be informal. The intention is to introduce the subject as a moderate extension of ordinary trigonometry in which the reference circle is replaced by an ellipse. This entre depends upon fewer tools and has seemed less intimidating that other typical introductions to the subject that depend on some knowledge of complex variables. The first three lectures assume only calculus, including the chain rule and elementary knowledge of differential equations. In the later lectures, the complex analytic properties are introduced naturally so that a more complete study becomes possible.

  9. Topical tacrolimus and periodontal therapy in the management of a case of oral chronic GVHD characterized by specific gingival localization.

    Science.gov (United States)

    Conrotto, Davide; Broccoletti, Roberto; Carcieri, Paola; Giaccone, Luisa; Arduino, Paolo G

    2014-01-01

    Background. Chronic graft versus host disease (cGVHD) is a complication following bone marrow transplantation. The oral lesions are difficult to control with a systemic pharmacological therapy. Case Description. A 63-year-old female patient, who underwent an allogeniec transplantation for acute myeloid leukemia, developed a chronic oral and cutaneous GVHD. The patient was treated with topical tacrolimus 0.1%, twice daily for two months, and underwent a protocol of oral hygiene characterized by 3 appointments of scaling, root planning, and daily oral hygiene instructions. The patient showed marked resolution of gingival lesions and a significant improvement of related pain and gingival inflammatory indexes. Clinical Implications. This case report suggests that treatment with topical tacrolimus and professional oral hygiene may be helpful in the management of chronic oral GVHD with severe gingival involvement.

  10. Topical Tacrolimus and Periodontal Therapy in the Management of a Case of Oral Chronic GVHD Characterized by Specific Gingival Localization

    Directory of Open Access Journals (Sweden)

    Davide Conrotto

    2014-01-01

    Full Text Available Background. Chronic graft versus host disease (cGVHD is a complication following bone marrow transplantation. The oral lesions are difficult to control with a systemic pharmacological therapy. Case Description. A 63-year-old female patient, who underwent an allogeniec transplantation for acute myeloid leukemia, developed a chronic oral and cutaneous GVHD. The patient was treated with topical tacrolimus 0.1%, twice daily for two months, and underwent a protocol of oral hygiene characterized by 3 appointments of scaling, root planning, and daily oral hygiene instructions. The patient showed marked resolution of gingival lesions and a significant improvement of related pain and gingival inflammatory indexes. Clinical Implications. This case report suggests that treatment with topical tacrolimus and professional oral hygiene may be helpful in the management of chronic oral GVHD with severe gingival involvement.

  11. Topical dihydrotestosterone to treat micropenis secondary to partial androgen insensitivity syndrome (PAIS) before, during, and after puberty - a case series.

    Science.gov (United States)

    Becker, David; Wain, Lisa M; Chong, Yih Harng; Gosai, Sonal J; Henderson, Nina K; Milburn, Jacqui; Stott, Victoria; Wheeler, Benjamin J

    2016-02-01

    X-linked partial androgen insensitivity syndrome (PAIS) causes under-virilization at all stages of development. In two thirds of males, this results in micropenis. Dihydrotestosterone (DHT) is a potent androgen that is critical for male genital development, which when applied topically, has been shown to increase penile length with micropenis of varying etiologies. We present the first case series using topical DHT gel to treat micropenis in 46,XY males with PAIS, before, during, and after puberty. Three related 46,XY males with confirmed p.L712F androgen receptor mutations exhibited varying degrees of micropenis post-surgical correction. They were of pre-pubertal, peri-pubertal and adult ages, respectively. Following baseline clinical and laboratory assessments all completed a 4-month course of daily DHT gel 2.5% (androstanolone) topically to penis (0.3 mg/kg body weight), with monitoring for adverse effects. Primary outcome was change in stretched penile length (SPL) following treatment. Mixed results were obtained following topical DHT therapy. In the pre- and peri- pubertal patients, SPL changed from 2.5 cm to 3.5 cm (+40%), and 3.5 cm to 5.7 cm (+63%), respectively. In the adult patient with 1 year of prior high-dose weekly testosterone therapy, no additional change in SPL was seen. No adverse effects of topical DHT were reported or observed throughout the 4 months of treatment. Topical DHT treatment appears to be a safe and well-tolerated method of virilising micropenis both prior to and during puberty in children with PAIS. Questions remain about long-term outcomes into adulthood, and efficacy in adults with prior lengthy exposure to high-dose testosterone.

  12. CASE STUDIES IN INTEGRATIVE PSYCHOTHERAPY PART 2 (EDITORIAL

    Directory of Open Access Journals (Sweden)

    Gregor Žvelc

    2013-05-01

    Full Text Available Announcement of the special issue of the International Journal of Integrative Psychotherapy, which is dedicated to the exploration and discussion of an integrative psychotherapy case study.

  13. Integrating standardization into engineering education: the case of forerunner Korea

    NARCIS (Netherlands)

    D.G. Choi (Dong Geun); H.J. de Vries (Henk)

    2013-01-01

    textabstractThe Republic of Korea is a forerunner in integrating the topic of standardization into engineering education at the academic level. This study investigates developments and evolutions in the planning and operating of the University Education Promotion on Standardization (UEPS) in Korea.

  14. Integrated Case Based and Rule Based Reasoning for Decision Support

    OpenAIRE

    Eshete, Azeb Bekele

    2009-01-01

    This project is a continuation of my specialization project which was focused on studying theoretical concepts related to case based reasoning method, rule based reasoning method and integration of them. The integration of rule-based and case-based reasoning methods has shown a substantial improvement with regards to performance over the individual methods. Verdande Technology As wants to try integrating the rule based reasoning method with an existing case based system. This project focu...

  15. Integration issues of information engineering based I-CASE tools

    OpenAIRE

    Kurbel, Karl; Schnieder, Thomas

    1994-01-01

    Problems and requirements regarding integration of methods and tools across phases of the software-development life cycle are discussed. Information engineering (IE) methodology and I-CASE (integrated CASE) tools supporting IE claim to have an integrated view across major stages of enterprise-wide information-system development: information strategy planning, business area analysis, system design, and construction. In the main part of this paper, two comprehensive I-CASE tools, ADW (Applicati...

  16. The efficacy of topical Royal Jelly on diabetic foot ulcers healing: A case series

    Directory of Open Access Journals (Sweden)

    Mansour Siavash

    2011-01-01

    Full Text Available Background: Foot ulcers and infections are the major sources of morbidity in individuals with diabetes mellitus. This study aimed to evaluate the efficacy of topical Royal Jelly (a worker honey bee product on healing diabetic foot ulcers. Methods: Diabetic patients with foot ulcers that were referred to our clinic at Khorshid Hospital, Isfahan, Iran; were evaluated three times a week and treated according to standard treatments consisted of offloading, infection control, vascular improvement and debridement if required. In addition, all ulcers were measured and then topical sterile 5% Royal Jelly was applied on the total surface area of the wounds. Eventually, they were covered with sterile dressings. Each patient was followed for a period of three months or until the complete healing. Results: A total of eight patients were enrolled in this study. Of these, two had two ulcers and, therefore, ten ulcers were evaluated. Two ulcers were excluded. Seven of the remained eight ulcers healed. Mean duration of complete healing was 41 days. One ulcer did not completely heal but improved to 40% smaller in length, 32% in width and 28% in depth. The mean length, width and depth reduction rates were 0.35 mm/day, 0.28 mm/day and 0.11 mm/day, respectively. Conclusions: Royal Jelly dressing may be an effective method for treating diabetic foot ulcers besides standard treatments.

  17. Manufacturing: the new case for vertical integration

    NARCIS (Netherlands)

    Kumpe, Ted; Bolwijn, Piet

    1988-01-01

    The article argues that the solid corporation will continue to view vertical integration as a critical part of manufacturing reform. Manufacturing reform and backward integration are related in insidious ways to the three stages of production over which the big manufacturers preside. Without

  18. Stuck long-term indwelling central venous catheters in adolescents: three cases and a short topical review

    DEFF Research Database (Denmark)

    Mortensen, A; Afshari, A; Henneberg, S W

    2010-01-01

    We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated in the v......We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated...

  19. Technology Overview Using Case Studies of Alternative Landfill Technologies and Associated Regulatory Topics

    National Research Council Canada - National Science Library

    2003-01-01

    ... alternative landfill cover projects. The purpose of the case studies is to present examples of the flexibility used in the regulatory framework for approving alternative landfill cover designs, current research information about the use...

  20. Financial Integration into EU: The Romanian Case

    Directory of Open Access Journals (Sweden)

    Ibrahim Bozkurt

    2016-05-01

    Full Text Available The aim of this study is to investigate the determinants of integration between stock market of Romania and other stock markets of European Union (EU countries. Correlations between the stock returns represent the level of integration between the stock markets. Empirical analysis are performed with daily stock returns of 24 EU members including Romania for 2002-2012 period using panel data gravity models and correlations are investigated. Findings reveal that the following factors have significant and robust effects on the financial integration process of Romania with other 23 EU members; (i EU membership, (ii bilateral trade, (iii GDP per capita, (iv 2012 sovereign debt crisis and (v East European location. The results emphasize that intensifying economic relations with EU members can contribute the integration of Romanian stock market with other EU members. designed & hoste

  1. INTEGRATIVE PSYCHOTHERAPY AND MINDFULNESS: THE CASE OF SARA

    OpenAIRE

    Mihael Černetič

    2015-01-01

    The article explores the relationship between Integrative Psychotherapy and mindfulness on a theoretical as well as practical level. Although mindfulness is not an explicit constituent of Integrative Psychotherapy, the two are arguably a natural fit. Mindfulness has the potential to enhance internal and external contact, a central concept in Integrative Psychotherapy, as well as strengthen a client’s Adult ego state. This article presents a case study whereby Integrative Psychotherapy is ana...

  2. Role of innovative institutional structures in integrated governance. A case study of integrating health and nutrition programs in Chhattisgarh, India.

    Science.gov (United States)

    Kalita, Anuska; Mondal, Shinjini

    2012-01-01

    The aim of this paper is to highlight the significance of integrated governance in bringing about community participation, improved service delivery, accountability of public systems and human resource rationalisation. It discusses the strategies of innovative institutional structures in translating such integration in the areas of public health and nutrition for poor communities. The paper draws on experience of initiating integrated governance through innovations in health and nutrition programming in the resource-poor state of Chhattisgarh, India, at different levels of governance structures--hamlets, villages, clusters, blocks, districts and at the state. The study uses mixed methods--i.e. document analysis, interviews, discussions and quantitative data from facilities surveys--to present a case study analyzing the process and outcome of integration. The data indicate that integrated governance initiatives improved convergence between health and nutrition departments of the state at all levels. Also, innovative structures are important to implement the idea of integration, especially in contexts that do not have historical experience of such partnerships. Integration also contributed towards improved participation of communities in self-governance, community monitoring of government programs, and therefore, better services. As governments across the world, especially in developing countries, struggle towards achieving better governance, integration can serve as a desirable process to address this. Integration can affect the decentralisation of power, inclusion, efficiency, accountability and improved service quality in government programs. The institutional structures detailed in this paper can provide models for replication in other similar contexts for translating and sustaining the idea of integrated governance. This paper is one of the few to investigate innovative public institutions of a and community mobilisation to explore this important, and under

  3. The Role of the Biosphere in a Safety Case. IGSC topical session at the third IGSC Meeting

    International Nuclear Information System (INIS)

    Russell, Sean; Voinis, Sylvie; Alonso, Jesus; Van Luik, Abraham E.

    2002-01-01

    The safety case is a collection of arguments at a given stage of repository development in support of the long-term safety of the repository. The safety case comprises the findings of a safety assessment and a statement of confidence in these findings. The biosphere is one of the features of a geologic repository system for the long-term management of radioactive waste. The biosphere is important in a safety assessment since it is the place where humans and most organisms live and where regulations are made. Generally speaking, the biosphere is more dynamic than the geosphere and its evolution with time can significantly affect dose estimations and potential impacts of a geologic repository (e.g., climate change, glaciation, civilisation movement, etc.). That is, other parts of the repository system (vault, geosphere) are more robust or constant in time than the ever changing biosphere. Most of the variability associated with future events in the biosphere is driven by climate change. Climatic change and the characteristics of future societies are important sources of uncertainties Biosphere. Uncertainty can be addressed using reference or example biospheres, or alternative safety indicators such as radionuclide concentration or radionuclide flux from the geosphere to the surface biosphere (as indicated by the recent regulatory guidance in Finland), or by comparing predicted radionuclide concentrations from a repository with background levels in the environment. Thus, a Topical Session that focused on the 'Role of the Biosphere in a Safety Case' was organised in the framework of the 3. plenary meeting of the IGSC. This Topical Session reviewed the role of the biosphere in a safety case for geologic disposal of radioactive waste and discusses recent developments in international programs (IAEA Biomass, EC Bioclim), the views of regulators and the strategies being adopted by several implementers for incorporating the biosphere in their safety assessments

  4. The difficulties for a photolabile drug in topical formulations: the case of diclofenac.

    Science.gov (United States)

    Ioele, Giuseppina; De Luca, Michele; Tavano, Lorena; Ragno, Gaetano

    2014-04-25

    Topical commercial formulations containing diclofenac (DC) were submitted to photostability tests, according to the international rules, showing a clear degradation of the drug. The degradation process was monitored by applying the multivariate curve resolution technique to the UV spectral data from samples exposed to stressing irradiation. This method was able to estimate the number of components evolved as well as to draw their spectra and concentration profiles. Three photoproducts (PhPs) were resolved by the analysis of photodegradation kinetics, according to two consecutive reactions with a mechanism postulated as DC>PhP₁>PhP₂ and PhP₃. Photodegradation rate of DC in gel was found to be very fast, with a residual content of 90% only after 3.90 min under a radiant exposure of 450 Wm(-2). Because of a very slow skin uptake of DC, a prolonged time of exposure to light could lead to a significant decrease of drug available or the uptake of undesired photoproducts. New gel formulations were designed to increase the photostability of DC by incorporating chemical light-absorbers or entrapping the drug into cyclodextrin. Drug photostability resulted increased significantly in comparison with that of the commercial formulations. The gel containing the light-absorbers such as octisilate, octyl methoxycinnamate and a combination thereof showed a residual DC of 90% up to 12.22 min, 13.75 min and 15.71 min, respectively, under the same irradiation power. The best results were obtained by incorporating the drug in β-cyclodextrin with a degradation of 10% after 25.01 min of light exposure. Copyright © 2014 Elsevier B.V. All rights reserved.

  5. Ultrasound-guided continuous suprascapular nerve block for adhesive capsulitis: one case and a short topical review

    DEFF Research Database (Denmark)

    Neimann, Jens Dupont Børglum; Bartholdy, Anne; Hautopp, H

    2011-01-01

    We present a case with an ultrasound-guided (USG) placement of a perineural catheter beneath the transverse scapular ligament in the scapular notch to provide a continuous block of the suprascapular nerve (SSN). The patient suffered from a severe and very painful adhesive capsulitis of the left...... shoulder secondary to an operation in the same shoulder conducted 20 weeks previously for impingement syndrome and a superior labral anterior-posterior tear. Following a new operation with capsular release, the placement of a continuous nerve block catheter subsequently allowed for nearly pain-free low...... impact passive and guided active mobilization by the performing physiotherapist for three consecutive weeks. This case and a short topical review on the use of SSN block in painful shoulder conditions highlight the possibility of a USG continuous nerve block of the SSN as sufficient pain management...

  6. The onset risk of carcinoma in patients continuing tacrolimus topical treatment for oral lichen planus: a case report.

    Science.gov (United States)

    Morita, Mayu; Asoda, Seiji; Tsunoda, Kazuyuki; Soma, Tomoya; Nakagawa, Taneaki; Shirakawa, Masayori; Shoji, Hirofumi; Yagishita, Hisao; Nishikawa, Takeji; Kawana, Hiromasa

    2017-04-01

    Oral lichen planus is a chronic inflammatory mucocutaneous disease. Topical use of steroids and other immuno-modulating therapies have been tried for this intractable condition. Nowadays, tacrolimus ointment is used more commonly as a choice for treatment. However, a number of discussions have taken place after tacrolimus was reported to be carcinogenic. This report describes a patient who applied tacrolimus ointment to the lower lip after being diagnosed with oral lichen planus in 2008, and whose lesion developed squamous cell carcinoma in 2010. Since the relationship between tacrolimus and cancer development has been reported in only a few cases, including this case report, the clinician must be careful selecting tacrolimus as a second-line treatment for oral lichen planus.

  7. Fortune telling addiction: Unfortunately a serious topic about a case report.

    Science.gov (United States)

    Grall-Bronnec, Marie; Bulteau, Samuel; Victorri-Vigneau, Caroline; Bouju, Gaëlle; Sauvaget, Anne

    2015-03-01

    Constant social change brings about new forms of behavior, such as smartphone use, social networking,indoor tanning, cosmetic surgery, etc., that could become excessive or even lead to new forms of addictive disorders. We report the case of a woman who starts consulting for “clairvoyance addiction”. We then discuss the addictive nature of her disorder, based on several classifications of addiction. The patient fulfilled the criteria for addiction and her clinical features were typical of that of addicted people. Other differential diagnoses were discussed. As for any addictive behavior, the interaction of several risk factors should be considered.They are related to the individual himself, but also to the object of addiction and to the socio-environmental context. In this case, all the conditions were met for fortune telling use to become addictive.

  8. Fortune telling addiction: Unfortunately a serious topic. About a case report

    OpenAIRE

    GRALL-BRONNEC, MARIE; BULTEAU, SAMUEL; VICTORRI-VIGNEAU, CAROLINE; BOUJU, GA?LLE; SAUVAGET, ANNE

    2015-01-01

    Background Constant social change brings about new forms of behavior, such as smartphone use, social networking, indoor tanning, cosmetic surgery, etc., that could become excessive or even lead to new forms of addictive disorders. Methods We report the case of a woman who starts consulting for ?clairvoyance addiction?. We then discuss the addictive nature of her disorder, based on several classifications of addiction. Results The patient fulfilled the criteria for addiction and her clinical f...

  9. DDG-1000 Missile Integration: A Case Study

    Science.gov (United States)

    2014-03-01

    Systems. 14. SUBJECT TERMS Systems Engineering, Integration 15. NUMBER OF PAGES 137 16. PRICE CODE 17. SECURITY CLASSIFICATION OF REPORT...military tasks. These range from detection and engagement of sea- skimming anti-ship cruise missiles to discrimination of a ballistic missile warhead...is affordable, funding is available, market research was conducted, an 32 analysis of alternatives was completed, the JROC is in agreement

  10. Technical Topic 3.2.2.d Bayesian and Non-Parametric Statistics: Integration of Neural Networks with Bayesian Networks for Data Fusion and Predictive Modeling

    Science.gov (United States)

    2016-05-31

    Distribution Unlimited UU UU UU UU 31-05-2016 15-Apr-2014 14-Jan-2015 Final Report: Technical Topic 3.2.2.d Bayesian and Non- parametric Statistics...of Papers published in non peer-reviewed journals: Final Report: Technical Topic 3.2.2.d Bayesian and Non- parametric Statistics: Integration of Neural...Transfer N/A Number of graduating undergraduates who achieved a 3.5 GPA to 4.0 (4.0 max scale ): Number of graduating undergraduates funded by a DoD funded

  11. A case study of analyzing 11th graders’ problem solving ability on heat and temperature topic

    Science.gov (United States)

    Yulianawati, D.; Muslim; Hasanah, L.; Samsudin, A.

    2018-05-01

    Problem solving ability must be owned by students after the process of physics learning so that the concept of physics becomes meaningful. Consequently, the research aims to describe their problem solving ability. Metacognition is contributed to physics learning to the success of students in solving problems. This research has already been implemented to 37 science students (30 women and 7 men) of eleventh grade from one of the secondary schools in Bandung. The research methods utilized the single case study with embedded research design. The instrument is Heat and Temperature Problem Solving Ability Test (HT-PSAT) which consists of twelve questions from three context problems. The result shows that the average value of the test is 8.27 out of the maximum total value of 36. In conclusion, eleventh graders’ problem-solving ability is still under expected. The implication of the findings is able to create learning situations which are probably developing students to embrace better problem solving ability.

  12. Integrating research with management: The case of Katavi National ...

    African Journals Online (AJOL)

    Integrating research with management: The case of Katavi National Park, Tanzania. ... national park: (i) reduced water flow caused by local damming of the Katuma River, ... to both management and policy makers for tackling these problems.

  13. Educators' motivation on integration of ICTs into pedagogy: case of ...

    African Journals Online (AJOL)

    Educators' motivation on integration of ICTs into pedagogy: case of disadvantaged areas .... disciplines such as Information Sciences, Business and. Engineering, it has been noted ..... by a particular textbook. One has .... the ETHICS method.

  14. Integration of case study approach, project design and computer ...

    African Journals Online (AJOL)

    Integration of case study approach, project design and computer modeling in managerial accounting education ... Journal of Fundamental and Applied Sciences ... in the Laboratory of Management Accounting and Controlling Systems at the ...

  15. Carbon Market and Integrated Waste Solutions : a Case Study of ...

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

    Carbon Market and Integrated Waste Solutions : a Case Study of Indonesia ... dual purpose of helping developing countries achieve sustainable development ... with a view to devising integrated waste management solutions in urban centres ... and disseminate them through national, regional and international networks.

  16. Integrating Curriculum: A Case Study of Teaching Global Education

    Science.gov (United States)

    Ferguson-Patrick, Kate; Reynolds, Ruth; Macqueen, Suzanne

    2018-01-01

    Despite widespread support for integrated approaches to teaching, classroom practice reveals a lack of implementation. This paper explores challenges and opportunities in teaching an integrated curriculum, and connects this with the contemporary notion of a twenty-first century curriculum and pedagogy. A case study of Global Education (GE) is used…

  17. Integrating Educational Technologies into Teacher Education: A Case Study

    Science.gov (United States)

    Rawlins, Peter; Kehrwald, Benjamin

    2014-01-01

    This article is a case study of an integrated, experiential approach to improving pre-service teachers' understanding and use of educational technologies in one New Zealand teacher education programme. The study examines the context, design and implementation of a learning activity which integrated student-centred approaches, experiential…

  18. The case for integrated air quality and climate change policies

    CSIR Research Space (South Africa)

    Thambiran, Tirusha

    2011-08-01

    Full Text Available integration of these two issues, and actions to support the implementation thereof, are presented in this paper using the city of Durban as a case study. The results from this case study suggest that in the short-to medium-term, local AQMPs can be used...

  19. Validity And Practicality of Experiment Integrated Guided Inquiry-Based Module on Topic of Colloidal Chemistry for Senior High School Learning

    Science.gov (United States)

    Andromeda, A.; Lufri; Festiyed; Ellizar, E.; Iryani, I.; Guspatni, G.; Fitri, L.

    2018-04-01

    This Research & Development study aims to produce a valid and practical experiment integrated guided inquiry based module on topic of colloidal chemistry. 4D instructional design model was selected in this study. Limited trial of the product was conducted at SMAN 7 Padang. Instruments used were validity and practicality questionnaires. Validity and practicality data were analyzed using Kappa moment. Analysis of the data shows that Kappa moment for validity was 0.88 indicating a very high degree of validity. Kappa moments for the practicality from students and teachers were 0.89 and 0.95 respectively indicating high degree of practicality. Analysis on the module filled in by students shows that 91.37% students could correctly answer critical thinking, exercise, prelab, postlab and worksheet questions asked in the module. These findings indicate that the integrated guided inquiry based module on topic of colloidal chemistry was valid and practical for chemistry learning in senior high school.

  20. Integrating Nuclear Energy to Oilfield Operations - Two Case Studies

    International Nuclear Information System (INIS)

    Robertson, Eric P.; Nelson, Lee O.; McKellar, Michael G.; Gandrik, Anastasia M.; Patterson, Mike W.

    2011-01-01

    Fossil fuel resources that require large energy inputs for extraction, such as the Canadian oil sands and the Green River oil shale resource in the western USA, could benefit from the use of nuclear power instead of power generated by natural gas combustion. This paper discusses the technical and economic aspects of integrating nuclear energy with oil sands operations and the development of oil shale resources. A high temperature gas reactor (HTGR) that produces heat in the form of high pressure steam (no electricity production) was selected as the nuclear power source for both fossil fuel resources. Both cases were based on 50,000 bbl/day output. The oil sands case was a steam-assisted, gravity-drainage (SAGD) operation located in the Canadian oil sands belt. The oil shale development was an in-situ oil shale retorting operation located in western Colorado, USA. The technical feasibility of the integrating nuclear power was assessed. The economic feasibility of each case was evaluated using a discounted cash flow, rate of return analysis. Integrating an HTGR to both the SAGD oil sands operation and the oil shale development was found to be technically feasible for both cases. In the oil sands case, integrating an HTGR eliminated natural gas combustion and associated CO2 emissions, although there were still some emissions associated with imported electrical power. In the in situ oil shale case, integrating an HTGR reduced CO2 emissions by 88% and increased natural gas production by 100%. Economic viabilities of both nuclear integrated cases were poorer than the non-nuclear-integrated cases when CO2 emissions were not taxed. However, taxing the CO2 emissions had a significant effect on the economics of the non-nuclear base cases, bringing them in line with the economics of the nuclear-integrated cases. As we move toward limiting CO2 emissions, integrating non-CO2-emitting energy sources to the development of energy-intense fossil fuel resources is becoming

  1. INTEGRATIVE PSYCHOTHERAPY AND MINDFULNESS: THE CASE OF SARA

    Directory of Open Access Journals (Sweden)

    Mihael Černetič

    2015-02-01

    Full Text Available The article explores the relationship between Integrative Psychotherapy and mindfulness on a theoretical as well as practical level. Although mindfulness is not an explicit constituent of Integrative Psychotherapy, the two are arguably a natural fit. Mindfulness has the potential to enhance internal and external contact, a central concept in Integrative Psychotherapy, as well as strengthen a client’s Adult ego state. This article presents a case study whereby Integrative Psychotherapy is analysed from the perspective of mindfulness. Within the course of therapy, parallels were observed between the client's increased mindfulness, improved internal and external contact, strengthened Adult ego state, mastery of introjections, as well as diminished feelings of guilt, improved mood, self care and ability to engage in appropriate separation and individuation. These gains support the conclusion that Integrative Psychotherapy and mindfulness are inherently related and that explicit incorporation of mindfulness may enhance the therapeutic process of Integrative Psychotherapy.

  2. Development of an integrated, in-situ remediation technology. Topical report for task No. 5: Cost analysis, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Quinton, G.; Schultz, D.; Landis, R.

    1997-01-01

    Contamination in low permeability soils poses a significant technical challenge to in situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivering treatment reagents have rendered existing in situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The Lasagna trademark technology is an integrated in situ treatment in which established geotechnical methods are used to install degradation zones directly into the contaminated soil and electro-osmosis if utilized to move the contaminants back and forth through those zones until the treatment is completed. This topical report presents the results of an engineering evaluation and cost analysis of the vertically configured treatment process completed by the DuPont Company. The cost evaluation was prepared by developing a cost optimization model of the overall treatment process. This model considers various input parameters such as soil properties, depth of contamination, cost for emplacing electrodes and treatment zones, required purge water volume, time constraints to achieve cleanup, and cost of power. Several example cases were run using the cost model to provide representative cost ranges for applying the technology to clean up trichloroethene contamination in clay. These costs are estimated to range from $40 to $95 per cubic yard of soil for a 1-acre site, with cost depending on depth of contamination (cost range valid from 15 to 45 ft), method of electrode/treatment zone emplacement (cost range valid from 15 to 45 ft), method of electrode/treatment zone emplacement (cost range valid for Lasagna trademark Phase I emplacement and optimized emplacement techniques), and time available to complete remediation (cost range valid for one- and three-year timeframe)

  3. Case studies in the numerical solution of oscillatory integrals

    International Nuclear Information System (INIS)

    Adam, G.

    1992-06-01

    A numerical solution of a number of 53,249 test integrals belonging to nine parametric classes was attempted by two computer codes: EAQWOM (Adam and Nobile, IMA Journ. Numer. Anal. (1991) 11, 271-296) and DO1ANF (Mark 13, 1988) from the NAG library software. For the considered test integrals, EAQWOM was found to be superior to DO1ANF as it concerns robustness, reliability, and friendly user information in case of failure. (author). 9 refs, 3 tabs

  4. The structural integrity safety case for Sizewell B power station

    International Nuclear Information System (INIS)

    Gerachty, J.E.

    1993-01-01

    This paper presents the safety case approach adopted for the components of the Sizewell 'B' Power Station for which a high degree of structural integrity is required. Such components include the Reactor Pressure Vessel, Steam Generator and Pressuriser for which Incredibility of Failure is claimed. The two parts of the case involve achievement and demonstration of integrity. This is achieved by extensive measures involving design, manufacture, materials and inspection. The demonstration has required a fracture mechanics approach. The specific role of inspection validation and its relation to critical defect size is described. (author)

  5. A Case Study for Business Integration as a Service

    OpenAIRE

    Chang, Victor

    2013-01-01

    This paper presents Business Integration as a Service (BIaaS) to allow two services to work together in the Cloud to achieve a streamline process. We illustrate this integration using two services; Return on Investment (ROI) Measurement as a Service (RMaaS) and Risk Analysis as a Service (RAaaS) in the case study at the University of Southampton. The case study demonstrates the cost-savings and the risk analysis achieved, so two services can work as a single service. Advanced techniques are u...

  6. Qualitative case study methodology in nursing research: an integrative review.

    Science.gov (United States)

    Anthony, Susan; Jack, Susan

    2009-06-01

    This paper is a report of an integrative review conducted to critically analyse the contemporary use of qualitative case study methodology in nursing research. Increasing complexity in health care and increasing use of case study in nursing research support the need for current examination of this methodology. In 2007, a search for case study research (published 2005-2007) indexed in the CINAHL, MEDLINE, EMBASE, PsychINFO, Sociological Abstracts and SCOPUS databases was conducted. A sample of 42 case study research papers met the inclusion criteria. Whittemore and Knafl's integrative review method guided the analysis. Confusion exists about the name, nature and use of case study. This methodology, including terminology and concepts, is often invisible in qualitative study titles and abstracts. Case study is an exclusive methodology and an adjunct to exploring particular aspects of phenomena under investigation in larger or mixed-methods studies. A high quality of case study exists in nursing research. Judicious selection and diligent application of literature review methods promote the development of nursing science. Case study is becoming entrenched in the nursing research lexicon as a well-accepted methodology for studying phenomena in health and social care, and its growing use warrants continued appraisal to promote nursing knowledge development. Attention to all case study elements, process and publication is important in promoting authenticity, methodological quality and visibility.

  7. A case of topical opioid-induced delirium mistaken as behavioural and psychological symptoms of dementia in demented state.

    Science.gov (United States)

    Ito, Go; Kanemoto, Kousuke

    2013-06-01

    In Japan, indications for opioid analgesics, once exclusively used as pain killers for patients suffering from malignant cancer, have been expanded for a wide range of pain. Herein we report a patient with opioid-induced delirium associated with the administration of buprenorphine patches that was well below the indicated therapeutic range limit. An 82-year-old woman was referred to us from an orthopaedic practitioner for uncontrollable behavioural problems apparently caused by the beginning of dementia; the patient had gradually developed disorientation, visual hallucinations, and delusions. Laboratory and imaging findings excluded common causes of delirium including Alzheimer's disease and diffuse Lewy body disease. Detailed questioning revealed that the patient's confused state appeared following a buprenorphine patch dose increase and subsequently disappeared after administration was stopped. Delirium has not been reported as a side-effect in clinical trials of buprenorphine patches. However, our findings in this case show that even topical opioids can precipitate the development of a delirious state in elderly patients. © 2013 The Authors. Psychogeriatrics © 2013 Japanese Psychogeriatric Society.

  8. Radical treatment of extensive nevoid hyperkeratosis of the areola and breast with surgical excision after mild response to topical agents: A case report

    Directory of Open Access Journals (Sweden)

    Ilaria Tocco-Tussardi, MD

    2016-01-01

    Conclusion: Indications for surgical treatment of NHNA can be: unsatisfying response to topical agents; young patients who want to restore the aesthetic appearance of the breast; and patients with concomitant indication for corrective surgery of the breast. Advantages are: predictable time of healing; predictable final result; radical excision of the affected tissue; and possibility of histologic analysis of the whole areola. In rare cases of lesions extending to the breast, preliminary treatment with topical agents can limit the extent of excision. Management and treatment should always be tailor-made for each individual case.

  9. The case for an integrated approach to transition programmes at ...

    African Journals Online (AJOL)

    The case for developing intentional and vertically integrated transition programmes is tied to: the need to understand the desired behaviours and learning outcomes at each stage of a student's experience; an appreciation of the cognitive, psychosocial and identity development at different years of study; and a recognition of ...

  10. An Integrated Textual Case-Based System A. Almu

    African Journals Online (AJOL)

    Almu: An Integrated Textual Case-Based System. 66. The semantic relationship in WordNet links the Four-. Part-Of-Speech of Nouns, Verbs, Adverbs and. Adjectives together to synonyms sets (Miller 1995). Therefore, the words or terms of the problem have to be tagged with their appropriate POS before passing them to the ...

  11. Integrated management software files action in case of fire

    International Nuclear Information System (INIS)

    Moreno-Ventas Garcia, V.; Gimeno Serrano, F.

    2010-01-01

    The proper management of emergencies, is a challenge for which it is essential to be prepared. Integrated Software Performance Chips In case of fire and rapid access to information, make this application a must to effectively drive any emergency due to fire at any nuclear facility.

  12. Optimizing integrated reference cases in the OCTAVIUS project

    DEFF Research Database (Denmark)

    Kvamsdal, Hanne M.; Ehlers, Sören; Kather, Alfons

    2016-01-01

    . This is important especially for the coal fired power plant, where integration of waste heat from the capture plant or the CO2 compressor intercoolers can lead to a significant increase in overall efficiency. The configuration of intercoolers for the CO2 compressor is adapted to achieve the highest overall...... the CESAR, CAESAR, and DECARBit projects, two reference power plants are modelled in Ebsilon®Professional. The first is an 800 MWe coal case, the second a 430 MWe natural gas combined cycle (NGCC) case. For each power plant two separate capture plants are considered: one using 30 wt% MEA as solvent system...... efficiency. For the natural gas combined cycle plant, integration is not that beneficial, since there is no heat sink available in the water steam cycle. In the end, the cost of electricity and cost of CO2 avoided is calculated for all four cases. While the CESAR1 solvent system in a conventional absorber...

  13. Testosterone Topical

    Science.gov (United States)

    ... not apply any testosterone topical products to your penis or scrotum or to skin that has sores, ... are severe or do not go away: breast enlargement and/or pain decreased sexual desire acne depression ...

  14. Histological observation of goblet cells following topical rebamipide treatment of the human ocular surface: A case report

    OpenAIRE

    KASE, SATORU; SHINOHARA, TOSHIYA; KASE, MANABU

    2014-01-01

    The topical administration of rebamipide (Mucosta?), an antiulcer agent, clinically increases the mucin level of tear film. The aim of this study was to report the histological changes of goblet cells following the topical administration of rebamipide to a patient with nevus of the lacrimal caruncle. A 62-year-old male exhibited a pigmented nodule located in the lacrimal caruncle in the left eye. An excisional biopsy and subsequent surgical resection were conducted at the caruncle, prior to a...

  15. Integration of torrefaction in CHP plants – A case study

    International Nuclear Information System (INIS)

    Starfelt, Fredrik; Tomas Aparicio, Elena; Li, Hailong; Dotzauer, Erik

    2015-01-01

    Highlights: • We model the integration of a torrefaction reactor in a CHP plant. • Techno-economic analysis for the system is performed. • Flue gas integration of torrefaction show better performance. • Heat or electricity production is not compromised in the proposed system. - Abstract: Torrefied biomass shows characteristics that resemble those of coal. Therefore, torrefied biomass can be co-combusted with coal in existing coal mills and burners. This paper presents simulation results of a case study where a torrefaction reactor was integrated in an existing combined heat and power plant and sized to replace 25%, 50%, 75% or 100% of the fossil coal in one of the boilers. The simulations show that a torrefaction reactor can be integrated with existing plants without compromising heat or electricity production. Economic and sensitivity analysis show that the additional cost for integrating a torrefaction reactor is low which means that with an emission allowance cost of 37 €/ton CO 2 , the proposed integrated system can be profitable and use 100% renewable fuels. The development of subsidies will affect the process economy. The determinant parameters are electricity and fuel prices

  16. Integrated Project Management: A Case Study in Integrating Cost, Schedule, Technical, and Risk Areas

    Science.gov (United States)

    Smith, Greg

    2004-01-01

    This viewgraph presentation describes a case study as a model for integrated project management. The ISS Program Office (ISSPO) developed replacement fluid filtration cartridges in house for the International Space Station (ISS). The presentation includes a step-by-step procedure and organizational charts for how the fluid filtration problem was approached.

  17. Integrated safety case development for deep geological repositories

    International Nuclear Information System (INIS)

    Kawamura, Hideki; McKinley, Ian G.

    2008-01-01

    The paper will illustrate an 'integrated safety case', which involves combining both pre-closure and post-closure safety arguments from the point of view of a repository implementer, who must also ensure that projects are practical, acceptable and economic. The post-closure safety case is based on the performance of a number of barriers, which are established during construction, operation and closure. Such barriers must be confirmed using quality assured methods, supported, as required, by inspection and monitoring. The requirement for integrated assessment means that even the final process to end institutional control and transfer any liabilities from the implementer needs to be considered at present, even though this will undoubtedly be refined and tailored to the site characteristics over the many decades that will pass before this occurs. To illustrate the practical application of this approach, assessment of variants for remote-handled emplacement of the EBS for disposal of HLW in Japan will be discussed. (author)

  18. Integrating transportation and production: an international study case

    OpenAIRE

    L Bertazzi; O Zappa

    2012-01-01

    The problem we study is inspired by the real case of Mesdan S.p.A., an Italian company worldwide leader in the textile machinery sector, which has two production units with two warehouses, one located in Italy (Brescia) and the other in China (Foshan). The critical point in this logistic system is the integration between production and transportation management, given the long distance between Brescia and Foshan. Shipments are performed by the means of different types of vehicles with differe...

  19. How to integrate Investment strategies and Finance strategies. Case: Messukeskus

    OpenAIRE

    Kolodiy, Oleg

    2013-01-01

    This Bachelor’s thesis examines an integration process of strategic planning, where an investment strategy is defined with financial planning in order to ensure long-term company success. The primary objective of the study is to determine present and emerging instruments available for a case company to finance their investments activities. The thesis consists of a theory section and an empirical section that deals with the commissioning party, a cooperative by form. The theory sectio...

  20. Apotemnophilia or body integrity identity disorder: a case report review.

    Science.gov (United States)

    Bou Khalil, Rami; Richa, Sami

    2012-12-01

    Apotemnophilia or body integrity identity disorder (BIID) denotes a syndrome in which a person is preoccupied with the desire to amputate a healthy limb. In this report, we review the available case reports in the literature in order to enhance psychiatrists' and physicians' comprehension of this disorder. A search for the case reports available via MEDLINE was done since the first case report published by Money et al in 1977 till May 2011, using the following terms: apotemnophilia, self-demand amputation, body integrity identity disorder, and BIID. In all, 14 case reports were found relevant to our search. The desire to amputate one's healthy limb seems to be related to a major disturbance in the person's perception of one's own identity, where limb amputation can relieve temporarily the patient's feeling of distress without necessarily and uniformly adjusting the patient's own identity misperception. More investigations are needed in this domain in order to develop noninvasive treatment strategies that approach this aspect of the patient's distress within a globalist perspective. In addition, the health professionals' awareness regarding this disorder is required to ensure professional management of patients' suffering.

  1. Bimatoprost Topical

    Science.gov (United States)

    ... not use a cotton swab or any other brush or applicator to apply topical bimatoprost.To use the solution, follow these steps: Wash your hands and face thoroughly with soap and water. Be sure that all makeup is removed. Do not let the tip of ...

  2. An integral topical gel for cellulite reduction: results from a double-blind, randomized, placebo-controlled evaluation of efficacy

    Directory of Open Access Journals (Sweden)

    Dupont E

    2014-02-01

    Full Text Available Eric Dupont,1 Michel Journet,2 Marie-Laure Oula,3 Juan Gomez,1 Claude Léveillé,4 Estelle Loing,5 Diane Bilodeau6 1Immanence IDC Inc, Québec, QC, Canada; 2Clinique de Dermatologie St-Joseph, Montréal, QC, Canada; 3Evalulab Inc, Mont-Royal, QC, Canada; 4Clinique de Chirurgie Esthétique du Québec Métropolitain, Lévis, QC, Canada; 5Lucas Meyer Cosmetics, Québec, QC, Canada; 6CosmeConsult, Québec, QC, Canada Background: Cellulite is a serious cosmetic concern for most of the 90% of women affected by it. Objective: To assess the clinical efficacy of a complex integral anti-cellulite gel. Methods: This double-blind, randomized, placebo-controlled study involved 44 healthy women, aged 25–55 years. Subjects had a normal to slightly overweight body mass index and presented slight to moderate cellulite on their thighs, buttocks, and/or hips at baseline. Subjects were randomly assigned to either the treated or placebo group and accordingly applied the active product or placebo on their hips, stomach, buttocks, and thighs, twice daily for 3 months. Skin tonicity, orange-peel aspect, and stubborn cellulite were assessed at day 0, 28, 56, and 84. A self-evaluation questionnaire was completed by all volunteers. Results: At the end of the study, an average of 81% of the subjects applying the active product presented improvement in their cellulite condition versus 32% for the placebo group (all descriptors and sites combined. At day 84, skin tonicity, orange-peel appearance, and stubborn cellulite were improved in a significant manner (P<0.05 over placebo, on all studied areas. Skin tonicity improved on average by +41% for buttocks, +35% for hips, and +31% for thighs. Orange peel appearance was reduced on average by -25% for buttocks, -22% for hips, and -22% for thighs. Stubborn cellulite was reduced on average by -19% for buttocks, -24% for hips, and -22% for thighs. Circumference measurements decreased in a significant manner (P<0.05 over placebo

  3. Building integrated care systems: a case study of Bidasoa Integrated Health Organisation

    Directory of Open Access Journals (Sweden)

    Nuria Toro Polanco

    2015-06-01

    Full Text Available Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011–2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii overall impact of integration through several indicators based on the Triple Aim Framework.Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients’ perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

  4. Building integrated care systems: a case study of Bidasoa Integrated Health Organisation

    Directory of Open Access Journals (Sweden)

    Nuria Toro Polanco

    2015-06-01

    Full Text Available Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011–2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions. Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii overall impact of integration through several indicators based on the Triple Aim Framework. Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients’ perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure. Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

  5. Identifying Topics for E-Cigarette User-Generated Contents: A Case Study From Multiple Social Media Platforms.

    Science.gov (United States)

    Zhan, Yongcheng; Liu, Ruoran; Li, Qiudan; Leischow, Scott James; Zeng, Daniel Dajun

    2017-01-20

    Electronic cigarette (e-cigarette) is an emerging product with a rapid-growth market in recent years. Social media has become an important platform for information seeking and sharing. We aim to mine hidden topics from e-cigarette datasets collected from different social media platforms. This paper aims to gain a systematic understanding of the characteristics of various types of social media, which will provide deep insights into how consumers and policy makers effectively use social media to track e-cigarette-related content and adjust their decisions and policies. We collected data from Reddit (27,638 e-cigarette flavor-related posts from January 1, 2011, to June 30, 2015), JuiceDB (14,433 e-juice reviews from June 26, 2013 to November 12, 2015), and Twitter (13,356 "e-cig ban"-related tweets from January, 1, 2010 to June 30, 2015). Latent Dirichlet Allocation, a generative model for topic modeling, was used to analyze the topics from these data. We found four types of topics across the platforms: (1) promotions, (2) flavor discussions, (3) experience sharing, and (4) regulation debates. Promotions included sales from vendors to users, as well as trades among users. A total of 10.72% (2,962/27,638) of the posts from Reddit were related to trading. Promotion links were found between social media platforms. Most of the links (87.30%) in JuiceDB were related to Reddit posts. JuiceDB and Reddit identified consistent flavor categories. E-cigarette vaping methods and features such as steeping, throat hit, and vapor production were broadly discussed both on Reddit and on JuiceDB. Reddit provided space for policy discussions and majority of the posts (60.7%) holding a negative attitude toward regulations, whereas Twitter was used to launch campaigns using certain hashtags. Our findings are based on data across different platforms. The topic distribution between Reddit and JuiceDB was significantly different (Puser discussions focused on different perspectives across the

  6. Topics in quantum theory

    International Nuclear Information System (INIS)

    Yuille, A.L.

    1980-11-01

    Topics in the Yang-Mills theories of strong interactions and the quantum theories of gravity are examined, using the path integral approach, including; Yang-Mills instantons in curved spacetimes, Israel-Wilson metrics, Kaehler spacetimes, instantons and anti-instantons. (U.K.)

  7. Clinical results of HIS, RIS, PACS integration using data integration CASE tools

    Science.gov (United States)

    Taira, Ricky K.; Chan, Hing-Ming; Breant, Claudine M.; Huang, Lu J.; Valentino, Daniel J.

    1995-05-01

    Current infrastructure research in PACS is dominated by the development of communication networks (local area networks, teleradiology, ATM networks, etc.), multimedia display workstations, and hierarchical image storage architectures. However, limited work has been performed on developing flexible, expansible, and intelligent information processing architectures for the vast decentralized image and text data repositories prevalent in healthcare environments. Patient information is often distributed among multiple data management systems. Current large-scale efforts to integrate medical information and knowledge sources have been costly with limited retrieval functionality. Software integration strategies to unify distributed data and knowledge sources is still lacking commercially. Systems heterogeneity (i.e., differences in hardware platforms, communication protocols, database management software, nomenclature, etc.) is at the heart of the problem and is unlikely to be standardized in the near future. In this paper, we demonstrate the use of newly available CASE (computer- aided software engineering) tools to rapidly integrate HIS, RIS, and PACS information systems. The advantages of these tools include fast development time (low-level code is generated from graphical specifications), and easy system maintenance (excellent documentation, easy to perform changes, and centralized code repository in an object-oriented database). The CASE tools are used to develop and manage the `middle-ware' in our client- mediator-serve architecture for systems integration. Our architecture is scalable and can accommodate heterogeneous database and communication protocols.

  8. Topical anesthesia

    Directory of Open Access Journals (Sweden)

    Mritunjay Kumar

    2015-01-01

    Full Text Available Topical anesthetics are being widely used in numerous medical and surgical sub-specialties such as anesthesia, ophthalmology, otorhinolaryngology, dentistry, urology, and aesthetic surgery. They cause superficial loss of pain sensation after direct application. Their delivery and effectiveness can be enhanced by using free bases; by increasing the drug concentration, lowering the melting point; by using physical and chemical permeation enhancers and lipid delivery vesicles. Various topical anesthetic agents available for use are eutectic mixture of local anesthetics, ELA-max, lidocaine, epinephrine, tetracaine, bupivanor, 4% tetracaine, benzocaine, proparacaine, Betacaine-LA, topicaine, lidoderm, S-caine patch™ and local anesthetic peel. While using them, careful attention must be paid to their pharmacology, area and duration of application, age and weight of the patients and possible side-effects.

  9. Teacher- or Learner-Centred? Science Teacher Beliefs Related to Topic Specific Pedagogical Content Knowledge: A South African Case Study

    Science.gov (United States)

    Mavhunga, Elizabeth; Rollnick, Marissa

    2016-12-01

    In science education, learner-centred classroom practices are widely accepted as desirable and are associated with responsive and reformed kinds of teacher beliefs. They are further associated with high-quality Pedagogical Content Knowledge (PCK). Topic-Specific Pedagogical Content Knowledge (TSPCK), a version of PCK defined at topic level, is known to enable the transformation of topic content into a form accessible to learners. However, little is known about teacher science beliefs in relation to TSPCK and therefore the nature of likely associated classroom practices. In this study, we investigated the relationship between TSPCK and underlying science teacher beliefs following an intervention targeting the improvement of TSPCK in the topic chemical equilibrium. Sixteen final year pre-service chemistry teachers were exposed to an intervention that explicitly focussed on knowledge for transforming the content of chemical equilibrium using the five knowledge components of TSPCK. A specially designed TSPCK instrument in chemical equilibrium and the Teacher Belief Instrument (TBI) were used to capture written responses in pre- and post-tests. Additional qualitative data was collected from audio-recorded discussions and written responses from an open-ended question asked before and after the intervention. Two key findings emerged from the study. Firstly, the development of TSPCK was linked to shifts in underlying science teacher beliefs in the direction of learner-centred teaching for the majority of pre-service teachers. Secondly, this shift was not evident for all, as for some there was development of TSPCK without a shift from teacher-centred beliefs about science teaching.

  10. Integrated Hydrographical Basin Management. Study Case - Crasna River Basin

    Science.gov (United States)

    Visescu, Mircea; Beilicci, Erika; Beilicci, Robert

    2017-10-01

    Hydrographical basins are important from hydrological, economic and ecological points of view. They receive and channel the runoff from rainfall and snowmelt which, when adequate managed, can provide fresh water necessary for water supply, irrigation, food industry, animal husbandry, hydrotechnical arrangements and recreation. Hydrographical basin planning and management follows the efficient use of available water resources in order to satisfy environmental, economic and social necessities and constraints. This can be facilitated by a decision support system that links hydrological, meteorological, engineering, water quality, agriculture, environmental, and other information in an integrated framework. In the last few decades different modelling tools for resolving problems regarding water quantity and quality were developed, respectively water resources management. Watershed models have been developed to the understanding of water cycle and pollution dynamics, and used to evaluate the impacts of hydrotechnical arrangements and land use management options on water quantity, quality, mitigation measures and possible global changes. Models have been used for planning monitoring network and to develop plans for intervention in case of hydrological disasters: floods, flash floods, drought and pollution. MIKE HYDRO Basin is a multi-purpose, map-centric decision support tool for integrated hydrographical basin analysis, planning and management. MIKE HYDRO Basin is designed for analyzing water sharing issues at international, national and local hydrographical basin level. MIKE HYDRO Basin uses a simplified mathematical representation of the hydrographical basin including the configuration of river and reservoir systems, catchment hydrology and existing and potential water user schemes with their various demands including a rigorous irrigation scheme module. This paper analyzes the importance and principles of integrated hydrographical basin management and develop a case

  11. A case of vesicular cutaneous lupus erythematosus in a Border collie successfully treated with topical tacrolimus and nicotinamide-tetracycline.

    Science.gov (United States)

    Lehner, Georg M; Linek, Monika

    2013-12-01

    Canine vesicular cutaneous lupus erythematosus (VCLE) is an autoimmune skin disease of the Shetland sheepdog and rough collie, which manifests as an erosive dermatitis of sparsely haired skin of the ventrum and concave pinnae. Reported treatment consists of immunosuppression with glucocorticoids alone or in combination with azathioprine, but successful treatment is unpredictable. To report on the treatment of VCLE in a Border collie dog with topical 0.1% tacrolimus and nicotinamide in combination with tetracycline. An 8-year-old male neutered Border collie was presented with multiple coalescing erosions on the ventral abdomen, groin and axillae and ulceration on the oral commissures. Clinical presentation, routine diagnostics, histology and immunohistochemistry were consistent with VCLE. Remission was achieved with topical 0.1% tacrolimus and combination therapy of nicotinamide and tetracycline. This dog responded well to treatment with topical 0.1% tacrolimus, nicotinamide-tetracycline and sun avoidance. Complete remission was achieved after 2.5 months, and the dog was lesion free during a 1 year follow-up period. © 2013 ESVD and ACVD.

  12. Topics in Bethe Ansatz

    Science.gov (United States)

    Wang, Chunguang

    Integrable quantum spin chains have close connections to integrable quantum field. theories, modern condensed matter physics, string and Yang-Mills theories. Bethe. ansatz is one of the most important approaches for solving quantum integrable spin. chains. At the heart of the algebraic structure of integrable quantum spin chains is. the quantum Yang-Baxter equation and the boundary Yang-Baxter equation. This. thesis focuses on four topics in Bethe ansatz. The Bethe equations for the isotropic periodic spin-1/2 Heisenberg chain with N. sites have solutions containing ±i/2 that are singular: both the corresponding energy and the algebraic Bethe ansatz vector are divergent. Such solutions must be carefully regularized. We consider a regularization involving a parameter that can be. determined using a generalization of the Bethe equations. These generalized Bethe. equations provide a practical way of determining which singular solutions correspond. to eigenvectors of the model. The Bethe equations for the periodic XXX and XXZ spin chains admit singular. solutions, for which the corresponding eigenvalues and eigenvectors are ill-defined. We use a twist regularization to derive conditions for such singular solutions to bephysical, in which case they correspond to genuine eigenvalues and eigenvectors of. the Hamiltonian. We analyze the ground state of the open spin-1/2 isotropic quantum spin chain. with a non-diagonal boundary term using a recently proposed Bethe ansatz solution. As the coefficient of the non-diagonal boundary term tends to zero, the Bethe roots. split evenly into two sets: those that remain finite, and those that become infinite. We. argue that the former satisfy conventional Bethe equations, while the latter satisfy a. generalization of the Richardson-Gaudin equations. We derive an expression for the. leading correction to the boundary energy in terms of the boundary parameters. We argue that the Hamiltonians for A(2) 2n open quantum spin chains

  13. Integrated Sensing & Controls for Coal Gasification - Development of Model-Based Controls for GE's Gasifier & Syngas Cooler. Topical Rerport for Phase III

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Aditya

    2011-02-17

    This Topical Report for the final Phase III of the program summarizes the results from the Task 3 of the program. In this task, the separately designed extended Kalman Filter (EKF) and model predictive controls (MPC) with ideal sensing, developed in Phase II, were integrated to achieve the overall sensing and control system for the gasification section of an IGCC plant. The EKF and MPC algorithms were updated and re-tuned to achieve closed-loop system stability as well as good steady-state and transient control response. In particular, the performance of the integrated EKF and MPC solution was tested extensively through multiple simulation studies to achieve improved steady-state as well as transient performance, with coal as well as coal-petcoke blended fuel, in the presence of unknown modeling errors as well as sensor errors (noise and bias). The simulation studies demonstrated significant improvements in steady state and transient operation performance, similar to that achieved by MPC with ideal sensors in Phase II of the program.

  14. Multimodal Stepped Care Approach Involving Topical Analgesics for Severe Intractable Neuropathic Pain in CRPS Type 1: A Case Report

    Directory of Open Access Journals (Sweden)

    David J. Kopsky

    2011-01-01

    Full Text Available A multimodal stepped care approach has been successfully applied to a patient with complex regional pain syndrome type 1 and severe intractable pain, not responding to regular neuropathic pain medication. The choice to administer drugs in creams was made because of the intolerable adverse effects to oral medication. With this method, peak-dose adverse effects did not occur. The multimodal stepped care approach resulted in considerable and clinically relevant decrease in pain after every step, using topical amitriptyline, ketamine, and dimethylsulphoxide.

  15. Topical Session on Materials Management

    International Nuclear Information System (INIS)

    2002-01-01

    At its second meeting, in Paris, 5-7 December 2001, the WPDD held two topical sessions on the D and D Safety Case and on the Management of Materials from D and D, respectively. This report documents the topical session on the management of materials. Presentations during the topical session covered key aspects of the management of materials and meant to provide an exchange of information and experience, including: Experience and lessons learnt from VLLW and non-radioactive material management in Spain and Germany with special attention to recycling (How specific solutions came about? Are there 'generic' examples for wider adoption?); Risk assessment of recycling and non-recycling: a CPD study; Waste acceptance issues within different national contexts (What constraints are there on the waste receiving body and what flexibility can the latter have? What constraints does this impose on D and D implementers? What about wastes are without current solution? What needs to be done? What about large items and 'difficult' waste in general?); Radiological characterisation of materials during decommissioning, particularly difficult situations - large volumes, large items,.. wastes, heterogeneous streams (What examples of established practice? What are the approaches or aspects that set the regulatory requirements? How can the flow rates be large but the answers acceptable? How much is needed to be known for later action, e. g., disposal, release, protection of worker, etc.); Radiological characterisation of buildings as they stand, in order to allow conventional demolition (What are strategies for optimisation of characterisation? How much needs to be known to take action later? e.g. for storage, disposal, release, cost estimation and ALARA? What needs to be done in advance and after decommissioning/dismantling?). At the end of each presentation time was allotted for discussion of the paper. Integral to the Topical Session was a facilitated plenary discussion on the topical

  16. Corneal melanosis successfully treated using topical mitomycin-C and alcohol corneal epitheliectomy: a 3-year follow-up case report

    Directory of Open Access Journals (Sweden)

    Mehmet Balcı

    2015-08-01

    Full Text Available ABSTRACTWe report a case of primary acquired corneal melanosis without atypia associated with corneal haze in a patient with a history of limbal malignant melanoma and the effect of mitomycin-C. A 75-year-old woman with a history of limbal malignant melanoma presented with loss of vision in right eye. Corneal examination showed a patchy melanotic pigmentation with a central haze. Topical mitomycin-C improved visual acuity and corneal haze. However, the pigmented lesions persisted, and they were removed with alcohol corneal epitheliectomy. Histopathological examination demonstrated primary acquired melanosis without atypia. The lesions were successfully removed, and there were no recurrences during the follow-up period of 36 months. The association of conjunctival and corneal melanosis without atypia is a rare condition. In addition, co-existence of central corneal haze and melanosis may decrease visual acuity. Topical mitomycin-C and alcohol corneal epitheliectomy can be useful treatments in this condition.

  17. Design and formulation of a topical hydrogel integrating lemongrass-loaded nanosponges with an enhanced antifungal effect: in vitro/in vivo evaluation.

    Science.gov (United States)

    Aldawsari, Hibah M; Badr-Eldin, Shaimaa M; Labib, Gihan S; El-Kamel, Amal H

    2015-01-01

    Lemongrass oil (LGO) is a volatile oil extracted from the leaves of Cymbopogon citratus that has become one of the most important natural oils in the pharmaceutical industry because of its diverse pharmacologic and clinical effects. However, LGO suffers from low aqueous solubility, which could lead to a reduced effect. Moreover, the instability of its major active constituent, citral, could lead to volatilization, reaction with other formulation ingredients, and consequently, skin irritation. To surmount these problems, this research aims to formulate lemongrass-loaded ethyl cellulose nanosponges with a topical hydrogel with an enhanced antifungal effect and decreased irritation. The minimal inhibitory concentration and minimal fungicidal concentration of LGO against Candida albicans strain ATC 100231, determined using the broth macrodilution method, were found to be 2 and 8 μL/mL, respectively. The emulsion solvent evaporation technique was used for the preparation of the nanosponges. The nanosponge dispersions were then integrated into carbopol hydrogels (0.4%). Nine formulations were prepared based on a 32 full factorial design employing the ethyl cellulose:polyvinyl alcohol ratio and stirring rate as independent variables. The prepared formulations were evaluated for particle size, citral content, and in vitro release. Results revealed that all the nanosponge dispersions were nanosized, with satisfactory citral content and sustained release profiles. Statistical analysis revealed that both ethyl cellulose:polyvinyl alcohol ratio and stirring rate have significant effects on particle size and percentage released after 6 hours; however, the effect of the stirring rate was more prominent on both responses. The selected hydrogel formulation, F9, was subjected to surface morphological investigations, using scanning and transmission electron microscopy, where results showed that the nanosponges possess a spherical uniform shape with a spongy structure, the integrity

  18. The Loss of Grammatical Gender and Case Features Between Old and Early Middle English: Its Impact on Simple Demonstratives and Topic Shift

    Directory of Open Access Journals (Sweden)

    Jurczyk Rafał

    2017-12-01

    Full Text Available In this paper we examine the relation between the loss of formal gender and Case features on simple demonstratives and the topic shifting property they manifest. The examination period spans between Old English and Early Middle English. While we argue that this loss has important discourse-pragmatic and derivational effects on demonstratives, we also employ the Strong Minimalist Hypothesis approach (Chomsky 2001 and feature valuation, as defined in Pesetsky & Torrego (2007, to display how their syntactic computation and pragmatic properties have come about. To account for the above innovations yielding the Early Middle English ϸe (‘the’, we first discuss the formal properties of the Old English demonstratives which distinguish number, gender, and Case features. This inflectional variety of forms allows the Old English demonstratives to be used independently and to show the anaphoric and discourse-linking properties of topics. Crucially, the same properties characterise also German and Dutch demonstratives that manifest Case and/or gender morphology overtly, which shows that the syntactic distribution of LIs and their morphological richness should be considered as intertwined. The above properties are then confronted with the determiner system in Early Middle English, whose forms undergo inflectional levelling producing the invariant ϸe/ðe form that loses its distributional independence and acquires the article status. The levelling process in question is argued to stimulate the shift of the [+ref/spec] feature from the formal to the semantic pole. This suggests that the Early Middle English ϸe form no longer counts as an appropriate anaphor in topic shift contexts owing to its indeterminacy of Case, gender, and φ-features, which means that it cannot satisfy the Full Interpretation requirement at the interfaces.

  19. Integrated marketing communication and the role of public relations therein : a case study of RAU

    OpenAIRE

    2012-01-01

    M.A. This study determines the role of public relations as a marketing communication function in RAU's integrated marketing communication approach. The research topic was selected for numerous reasons. Firstly, dramatic changes have occurred in the tertiary educational domain, which causes universities to adapt their marketing communication approaches. Based on these environmental changes, the Public Relations Division at RAU commissioned the study on the research topic, which is the secon...

  20. Psychotherapy in Argentina: a clinical case from an integrative perspective.

    Science.gov (United States)

    Gómez, Beatriz

    2007-08-01

    The article describes psychotherapy practice in Argentina. It outlines the main features of training and regulation of clinical psychologists. A brief description of the main treatment approaches and the major current challenges is presented. Subsequently it delineates the probable treatment locations and options for a 30-year-old woman, Mrs. A, seeking psychological help in Argentina. The case is then considered from an integrative perspective starting with the intake process, which includes a comprehensive pretreatment assessment followed by the treatment plan. Its course is described as composed of four stages: (1) psychoeducational initial intervention, (2) psychotherapy for symptom alleviation, (3) marital treatment, and (4) psychoeducational final intervention. Posttreatment evaluation and possible outcome and prognosis are presented, as well as factors that might prevent improvement. The article ends with a hopeful view of the future role of psychotherapy in Argentina. (c) 2007 Wiley Periodicals, Inc.

  1. The effect of case-based discussion of topics with experts on learners' opinions: implications for spinal education and training.

    Science.gov (United States)

    Berjano, Pedro; Villafañe, Jorge Hugo; Vanacker, Gerard; Cecchinato, Riccardo; Ismael, Maryem; Gunzburg, Robert; Marruzzo, Daniele; Lamartina, Claudio

    2017-10-01

    This investigation aimed to examine the extent to which case-based discussion with experts could influence the audience's opinions on the treatment of patients during a continuing medical education event for spine surgeons. We conducted a prospective controlled crossover study of 90 surgeons. During a continuing medical education activity using case-based discussion, quiz questions were used which asked participants (attendants and faculty group) their opinions on the best choices about diagnosis and treatment in a number of cases. No answer was considered correct, but we evaluated the number of participants choosing each specific answer among a number of valid options. Quiz questions were collected with an automated response system at the entry and at the end of each case discussion. Change in participant's opinions was estimated from the change in the preferred answers between the entry and exit quizzes. Chi-square analysis was performed to determine significance. Sixty-two attendants out of eighty three (75%) and six faculties out of twelve (50%) responded to the survey. After the case discussion, 68.2% (p < 0.04, Chi-square test) of the attendants changed their opinion on the appropriate treatment. The faculty answers, however, showed no significant change in opinions regarding the identification of the appropriate treatment. On the basis of our results, case-based discussion driven by experts, as a form of teaching, has a measurable effect in terms of changes in the learners' opinions.

  2. What is the Effect of Case-Based Learning on the Academic Achievement of Students on the Topic of "Biochemical Oxygen Demand?"

    Science.gov (United States)

    Günter, Tuğçe; Alpat, Sibel Kılınç

    2017-11-01

    The purpose of this study was to investigate the effect of the case-based learning (CBL) method used in "biochemical oxygen demand (BOD)," which is a topic taught in the environmental chemistry course, at Dokuz Eylul University, on the academic achievement and opinions of students. The research had a quasi-experimental design and the study group consisted of 4th and 5th grade students (N = 18) attending the Chemistry Teaching Program in a university in Izmir. The "Biochemical Oxygen Demand Achievement Test (BODAT)" and the structured interview form were used as data collection tools. The results of BODAT post-test showed the higher increase in the achievement scores of the experimental group may be an indication of the effectiveness of the CBL method in improving academic achievement in the relevant topic. In addition, the experimental and control group students had positive opinions regarding the method, the scenario, and the material. The students found the method, the scenario, and the material to be interesting, understandable/instructional, relatable with everyday life, suitable for the topic, and enhancing active participation.

  3. Comparison of topical administration of clotrimazole through surgically placed versus nonsurgically placed catheters for treatment of nasal aspergillosis in dogs: 60 cases (1990-1996)

    International Nuclear Information System (INIS)

    Mathews, K.G.; Davidson, A.P.; Koblik, P.D.; Richardson, E.F.; Komtebedde, J.; Pappagianis, D.; Hector, R.F.; Kass, P.H.

    1998-01-01

    To examine the clinical response to topical administration of clotrimazole in dogs with nasal aspergillosis, to compare effect of surgically placed versus nonsurgically placed catheters used for administration on outcome, and to examine whether subjective scoring of computed tomographic images can predict outcome. Retrospective case series. 60 dogs with nasal aspergillosis. Information including signalment, history, diagnostics, treatment method, and outcome was retrieved from medical records of dogs with nasal aspergillosis treated between 1990 and 1996 at the University of California School of Veterinary Medicine or cooperating referral practices. Final outcome was determined by telephone conversations with owners and referring veterinarians. Images obtained before treatment were subjectively assessed to develop an algorithm for predicting outcome. Clotrimazole solution (1%) was infused during a 1-hour period via catheters surgically placed in the frontal sinus and nose (27 dogs) and via nonsurgically placed catheters in the nose (18). An additional 15 dogs received 2 to 4 infusions by either route. Topical administration of clotrimazole resulted in resolution of clinical disease in 65% of dogs after 1 treatment and 87% of dogs after one or more treatments. The scoring system correctly classified dogs with unfavorable and favorable responses 71 to 78% and 79 to 93% of the time, respectively. Topical administration of clotrimazole, using either technique, was an effective treatment for nasal aspergillosis in dogs. Use of non-invasive intranasal infusion of clotrimazole eliminated the need for surgical trephination of frontal sinuses in many dogs and was associated with fewer complications

  4. Development of an integrated, in-situ remediation technology. Topical report for task No. 9. Part I. TCE degradation using nonbiological methods, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Shapiro, A.P.; Sivavec, T.M.; Baghel, S.S.

    1997-01-01

    Contamination in low-permeability soils poses a significant technical challenge for in situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low-permeability soils present at many contaminated sites. The technology is an integrated in situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is used to move the contaminants back and forth through those zones until the treatment is completed. The present Draft Topical Report for Task No. 9 summarizes laboratory investigations into TCE degradation using nonbiological methods. These studies were conducted by the General Electric Company. The report concentrates on zero valent iron as the reducing agent and presents data on TCE and daughter product degradation rates in batch experiments, column studies, and electroosmotic cells. It is shown that zero valent iron effectively degrades TCE in electroosmotic experiments. Daughter product degradation and gas generation are shown to be important factors in designing field scale treatment zones for the Lasagna trademark process

  5. Evaluation of strategies to promote learning using ICT: the case of a course on Topics of Multivariate Statistics

    Directory of Open Access Journals (Sweden)

    Mario Miguel Ojeda Ramírez

    2017-01-01

    Full Text Available Currently some teachers implement different methods in order to promote education linked to reality, to provide more effective training and a meaningful learning. Activemethods aim to increase motivation and create scenarios in which student participation is central to achieve a more meaningful learning. This paper reports on the implementation of a process of educational innovation in the course of Topics of Multivariate Statistics offered in the degree in Statistical Sciences and Techniques at the Universidad Veracruzana (Mexico. The strategies used as sets for data collection, design and project development and realization of individual and group presentations are described. Information and communication technologies (ICT used are: EMINUS, distributed education platform of the Universidad Veracruzana, and managing files with Dropbox, plus communication via WhatsApp. The R software was used for statistical analysis and for making presentations in academic forums. To explore students' perceptions depth interviews were conducted and indicators for evaluating the student satisfaction were defined; the results show positive evidence, concluding that students were satisfied with the way that the course was designed and implemented. They also stated that they feel able to apply what they have learned. The opinions put that using these strategies they were feeling in preparation for their professional life. Finally, some suggestions for improving the course in future editions are included.

  6. Steam injections wells: topics to consider in casing design of steam injection wells; Revestimento para pocos de vapor

    Energy Technology Data Exchange (ETDEWEB)

    Conceicao, Antonio Carlos Farias [PETROBRAS, Recife, PE (Brazil). Gerencia de Perfuracao do Nordeste. Div. de Operacoes

    1994-07-01

    Steam injection is one of the processes used to increase production from very viscous oil reservoirs. A well is completed at a temperature of about 110 deg F and during steam injection that temperature varies around 600 deg F. Strain or breakdowns may occur to the casing, due to the critical conditions generated by the change of temperature. The usual casing design methods, do not take into account special environmental conditions, such as those which exist for steam injection. From the results of this study we come up to the conclusion that casing grade K-55, heavy weight with premium connections, without pre-stressing and adequately heated, is the best option for steam injection well completion for most of the fields in Brazil. (author)

  7. Communicating risks and benefits about ethically controversial topics: the case of induced pluripotent stem (iPS) cells.

    Science.gov (United States)

    Longstaff, Holly; McDonald, Michael; Bailey, Jennifer

    2013-08-01

    Many are supportive of approaches that incorporate lay citizens into policy making and risk management decisions. However, a great deal of learning must first take place about how citizen engagement for controversial topics is best accomplished. Online risk communication efforts are increasing in popularity but there is little empirical evidence accrued to demonstrate the effectiveness of such methods. The intention of our overall study is to create a powerful method for in-depth two-way communication with the public and expert communities about complex and sensitive issues at the heart of stem cell (SC) research. The fundamental objective is to raise awareness of SC science with lay citizens by fostering more holistic or "all things considered" ethical judgments. Our risk communication study demonstrates that lay citizens are both interested in, and capable of learning about, complex scientific issues provided the right tools are used to convey information and assess understanding. Our results show that it is worth the time and effort for SC researchers to continue posting podcasts and FAQ's about their work for non-expert communities to view. In addition, despite having increased our participants' risk perceptions about induced pluripotent stem (iPS) cell research, almost all were very supportive of this type of research in Canada by the end of the survey. In other words, participants understood that this research did in fact pose some risks and learned a great deal about both the risks and benefits of iPS cell research, and still thought this research was worthwhile to pursue.

  8. Design and formulation of a topical hydrogel integrating lemongrass-loaded nanosponges with an enhanced antifungal effect: in vitro/in vivo evaluation

    Directory of Open Access Journals (Sweden)

    Aldawsari HM

    2015-01-01

    Full Text Available Hibah M Aldawsari,1 Shaimaa M Badr-Eldin,1,2 Gihan S Labib,1,3 Amal H El-Kamel3 1Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; 2Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Cairo, Egypt; 3Department of Pharmaceutics, Faculty of Pharmacy, Alexandria University, Alexandria, Egypt Abstract: Lemongrass oil (LGO is a volatile oil extracted from the leaves of Cymbopogon citratus that has become one of the most important natural oils in the pharmaceutical industry because of its diverse pharmacologic and clinical effects. However, LGO suffers from low aqueous solubility, which could lead to a reduced effect. Moreover, the instability of its major active constituent, citral, could lead to volatilization, reaction with other formulation ingredients, and consequently, skin irritation. To surmount these problems, this research aims to formulate lemongrass-loaded ethyl cellulose nanosponges with a topical hydrogel with an enhanced antifungal effect and decreased irritation. The minimal inhibitory concentration and minimal fungicidal concentration of LGO against Candida albicans strain ATC 100231, determined using the broth macrodilution method, were found to be 2 and 8 µL/mL, respectively. The emulsion solvent evaporation technique was used for the preparation of the nanosponges. The nanosponge dispersions were then integrated into carbopol hydrogels (0.4%. Nine formulations were prepared based on a 32 full factorial design employing the ethyl cellulose:polyvinyl alcohol ratio and stirring rate as independent variables. The prepared formulations were evaluated for particle size, citral content, and in vitro release. Results revealed that all the nanosponge dispersions were nanosized, with satisfactory citral content and sustained release profiles. Statistical analysis revealed that both ethyl cellulose:polyvinyl alcohol ratio and

  9. Chiropractic: MedlinePlus Health Topic

    Science.gov (United States)

    ... for back pain (Medical Encyclopedia) Also in Spanish Topic Image MedlinePlus Email Updates Get Chiropractic updates by ... ENCYCLOPEDIA Chiropractic care for back pain Related Health Topics Back Pain Complementary and Integrative Medicine National Institutes ...

  10. ULTRAESTRUCTURA DE Microsporum canis: UN CASO DE Tinea Capitis TRATADO TÓPICAMENTE CON AJOENE I ULTRAESTRUCTURE OF Microsporum canis: A CASE OF Tinea Capitis TREATED TOPICALLY WITH AJOENE

    Directory of Open Access Journals (Sweden)

    Duvric Espinoza-Lemus

    2015-07-01

    Full Text Available In this study, topic ajoene was used (0.4% to evaluate its effects in a case of a fungal infection of the scalp caused by Microsporum canis, a dermatophytes with a known keratinophylic activity. The activity of the fungus was evaluated by transmission electron microscopy, in samples extracted before the beginning and 45 days after the treatment. The most important changes were alteration of the cytoplasmic membrane, disintegration of the cytoplasm and organelles deterioration. This new evidence in the studies in vivo shows the degeneration suffered by conidia and hyphae of the fungus, compromising the cellular integrity with the topical treatment with ajoene. The cultures, 30 days after treatment, demonstrated the absence of the fungal structures maintaining this condition up to 45 days after the treatment. The study shows ultrastructurally the invasion endo-ectotrix of M. canis in human hair and the antifungal effect characteristic of ajoene with its outstanding and potent bioactivity antiproliferative bioactive in the evaluated micotic process.

  11. Challenges and Opportunities in the Integration of HIS : Case Study from Zanzibar

    OpenAIRE

    Nyella, Edwin

    2007-01-01

    This thesis presents an in-depth theoretically underpinned empirical analysis of the challenges to integrate the fragmented health information systems within the Zanzibar health care system. The research is situated in the broader topic of health sector reforms, which advocate and implement a number of healthcare organizational changes in which decentralization and integration of the disparate health information systems is one of them. The study sought to meet three objectives: 1) to under...

  12. Integrating Assessment into Recurring Information Literacy Instruction: A Case Study from LIS Education

    Science.gov (United States)

    Searing, Susan E.

    2007-01-01

    Information literacy instruction is integrated into the distance education program in library and information science (LEEP) at the University of Illinois, Urbana-Champaign (UIUC). This article describes the LEEP program and the library services provided to its students. Published research on LEEP and related topics in librarianship is reviewed.…

  13. An Integrated Interdisciplinary Faculty-Student Learning Community Focused on Water Issues: A Case Study

    Science.gov (United States)

    Willermet, Cathy; Drake, Eron; Mueller, Anja; Juris, Stephen J.; Chhetri, Pratik; Upadhaya, Samik

    2014-01-01

    In response to a request from a campus student organization, faculty from three fields came together to develop and teach an integrated interdisciplinary course on water issues and social activism. This course, "Water as Life, Death, and Power," brought together topics from the fields of anthropology, biology and chemistry to explore…

  14. Development of an integrated in-situ remediation technology. Topical report for task No. 7 entitled: Development of degradation processes, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Brackin, M.J.; Heitkamp, M.A.; Ho, Sa V.

    1997-01-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to law permeability soils present at many contaminated sites. The Lasagna technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The general concept of the technology is to use electrokinetics to move contaminants from the soils into open-quotes treatment zonesclose quotes where the contaminants can be removed from the water by either adsorption or degradation. The focus of technical task No. 7 was to optimize the conditions required for electro-osmotic movement of contaminants and microbial degradation in the treatment zones. This topical report summarizes the results of aerobic microbial research performed to evaluate the feasibility of incorporating the chemical-degrading organisms into biotreatment zones in laboratory-scale electro-osmosis units and to demonstrate the combination of electrokinetics and aerobic microbial degradation for the removal of contaminants from clay. Also included in this report are the results of investigating microbial movement during electro-osmosis and studies involving the optimization of the microbial support matrix in the biozone. The Stanford study was conducted in order to obtain a better understanding of rates of anaerobic reductive dehalogenation of TCE to ethylene and of factors affecting these rates in order to determine the potential for application of TCE biodegradation as part of the Lasagna technology

  15. Rapid HIS, RIS, PACS Integration Using Graphical CASE Tools

    Science.gov (United States)

    Taira, Ricky K.; Breant, Claudine M.; Stepczyk, Frank M.; Kho, Hwa T.; Valentino, Daniel J.; Tashima, Gregory H.; Materna, Anthony T.

    1994-05-01

    We describe the clinical requirements of the integrated federation of databases and present our client-mediator-server design. The main body of the paper describes five important aspects of integrating information systems: (1) global schema design, (2) establishing sessions with remote database servers, (3) development of schema translators, (4) integration of global system triggers, and (5) development of job workflow scripts.

  16. Summary of case studies presented at the WPDD topical session on stakeholder involvement in decommissioning projects - november 14, 2005

    International Nuclear Information System (INIS)

    Metcalfe, Doug

    2006-01-01

    Full text of publication follows: Two case studies were presented on experiences with stakeholder involvement in decommissioning projects. The first paper described the development of the United Kingdom Atomic Energy Authority's (UKAEA) stakeholder involvement activities for the Dounreay Nuclear Reactor Test Establishment. The second paper presented the US Nuclear Regulatory Commission regulatory process for decommissioning that includes opportunities for public involvement. The presentation contrasted the stakeholder involvement for two commercial US nuclear power plants (NPPs) that completed decommissioning in 2005, the Trojan NPP and the Maine Yankee NPP. The two case studies highlighted the importance of involving stakeholders in decommissioning projects, and provide important lessons learned. The Dounreay case study demonstrated the UKAEA's determination and commitment to continuously improve its stakeholder engagement program. In 2002, the UKAEA set out to broaden its stakeholder program by improving both public understanding and participation. With regard to public understanding, the UKAEA committed to keep the public informed on decommissioning developments, and ensure that communication was in an understandable form. To improve participation, the UKAEA actively worked to identify and engage stakeholders. The UKAEA then made efforts to involve stakeholders in decision-making activities, including the use of stakeholder panels to discuss and consider options for specific aspects of the Dounreay decommissioning and site restoration plan. In 2004, the UKAEA commissioned an independent review of its stakeholder involvement program to assess the program's effectiveness and benchmark it against best practices. The program was found to be useful, and positive feedback was provided on the use of stakeholder panels and the UKAEA's determination to deliver a broad based and effective stakeholder strategy. Recommendations to UKAEA included involving stakeholders

  17. Interchanging parameters and integrals in dynamical systems: the mapping case

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, John A.G. [Department of Mathematics, La Trobe University, Bundoora, VIC (Australia) and School of Mathematics, University of New South Wales, Sydney, NSW (Australia)]. E-mail: jagr@maths.unsw.edu.au; Apostolos, Iatrou; Quispel, G.R.W. [Department of Mathematics, La Trobe University, Bundoora, VIC (Australia)]. E-mails: A.Iatrou@latrobe.edu.au; R.Quispel@latrobe.edu.au

    2002-03-08

    We consider dynamical systems with discrete time (maps) that possess one or more integrals depending upon parameters. We show that integrals can be used to replace parameters in the original map so as to construct a different map with different integrals. We also highlight a process of reparametrization that can be used to increase the number of parameters in the original map prior to using integrals to replace them. Properties of the original map and the new map are compared. The theory is motivated by, and illustrated with, examples of a three-dimensional trace map and some four-dimensional maps previously shown to be integrable. (author)

  18. Case Study: Accelerating Process Improvement by Integrating the TSP and CMMI

    National Research Council Canada - National Science Library

    Wall, Daniel S; McHale, James; Pomeroy-Huff, Marsha

    2005-01-01

    .... This case study describes the process improvement efforts of both NAVAIR divisions and how they integrated the two SEI technologies to accelerate process improvement within their organizations...

  19. Regional Integration and Foreign Investment: The Case of Asean Countries

    OpenAIRE

    Emmanuel O. Nwosu; Anthony Orji; Nathaniel Urama; Joseph I. Amuka

    2013-01-01

    The importance of regional integration in stimulating foreign direct investment cannot be overemphasized. With a special focus on the ASEAN countries, this research paper investigates the role of regional integration in attracting foreign direct investment. We bring a novelty to this paper by dividing foreign direct investment into Inter-and Intra-ASEAN to see if both are determined by the same set of factors. If economic integration drives intra-ASEAN FDI we would expect such FDI to be unrel...

  20. Mandatory Integration Measures and Differential Inclusion. The Italian Case

    NARCIS (Netherlands)

    Cuttitta, P.

    2016-01-01

    Since 2012 migrants arriving regularly in Italy must sign an integration agreement and declare their agreement with a ‘Charter of the values’. Insufficient integration (measured through a point-based system) results in deportation. While the point-based system discriminates against the poor, the

  1. An IT perspective on integrated environmental modelling: The SIAT case

    NARCIS (Netherlands)

    Verweij, P.J.F.M.; Knapen, M.J.R.; Winter, de W.P.; Wien, J.J.F.; Roller, te J.A.; Sieber, S.; Jansen, J.M.L.

    2010-01-01

    Policy makers have a growing interest in integrated assessments of policies. The Integrated Assessment Modelling (IAM) community is reacting to this interest by extending the application of model development from pure scientific analysis towards application in decision making or policy context by

  2. Applications of a Case Library of Technology Integration Stories for Teachers

    Science.gov (United States)

    Wang, Feng-Kwei; Jonassen, David H.; Strobel, Johannes; Cernusca, Dawn

    2003-01-01

    Stories are the most natural form of communication and learning among humans. In this paper, we describe how we have designed and implemented an case library of technology integration stories to support pre-service and in-service teachers learning how to integrate technologies into their teaching. The case library was built using the artificial…

  3. Case study on Integral Life Practice intervention for physical ...

    African Journals Online (AJOL)

    Findings indicated significant improvements in physical exercise, psychophysiological coherence, general health, psychological well-being, mental skills, mindfulness, mood, resilience, sense of coherence and spirituality. Findings endorse Integral Life Practice theoretical principles and practical guidelines for implementing ...

  4. System integration design in MEMS – A case study of ...

    Indian Academy of Sciences (India)

    solutions in MEMS technology is very much felt that combine single chip integration .... chip are being used for temperature compensation and to balance the bridge configuration. ..... to the offset voltage, which reduces the span of the sensor.

  5. Neuroscience data integration through mediation: An (FBIRN case study

    Directory of Open Access Journals (Sweden)

    Naveen Ashish

    2010-12-01

    Full Text Available We describe an application of the BIRN mediator to the integration of neuroscience experimental data sources. The BIRN mediator is a general purpose solution to the problem of providing integrated, semantically-consistent access to biomedical data from multiple, distributed, heterogeneous data sources. The system follows the mediation approach, where the data remains at the sources, providers maintain control of the data, and the integration system retrieves data from the sources in real-time in response to client queries. Our aim with this paper is to illustrate how domain-specific data integration applications can be developed quickly and in a principled way by using our general mediation technology. We describe in detail the integration of two leading, but radically different, experimental neuroscience sources, namely, the Human Imaging Database (HID, a relational database, and the eXtensible Neuroimaging Archive Toolkit (XNAT, an XML web services system. We discuss the steps, sources of complexity, effort and time required to build such applications, as well as outline directions of ongoing and future research on biomedical data integration.

  6. Electricity market models and RES integration: The Greek case

    International Nuclear Information System (INIS)

    Simoglou, Christos K.; Biskas, Pandelis N.; Vagropoulos, Stylianos I.; Bakirtzis, Anastasios G.

    2014-01-01

    This paper presents an extensive analysis of the Greek electricity market for the next 7-year period (2014–2020) based on an hour-by-hour simulation considering five different RES technologies, namely wind, PV, small hydro, biomass and CHP with emphasis on PV integration. The impact of RES penetration on the electricity market operation is evaluated under two different models regarding the organization of the Greek wholesale day-ahead electricity market: a mandatory power pool for year 2014 (current market design) and a power exchange for the period 2015–2020 (Target Model). An integrated software tool is used for the simulation of the current and the future day-ahead market clearing algorithm of the Greek wholesale electricity market. Simulation results indicate the impact of the anticipated large-scale RES integration, in conjunction with each market model, on specific indicators of the Greek electricity market in the long-term. - Highlights: • Analysis of the Greek electricity market for the next 7-year period (2014–2020) based on hour-by-hour simulation. • Five different RES technologies are considered with emphasis on PV integration. • A power pool (for 2014) and a power exchange (for 2015–2020) are considered. • Various market indicators are used for the analysis of the impact of the RES integration on the Greek electricity market. • Two alternative tariff schemes for the compensation of the new ground-mounted PV units from 2015 onwards are investigated

  7. Evaluation of Integrated Coastal Zone Management Plan Practices in the Turkish Case

    Science.gov (United States)

    Doruk Özügül, M.; Yerliyurt, Bora; Seçilmişler, Töre

    2017-10-01

    plan contents with the ideal ICZM plans” and “absence of legal basis” could be defined as the major discussion topics which reflect the dilemmas of ICZM practice in the Turkish case.

  8. Integrated STEM in secondary education: A case study

    International Nuclear Information System (INIS)

    De Meester, Jolien; Dehaene, Wim; Knipprath, Heidi; Thielemans, Jan; De Cock, Mieke; Langie, Greet

    2015-01-01

    Despite many opportunities to study STEM (Science, Technology, Engineering and Mathematics) in Flemish secondary education, only a minority of pupils are actually pursuing STEM fields in higher education and jobs. One reason could be that they do not see the relevance of science and mathematics. In order to draw their pupils’ interest in STEM, a Belgian school started a brand new initiative: the school set up and implemented a first year course that integrates various STEM disciplines, hoping to provide an answer to the question pupils often ask themselves about the need to study math and science. The integrated curriculum was developed by the school’s teachers and a STEM education research group of the University of Leuven. To examine the pupils’ attitude towards STEM and STEM professions and their notion of relevance of STEM at the end of this one-year course, a post-test was administered to the group of pupils who attended the integrated STEM course (the experimental group) and to a group of pupils that took traditional, non-integrated STEM courses (the control group). The results reveal that attending the integrated STEM course is significantly related to pupils’ interest in STEM and notion of relevance of STEM. Another post-test was administered only to the experimental group to investigate pupils’ understanding of math and physics concepts and their relation when taught in an integrated way. The results reveal that the pupils have some conceptual understanding and can, to a certain extent, make a transfer of concepts across different STEM disciplines. However, the test results did point out that some additional introductory training in pure math context is needed.

  9. Uncertainty management in integrated modelling, the IMAGE case

    International Nuclear Information System (INIS)

    Van der Sluijs, J.P.

    1995-01-01

    Integrated assessment models of global environmental problems play an increasingly important role in decision making. This use demands a good insight regarding the reliability of these models. In this paper we analyze uncertainty management in the IMAGE-project (Integrated Model to Assess the Greenhouse Effect). We use a classification scheme comprising type and source of uncertainty. Our analysis shows reliability analysis as main area for improvement. We briefly review a recently developed methodology, NUSAP (Numerical, Unit, Spread, Assessment and Pedigree), that systematically addresses the strength of data in terms of spread, reliability and scientific status (pedigree) of information. This approach is being tested through interviews with model builders. 3 tabs., 20 refs

  10. Information Systems Integration and Enterprise Application Integration (EAI) Adoption: A Case from Financial Services

    Science.gov (United States)

    Lam, Wing

    2007-01-01

    Increasingly, organizations find that they need to integrate large number of information systems in order to support enterprise-wide business initiatives such as e-business, supply chain management and customer relationship management. To date, organizations have largely tended to address information systems (IS) integration in an ad-hoc manner.…

  11. A case study: Integrated work environment and organizational change

    Energy Technology Data Exchange (ETDEWEB)

    Heubach, J.G.; Montgomery, J.C.; Weimer, W.C. [Pacific Northwest Lab., Richland, WA (United States); Heerwagen, J.H. [Battelle Seattle Research Center, WA (United States)

    1995-02-01

    The failure to integrate environmental and organizational interventions may help explain the lack of success of many change efforts. The high rate of failure for change efforts (50% to 90% failure rates) has been noted by many writers. While specific causes of failure are diverse, a common theme has been failure to consider the organization as a system. That is, either significant aspects of the organization were ignored during the intervention or potential impacts of changes on the elements were overlooked or underestimated. Our own training, technical literature, and professional culture lead us to limited understandings of complex organizations. Change agents must consider all relevant components of organizational performance if interventions are to be meaningful and successful. This study demonstrated the value of an integrated organizational intervention involving redesign of the physical environment, introduction of a new information system, work process improvement, and extended organizational development intervention. The outcomes were extremely positive. The cost of improvement efforts was found to be recaptured within a short time, easily justifying the expenditures. One conclusion from the study is that integrated interventions are very powerful. Integrating improvement of the physical environment with organizational development and technological innovation greatly enhances the likelihood of achieving a successful intervention.

  12. Integrating Tax Preparation with FAFSA Completion: Three Case Models

    Science.gov (United States)

    Daun-Barnett, Nathan; Mabry, Beth

    2012-01-01

    This research compares three different models implemented in four cities. The models integrated free tax-preparation services to assist low-income families with their completion of the Free Application for Federal Student Aid (FAFSA). There has been an increased focus on simplifying the FAFSA process. However, simplification is not the only…

  13. Integration versus Segregation--The Case of Slovenia.

    Science.gov (United States)

    Pecek, Mojca

    2001-01-01

    Analyzes the discourse used when dealing with educational integration via legislation, highlighting philosophical and political solutions used as the basis for new legislation regarding education for children with special needs in Slovenia. Emphasizes the importance of considering parent, teacher, and student attitudes toward inclusive education…

  14. Scenario Development Workshop Synopsis. Integration Group for the Safety Case - June 2015

    International Nuclear Information System (INIS)

    Smith, Paul; Voinis, Sylvie; Griffault, Lise; De Meredieu, Jean; Kwong, Gloria; ); Van Luik, Abraham; Bailey, Lucy; Capouet, Manuel; Depaus, Christophe; Makino, Hitoshi; Leigh, Christi; Kirkes, Ross; Leino, Jaakko; Niemeyer, Matthias; Wolf, Jens; Watson, Sarah; Franke, Bettina; Ilett, Doug; Pastina, Barbara; Weetjens, Eef

    2016-03-01

    Scenario development and selection describes the collection and organisation of the scientific and technical information relevant to the potential paths of evolution of a radioactive waste disposal facility (repository) that is necessary to assess its long-term performance and safety. In 1999, the NEA held its first workshop on scenario development in Madrid, Spain, with the objective to review the methods for developing scenarios in safety assessments and their application. Since then, the process of scenario development and analysis for the disposal of radioactive waste has changed and, in 2015, the NEA Integration Group for the Safety Case (IGSC) held a second workshop on this topic at its offices in Paris to further evaluate the experience acquired in developing scenarios since 1999. To prepare for this workshop, the IGSC also launched a survey in 2014 to gather the latest scenario development and uncertainty management strategies used in IGSC member countries. The purposes of the workshop were to (i) provide a forum to review and discuss methods for scenario development and their contribution to the development of recent safety cases (since the 1999 workshop); (ii) examine the latest methods and compare their scope, consistency and function within the overall safety assessment process, based on practical experience of applications; and (iii) provide a basis for producing the present report summarising the current status of scenario methodologies, identifying where sufficient methods exist and any outstanding problem areas. This report provides an overview of the state of the art in scenario development related to the long-term safety of geological repositories for radioactive waste. In particular, it discusses how potential scenarios are developed in safety assessments of radioactive waste that contains long-lived radionuclides. Safety assessment is the process of quantitatively and qualitatively evaluating the safety of a repository, often in support of a

  15. Corporate Culture Assessments in Integrative Oncology: A Qualitative Case Study of Two Integrative Oncology Centers

    Directory of Open Access Journals (Sweden)

    Nadine Mittring

    2013-01-01

    Full Text Available The offer of “integrative oncology” is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type (“best of both worlds” and “linking”. Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

  16. Multisensory integration: the case of a time window of gesture-speech integration.

    Science.gov (United States)

    Obermeier, Christian; Gunter, Thomas C

    2015-02-01

    This experiment investigates the integration of gesture and speech from a multisensory perspective. In a disambiguation paradigm, participants were presented with short videos of an actress uttering sentences like "She was impressed by the BALL, because the GAME/DANCE...." The ambiguous noun (BALL) was accompanied by an iconic gesture fragment containing information to disambiguate the noun toward its dominant or subordinate meaning. We used four different temporal alignments between noun and gesture fragment: the identification point (IP) of the noun was either prior to (+120 msec), synchronous with (0 msec), or lagging behind the end of the gesture fragment (-200 and -600 msec). ERPs triggered to the IP of the noun showed significant differences for the integration of dominant and subordinate gesture fragments in the -200, 0, and +120 msec conditions. The outcome of this integration was revealed at the target words. These data suggest a time window for direct semantic gesture-speech integration ranging from at least -200 up to +120 msec. Although the -600 msec condition did not show any signs of direct integration at the homonym, significant disambiguation was found at the target word. An explorative analysis suggested that gesture information was directly integrated at the verb, indicating that there are multiple positions in a sentence where direct gesture-speech integration takes place. Ultimately, this would implicate that in natural communication, where a gesture lasts for some time, several aspects of that gesture will have their specific and possibly distinct impact on different positions in an utterance.

  17. Corporate culture assessments in integrative oncology: a qualitative case study of two integrative oncology centers.

    Science.gov (United States)

    Mittring, Nadine; Pérard, Marion; Witt, Claudia M

    2013-01-01

    The offer of "integrative oncology" is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA) were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type ("best of both worlds" and "linking"). Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

  18. Integrated Modular Avionics for Spacecraft: Earth Observation Use Case Demonstrator

    Science.gov (United States)

    Deredempt, Marie-Helene; Rossignol, Alain; Hyounet, Philippe

    2013-08-01

    Integrated Modular Avionics (IMA) for Space, as European Space Agency initiative, aimed to make applicable to space domain the time and space partitioning concepts and particularly the ARINC 653 standard [1][2]. Expected benefits of such an approach are development flexibility, capability to provide differential V&V for different criticality level functionalities and to integrate late or In-Orbit delivery. This development flexibility could improve software subcontracting, industrial organization and software reuse. Time and space partitioning technique facilitates integration of software functions as black boxes and integration of decentralized function such as star tracker in On Board Computer to save mass and power by limiting electronics resources. In aeronautical domain, Integrated Modular Avionics architecture is based on a network of LRU (Line Replaceable Unit) interconnected by AFDX (Avionic Full DupleX). Time and Space partitioning concept is applicable to LRU and provides independent partitions which inter communicate using ARINC 653 communication ports. Using End System (LRU component) intercommunication between LRU is managed in the same way than intercommunication between partitions in LRU. In such architecture an application developed using only communication port can be integrated in an LRU or another one without impacting the global architecture. In space domain, a redundant On Board Computer controls (ground monitoring TM) and manages the platform (ground command TC) in terms of power, solar array deployment, attitude, orbit, thermal, maintenance, failure detection and recovery isolation. In addition, Payload units and platform units such as RIU, PCDU, AOCS units (Star tracker, Reaction wheels) are considered in this architecture. Interfaces are mainly realized through MIL-STD-1553B busses and SpaceWire and this could be considered as the main constraint for IMA implementation in space domain. During the first phase of IMA SP project, ARINC653

  19. Treatment of Multiple Actinic Keratosis and Field of Cancerization with Topical Piroxicam 0.8% and Sunscreen 50+ in Organ Transplant Recipients: A Series of 10 Cases

    Directory of Open Access Journals (Sweden)

    Virginia Garofalo

    2017-10-01

    Full Text Available Organ transplant recipient (OTR subjects are at high risk of skin cancer such as squamous cell carcinoma and basal cell carcinoma. Actinic keratosis (AK is considered the precursor of these non-melanoma skin cancers. Sun protection is mandatory in subjects with AK and this preventive strategy is very important in OTR. Treatment of the field of cancerization is also crucial to reduce the risk of recurrence of skin lesions in AK and non-melanoma skin cancer patients. Activation of cyclooxygenase 1 and 2 enzymes plays an important role in the pathogenesis of skin cancers. Topical application of cyclooxygenase inhibitors such as diclofenac and, more recently, piroxicam has shown to reduce AK lesions in immunocompetent subjects. A medical device containing piroxicam and SPF 50+ sunscreen filters (P+SS has been demonstrated to be effective in reducing AK lesions and improving the field of cancerization. We report the effect of P+SS, applied for 16 weeks, in a case series of 10 OTR subjects with multiple AK lesions. P+SS treatment was associated with a relevant AK lesion reduction (>75% in 7 patients (with a complete clearance in 3 subjects with an improvement in the field of cancerization. This medical device could be considered a promising long-term curative and preventive treatment in OTR patients at high risk of non-melanoma skin cancers.

  20. Topical tropicamide induced delirium and psychosis: case report Delírio e psicose induzidos por tropicamida tópica: relato de caso

    Directory of Open Access Journals (Sweden)

    Renato P. Munhoz

    2010-01-01

    Full Text Available Acute psychosis and confusional states are known complications of treatment with anticholinergic agents in the elderly. We report an 87-year-old female patient presenting with acute neurobehavioral abnormalities requiring hospitalization immediately after starting treatment for openangle glaucoma with the topic cycloplegic muscarinic receptor blocker tropicamide. Case-effect relationship was confirmed. The authors make a review of the literature trying to identify the clinical manifestations and risk factors for this complication.Tratamento com drogas anticolinérgicas é uma causa conhecida de alterações agudas do estado mental em idosos. Relata-se o caso de uma paciente de 87 anos de idade com alterações comportamentais agudas, que necessita de internamento imediatamente após início de terapia para glaucoma de ângulo aberto com tropicamida, um agente cicloplégico bloqueador de receptor muscarínico. A relação causa-efeito foi confirmada depois de a droga ter sido reiniciada durante o internamento. É apresentada uma revisão da literatura delineando as manifestações clínicas mais comuns e fatores de risco para essa complicação.

  1. A model of scientific attitudes assessment by observation in physics learning based scientific approach: case study of dynamic fluid topic in high school

    Science.gov (United States)

    Yusliana Ekawati, Elvin

    2017-01-01

    This study aimed to produce a model of scientific attitude assessment in terms of the observations for physics learning based scientific approach (case study of dynamic fluid topic in high school). Development of instruments in this study adaptation of the Plomp model, the procedure includes the initial investigation, design, construction, testing, evaluation and revision. The test is done in Surakarta, so that the data obtained are analyzed using Aiken formula to determine the validity of the content of the instrument, Cronbach’s alpha to determine the reliability of the instrument, and construct validity using confirmatory factor analysis with LISREL 8.50 program. The results of this research were conceptual models, instruments and guidelines on scientific attitudes assessment by observation. The construct assessment instruments include components of curiosity, objectivity, suspended judgment, open-mindedness, honesty and perseverance. The construct validity of instruments has been qualified (rated load factor > 0.3). The reliability of the model is quite good with the Alpha value 0.899 (> 0.7). The test showed that the model fits the theoretical models are supported by empirical data, namely p-value 0.315 (≥ 0.05), RMSEA 0.027 (≤ 0.08)

  2. Integrating commercial software in accelerator control- case study

    International Nuclear Information System (INIS)

    Pace, Alberto

    1994-01-01

    Using existing commercial software is the dream of any control system engineer for the development cost reduction that can reach one order of magnitude. This dream often vanishes when appears the requirement to have a uniform and consistent architecture through a wide number of components and applications. This makes it difficult to integrate several commercial packages that often impose different user interface and communication standards. This paper will describe the approach and standards that have been chosen for the CERN ISOLDE control system that have allowed several commercial packages to be integrated in the system as-they-are permitting the software development cost to be reduced to a minimum. (author). 10 refs., 2 tabs., 9 figs

  3. Differential equations and integrable models: the SU(3) case

    International Nuclear Information System (INIS)

    Dorey, Patrick; Tateo, Roberto

    2000-01-01

    We exhibit a relationship between the massless a 2 (2) integrable quantum field theory and a certain third-order ordinary differential equation, thereby extending a recent result connecting the massless sine-Gordon model to the Schroedinger equation. This forms part of a more general correspondence involving A 2 -related Bethe ansatz systems and third-order differential equations. A non-linear integral equation for the generalised spectral problem is derived, and some numerical checks are performed. Duality properties are discussed, and a simple variant of the non-linear equation is suggested as a candidate to describe the finite volume ground state energies of minimal conformal field theories perturbed by the operators phi 12 , phi 21 and phi 15 . This is checked against previous results obtained using the thermodynamic Bethe ansatz

  4. Integrated Risk Research. Case of Study: Motozintla, Chiapas, Mexico

    Science.gov (United States)

    Novelo-Casanova, D. A.; Jaimes, M.

    2015-12-01

    This integrated risk research include the analysis of all components of individual constituents of risk such hazard identification, hazard exposure, and vulnerability. We determined risk to natural hazards in the community of Motozintla located in southern Mexico in the state of Chiapas (15.37ºN, 92.25ºW. Due to its geographical and geological location, this community is continuously exposed mainly to earthquakes, landslides and floods. We developed integrated studies and analysis of seismic zonation, landslides and flood susceptibility using standard methodologies. Vulnerability was quantified from data collected from local families interviews considering five social variables: characteristics of housing construction, availability of basic public services, family economic conditions, existing community plans for disaster preparedness, and risk perception. Local families surveyed were randomly selected considering a sample statistically significant. Our results were spatially represented using a Geographical Information System (GIS). Structural vulnerability curves were generated for typical housing constructions. Our integrated risk analysis demonstrates that the community of Motozintla has a high level of structural and socio-economical risk to floods and earthquakes. More than half of the population does not know any existing Civil Protection Plan and perceive that they are in high risk to landslides and floods. Although the community is located in a high seismic risk zone, most of the local people believe that cannot be impacted by a large earthquake. These natural and social conditions indicate that the community of Motozintla has a very high level of risk to natural hazards. This research will support local decision makers in developing an integrated comprehensive natural hazards mitigation and prevention program.

  5. Integrating collaborative concept mapping in case based learning

    Directory of Open Access Journals (Sweden)

    Alfredo Tifi

    2013-03-01

    Full Text Available Different significance of collaborative concept mapping and collaborative argumentation in Case Based Learning are discussed and compared in the different perspectives of answering focus questions, of fostering reflective thinking skills and in managing uncertainty in problem solving in a scaffolded environment. Marked differences are pointed out between the way concepts are used in constructing concept maps and the way meanings are adopted in case based learning through guided argumentation activities. Shared concept maps should be given different scopes, as for example a as an advance organizer in preparing a background system of concepts that will undergo transformation while accompanying the inquiry activities on case studies or problems; b together with narratives, to enhance awareness of the situated epistemologies that are being entailed in choosing certain concepts during more complex case studies, and c after-learning construction of a holistic vision of the whole domain by means of the most inclusive concepts, while scaffoldedcollaborative writing of narratives and arguments in describing-treating cases could better serve as a source of situated-inspired tools to create-refine meanings for particular concepts.

  6. Cross section evaluation by spinor integration: The massless case in 4D

    International Nuclear Information System (INIS)

    Feng Bo; Huang Rijun; Jia Yin; Luo Mingxing; Wang Honghui

    2010-01-01

    To get the total cross section of one interaction from its amplitude M, one needs to integrate |M| 2 over phase spaces of all outgoing particles. Starting from this paper, we will propose a new method to perform such integrations, which is inspired by the reduced phase space integration of one-loop unitarity cut developed in the last few years. The new method reduces one constrained three-dimension momentum space integration to a one-dimensional integration, plus one possible Feynman parameter integration. There is no need to specify a reference framework in our calculation, since every step is manifestly Lorentz invariant by the new method. The current paper is the first paper of a series for the new method. Here we have exclusively focused on massless particles in 4D. There is no need to carve out a complicated integration region in the phase space for this particular simple case because the integration region is always simply [0,1].

  7. Probabilistic analysis and related topics

    CERN Document Server

    Bharucha-Reid, A T

    1983-01-01

    Probabilistic Analysis and Related Topics, Volume 3 focuses on the continuity, integrability, and differentiability of random functions, including operator theory, measure theory, and functional and numerical analysis. The selection first offers information on the qualitative theory of stochastic systems and Langevin equations with multiplicative noise. Discussions focus on phase-space evolution via direct integration, phase-space evolution, linear and nonlinear systems, linearization, and generalizations. The text then ponders on the stability theory of stochastic difference systems and Marko

  8. Integration testing through reusing representative unit test cases for high-confidence medical software.

    Science.gov (United States)

    Shin, Youngsul; Choi, Yunja; Lee, Woo Jin

    2013-06-01

    As medical software is getting larger-sized, complex, and connected with other devices, finding faults in integrated software modules gets more difficult and time consuming. Existing integration testing typically takes a black-box approach, which treats the target software as a black box and selects test cases without considering internal behavior of each software module. Though it could be cost-effective, this black-box approach cannot thoroughly test interaction behavior among integrated modules and might leave critical faults undetected, which should not happen in safety-critical systems such as medical software. This work anticipates that information on internal behavior is necessary even for integration testing to define thorough test cases for critical software and proposes a new integration testing method by reusing test cases used for unit testing. The goal is to provide a cost-effective method to detect subtle interaction faults at the integration testing phase by reusing the knowledge obtained from unit testing phase. The suggested approach notes that the test cases for the unit testing include knowledge on internal behavior of each unit and extracts test cases for the integration testing from the test cases for the unit testing for a given test criteria. The extracted representative test cases are connected with functions under test using the state domain and a single test sequence to cover the test cases is produced. By means of reusing unit test cases, the tester has effective test cases to examine diverse execution paths and find interaction faults without analyzing complex modules. The produced test sequence can have test coverage as high as the unit testing coverage and its length is close to the length of optimal test sequences. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Case study of the interdisciplinary integration in an IST-E3 project

    DEFF Research Database (Denmark)

    Jørgensen, Ulrik

    2002-01-01

    Case study of a specific IST-E3 project funded by the EU commissions 5th framework program. The case study highlights the difficulties in integrating different disciplinary approaches and suggests that a more openended research strategy should be applied by the commission.......Case study of a specific IST-E3 project funded by the EU commissions 5th framework program. The case study highlights the difficulties in integrating different disciplinary approaches and suggests that a more openended research strategy should be applied by the commission....

  10. 75 FR 15485 - Pipeline Safety: Workshop on Guidelines for Integrity Assessment of Cased Pipe

    Science.gov (United States)

    2010-03-29

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket ID...: Pipeline and Hazardous Materials Safety Administration (PHMSA), DOT. ACTION: Notice of workshop. SUMMARY... ``Guidelines for Integrity Assessment of Cased Pipe in Gas Transmission Pipelines'' and related Frequently...

  11. Integrated cognitive behavioral therapy for patients with substance use disorder and comorbid ADHD: two case presentations

    NARCIS (Netherlands)

    van Emmerik-van Oortmerssen, Katelijne; Vedel, Ellen; van den Brink, Wim; Schoevers, Robert A.

    2015-01-01

    Two cases of integrated cognitive behavioral therapy (ICBT) for substance use disorder (SUD) and Attention Deficit Hyperactivity Disorder (ADHD) are presented illustrating that ICBT is a promising new treatment option

  12. Integrated cognitive behavioral therapy for patients with Substance Use Disorder and Comorbid ADHD : Two case presentations

    NARCIS (Netherlands)

    van Emmerik-van Oortmerssen, Katelijne; Vedel, Ellen; van den Brink, Wir; Schoevers, Robert A.

    Two cases of integrated cognitive behavioral therapy (ICBT) for substance use disorder (SUD) and Attention Deficit Hyperactivity Disorder (ADHD) are presented illustrating that ICBT is a promising new treatment option. (C) 2015 Elsevier Ltd. All rights reserved.

  13. The integrable case of Adler-van Moerbeke. Discriminant set and bifurcation diagram

    Science.gov (United States)

    Ryabov, Pavel E.; Oshemkov, Andrej A.; Sokolov, Sergei V.

    2016-09-01

    The Adler-van Moerbeke integrable case of the Euler equations on the Lie algebra so(4) is investigated. For the L- A pair found by Reyman and Semenov-Tian-Shansky for this system, we explicitly present a spectral curve and construct the corresponding discriminant set. The singularities of the Adler-van Moerbeke integrable case and its bifurcation diagram are discussed. We explicitly describe singular points of rank 0, determine their types, and show that the momentum mapping takes them to self-intersection points of the real part of the discriminant set. In particular, the described structure of singularities of the Adler-van Moerbeke integrable case shows that it is topologically different from the other known integrable cases on so(4).

  14. Control assessment for heat integrated systems. An industrial case study for ethanol recovery

    DEFF Research Database (Denmark)

    Mauricio Iglesias, Miguel; Huusom, Jakob Kjøbsted; Sin, Gürkan

    2013-01-01

    Heat integration is essential for reducing the energy consumption of process industries. However, it may render the dynamic operation more interactive and difficult to control. This paper assesses the implications of heat integration in controllability and performance in energy reduction....... The assessment, both on open loop and closed loop, was carried out based on an industrial case study and compared to a modified case without heat integration. Although the heat integrated system displayed a certain deterioration of controllability, the control system made possible an efficient operation....... The reduction of energy consumption achieved thanks to heat integration was considerably larger than the losses due to poor control of the process, confirming the importance of heat integration in energy intensive processes....

  15. Integration of case study approach, project design and computer ...

    African Journals Online (AJOL)

    pc

    2018-03-05

    Mar 5, 2018 ... computer modeling used as a research method applied in the process ... conclusions discuss the benefits for students who analyzed the ... accounting education process the case study method should not .... providing travel safety information to passengers ... from literature readings with practical problems.

  16. Case for integral core-disruptive accident analysis

    International Nuclear Information System (INIS)

    Luck, L.B.; Bell, C.R.

    1985-01-01

    Integral analysis is an approach used at the Los Alamos National Laboratory to cope with the broad multiplicity of accident paths and complex phenomena that characterize the transition phase of core-disruptive accident progression in a liquid-metal-cooled fast breeder reactor. The approach is based on the combination of a reference calculation, which is intended to represent a band of similar accident paths, and associated system- and separate-effect studies, which are designed to determine the effect of uncertainties. Results are interpreted in the context of a probabilistic framework. The approach was applied successfully in two studies; illustrations from the Clinch River Breeder Reactor licensing assessment are included

  17. Regional Integration Through Law: the Central American and Caribbean Cases

    DEFF Research Database (Denmark)

    Caserta, Salvatore

    2017-01-01

    . The two Court have also borrowed key jurisprudential principles from the CJEU with the goal of expanding the reach of Central American and Caribbean Community laws. Despite this, both Courts have thus far failed to foster supranationality in their respective systems. This is because the conditions...... allowing ICs to become engines of integration lie for the most part outside the direct control of the judges, most notably, in other institutional, political, and societal actors, such as national judges, regional organs, legal and political elites, as well as academics. The article, hence, suggests...

  18. Defense and Regional Integration: Brazil’s Weapons Industry Case

    Directory of Open Access Journals (Sweden)

    Suzeley Kalil Mathias

    2009-06-01

    Full Text Available This paper works with the relation between technological development and weapons industry in Brazil, pointing out the dependence of this to that one. One reveals as the changes in the commerce of armaments that currently privileges the production of small weapons for exportation. The conclusion is that to keep projects of this nature, is using to advantage the industrial park for the dual production, that is, that one takes care the civil and the military demands. At last, it defends the possibility of the defense industry works as mechanism of regional integration.

  19. Technology management: case study of an integrated health system.

    Science.gov (United States)

    Dahl, D H; McFarlan, T K

    1994-12-01

    Technology management has assumed a role of vital importance in today's health care environment. Capital reserves and operating income have been stretched by pervasive and expensive technologies, while overall reimbursement has been reduced. It is imperative for hospitals to develop and consistently use technology management processes that begin prior to a technology's introduction in the hospital and continue throughout its life cycle. At Samaritan Health System (SHS), an integrated health care delivery system based in Phoenix, technology management provides tools to improve decision making and assist in the system's integration strategy as well as control expenses. SHS uses a systemwide technology-specific plan to guide acquisition and/or funding decisions. This plan describes how particular technologies can help achieve SHS' organizational goals such as promoting system integration and/or improving patient outcomes while providing good economic value. After technologies are targeted in this systemwide plan they are prioritized using a two-stage capital prioritization process. The first stage of the capital prioritization process considers the quantitative and qualitative factors critical for equitable capital distribution across the system. The second stage develops a sense of ownership among the parties that affect and are affected by the allocation at a facility level. This process promotes an efficient, effective, equitable, and defensible approach to resource allocation and technology decision making. Minimizing equipment maintenance expenditures is also an integral part of technology management at SHS. The keys to reducing maintenance expenditures are having a process in place that supports a routine fiscal evaluation of maintenance coverage options and ensuring that manufacturers are obligated to provide critical maintenance resources at the time of equipment purchase. Maintenance service options under consideration in this report include full

  20. FISCAL EFFECTIVENESS UNDER REGIONAL ECONOMIC INTEGRATION: INDONESIAN AGRICULTURAL PERFORMANCE CASE

    Directory of Open Access Journals (Sweden)

    Nasrudin Nasrudin

    2013-04-01

    Full Text Available AbstractThis paper investigates the effectiveness of fiscal policy in boosting agricultural sector performance and seeks the most effective policy in the presence of regional economic integration. It predicts the effectiveness of fiscal policy on the agricultural sector performance in four periods; the new order regime, the economic crisis, and pre and post China Free Trade Area (CAFTA. It also predicts the impact of fiscal policy on agricultural sector performance when CAFTA is fully implemented. It finds that fiscal policy is more effective in the optimum allocation of expenditures. It also finds that the agricultural sector can grow faster when the portion of capital expenditure increases.Keywords: Fiscal effectiveness, economic integration, agricultureJEL Classification Numbers: E62, F15, Q17AbstrakMakalah ini menyelidiki efektivitas kebijakan fiskal dalam mendorong kinerja sektor pertanian dan mencari kebijakan yang paling efektif dengan adanya integrasi ekonomi regional. Makalah ini memprediksi efektivitas kebijakan fiskal dalam meningkatkan kinerja sektor pertanian dalam empat periode; rezim orde baru, krisis ekonomi, sebelum pelaksanaan China Free Trade Area (CAFTA, dan setelah pelaksanaan CAFTA. Makalah ini juga memprediksi dampak kebijakan fiskal terhadap kinerja sektor pertanian saat CAFTA sepenuhnya dilaksanakan. Hasil analisis menemukan bahwa kebijakan fiskal lebih efektif dalam alokasi optimal dari pengeluaran. Analisis juga menemukan bahwa sektor pertanian dapat tumbuh lebih cepat ketika porsi peningkatan belanja modal meningkat.Keywords: Efektivitas fiskal, integrasi ekonomi, pertanianJEL Classification Numbers: E62, F15, Q17

  1. A case Study of Work-Integrated Learning

    Directory of Open Access Journals (Sweden)

    Kerstin Grundén

    2004-10-01

    Full Text Available An evaluation study of work-integrated e-learning in the county administration of Sweden is reported and discussed. A web-based prototype (Diabas for in-house education dealing with the official registers, was developed and tested. The MOA-L model was used as a frame of reference for the evaluation study. In the model especially the consequences for the work situation, the work process and the quality of the service to the client was focussed. The present situation as well as the situation after the learners had passed the course was studied and compared. The initial analysis of the present situation regarding these aspects was seen as very important for the development process of the course. Similarities between the development of work-integrated learning courses and traditional system development work was analysed and discussed. Cultural aspects and management policies were seen as very important in order to motivate the learners to attend the course. The learners were on the whole satisfied with the pilot course. The flexible forms for the course was seen as important. The work situation and the work flow need to be adapted in order to facilitate the use of the new knowledge after the course.

  2. Integrating emotion in the case of aphasia after trauma

    DEFF Research Database (Denmark)

    Klemmensen, Charlotte Marie Bisgaard

    This study investigates routines and emotion displays mainly in a care home setting, where some of the participants have severe acquired brain injury. Aphasia is investigated in situations in which affect and emotion is relevant, for example cases of compliance and non-compliance to having...... memorized something “wrong” or ”correctly” and other cases of persuasion. The data excerpts presented are transcripts based on participant video observation. The main interest is to scrutinize the emotional consequences of arguing with aphasia. This study is part of a collaborative study of aphasic...... with acquired brain injury, ABI: Embodied talk, multimodal units such as gesturing, pointing, gazing and bodily posture, the handling of objects etc. However, critical emotional displays seem to depend on circumstantial factors - which situation, persons, purpose or the challenge there is at stake (to win...

  3. Topical report review status

    International Nuclear Information System (INIS)

    1997-08-01

    This report provides industry with procedures for submitting topical reports, guidance on how the U.S. Nuclear Regulatory Commission (NRC) processes and responds to topical report submittals, and an accounting, with review schedules, of all topical reports currently accepted for review schedules, of all topical reports currently accepted for review by the NRC. This report will be published annually. Each sponsoring organization with one or more topical reports accepted for review copies

  4. Integrated failure probability estimation based on structural integrity analysis and failure data: Natural gas pipeline case

    International Nuclear Information System (INIS)

    Dundulis, Gintautas; Žutautaitė, Inga; Janulionis, Remigijus; Ušpuras, Eugenijus; Rimkevičius, Sigitas; Eid, Mohamed

    2016-01-01

    In this paper, the authors present an approach as an overall framework for the estimation of the failure probability of pipelines based on: the results of the deterministic-probabilistic structural integrity analysis (taking into account loads, material properties, geometry, boundary conditions, crack size, and defected zone thickness), the corrosion rate, the number of defects and failure data (involved into the model via application of Bayesian method). The proposed approach is applied to estimate the failure probability of a selected part of the Lithuanian natural gas transmission network. The presented approach for the estimation of integrated failure probability is a combination of several different analyses allowing us to obtain: the critical crack's length and depth, the failure probability of the defected zone thickness, dependency of the failure probability on the age of the natural gas transmission pipeline. A model's uncertainty analysis and uncertainty propagation analysis are performed, as well. - Highlights: • Degradation mechanisms of natural gas transmission pipelines. • Fracture mechanic analysis of the pipe with crack. • Stress evaluation of the pipe with critical crack. • Deterministic-probabilistic structural integrity analysis of gas pipeline. • Integrated estimation of pipeline failure probability by Bayesian method.

  5. Integrated forward and reverse supply chain: A tire case study.

    Science.gov (United States)

    Pedram, Ali; Yusoff, Nukman Bin; Udoncy, Olugu Ezutah; Mahat, Abu Bakar; Pedram, Payam; Babalola, Ayo

    2017-02-01

    This paper attempts to integrate both a forward and reverse supply chain to design a closed-loop supply chain network (CLSC). The problem in the design of a CLSC network is uncertainty in demand, return products and the quality of return products. Scenario analyses are generated to overcome this uncertainty. In contrast to the existing supply chain network design models, a new application of a CLSC network was studied in this paper to reduce waste. A multi-product, multi-tier mixed integer linear model is developed for a CLSC network design. The main objective is to maximize profit and provide waste management decision support in order to minimize pollution. The result shows applicability of the model in the tire industry. The model determines the number and the locations of facilities and the material flows between these facilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Evaluating topic models with stability

    CSIR Research Space (South Africa)

    De Waal, A

    2008-11-01

    Full Text Available Topic models are unsupervised techniques that extract likely topics from text corpora, by creating probabilistic word-topic and topic-document associations. Evaluation of topic models is a challenge because (a) topic models are often employed...

  7. Design and Use of a Proton Pump Inhibitor Case to Integrate Physiology, Pharmacology, and Biochemistry

    Science.gov (United States)

    Lee, Michael W.

    2014-01-01

    The use of drugs to integrate basic and clinical sciences is frequently used in a lecture format, but the availability of alternative pedagogical approaches that address higher-order learning are not widely available. The use of case studies and case-based projects to reinforce lectures can help link basic and clinical disciplines and promote…

  8. Miller Table Company: A Profit Analysis Case Integrating Managerial Accounting, Microeconomics and Marketing

    Science.gov (United States)

    Miller, Louise

    2014-01-01

    This paper describes a unique integrative business case appropriate for use in a managerial accounting course or other business courses related to economics or marketing. The case describes a scenario in which a managerial accountant is assisting in business decisions relating to factors influencing the profitability of a small manufacturing…

  9. Ballet as Somatic Practice: A Case Study Exploring the Integration of Somatic Practices in Ballet Pedagogy

    Science.gov (United States)

    Berg, Tanya

    2017-01-01

    This case study explores one teacher's integration of Alexander Technique and the work of neuromuscular retrainer Irene Dowd in ballet pedagogy to establish a somatic approach to teaching, learning, and performing ballet technique. This case study highlights the teacher's unique teaching method called IMAGE TECH for dancers (ITD) and offers…

  10. An Approach for Integrating Toxicogenomic Data in Risk Assessment: The Dibutyl Phthalate Case Study

    Science.gov (United States)

    An approach for evaluating and integrating genomic data in chemical risk assessment was developed based on the lessons learned from performing a case study for the chemical dibutyl phthalate. A case study prototype approach was first developed in accordance with EPA guidance and ...

  11. Effectiveness of test driven development and continuous integration - a case study

    NARCIS (Netherlands)

    Amrit, Chintan; Meijberg, Yoni

    2018-01-01

    In this article we describe the implementation of hybrid agile practices, namely Test Driven Development (TDD) and Continuous Integration (CI) at a Dutch SME. The quality and productivity outcomes of the case study were compared to a performance baseline set by a reference case, a preceding

  12. Topical therapies in the management of chronic rhinosinusitis: an evidence-based review with recommendations.

    Science.gov (United States)

    Rudmik, Luke; Hoy, Monica; Schlosser, Rodney J; Harvey, Richard J; Welch, Kevin C; Lund, Valerie; Smith, Timothy L

    2013-04-01

    Topical therapies have become an integral component in the management plan for chronic rhinosinusitis (CRS). Several topical therapy strategies have been evaluated, but a formal comprehensive evaluation of the evidence has never been performed. The purpose of this article is to provide an evidence-based approach for the utilization of topical therapies in the management of CRS. A systematic review of the literature was performed and the guidelines for development of an evidence-based review with recommendations were followed. Study inclusion criteria were: adult population >18 years old; chronic rhinosinusitis (CRS) based on published diagnostic criteria; and clearly defined primary clinical end-point. We focused on reporting higher-quality studies (level 2b or higher), but reported on lower-level studies if the topic contained insufficient evidence. We excluded drug-eluting spacer and stent therapy from this review. This review identified and evaluated the literature on 5 topical therapy strategies for CRS: saline irrigation, topical steroid, topical antibiotic, topical antifungal, and topical alternatives (surfactant, manuka honey, and xylitol irrigations). Based on the available evidence, sinonasal saline irrigation and standard topical nasal steroid therapy are recommended in the topical treatment of CRS. Nonstandard (off-label) topical sinonasal steroid therapies can be an option for managing CRS. The evidence recommends against the use of topical antifungal therapy and topical antibiotic therapy delivered using nebulized and spray techniques in routine cases of CRS. There is insufficient clinical research to provide recommendations for alternative therapies or topical antibiotic therapy delivered using other delivery methods (eg, irrigations). © 2013 ARS-AAOA, LLC.

  13. A case on vendor selection methodology: An integrated approach

    Directory of Open Access Journals (Sweden)

    Nikhil C. Shil

    2009-11-01

    Full Text Available Vendor selection methodology is a highly researched area in supply chain management l terature and a very significant decision taken by supply chain managers due to technological advances in the manufacturing process. Such research has two basic dimensions: one is related to the identification of variables affecting the performance of the vendors and the other deals with the methodology to be applied. Most of the research conducted in this area deal with the upfront selection of vendors. However, it is very common to have a list of dedicated vendors due to the development of sophisticated production technologies like just in time (JIT, a lean or agile manufacturing process where continuous flow of materials is a requirement. This paper addresses the issue of selecting the optimal vendor from the internal database of a company. Factor analysis, analytical hierarchy process and regression analysis is used in an integrated way to supplement the vendor selection process. The methodology presented here is simply a proposal where every possible room for adjustment is available.

  14. Application of the critical pathway and integrated case teaching method to nursing orientation.

    Science.gov (United States)

    Goodman, D

    1997-01-01

    Nursing staff development programs must be responsive to current changes in healthcare. New nursing staff must be prepared to manage continuous change and to function competently in clinical practice. The orientation pathway, based on a case management model, is used as a structure for the orientation phase of staff development. The integrated case is incorporated as a teaching strategy in orientation. The integrated case method is based on discussion and analysis of patient situations with emphasis on role modeling and integration of theory and skill. The orientation pathway and integrated case teaching method provide a useful framework for orientation of new staff. Educators, preceptors and orientees find the structure provided by the orientation pathway very useful. Orientation that is developed, implemented and evaluated based on a case management model with the use of an orientation pathway and incorporation of an integrated case teaching method provides a standardized structure for orientation of new staff. This approach is designed for the adult learner, promotes conceptual reasoning, and encourages the social and contextual basis for continued learning.

  15. Infantile generalized hypertrichosis caused by topical minoxidil*

    Science.gov (United States)

    Rampon, Greice; Henkin, Caroline; de Souza, Paulo Ricardo Martins; de Almeida Jr, Hiram Larangeira

    2016-01-01

    Rare cases of hypertrichosis have been associated with topically applied minoxidil. We present the first reported case in the Brazilian literature of generalized hypertrichosis affecting a 5-year-old child, following use of minoxidil 5%, 20 drops a day, for hair loss. The laboratory investigation excluded hyperandrogenism and thyroid dysfunction. Topical minoxidil should be used with caution in children. PMID:26982785

  16. Infantile generalized hypertrichosis caused by topical minoxidil.

    Science.gov (United States)

    Rampon, Greice; Henkin, Caroline; de Souza, Paulo Ricardo Martins; Almeida, Hiram Larangeira de

    2016-01-01

    Rare cases of hypertrichosis have been associated with topically applied minoxidil. We present the first reported case in the Brazilian literature of generalized hypertrichosis affecting a 5-year-old child, following use of minoxidil 5%, 20 drops a day, for hair loss. The laboratory investigation excluded hyperandrogenism and thyroid dysfunction. Topical minoxidil should be used with caution in children.

  17. Topics in atomic physics

    CERN Document Server

    Burkhardt, Charles E

    2006-01-01

    The study of atomic physics propelled us into the quantum age in the early twentieth century and carried us into the twenty-first century with a wealth of new and, in some cases, unexplained phenomena. Topics in Atomic Physics provides a foundation for students to begin research in modern atomic physics. It can also serve as a reference because it contains material that is not easily located in other sources. A distinguishing feature is the thorough exposition of the quantum mechanical hydrogen atom using both the traditional formulation and an alternative treatment not usually found in textbooks. The alternative treatment exploits the preeminent nature of the pure Coulomb potential and places the Lenz vector operator on an equal footing with other operators corresponding to classically conserved quantities. A number of difficult to find proofs and derivations are included as is development of operator formalism that permits facile solution of the Stark effect in hydrogen. Discussion of the classical hydrogen...

  18. Topics in mathematical biology

    CERN Document Server

    Hadeler, Karl Peter

    2017-01-01

    This book analyzes the impact of quiescent phases on biological models. Quiescence arises, for example, when moving individuals stop moving, hunting predators take a rest, infected individuals are isolated, or cells enter the quiescent compartment of the cell cycle. In the first chapter of Topics in Mathematical Biology general principles about coupled and quiescent systems are derived, including results on shrinking periodic orbits and stabilization of oscillations via quiescence. In subsequent chapters classical biological models are presented in detail and challenged by the introduction of quiescence. These models include delay equations, demographic models, age structured models, Lotka-Volterra systems, replicator systems, genetic models, game theory, Nash equilibria, evolutionary stable strategies, ecological models, epidemiological models, random walks and reaction-diffusion models. In each case we find new and interesting results such as stability of fixed points and/or periodic orbits, excitability...

  19. Women's Health Topics

    Science.gov (United States)

    ... Information by Audience For Women Women's Health Topics Women's Health Topics Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print National Women's Health Week May 13 - 19, 2018 Join us ...

  20. Regulatory Information By Topic

    Science.gov (United States)

    EPA develops and enforces regulations that span many environmental topics, from acid rain reduction to wetlands restoration. Each topic listed below may include related laws and regulations, compliance enforcement information, policies guidance

  1. Nature-based integration

    DEFF Research Database (Denmark)

    Pitkänen, Kati; Oratuomi, Joose; Hellgren, Daniela

    Increased attention to, and careful planning of the integration of migrants into Nordic societies is ever more important. Nature based integration is a new solution to respond to this need. This report presents the results of a Nordic survey and workshop and illustrates current practices of nature...... based integration by case study descriptions from Denmark, Sweden Norway and Finland. Across Nordic countries several practical projects and initiatives have been launched to promote the benefits of nature in integration and there is also growing academic interest in the topic. Nordic countries have...... the potential of becoming real forerunners in nature based integration even at the global scale....

  2. Freshman Health Topics

    Science.gov (United States)

    Hovde, Karen

    2011-01-01

    This article examines a cluster of health topics that are frequently selected by students in lower division classes. Topics address issues relating to addictive substances, including alcohol and tobacco, eating disorders, obesity, and dieting. Analysis of the topics examines their interrelationships and organization in the reference literature.…

  3. Topological classification of the Goryachev integrable case in rigid body dynamics

    International Nuclear Information System (INIS)

    Nikolaenko, S S

    2016-01-01

    A topological analysis of the Goryachev integrable case in rigid body dynamics is made on the basis of the Fomenko-Zieschang theory. The invariants (marked molecules) which are obtained give a complete description, from the standpoint of Liouville classification, of the systems of Goryachev type on various level sets of the energy. It turns out that on appropriate energy levels the Goryachev case is Liouville equivalent to many classical integrable systems and, in particular, the Joukowski, Clebsch, Sokolov and Kovalevskaya-Yehia cases in rigid body dynamics, as well as to some integrable billiards in plane domains bounded by confocal quadrics -- in other words, the foliations given by the closures of generic solutions of these systems have the same structure. Bibliography: 15 titles

  4. Deep Unfolding for Topic Models.

    Science.gov (United States)

    Chien, Jen-Tzung; Lee, Chao-Hsi

    2018-02-01

    Deep unfolding provides an approach to integrate the probabilistic generative models and the deterministic neural networks. Such an approach is benefited by deep representation, easy interpretation, flexible learning and stochastic modeling. This study develops the unsupervised and supervised learning of deep unfolded topic models for document representation and classification. Conventionally, the unsupervised and supervised topic models are inferred via the variational inference algorithm where the model parameters are estimated by maximizing the lower bound of logarithm of marginal likelihood using input documents without and with class labels, respectively. The representation capability or classification accuracy is constrained by the variational lower bound and the tied model parameters across inference procedure. This paper aims to relax these constraints by directly maximizing the end performance criterion and continuously untying the parameters in learning process via deep unfolding inference (DUI). The inference procedure is treated as the layer-wise learning in a deep neural network. The end performance is iteratively improved by using the estimated topic parameters according to the exponentiated updates. Deep learning of topic models is therefore implemented through a back-propagation procedure. Experimental results show the merits of DUI with increasing number of layers compared with variational inference in unsupervised as well as supervised topic models.

  5. Slow Integral Manifolds and Control Problems in Critical and Twice Critical Cases

    International Nuclear Information System (INIS)

    Sobolev, Vladimir

    2016-01-01

    We consider singularly perturbed differential systems in cases where the standard theory to establish a slow integral manifold existence does not work. The theory has traditionally dealt only with perturbation problems near normally hyperbolic manifold of singularities and this manifold is supposed to isolated. Applying transformations we reduce the original singularly perturbed problem to a regularized one such that the existence of slow integral manifolds can be established by means of the standard theory. We illustrate our approach by several examples. (paper)

  6. Syntacticized topics in Kurmuk

    DEFF Research Database (Denmark)

    Andersen, Torben

    2015-01-01

    This article argues that Kurmuk, a little-described Western Nilotic language, is characterized by a syntacticized topic whose grammatical relation is variable. In this language, declarative clauses have as topic an obligatory preverbal NP which is either a subject, an object or an adjunct....... The grammatical relation of the topic is expressed by a voice-like inflection of the verb, here called orientation. While subject-orientation is morphologically unmarked, object-oriented and adjunct-oriented verbs are marked by a subject suffix or by a suffix indicating that the topic is not subject, and adjunct......-orientation differs from object-orientation by a marked tone pattern. Topic choice largely reflects information structure by indicating topic continuity. The topic also plays a crucial role in relative clauses and in clauses with contrastive constituent focus, in that objects and adjuncts can only be relativized...

  7. IMPLEMENTING AN INTEGRATED HEALTH, SAFETY, AND ENVIRONMENTAL MANAGEMENT SYSTEM: THE CASE OF A CONSTRUCTION COMPANY

    Directory of Open Access Journals (Sweden)

    Filippos Tepaskoualos

    2017-12-01

    Full Text Available Over the past two decades, there has been an increasing trend of organizations implementing simultaneously two or more management systems. The structural similarities of these systems - despite the diversity of their fields of application, such as occupational health and safety for OHSAS 18001, and environmental management for ISO 14001 - have enabled many organizations to integrate different systems into a single one, rather than implementing them separately from one another. The purpose of this paper is to examine in depth a case of integration of the ISO 14001 and OHSAS 18001 systems, using a construction company as a research setting, in order to draw conclusions about the level of integration achieved, as well as the benefits, the problems, and the critical success factors of this endeavour. The findings of this study show that both the company's devotion to the fulfillment of the critical success factors and the identical structure of the two systems under consideration have facilitated the successful outcome of integration. However, this does not automatically imply that the company adopted the idea of full integration. Instead, the maximization of integration benefits and the elimination of related problems was achieved through the company's conscious choice to proceed with partial integration, keeping separate manuals, policies, and risk management procedures for each system. This study will be useful in order to understand that partial integration is a perfectly acceptable and realistic solution that, under certain circumstances, may even have a better cost-benefit ratio than full integration.

  8. arXiv Diagrammatic Hopf algebra of cut Feynman integrals: the one-loop case

    CERN Document Server

    Abreu, Samuel; Duhr, Claude; Gardi, Einan

    2017-12-15

    We construct a diagrammatic coaction acting on one-loop Feynman graphs and their cuts. The graphs are naturally identified with the corresponding (cut) Feynman integrals in dimensional regularization, whose coefficients of the Laurent expansion in the dimensional regulator are multiple polylogarithms (MPLs). Our main result is the conjecture that this diagrammatic coaction reproduces the combinatorics of the coaction on MPLs order by order in the Laurent expansion. We show that our conjecture holds in a broad range of nontrivial one-loop integrals. We then explore its consequences for the study of discontinuities of Feynman integrals, and the differential equations that they satisfy. In particular, using the diagrammatic coaction along with information from cuts, we explicitly derive differential equations for any one-loop Feynman integral. We also explain how to construct the symbol of any one-loop Feynman integral recursively. Finally, we show that our diagrammatic coaction follows, in the special case of o...

  9. Probabilistic analysis and related topics

    CERN Document Server

    Bharucha-Reid, A T

    1979-01-01

    Probabilistic Analysis and Related Topics, Volume 2 focuses on the integrability, continuity, and differentiability of random functions, as well as functional analysis, measure theory, operator theory, and numerical analysis.The selection first offers information on the optimal control of stochastic systems and Gleason measures. Discussions focus on convergence of Gleason measures, random Gleason measures, orthogonally scattered Gleason measures, existence of optimal controls without feedback, random necessary conditions, and Gleason measures in tensor products. The text then elaborates on an

  10. Stochastic Analysis and Related Topics

    CERN Document Server

    Ustunel, Ali

    1988-01-01

    The Silvri Workshop was divided into a short summer school and a working conference, producing lectures and research papers on recent developments in stochastic analysis on Wiener space. The topics treated in the lectures relate to the Malliavin calculus, the Skorohod integral and nonlinear functionals of white noise. Most of the research papers are applications of these subjects. This volume addresses researchers and graduate students in stochastic processes and theoretical physics.

  11. Integrating ergonomics in design processes: a case study within an engineering consultancy firm.

    Science.gov (United States)

    Sørensen, Lene Bjerg; Broberg, Ole

    2012-01-01

    This paper reports on a case study within an engineering consultancy firm, where engineering designers and ergonomists were working together on the design of a new hospital sterile processing plant. The objective of the paper is to gain a better understanding of the premises for integrating ergonomics into engineering design processes and how different factors either promote or limit the integration. Based on a grounded theory approach a model illustrating these factors is developed and different hypotheses about how these factors either promote and/or limit the integration of ergonomics into design processes is presented along with the model.

  12. An IoT-enabled supply chain integration framework : empirical case studies

    OpenAIRE

    Wakenshaw, Susan Y. L.; Maple, Carsten; Chen, Daqiang; Micillo, Rosario

    2017-01-01

    Supply chain integration is crucial for supply chain performance, particularly in industry 4.0. With the proliferation of Internet of Things (IoT) and the use of cyber-physical systems, supply chain integration needs to be greatly enhanced. In this paper, we explore supply integration (process and application) in the supply chain network enabled by IoT. Using the case study method, we investigate technical and business applications of IoT in supply chains and how it can interface with the pro...

  13. Topics in field theory

    International Nuclear Information System (INIS)

    Velasco, E.S.

    1986-01-01

    This dissertation deals with several topics of field theory. Chapter I is a brief outline of the work presented in the next chapters. In chapter II, the Gauss-Bonnet-Chern theorem for manifolds with boundary is computed using the path integral representation of the Witten index for supersymmetric quantum mechanical systems. In chapter III the action of N = 2 (Poincare) supergravity is obtained in terms of N = 1 superfields. In chapter IV, N = 2 supergravity coupled to the (abelian) vector multiplet is projected into N - 1 superspace. There, the resulting set of constraints is solved in terms of unconstrained prepotential and the action in terms of N = 1 superfields is constructed. In chapter V the set of constraints for N = 2 conformal supergravity is projected into N = 1 superspace and solved in terms of N = 1 conformal supergravity fields a d matter prepotentials. In chapter VI the role of magnetic monopoles in the phase structure of the change one fixed length abelian Higgs model ins the latticer is investigated using analytic and numerical methods. The technique of monopole suppression is used to determine the phase transition lines that are monopole driven. Finally in chapter VII, the role of the charge of the Higgs field in the abelian Higgs model in the lattice is investigated

  14. Advanced verification topics

    CERN Document Server

    Bhattacharya, Bishnupriya; Hall, Gary; Heaton, Nick; Kashai, Yaron; Khan Neyaz; Kirshenbaum, Zeev; Shneydor, Efrat

    2011-01-01

    The Accellera Universal Verification Methodology (UVM) standard is architected to scale, but verification is growing and in more than just the digital design dimension. It is growing in the SoC dimension to include low-power and mixed-signal and the system integration dimension to include multi-language support and acceleration. These items and others all contribute to the quality of the SOC so the Metric-Driven Verification (MDV) methodology is needed to unify it all into a coherent verification plan. This book is for verification engineers and managers familiar with the UVM and the benefits it brings to digital verification but who also need to tackle specialized tasks. It is also written for the SoC project manager that is tasked with building an efficient worldwide team. While the task continues to become more complex, Advanced Verification Topics describes methodologies outside of the Accellera UVM standard, but that build on it, to provide a way for SoC teams to stay productive and profitable.

  15. LASER APPLICATIONS AND OTHER TOPICS IN QUANTUM ELECTRONICS: Laser-induced extreme UV radiation sources for manufacturing next-generation integrated circuits

    Science.gov (United States)

    Borisov, V. M.; Vinokhodov, A. Yu; Ivanov, A. S.; Kiryukhin, Yu B.; Mishchenko, V. A.; Prokof'ev, A. V.; Khristoforov, O. B.

    2009-10-01

    The development of high-power discharge sources emitting in the 13.5±0.135-nm spectral band is of current interest because they are promising for applications in industrial EUV (extreme ultraviolet) lithography for manufacturing integrated circuits according to technological precision standards of 22 nm and smaller. The parameters of EUV sources based on a laser-induced discharge in tin vapours between rotating disc electrodes are investigated. The properties of the discharge initiation by laser radiation at different wavelengths are established and the laser pulse parameters providing the maximum energy characteristics of the EUV source are determined. The EUV source developed in the study emits an average power of 276 W in the 13.5±0.135-nm spectral band on conversion to the solid angle 2π sr in the stationary regime at a pulse repetition rate of 3000 Hz.

  16. [Research and development of medical case database: a novel medical case information system integrating with biospecimen management].

    Science.gov (United States)

    Pan, Shiyang; Mu, Yuan; Wang, Hong; Wang, Tong; Huang, Peijun; Ma, Jianfeng; Jiang, Li; Zhang, Jie; Gu, Bing; Yi, Lujiang

    2010-04-01

    To meet the needs of management of medical case information and biospecimen simultaneously, we developed a novel medical case information system integrating with biospecimen management. The database established by MS SQL Server 2000 covered, basic information, clinical diagnosis, imaging diagnosis, pathological diagnosis and clinical treatment of patient; physicochemical property, inventory management and laboratory analysis of biospecimen; users log and data maintenance. The client application developed by Visual C++ 6.0 was used to implement medical case and biospecimen management, which was based on Client/Server model. This system can perform input, browse, inquest, summary of case and related biospecimen information, and can automatically synthesize case-records based on the database. Management of not only a long-term follow-up on individual, but also of grouped cases organized according to the aim of research can be achieved by the system. This system can improve the efficiency and quality of clinical researches while biospecimens are used coordinately. It realizes synthesized and dynamic management of medical case and biospecimen, which may be considered as a new management platform.

  17. Topic Time Series Analysis of Microblogs

    Science.gov (United States)

    2014-10-01

    may be distributed more globally. Tweets on a specific topic that cluster spatially, temporally or both might be of interest to analysts, marketers ...of $ and @, with the latter only in the case that it is the only character in the token (the @ symbol is significant in its usage by Instagram in...is generated by Instagram . Topic 80, Distance: 143.2101 Top words: 1. rawr 2. ˆ0ˆ 3. kill 4. jurassic 5. dinosaur Analysis: This topic is quite

  18. Topical report review status

    International Nuclear Information System (INIS)

    1982-08-01

    A Topical Report Review Status is scheduled to be published semi-annually. The primary purpose of this document is to provide periodic progress reports of on-going topical report reviews, to identify those topical reports for which the Nuclear Regulatory Commission (NRC) staff review has been completed and, to the extent practicable, to provide NRC management with sufficient information regarding the conduct of the topical report program to permit taking whatever actions deemed necessary or appropriate. This document is also intended to be a source of information to NRC Licensing Project Managers and other NRC personnel regarding the status of topical reports which may be referenced in applications for which they have responsibility. This status report is published primarily for internal NRC use in managing the topical report program, but is also used by NRC to advise the industry of report review status

  19. Topical report review status

    International Nuclear Information System (INIS)

    1983-01-01

    A Topical Report Review Status is scheduled to be published semi-annually. The primary purpose of this document is to provide periodic progress reports of on-going topical report reviews, to identify those topical reports for which the Nuclear Regulatory Commission (NRC) staff review has been completed and, to the extent practicable, to provide NRC management with sufficient information regarding the conduct of the topical report program to permit taking whatever actions deemed necessary or appropriate. This document is also intended to be a source of information to NRC Licensing Project Managers and other NRC personnel regarding the status of topical reports which may be referenced in applications for which they have responsibility. This status report is published primarily for internal NRC use in managing the topical report program, but is also used by NRC to advise the industry of report review status

  20. US Support Program Topical Meetings 1999 to 2008

    Energy Technology Data Exchange (ETDEWEB)

    Pepper,S.

    2008-06-10

    In 1999, the International Safeguards Project Office began organizing topical workshops to explore technical issues facing the International Atomic Energy Agency's Department of Safeguards. Representatives from IAEA member states including the United States, national laboratories and companies were invited to the workshops to discuss the technical issues. In some cases professional facilitators were hired to lead the discussions and in some cases business gaming techniques were employed. Since 1999, the following topics have been addressed Data Communication Technologies (1999), Information Security (2000), Design and Testing for High Reliability (2001), Standardization and Integration of Unattended and Remote Monitoring Systems (2002), Roadmapping: Surveillance (2003), IAEA Seals Technology Roadmapping Workshop (2004), Turning Information Into Knowledge (2004), Safeguards Tools of the Future (2005), and Advanced Sensors for Safeguards (2007). This paper will review the scope of the workshops and summarize their results.

  1. Comparison of efficacy combination oral terbinafine pulse-dosed and topical 8% ciclopirox olamine with terbinafine monotherapy for onychomycosis: An evidence-based case report

    Directory of Open Access Journals (Sweden)

    Marsha Bianti

    2017-08-01

    Full Text Available Background: Onychomycosis is a fungal infection of the nails, which manifested as nail discoloration, thickening, and detachment from the nail bed. It is not life-threatening, however inappropriate treatment of onychomycosis might lead to complications and affect the patient’s quality of life; making the management of the disease a challenge for clinicians. Objective: Investigate the efficacy of pulse-dosed oral terbinafine combined with topical 8% ciclopirox olamine to treat onychomycosis. Methods: Literature search was performed in Pubmed and Cochrane databases using the keywords 'combination' AND 'oral terbinafine' AND 'ciclopirox' AND ‘onychomycosis treatment’ along with their synonyms and related terms. Results and Discussion: After critical appraisal, studies by Avner et al. and Jaiswal et al. found to be valid, important, and applicable to the patient. The first study found that oral terbinafine combined with topical 8% ciclopirox olamine is more effective and safe compared to terbinafine as a monotherapy (p0.05. Conclusions: Oral terbinafine combined with topical 8% ciclopirox olamine is more effective than monotherapy, despite statistical irrelevance in one of the studies appraised. Further studies are needed to support the implementation of combination therapy.

  2. A Case Study of a Mixed Methods Study Engaged in Integrated Data Analysis

    Science.gov (United States)

    Schiazza, Daniela Marie

    2013-01-01

    The nascent field of mixed methods research has yet to develop a cohesive framework of guidelines and procedures for mixed methods data analysis (Greene, 2008). To support the field's development of analytical frameworks, this case study reflects on the development and implementation of a mixed methods study engaged in integrated data analysis.…

  3. Case-study application of venture analysis: the integrated energy utility. Volume 3. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Fein, E; Gordon, T J; King, R; Kropp, F G; Shuchman, H L; Stover, J; Hausz, W; Meyer, C

    1978-11-01

    The appendices for a case-study application of venture analysis for an integrated energy utility for commercialization are presented. The following are included and discussed: utility interviews; net social benefits - quantitative calculations; the financial analysis model; market penetration decision model; international district heating systems; political and regulatory environment; institutional impacts.

  4. Integrating ICT in Kenyan Secondary Schools: An Exploratory Case Study of a Professional Development Programme

    Science.gov (United States)

    Tondeur, Jo; Krug, Don; Bill, Mike; Smulders, Maaike; Zhu, Chang

    2015-01-01

    This study explores the introduction of Information and Communication Technology (ICT) in Kenyan secondary schools. Specifically, it is a case study of four schools with no previous access to ICT. The professional development programme from which data for this study were drawn was designed to support teachers learning to integrate ICT in the…

  5. Governing integration through sports. A case study of civil society involvement in welfare policy

    DEFF Research Database (Denmark)

    Agergaard, Sine; Michelsen la Cour, Annette

    2012-01-01

    governing techniques of the welfare state. To do so, a case study approach is applied. First of all, the article will describe the ways in which the issues of enhancing ethnic integration through sports is represented (thought of as a problem) by the involved public authorities and non-state actors using...

  6. Integrating EMDR into an evolutionary-based therapy for depression: a case study

    OpenAIRE

    Krupnik, Valery

    2015-01-01

    Key Clinical Message We present an intervention in a case of major depression, where eye movement desensitization and reprocessing (EMDR) therapy was integrated into an evolutionary-based psychotherapy for depression. At the end of the treatment and at follow up assessment we observed a more accepting disposition and decreased depressive but not anxiety symptoms.

  7. Integrating EMDR into an evolutionary-based therapy for depression: a case study

    Science.gov (United States)

    Krupnik, Valery

    2015-01-01

    Key Clinical Message We present an intervention in a case of major depression, where eye movement desensitization and reprocessing (EMDR) therapy was integrated into an evolutionary-based psychotherapy for depression. At the end of the treatment and at follow up assessment we observed a more accepting disposition and decreased depressive but not anxiety symptoms. PMID:25984310

  8. Evaluation of material integrity on electricity power steam generator cycles (turbine casing) component

    International Nuclear Information System (INIS)

    Histori; Benedicta; Farokhi; S A, Soedardjo; Triyadi, Ari; Natsir, M

    1999-01-01

    The evaluation of material integrity on power steam generator cycles component was done. The test was carried out on casing turbine which is made from Inconel 617. The tested material was taken from t anjung Priok plant . The evaluation was done by metallography analysis using microscope with magnification of 400. From the result, it is shown that the material grains are equiaxed

  9. Self-amputation of a healthy hand: a case of body integrity identity disorder.

    Science.gov (United States)

    Sorene, E D; Heras-Palou, C; Burke, F D

    2006-12-01

    A case report is presented of self-amputation of a healthy hand. We have reviewed the literature and seek to broaden the scope of understanding of Body Integrity Identity Disorder. This rare condition can constitute a pitfall for the unsuspecting hand surgeon.

  10. Development of a Sensor-Based Structural Integrity Measurement Technique for Potential Application to Missile Casings

    National Research Council Canada - National Science Library

    Triplett, M; Kess, H. R; Sundararaman, S; Shah, C. D; Adams, D. E; Walsh, S. M; Pergantis, C. G

    2006-01-01

    .... It is one of the first known efforts to integrate sensor data with structural analytic and numerical models to provide not only a location and history of adverse loading events, but also an estimate of stiffness degradation in the structural casing. S2 glass/epoxy composite cylinders were chosen because they provide an observable means of witnessing damage for correlation purposes.

  11. Improvement of risk assessment by integrating toxicological and epidemiological approaches: the case of isoflavones

    NARCIS (Netherlands)

    Islam, M.A.

    2015-01-01

    Improvement of risk assessment by integrating toxicological and epidemiological approaches: the case of isoflavones

    PhD-thesis Mohammed Ariful Islam

    This thesis describes the results of a research project that aimed at the improvement of

  12. Integrated flood disaster management and spatial information : Case studies of Netherlands and India

    NARCIS (Netherlands)

    Ghawana, T. (T.); Kaur, A. (A.); Neuvel, J.M.M. (J.M.M.); Ziatanova, Z. (Z.)

    2014-01-01

    Int. Arch. Photogramm. Remote Sens. Spatial Inf. Sci., XL-8, 147-154, 2014www.int-arch-photogramm-remote-sens-spatial-inf-sci.net/XL-8/147/2014/doi:10.5194/isprsarchives-XL-8-147-2014Integrated flood disaster management and spatial information: Case studies ofNetherlands and IndiaS. Zlatanova1, T.

  13. Integrating Entrepreneurship Education across University-Wide Curricula: The Case of Two Public Universities in Tanzania

    Science.gov (United States)

    Kalimasi, Perpetua Joseph; Herman, Chaya

    2016-01-01

    This qualitative case study explores the integration of entrepreneurship education (EE) across the curricula in two public universities in Tanzania. Based on Shapero's model of the entrepreneurial event, the feasibility and desirability of EE in the selected universities are analysed. In-depth interviews and document analysis were used for data…

  14. Integrated Markov-neural reliability computation method: A case for multiple automated guided vehicle system

    International Nuclear Information System (INIS)

    Fazlollahtabar, Hamed; Saidi-Mehrabad, Mohammad; Balakrishnan, Jaydeep

    2015-01-01

    This paper proposes an integrated Markovian and back propagation neural network approaches to compute reliability of a system. While states of failure occurrences are significant elements for accurate reliability computation, Markovian based reliability assessment method is designed. Due to drawbacks shown by Markovian model for steady state reliability computations and neural network for initial training pattern, integration being called Markov-neural is developed and evaluated. To show efficiency of the proposed approach comparative analyses are performed. Also, for managerial implication purpose an application case for multiple automated guided vehicles (AGVs) in manufacturing networks is conducted. - Highlights: • Integrated Markovian and back propagation neural network approach to compute reliability. • Markovian based reliability assessment method. • Managerial implication is shown in an application case for multiple automated guided vehicles (AGVs) in manufacturing networks

  15. Integrating solar PV (photovoltaics) in utility system operations: Analytical framework and Arizona case study

    International Nuclear Information System (INIS)

    Wu, Jing; Botterud, Audun; Mills, Andrew; Zhou, Zhi; Hodge, Bri-Mathias; Heaney, Mike

    2015-01-01

    A systematic framework is proposed to estimate the impact on operating costs due to uncertainty and variability in renewable resources. The framework quantifies the integration costs associated with sub-hourly variability and uncertainty as well as day-ahead forecasting errors in solar PV (photovoltaics) power. A case study illustrates how changes in system operations may affect these costs for a utility in the southwestern United States (Arizona Public Service Company). We conduct an extensive sensitivity analysis under different assumptions about balancing reserves, system flexibility, fuel prices, and forecasting errors. We find that high solar PV penetrations may lead to operational challenges, particularly during low-load and high solar periods. Increased system flexibility is essential for minimizing integration costs and maintaining reliability. In a set of sensitivity cases where such flexibility is provided, in part, by flexible operations of nuclear power plants, the estimated integration costs vary between $1.0 and $4.4/MWh-PV for a PV penetration level of 17%. The integration costs are primarily due to higher needs for hour-ahead balancing reserves to address the increased sub-hourly variability and uncertainty in the PV resource. - Highlights: • We propose an analytical framework to estimate grid integration costs for solar PV. • Increased operating costs from variability and uncertainty in solar PV are computed. • A case study of a utility in Arizona is conducted. • Grid integration costs are found in the $1.0–4.4/MWh range for a 17% PV penetration. • Increased system flexibility is essential for minimizing grid integration costs

  16. A pre-feasibility case study on integrated resource planning including renewables

    International Nuclear Information System (INIS)

    Yilmaz, Pelin; Hakan Hocaoglu, M.; Konukman, Alp Er S.

    2008-01-01

    In recent years, economical and environmental constraints force governments and energy policy decision-makers to change the prominent characteristics of the electricity markets. Accordingly, depending on local conditions on the demand side, usage of integrated resource planning approaches in conjunction with renewable technologies has gained more importance. In this respect, an integrated resource planning option, which includes the design and optimization of grid-connected renewable energy plants, should be evaluated to facilitate a cost-effective and green solution to a sustainable future. In this paper, an integrated resource planning case is studied for an educational campus, located in Gebze, Turkey. It is found that for the considered campus, the integrated resource planning scenario that includes renewables as a supply-side option with existing time-of-use tariff may provide a cost-effective energy production, particularly for the high penetration level of the renewables

  17. Automated granularity to integrate digital information: the "Antarctic Treaty Searchable Database" case study

    Directory of Open Access Journals (Sweden)

    Paul Arthur Berkman

    2006-06-01

    Full Text Available Access to information is necessary, but not sufficient in our digital era. The challenge is to objectively integrate digital resources based on user-defined objectives for the purpose of discovering information relationships that facilitate interpretations and decision making. The Antarctic Treaty Searchable Database (http://aspire.nvi.net, which is in its sixth edition, provides an example of digital integration based on the automated generation of information granules that can be dynamically combined to reveal objective relationships within and between digital information resources. This case study further demonstrates that automated granularity and dynamic integration can be accomplished simply by utilizing the inherent structure of the digital information resources. Such information integration is relevant to library and archival programs that require long-term preservation of authentic digital resources.

  18. Topics to study the integrated use of natural gas in the electricity with industrial focus: a methodology for optimizing its use with application in the Vale do Paraiba region (SP-Brazil); Topicos para o estudo da utilizacao integrada do gas natural na eletricidade com enfoque industrial: uma metodologia para otimizacao de seu aproveitamento com aplicacao na regiao do Vale do Paraiba

    Energy Technology Data Exchange (ETDEWEB)

    Paro, Andre C.; Borelli, Samuel J.S. [PROMON Engenharia SA, Sao Paulo, SP (Brazil); Santos, Edmilson M. [Universidade de Sao Paulo (USP), SP (Brazil). Inst. de Eletrotecnica e Energia; Fadigas, Eliane A. [Universidade de Sao Paulo (USP), SP (Brazil). Escola Politecnica

    2004-07-01

    After the recent announcement on the discovery of a large amount of Natural Gas (NG) in the Santos Field by PETROBRAS, use incentive policies for its consumption and consequent growth participation in the national energy matrix gained strength This paper intends to present an efficient use optimization methodology for the NG integrated to Electricity with focus on it's industrial use under the concepts of Integrated Resources Planning (IRP). Thus, the topics about NG utilization in cogeneration plants are analyzed, showing it's utilization on Electric Energy (EE) and Process Heat (Steam) supply. Its contribution to the distributed Electric Energy generation, which brings the installed generation power closer to the consumer centers and mitigates energy transmission losses, are also presented. The IRP concept is applied on the integration between industrial use and other uses of NG and on the detailing of its influence on the electric sector. Finally, a case study is presented, applying the presented methodology for the use of NG in the industry of 'Vale do Paraiba' Region (SP-Brazil), due to its industrial economy condition and easy access to the Brazilian proved reserves geographic condition. (author)

  19. PREFACE: CEWQO Topical Issue CEWQO Topical Issue

    Science.gov (United States)

    Bozic, Mirjana; Man'ko, Margarita

    2009-09-01

    This topical issue of Physica Scripta collects selected peer-reviewed contributions based on invited and contributed talks and posters presented at the 15th Central European Workshop on Quantum Optics (CEWQO) which took place in Belgrade 29 May-3 June 2008 (http://cewqo08.phy.bg.ac.yu). On behalf of the whole community took place in Belgrade 29 May-3 June 2008 (http://cewqo08.phy.bg.ac.yu, cewqo08.phy.bg.ac.yu). On behalf of the whole community of the workshop, we thank the referees for their careful reading and useful suggestions which helped to improve all of the submitted papers. A brief description of CEWQO The Central European Workshop on Quantum Optics is a series of conferences started informally in Budapest in 1992. Sometimes small events transform into important conferences, as in the case of CEWQO. Professor Jozsef Janszky, from the Research Institute of Solid State Physics and Optics, is the founder of this series. Margarita Man'ko obtained the following information from Jozsef Janszky during her visit to Budapest, within the framework of cooperation between the Russian and Hungarian Academies of Sciences in 2005. He organized a small workshop on quantum optics in Budapest in 1992 with John Klauder as a main speaker. Then, bearing in mind that a year before Janszky himself was invited by Vladimir Buzek to give a seminar on the same topic in Bratislava, he decided to assign the name 'Central European Workshop on Quantum Optics', considering the seminar in Bratislava to be the first workshop and the one in Budapest the second. The third formal workshop took place in Bratislava in 1993 organized by Vladimir Buzek, then in 1994 (Budapest, by Jozsef Janszky), 1995 and 1996 (Budmerice, Slovakia, by Vladimir Buzek), 1997 (Prague, by Igor Jex), 1999 (Olomouc, Czech Republic, by Zdenek Hradil), 2000 (Balatonfüred, Hungary, by Jozsef Janszky ), 2001 (Prague, by Igor Jex), 2002 (Szeged, Hungary, by Mihaly Benedict), 2003 (Rostock,Germany, by Werner Vogel and

  20. Evolution of Integrated Open Aquaculture Systems in Hungary: Results from a Case Study

    Directory of Open Access Journals (Sweden)

    József Popp

    2018-01-01

    Full Text Available This article presents the history of integrated farming in aquaculture through a Hungarian case study. The development of Hungarian integrated aquaculture is aligned with global trends. In the previous millennium, the utilization of the nutrients introduced into the system was the main aspect of the integration. In Hungary, technologies that integrated fish production with growing crops and animal husbandry appeared, including for example: large-scale fish-cum-rice production; fish-cum-duck production; and integrated pig-fish farming which were introduced in the second half of the 20th century. Today, the emphasis is on integrating the use of the kind of feed where the main goal is to minimize nutrient loads in the surrounding natural ecosystems and to maximize the utilization of the unit’s water resources. The various modern integrated freshwater aquaculture systems, such as intensive fish production combined with wetland, recirculation aquaculture system and multi-functional aquaculture, have proved their viability. However, the future opportunities for these systems have not always been properly recognized and acknowledged when the future of European aquaculture is discussed.

  1. INTEGRATED WATERSHED MANAGEMENT: PRINCIPLES AND PRACTICE. Book Review

    Science.gov (United States)

    Through a wide range of information and topics, Integrated Watershed Management Principles and Practice shows how involved the watershed management planning process can be. The book is informative, and the author obviously has researched the subject thoroughly. The book's case...

  2. Integration of informal recycling sector in Brazil and the case of Sorocaba City.

    Science.gov (United States)

    Silva de Souza Lima, Nathalia; Mancini, Sandro Donnini

    2017-07-01

    Catadores are people who collect and sell materials that can be recycled. This activity has been done informally in many countries for years. Recently, a recognition process has begun for the informal recycling sector, with public and private initiatives. In Brazil, catadores started out associating with each other in co-operatives in the 1980s. In 2010, the Solid Waste National Policy was approved, promoting the inclusion of theses co-operatives in the formal waste management system. However, only in 25 out of 5670 Brazilian municipalities have hired co-operatives as Private Service Providers. The integration of the informal sector has contributed with social, economic and environmental benefits; income generation, reduction of poverty and resource preservation are highlights. Although there was a legal progress, there are great challenges for various actors involved. This paper aims to diagnose the informal recycling sector, emphasizing the integration process that has happened in Brazil. For this, a substantial literature review and a case study were conducted, applying the tool 'InteRa' to the case of Sorocaba. The case showed that it is possible to improve the integration of catadores in the formal waste management system. The co-operatives achieve recycling rates of 2%, higher than the official national rate of 1%. However, we estimate that autonomous pickers increase total recycling in Sorocaba to 9%, still short of the 25% target via source segregation. Therefore, continuing the integration process will benefit both the pickers, and also the municipality through savings on landfill costs.

  3. Identifying Topics in Microblogs Using Wikipedia.

    Directory of Open Access Journals (Sweden)

    Ahmet Yıldırım

    Full Text Available Twitter is an extremely high volume platform for user generated contributions regarding any topic. The wealth of content created at real-time in massive quantities calls for automated approaches to identify the topics of the contributions. Such topics can be utilized in numerous ways, such as public opinion mining, marketing, entertainment, and disaster management. Towards this end, approaches to relate single or partial posts to knowledge base items have been proposed. However, in microblogging systems like Twitter, topics emerge from the culmination of a large number of contributions. Therefore, identifying topics based on collections of posts, where individual posts contribute to some aspect of the greater topic is necessary. Models, such as Latent Dirichlet Allocation (LDA, propose algorithms for relating collections of posts to sets of keywords that represent underlying topics. In these approaches, figuring out what the specific topic(s the keyword sets represent remains as a separate task. Another issue in topic detection is the scope, which is often limited to specific domain, such as health. This work proposes an approach for identifying domain-independent specific topics related to sets of posts. In this approach, individual posts are processed and then aggregated to identify key tokens, which are then mapped to specific topics. Wikipedia article titles are selected to represent topics, since they are up to date, user-generated, sophisticated articles that span topics of human interest. This paper describes the proposed approach, a prototype implementation, and a case study based on data gathered during the heavily contributed periods corresponding to the four US election debates in 2012. The manually evaluated results (0.96 precision and other observations from the study are discussed in detail.

  4. Identifying Topics in Microblogs Using Wikipedia.

    Science.gov (United States)

    Yıldırım, Ahmet; Üsküdarlı, Suzan; Özgür, Arzucan

    2016-01-01

    Twitter is an extremely high volume platform for user generated contributions regarding any topic. The wealth of content created at real-time in massive quantities calls for automated approaches to identify the topics of the contributions. Such topics can be utilized in numerous ways, such as public opinion mining, marketing, entertainment, and disaster management. Towards this end, approaches to relate single or partial posts to knowledge base items have been proposed. However, in microblogging systems like Twitter, topics emerge from the culmination of a large number of contributions. Therefore, identifying topics based on collections of posts, where individual posts contribute to some aspect of the greater topic is necessary. Models, such as Latent Dirichlet Allocation (LDA), propose algorithms for relating collections of posts to sets of keywords that represent underlying topics. In these approaches, figuring out what the specific topic(s) the keyword sets represent remains as a separate task. Another issue in topic detection is the scope, which is often limited to specific domain, such as health. This work proposes an approach for identifying domain-independent specific topics related to sets of posts. In this approach, individual posts are processed and then aggregated to identify key tokens, which are then mapped to specific topics. Wikipedia article titles are selected to represent topics, since they are up to date, user-generated, sophisticated articles that span topics of human interest. This paper describes the proposed approach, a prototype implementation, and a case study based on data gathered during the heavily contributed periods corresponding to the four US election debates in 2012. The manually evaluated results (0.96 precision) and other observations from the study are discussed in detail.

  5. Plagiarism, Cheating and Research Integrity: Case Studies from a Masters Program in Peru.

    Science.gov (United States)

    Carnero, Andres M; Mayta-Tristan, Percy; Konda, Kelika A; Mezones-Holguin, Edward; Bernabe-Ortiz, Antonio; Alvarado, German F; Canelo-Aybar, Carlos; Maguiña, Jorge L; Segura, Eddy R; Quispe, Antonio M; Smith, Edward S; Bayer, Angela M; Lescano, Andres G

    2017-08-01

    Plagiarism is a serious, yet widespread type of research misconduct, and is often neglected in developing countries. Despite its far-reaching implications, plagiarism is poorly acknowledged and discussed in the academic setting, and insufficient evidence exists in Latin America and developing countries to inform the development of preventive strategies. In this context, we present a longitudinal case study of seven instances of plagiarism and cheating arising in four consecutive classes (2011-2014) of an Epidemiology Masters program in Lima, Peru, and describes the implementation and outcomes of a multifaceted, "zero-tolerance" policy aimed at introducing research integrity. Two cases involved cheating in graded assignments, and five cases correspond to plagiarism in the thesis protocol. Cases revealed poor awareness of high tolerance to plagiarism, poor academic performance, and widespread writing deficiencies, compensated with patchwriting and copy-pasting. Depending on the events' severity, penalties included course failure (6/7) and separation from the program (3/7). Students at fault did not engage in further plagiarism. Between 2011 and 2013, the Masters program sequentially introduced a preventive policy consisting of: (i) intensified research integrity and scientific writing education, (ii) a stepwise, cumulative writing process; (iii) honor codes; (iv) active search for plagiarism in all academic products; and (v) a "zero-tolerance" policy in response to documented cases. No cases were detected in 2014. In conclusion, plagiarism seems to be widespread in resource-limited settings and a greater response with educational and zero-tolerance components is needed to prevent it.

  6. The integration of occupational therapy into primary care: a multiple case study design

    Science.gov (United States)

    2013-01-01

    Background For over two decades occupational therapists have been encouraged to enhance their roles within primary care and focus on health promotion and prevention activities. While there is a clear fit between occupational therapy and primary care, there have been few practice examples, despite a growing body of evidence to support the role. In 2010, the province of Ontario, Canada provided funding to include occupational therapists as members of Family Health Teams, an interprofessional model of primary care. The integration of occupational therapists into this model of primary care is one of the first large scale initiatives of its kind in North America. The objective of the study was to examine how occupational therapy services are being integrated into primary care teams and understand the structures supporting the integration. Methods A multiple case study design was used to provide an in-depth description of the integration of occupational therapy. Four Family Health Teams with occupational therapists as part of the team were identified. Data collection included in-depth interviews, document analyses, and questionnaires. Results Each Family Health Team had a unique organizational structure that contributed to the integration of occupational therapy. Communication, trust and understanding of occupational therapy were key elements in the integration of occupational therapy into Family Health Teams, and were supported by a number of strategies including co-location, electronic medical records and team meetings. An understanding of occupational therapy was critical for integration into the team and physicians were less likely to understand the occupational therapy role than other health providers. Conclusion With an increased emphasis on interprofessional primary care, new professions will be integrated into primary healthcare teams. The study found that explicit strategies and structures are required to facilitate the integration of a new professional group

  7. An approach for integrating toxicogenomic data in risk assessment: The dibutyl phthalate case study

    Energy Technology Data Exchange (ETDEWEB)

    Euling, Susan Y., E-mail: euling.susan@epa.gov [National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, Washington, DC (United States); Thompson, Chad M. [ToxStrategies, Inc., 23501 Cinco Ranch Blvd., Suite G265, Katy, TX 77494 (United States); Chiu, Weihsueh A. [National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, Washington, DC (United States); Benson, Robert [U.S. Environmental Protection Agency, Region 8, Mail code 8P-W, 1595 Wynkoop Street, Denver, CO 80202 (United States)

    2013-09-15

    An approach for evaluating and integrating genomic data in chemical risk assessment was developed based on the lessons learned from performing a case study for the chemical dibutyl phthalate. A case study prototype approach was first developed in accordance with EPA guidance and recommendations of the scientific community. Dibutyl phthalate (DBP) was selected for the case study exercise. The scoping phase of the dibutyl phthalate case study was conducted by considering the available DBP genomic data, taken together with the entire data set, for whether they could inform various risk assessment aspects, such as toxicodynamics, toxicokinetics, and dose–response. A description of weighing the available dibutyl phthalate data set for utility in risk assessment provides an example for considering genomic data for future chemical assessments. As a result of conducting the scoping process, two questions—Do the DBP toxicogenomic data inform 1) the mechanisms or modes of action?, and 2) the interspecies differences in toxicodynamics?—were selected to focus the case study exercise. Principles of the general approach include considering the genomics data in conjunction with all other data to determine their ability to inform the various qualitative and/or quantitative aspects of risk assessment, and evaluating the relationship between the available genomic and toxicity outcome data with respect to study comparability and phenotypic anchoring. Based on experience from the DBP case study, recommendations and a general approach for integrating genomic data in chemical assessment were developed to advance the broader effort to utilize 21st century data in risk assessment. - Highlights: • Performed DBP case study for integrating genomic data in risk assessment • Present approach for considering genomic data in chemical risk assessment • Present recommendations for use of genomic data in chemical risk assessment.

  8. Topics in computational linear optimization

    DEFF Research Database (Denmark)

    Hultberg, Tim Helge

    2000-01-01

    Linear optimization has been an active area of research ever since the pioneering work of G. Dantzig more than 50 years ago. This research has produced a long sequence of practical as well as theoretical improvements of the solution techniques avilable for solving linear optimization problems...... of high quality solvers and the use of algebraic modelling systems to handle the communication between the modeller and the solver. This dissertation features four topics in computational linear optimization: A) automatic reformulation of mixed 0/1 linear programs, B) direct solution of sparse unsymmetric...... systems of linear equations, C) reduction of linear programs and D) integration of algebraic modelling of linear optimization problems in C++. Each of these topics is treated in a separate paper included in this dissertation. The efficiency of solving mixed 0-1 linear programs by linear programming based...

  9. Clinical case in digital technology for nursing students' learning: An integrative review.

    Science.gov (United States)

    Hara, Cristina Yuri Nakata; Aredes, Natália Del Angelo; Fonseca, Luciana Mara Monti; Silveira, Renata Cristina de Campos Pereira; Camargo, Rosangela Andrade Aukar; de Goes, Fernanda Santos Nogueira

    2016-03-01

    This review aimed to analyze the available evidences in literature about clinical case studies inserted in digital technologies for nursing education, characterizing the technology resources and cognitive, procedural and attitudinal learnings. Integrative review of literature with the following steps: development of the research problem, data collection, data extraction and critic evaluation, data analysis and interpretation and presentation of results. The research question was: how does the clinical case study inserted in educational digital technology collaborate for cognitive, attitudinal and procedural learning of nursing students? data bases LILACS, PUBMED, CINAHL and Scopus. the search resulted in 437 studies: 136 from LILACS, 122 from PUBMED, 104 from Scopus and 75 from CINAHL. Of these, 143 did not meet the including criteria, 93 were duplicated and four studies were unavailable. After analyzing all abstracts based on inclusion and exclusion criteria, there were selected 197 studies and after full text analysis the final sample resulted in 21 primary studies. Case study use in educational digital technologies allowed the students to build different types of learning: cognitive learning (n 16 studies), attitudinal learning (n=12 studies) and procedural learning (n=8 studies). It is possible to conclude that case studies can collaborate with the students to develop different learnings which can be built integrate, continuous, informative and formative, aiming integral formation and aligned to policies of formation in nursing, both national and international. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Towards Integrated Team Practice: A Case of Malaysian Industrialised Building System (IBS Construction Projects

    Directory of Open Access Journals (Sweden)

    Mohd Nawi Mohd Nasrun

    2014-01-01

    Full Text Available Problems associated with fragmentation in the traditional construction process, such as isolation of professionals, lack of co-ordination between design and construction, and the sequential manner of its processes, has impacted on construction performance leading to a lack of integration, wastage, low productivity and efficiency. Integrated team practice is perceived as paramount. Unfortunately, there has a limitation of study focus on the dimension of fully integrated team especially for Malaysian Industrialised Building System (IBS projects. Accordingly, this research paper explores and identifies the dimension of fully integrated team from the traditional approach and conduct a validation process for implementing it in Malaysian IBS projects. The research presented uses interviews case study to obtain qualitative data. It was found that the dimension of fully integrated team from the traditional construction process could apply to the Malaysian IBS projects. Suggestions on how an integrated team practice in IBS design and construction process in order to minimise the fragmentation gaps will be concluded.

  11. Quantifying an Integral Ecology Framework: A Case Study of the Riverina, Australia

    Science.gov (United States)

    Wheeler, Sarah A.; Haensch, Juliane; Edwards, Jane; Schirmer, Jackie; Zuo, Alec

    2018-02-01

    Communities in Australia's Murray-Darling Basin face the challenge of trying to achieve social, economic, and environmental sustainability; but experience entrenched conflict about the best way to achieve a sustainable future, especially for small rural communities. Integral ecology is a philosophical concept that seeks to address community, economic, social, and environmental sustainability simultaneously. Its inclusive processes are designed to reduce stakeholder conflict. However, to date the application of the integral ecology concept has been largely qualitative in nature. This study developed a quantitative integral ecology framework, and applied this framework to a case study of the Riverina, in the Murray-Darling Basin. Seventy-seven community-focused initiatives were assessed, ranked, and quantified. The majority of the community-focused ranked initiatives did not exhibit all aspects of integral ecology. Initiatives typically prioritized either (1) economic and community development or (2) environmental health; rarely both together. The integral ecology framework developed here enables recommendations on future community initiatives and may provide a pathway for community leaders and other policy-makers to more readily apply integral ecology objectives. Further research refining the framework's operationalization, application and implementation to a wider-scale may enhance communities' capacity to develop and grow sustainably.

  12. Environmental integrated impact assessment for waste treatment activity: methodology and case-study application

    International Nuclear Information System (INIS)

    Lonati, G.; Panzeri, A.

    2008-01-01

    A literature method for the environmental integrated impact assessment, according to the IPPC Directive, has been critically analysed and adjusted in order to be used for the environmental performance assessment of waste treatment activities. The assessment parameters, sorted in eight treatment and combined pollution categories, have been partly redefined and re balanced. The adjusted methodology has been applied to a real case-study, a chemical- physical waste treatment plant, in order to calculate the current performance (Actual Integrated Index) and the ideal performance (Actual Integrated Index) achievable by technical and operational improvements. The adjusted methodology has also been used as a decision support system, in order to estimate the value of the expected environmental performances improvement after the execution achievable from the introduction of a single one or a set of improvement actions. The valuation of the Integrated Index percentage reduction, along with the action achievable, made the best actions able to be identified, both in comparative way and in the cost-effective one. The results, 50 as Effective Integrated Index and 42 as Ideal Integrated Index, in a 10-100 scale, show a medium impact level and point out an appreciable improvement margin on all the environmental performances, especially in air emission control and water consumption [it

  13. On the Coplanar Integrable Case of the Twice-Averaged Hill Problem with Central Body Oblateness

    Science.gov (United States)

    Vashkov'yak, M. A.

    2018-01-01

    The twice-averaged Hill problem with the oblateness of the central planet is considered in the case where its equatorial plane coincides with the plane of its orbital motion relative to the perturbing body. A qualitative study of this so-called coplanar integrable case was begun by Y. Kozai in 1963 and continued by M.L. Lidov and M.V. Yarskaya in 1974. However, no rigorous analytical solution of the problem can be obtained due to the complexity of the integrals. In this paper we obtain some quantitative evolution characteristics and propose an approximate constructive-analytical solution of the evolution system in the form of explicit time dependences of satellite orbit elements. The methodical accuracy has been estimated for several orbits of artificial lunar satellites by comparison with the numerical solution of the evolution system.

  14. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    Science.gov (United States)

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The hospital must insure the CMMS project provides a means to implement an integrated on-line hospital information data base for use by departments in operating under a DRG-based Prospective Payment System. This paper presents guidelines for use in selecting a Case Mix Mangement System to meet the hospital's financial and operations planning, budgeting, marketing, and other management needs, while considering the data base implications of the implementation.

  15. Fire protection system management in nuclear facilities: strengthening factor of integrated management system - a case study

    International Nuclear Information System (INIS)

    Santos, Joao Regis dos

    2005-01-01

    The present study investigated and analyzed the importance of a system of integrated safety manage, environment and health in a nuclear installation, having as perspective, the fire protection manage. The inquiry was made using a qualitative research involving a case study, where the considered environment was the Reconversion and UO 2 Plant of the Industrias Nucleares do Brasil (INB), located in Resende, Rio de Janeiro and the studied population, the managers and the staff directly involved with the aspects related to the safety of the industrial complex of the related company. The motivation for the research was the search of a bigger interaction of the questions related to the safety, environment and health in the nuclear industry having, as axle of the investigation, the fire protection. As a result, it was observed that in a nuclear installation, although dealing with diversified safety processes, integration is possible and necessary, since there are more reasons for integration than otherwise. (author)

  16. Topological features of the Sokolov integrable case on the Lie algebra so(3,1)

    International Nuclear Information System (INIS)

    Novikov, D V

    2014-01-01

    The integrable Sokolov case on so(3,1) ⋆ is investigated. This is a Hamiltonian system with two degrees of freedom, in which the Hamiltonian and the additional integral are homogeneous polynomials of degrees 2 and 4, respectively. It is an interesting feature of this system that connected components of common level surfaces of the Hamiltonian and the additional integral turn out to be noncompact. The critical points of the moment map and their indices are found, the bifurcation diagram is constructed, and the topology of noncompact level surfaces is determined, that is, the closures of solutions of the Sokolov system on so(3,1) are described. Bibliography: 24 titles

  17. [Coordination between pharmaceutical services for integrated pharmacotherapy: the case of Catalonia].

    Science.gov (United States)

    Costa, Karen Sarmento; Goldbaum, Moisés; Guayta-Escolies, Rafel; Modamio, Pilar; Mariño, Eduardo Luis; Tolsá, José Luis Segú

    2017-08-01

    Pharmaceutical policies have been considered strategies to contribute to the guarantee of care coordination and clinical integration. This study sought to describe the pharmaceutical services developed at different levels of care in the health network in Catalonia, as well as to identify and analyze the mechanisms and instruments that act as facilitators and/or barriers to the coordination of pharmacotherapy. This is a descriptive study of 12 cases of hospital pharmacy services, primary care and community pharmacies. Advances related to the perception, formalization and clinical and assistance coordination of the pharmaceutical services were identified. However, weaknesses and potential improvements in coordination were observed. The conclusion drawn was that the different tools and instruments implemented appear to facilitate a greater possibility of integration between pharmaceutical services and the latter with the health services network to contribute to integrated pharmacotherapy.

  18. Diclofenac Topical (osteoarthritis pain)

    Science.gov (United States)

    ... gel (Voltaren) is used to relieve pain from osteoarthritis (arthritis caused by a breakdown of the lining ... Diclofenac topical liquid (Pennsaid) is used to relieve osteoarthritis pain in the knees. Diclofenac is in a ...

  19. Diclofenac Topical (actinic keratosis)

    Science.gov (United States)

    ... topical gel (Solaraze) is used to treat actinic keratosis (flat, scaly growths on the skin caused by ... The way diclofenac gel works to treat actinic keratosis is not known.Diclofenac is also available as ...

  20. Topics in Nuclear Astrophysics

    International Nuclear Information System (INIS)

    Chung, K.C.

    1982-01-01

    Some topics in nuclear astrophysics are discussed, e.g.: highly evolved stellar cores, stellar evolution (through the temperature analysis of stellar surface), nucleosynthesis and finally the solar neutrino problem. (L.C.) [pt

  1. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    OpenAIRE

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The h...

  2. IEA Wind Task 24 Integration of Wind and Hydropower Systems; Volume 2: Participant Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Acker, T.

    2011-12-01

    This report describes the background, concepts, issues and conclusions related to the feasibility of integrating wind and hydropower, as investigated by the members of IEA Wind Task 24. It is the result of a four-year effort involving seven IEA member countries and thirteen participating organizations. The companion report, Volume 2, describes in detail the study methodologies and participant case studies, and exists as a reference for this report.

  3. Academic writing for business students: a case for a content and language integrated approach

    OpenAIRE

    Van Houtven, Tine; Kerkhofs, Goele; Peters, Elke

    2012-01-01

    Research has shown that many students (Dutch L1/L2) do not meet academic language requirements upon entering Flemish higher education (Peters, Van Houtven, El Morabit, 2010). Many universities feel compelled to help their first-year students bridge the gap between secondary and tertiary education. This paper reports on a case study at the Integrated Faculty of Business and Economics of the University of Leuven that investigated how a language-sensitive instructional approach could improve bus...

  4. Integrative harm reduction psychotherapy: a case of substance use, multiple trauma, and suicidality.

    Science.gov (United States)

    Tatarsky, Andrew; Kellogg, Scott

    2010-02-01

    Harm reduction is a new paradigm that seeks to reduce the harmful consequences of substance use and other risky behaviors without requiring abstinence. This article discusses integrative harm reduction psychotherapy, one application of harm reduction principles to psychotherapy. Seven therapeutic tasks are described with attention to clinical process, skills, and strategies. A case is presented that illustrates the application of this approach with life-threatening substance use that was related to multiple trauma and suicidal depression. (c) 2010 Wiley Periodicals, Inc.

  5. Providing Power Supply to Other Use Cases Integrated in the System of Public Lighting

    OpenAIRE

    Perko, Jurica; Topić, Danijel; Šljivac, Damir

    2017-01-01

    Smart city is an attractive way of making the city more livable through intelligent solutions that are enabled by information and communication technology. Regarding the lighting system, it achieves the perfect balance between beautiful city ambience and preserving the darkness that makes cities more livable. As a smart city component, a public lighting system offers much more than light itself. Integration of other use cases has given a new dimension to the public lighting system in visual a...

  6. Practitioner survey of the state of health integration in environmental assessment: The case of northern Canada

    International Nuclear Information System (INIS)

    Noble, Bram; Bronson, Jackie

    2006-01-01

    Based on a case study of health integration in Canadian northern EA, this paper further demonstrates the lack of consistent integration of health in EA practice. A survey was administered to northern EA and health practitioners, administrators and special interest groups to assess current northern health assessment practices, the scope of health in EA, EA performance with regard to health assessment and the perceived barriers to health integration. Results suggest that health is currently recognized as an important component of northern EA and is addressed in the majority of cases; however, health is addressed primarily during the pre-decision stages of EA and less often during post-decision follow-up and monitoring. Moreover, when health is addressed, attention is limited to the physical components of health and health impacts due to physical environmental change, with considerably less attention given to the social aspects of health. Results also suggest dissent between EA practitioners, health practitioners and other interests concerning the overall state of health in EA; however, there is consensus on the key challenges to improved integration, namely differences in understanding of the scope of health and expectations of EA to assess health impacts; limited coordination between EA and health practitioners; limited scope and requirements of current EA legislation for health assessment; and the lack of supporting EA methods and frameworks

  7. Integrated catchment modelling within a strategic planning and decision making process: Werra case study

    Science.gov (United States)

    Dietrich, Jörg; Funke, Markus

    Integrated water resources management (IWRM) redefines conventional water management approaches through a closer cross-linkage between environment and society. The role of public participation and socio-economic considerations becomes more important within the planning and decision making process. In this paper we address aspects of the integration of catchment models into such a process taking the implementation of the European Water Framework Directive (WFD) as an example. Within a case study situated in the Werra river basin (Central Germany), a systems analytic decision process model was developed. This model uses the semantics of the Unified Modeling Language (UML) activity model. As an example application, the catchment model SWAT and the water quality model RWQM1 were applied to simulate the effect of phosphorus emissions from non-point and point sources on water quality. The decision process model was able to guide the participants of the case study through the interdisciplinary planning and negotiation of actions. Further improvements of the integration framework include tools for quantitative uncertainty analyses, which are crucial for real life application of models within an IWRM decision making toolbox. For the case study, the multi-criteria assessment of actions indicates that the polluter pays principle can be met at larger scales (sub-catchment or river basin) without significantly compromising cost efficiency for the local situation.

  8. Two-Port Pars Plana Anterior and Central Core Vitrectomy (Lam Floaterectomy) in Combination With Phacoemulsification and Intraocular Lens Implantation Under Topical Anesthesia for Patients with Cataract and Significant Floaters: Results of the First 50 Consecutive Cases.

    Science.gov (United States)

    Lam, Dennis S C; Leung, Hiu Ying; Liu, Shu; Radke, Nishant; Yuan, Ye; Lee, Vincent Y W

    2017-01-01

    To study the safety and efficacy of 2-port pars plana anterior and central core vitrectomy (Lam floaterectomy) in combination with phacoemulsification (phaco) and intraocular lens implantation (IOL) for patients with cataract and significant floaters under topical anesthesia. Retrospective review of the first 50 consecutive cases. A standardized treatment protocol was used for patients with cataract and significant (moderate to severe) floaters (duration > 3 months). Data analysis included intraoperative and postoperative complications, floater status, and patient satisfaction. There were 50 eyes (38 patients) with a male-to-female ratio of 1 to 2.3. Twelve patients had bilateral eye surgeries. Mean age was 58.10 ± 9.85 years (range, 39-83). All patients completed the 3-month follow-up. One eye had mild vitreous hemorrhage at the end of surgery arising from sclerotomy wound oozing. No other intraoperative compli-cations were encountered. Postoperatively, there was 1 case of transient hypotony and 1 case of congestion at sclerotomy wound. No cases of retinal break or detachment, or clinically significant macular edema, were reported. There were 5 cases (10%) of mild residual floaters and 1 case (2%) of floater recurrence. Total floater clearance rate was 88%. Patient satisfaction rates were 80%, 14%, 6%, and 0% for very satisfied, satis-fied, acceptable, and unsatisfied, respectively. The 3-month results in terms of safety and efficacy of the Lam floaterectomy in combination with phaco and IOLfor patients with cataract and significant floaters under topical anesthesia are encouraging. Further larger-scale, prospective, multicenter studies seem warranted. Copyright© 2017 Asia-Pacific Academy of Ophthalmology.

  9. A case report for differential diagnosis: Integrative medicine vs child abuse.

    Science.gov (United States)

    Ribeiro, Cristina Silveira; Rodrigues, Fernanda; Ribeiro, Catarina; Magalhães, Teresa

    2010-11-01

    The authors present the case of a ten-year-old Chinese boy who was taken to a hospital due to the presence of suspicious bruises on his body. The child was examined in the National Institute of Legal Medicine by forensic doctors and a forensic psychologist. Clinical characteristics of the case are summarized stressing that a better understanding of some kinds of integrative medicine (IM) may help to differentiate injuries resulting from those practices. This is the only and unique case diagnosed by the medico-legal services in Portugal. In fact a great range of IM practice has the potential to create confusion in the diagnosis of physical child abuse. This study focuses on the differential diagnosis of one specific kind of frequent skin injury usually seen in situations of both child abuse and IM (in this case TuiNa) - bruises. As the number of people who practice Traditional Chinese Medicine and other forms of IM increases in the Western world, the child protection community would benefit from familiarizing itselves with these practices to prevent social and/or legal conflicts that may arise from mistaken diagnoses of abuse. The objective of this case report is to emphasize the relevance of comprehensive and interdisciplinary evaluation of child abuse cases taking into account the specifics of each case, to achieve a proper diagnosis. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  10. Integrating biodefense topics into secondary education curriculum

    Science.gov (United States)

    Dalfrey, Karen E.

    Concerns about threats posed by microorganisms found in nature are compounded with the possibility for intentional dissemination. Our vulnerability has increased due to more frequent travel between geographical regions, newly emerging pathogens, changes in terrorist activities, and advances in biotechnology. To increase awareness and global preparedness for threats posed by biological agents, educators need to have access to training and materials to educate the next generation in these issues. To assess what approach would provide educators with the tools necessary to incorporate biodefense related content into their current curricula, secondary education science teachers were surveyed about factors limiting the content of curricula presented in their courses. Results indicate that the most influential barriers to curricula change are time limitations and state mandated exam pressures. Analysis measuring differences in survey responses between two groups of teachers who are separated based on their level of using mandated state objectives to guide their curricula planning indicates that pressures of state mandated exam scores and a general fear of unsuccessful results are determinants for separating teachers into one of these two groups. A teacher training workshop conducive to supporting curricula change was held with the goal of increasing awareness of current threats posed by biological agents and modern biodefense strategies. The workshop was also designed to assist participants in overcoming barriers challenging their ability to incorporate new content into curricula. Participant responses to a post-workshop survey were favorable for measurements of the workshop effectiveness towards diminishing barriers to teacher initiated curricula changes. Respondents reported increased understanding of modern biology, increased realization of the importance of updating curricula with modern knowledge, and increased likeliness of incorporating content from the workshop into current curriculum.

  11. Integrated Photonics Research Topical Meeting (1993)

    Science.gov (United States)

    1994-06-01

    phase epitaxy on (11 1)-oriented gadolinium -gallium-garnet substrates and were subjected to annealing procedures to ensure near-planar magnetization ...was measured using the Fabry -Perot resonance technique. The propagation losses in the waveguides with and without electrodes were approximately 2.8 and...expected sub-Angstrom range. The high frequency variations present throughout the entire signal are due to Fabry -Perot resonances from the end facets

  12. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  13. A stochastic approach for quantifying immigrant integration: the Spanish test case

    Science.gov (United States)

    Agliari, Elena; Barra, Adriano; Contucci, Pierluigi; Sandell, Richard; Vernia, Cecilia

    2014-10-01

    We apply stochastic process theory to the analysis of immigrant integration. Using a unique and detailed data set from Spain, we study the relationship between local immigrant density and two social and two economic immigration quantifiers for the period 1999-2010. As opposed to the classic time-series approach, by letting immigrant density play the role of ‘time’ and the quantifier the role of ‘space,’ it becomes possible to analyse the behavior of the quantifiers by means of continuous time random walks. Two classes of results are then obtained. First, we show that social integration quantifiers evolve following diffusion law, while the evolution of economic quantifiers exhibits ballistic dynamics. Second, we make predictions of best- and worst-case scenarios taking into account large local fluctuations. Our stochastic process approach to integration lends itself to interesting forecasting scenarios which, in the hands of policy makers, have the potential to improve political responses to integration problems. For instance, estimating the standard first-passage time and maximum-span walk reveals local differences in integration performance for different immigration scenarios. Thus, by recognizing the importance of local fluctuations around national means, this research constitutes an important tool to assess the impact of immigration phenomena on municipal budgets and to set up solid multi-ethnic plans at the municipal level as immigration pressures build.

  14. A stochastic approach for quantifying immigrant integration: the Spanish test case

    International Nuclear Information System (INIS)

    Agliari, Elena; Barra, Adriano; Contucci, Pierluigi; Sandell, Richard; Vernia, Cecilia

    2014-01-01

    We apply stochastic process theory to the analysis of immigrant integration. Using a unique and detailed data set from Spain, we study the relationship between local immigrant density and two social and two economic immigration quantifiers for the period 1999–2010. As opposed to the classic time-series approach, by letting immigrant density play the role of ‘time’ and the quantifier the role of ‘space,’ it becomes possible to analyse the behavior of the quantifiers by means of continuous time random walks. Two classes of results are then obtained. First, we show that social integration quantifiers evolve following diffusion law, while the evolution of economic quantifiers exhibits ballistic dynamics. Second, we make predictions of best- and worst-case scenarios taking into account large local fluctuations. Our stochastic process approach to integration lends itself to interesting forecasting scenarios which, in the hands of policy makers, have the potential to improve political responses to integration problems. For instance, estimating the standard first-passage time and maximum-span walk reveals local differences in integration performance for different immigration scenarios. Thus, by recognizing the importance of local fluctuations around national means, this research constitutes an important tool to assess the impact of immigration phenomena on municipal budgets and to set up solid multi-ethnic plans at the municipal level as immigration pressures build. (paper)

  15. Topical Drugs for Pain Relief

    Directory of Open Access Journals (Sweden)

    Anjali Srinivasan

    2015-03-01

    Full Text Available Topical therapy helps patients with oral and perioral pain problems such as ulcers, burning mouth syndrome, temporomandibular disorders, neuromas, neuropathies and neuralgias. Topical drugs used in the field of dentistry are topical anaesthetics, topical analgesics, topical antibiotics and topical corticosteroids. It provides symptomatic/curative effect. Topical drugs are easy to apply, avoids hepatic first pass metabolism and more sites specific. But it can only be used for medications that require low plasma concentrations to achieve a therapeutic effect.

  16. An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration.

    Science.gov (United States)

    Kukla, Marina; Whitesel, Frankie; Lysaker, Paul H

    2016-02-01

    This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness. © 2015 Wiley Periodicals, Inc.

  17. Discriminative Relational Topic Models.

    Science.gov (United States)

    Chen, Ning; Zhu, Jun; Xia, Fei; Zhang, Bo

    2015-05-01

    Relational topic models (RTMs) provide a probabilistic generative process to describe both the link structure and document contents for document networks, and they have shown promise on predicting network structures and discovering latent topic representations. However, existing RTMs have limitations in both the restricted model expressiveness and incapability of dealing with imbalanced network data. To expand the scope and improve the inference accuracy of RTMs, this paper presents three extensions: 1) unlike the common link likelihood with a diagonal weight matrix that allows the-same-topic interactions only, we generalize it to use a full weight matrix that captures all pairwise topic interactions and is applicable to asymmetric networks; 2) instead of doing standard Bayesian inference, we perform regularized Bayesian inference (RegBayes) with a regularization parameter to deal with the imbalanced link structure issue in real networks and improve the discriminative ability of learned latent representations; and 3) instead of doing variational approximation with strict mean-field assumptions, we present collapsed Gibbs sampling algorithms for the generalized relational topic models by exploring data augmentation without making restricting assumptions. Under the generic RegBayes framework, we carefully investigate two popular discriminative loss functions, namely, the logistic log-loss and the max-margin hinge loss. Experimental results on several real network datasets demonstrate the significance of these extensions on improving prediction performance.

  18. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.

  19. A case study of data integration for aquatic resources using semantic web technologies

    Science.gov (United States)

    Gordon, Janice M.; Chkhenkeli, Nina; Govoni, David L.; Lightsom, Frances L.; Ostroff, Andrea C.; Schweitzer, Peter N.; Thongsavanh, Phethala; Varanka, Dalia E.; Zednik, Stephan

    2015-01-01

    Use cases, information modeling, and linked data techniques are Semantic Web technologies used to develop a prototype system that integrates scientific observations from four independent USGS and cooperator data systems. The techniques were tested with a use case goal of creating a data set for use in exploring potential relationships among freshwater fish populations and environmental factors. The resulting prototype extracts data from the BioData Retrieval System, the Multistate Aquatic Resource Information System, the National Geochemical Survey, and the National Hydrography Dataset. A prototype user interface allows a scientist to select observations from these data systems and combine them into a single data set in RDF format that includes explicitly defined relationships and data definitions. The project was funded by the USGS Community for Data Integration and undertaken by the Community for Data Integration Semantic Web Working Group in order to demonstrate use of Semantic Web technologies by scientists. This allows scientists to simultaneously explore data that are available in multiple, disparate systems beyond those they traditionally have used.

  20. Integrating Information and Communication Technology (ICT into University Teaching and Learning: A Case Study

    Directory of Open Access Journals (Sweden)

    Chan Yuen Fook

    2009-06-01

    Full Text Available Over the past decade the push for academics to develop competencies in the use of information and communication technologies (ICT in teaching and learning has increased. Within the Malaysian context unfortunately, until now there has not been a holistic and conclusive study on the integration of ICT in higher education. This exploratory study examined the integration of ICT among academics for the enhancement of university teaching and learning. A descriptivecorrelational research methodology that employed a survey questionnaire was used in this case study. The data was analyzed using means, standard deviation, t-test, ANOVA, and correlation. The findings indicated that the ICT facilities in the higher instituion left much to be desired and the usage of ICT in teaching among the academics was not at a satisfactory level. Even though a majority of the acdemics are aware of the many benefits of ICT there still exists academics who hold firm to the importance of face-to-face interaction and the didactic role of the instructors. The findings also revealed that the integration of ICT into the classroom focuses mainly on teaching and learning rather than the technical knowhow about computers themselves and how this technology helps support users to participate in the integration of ICT into teaching and learning. However, most of the respondents have shown a keen willingness to adopt ICT in their future teaching and learning processes once proper training and relevant technical support are provided. The findings, in general, can help lecturers, IT staff and university management to manage the integration of ICT in university teaching and learning in a more organized manner. The findings also would enable the faculty to be more responsive to the needs of staff and students to effectively address the critical problems related to the integration of technology into university teaching and learning in ways that are both contextualized and authentic.

  1. Topical botulinum toxin.

    Science.gov (United States)

    Collins, Ashley; Nasir, Adnan

    2010-03-01

    Nanotechnology is a rapidly growing discipline that capitalizes on the unique properties of matter engineered on the nanoscale. Vehicles incorporating nanotechnology have led to great strides in drug delivery, allowing for increased active ingredient stability, bioavailability, and site-specific targeting. Botulinum toxin has historically been used for the correction of neurological and neuromuscular disorders, such as torticollis, blepharospasm, and strabismus. Recent dermatological indications have been for the management of axillary hyperhydrosis and facial rhytides. Traditional methods of botulinum toxin delivery have been needle-based. These have been associated with increased pain and cost. Newer methods of botulinum toxin formulation have yielded topical preparations that are bioactive in small pilot clinical studies. While there are some risks associated with topical delivery, the refinement and standardization of delivery systems and techniques for the topical administration of botulinum toxin using nanotechnology is anticipated in the near future.

  2. Development of an integrated, in-situ remediation technology. Topical report for task No. 6: lab-scale development of microbial degradation process, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Odom, J.M.

    1997-01-01

    Contamination in low permeability soils poses a significant technical challenge to in situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in situ treatments such as bioremediation, vapor extraction, and pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil, and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Task No. 6 summarizes the results of a study of the potential for stimulating microbial reductive dehalogenation as part of the integrated in situ treatment process at the field experiment test site at DOE's Gaseous Diffusion Plant in Paducah, Kentucky. A series of open-quotes microcosm bottle testsclose quotes were performed on samples of contaminated soil and groundwater taken from the Paducah site and spiked with trichloroethene (TCE). A number of bottles were set up, each spiked with a different carbon source in order to enhance the growth of different microbial subpopulations already present within the indigenous population in the soil. In addition, a series of bottle tests were completed with samples of the granular activated carbon (GAC) treatment zone material retrieved from the test site during the Paducah field experiment. In these tests, the GAC samples were used in place of the soil. Results of the soil-groundwater microcosms yielded a negative indication of the presence of dechlorinating bacteria at the site. However, charcoal (GAC) samples from one location in the test plot exhibited marked dechlorination with conversion of TCE to dichloroethene

  3. Development of an integrated in-situ remediation technology. Topical report for task No. 11 entitled: Evaluation of TCE contamination before and after the field experiment, September 26, 1994--May 25, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Hughes, B.M.; Athmer, C.J.; Sheridan, P.W. [and others

    1997-04-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Task No. 11 summarizes the results of TCE analysis in soil and carbon before and after conducting the field experiment. In addition, a discussion of the TCE material balance demonstrates that the Lasagna{trademark} process is effective in moving TCE from the contaminated soil into carbon treatment zones in the field experiment at DOE`s Gaseous Diffusion Plant in Paducah, Kentucky.

  4. Development of the integrated, in-situ remediation technology. Topical report for tasks No. 8 and No. 10 entitled: Laboratory and pilot scale experiments of Lasagna trademark process, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Ho, Sa V.; Athmer, C.J.; Sheridan, P.W.

    1997-01-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. This technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated W and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. This topical report summarizes the results of the lab and pilot sized Lasagna trademark experiments conducted at Monsanto. Experiments were conducted with kaofinite and an actual Paducah soil in units ranging from bench-scale containing kg-quantity of soil to pilot-scale containing about half a ton of soil having various treatment zone configurations. The obtained data support the feasibility of scaling up this technology with respect to electrokinetic parameters as well as removal of organic contaminants. A mathematical model was developed that was successful in predicting the temperature rises in the soil. The information and experience gained from these experiments along with the modeling effort enabled us to successfully design and operate a larger field experiment at a DOE TCE-contaminated clay site

  5. Development of the integrated, in-situ remediation technology. Topical report for tasks No. 8 and No. 10 entitled: Laboratory and pilot scale experiments of Lasagna{trademark} process, September 26, 1994--May 25, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Ho, Sa V.; Athmer, C.J.; Sheridan, P.W. [and others

    1997-04-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. This technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated W and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. This topical report summarizes the results of the lab and pilot sized Lasagna{trademark} experiments conducted at Monsanto. Experiments were conducted with kaofinite and an actual Paducah soil in units ranging from bench-scale containing kg-quantity of soil to pilot-scale containing about half a ton of soil having various treatment zone configurations. The obtained data support the feasibility of scaling up this technology with respect to electrokinetic parameters as well as removal of organic contaminants. A mathematical model was developed that was successful in predicting the temperature rises in the soil. The information and experience gained from these experiments along with the modeling effort enabled us to successfully design and operate a larger field experiment at a DOE TCE-contaminated clay site.

  6. Development of an integrated in-situ remediation technology. Topical report for task No. 11 entitled: Evaluation of TCE contamination before and after the field experiment, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Hughes, B.M.; Athmer, C.J.; Sheridan, P.W.

    1997-01-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Task No. 11 summarizes the results of TCE analysis in soil and carbon before and after conducting the field experiment. In addition, a discussion of the TCE material balance demonstrates that the Lasagna trademark process is effective in moving TCE from the contaminated soil into carbon treatment zones in the field experiment at DOE's Gaseous Diffusion Plant in Paducah, Kentucky

  7. Solving Simple Kinetics without Integrals

    Science.gov (United States)

    de la Pen~a, Lisandro Herna´ndez

    2016-01-01

    The solution of simple kinetic equations is analyzed without referencing any topic from differential equations or integral calculus. Guided by the physical meaning of the rate equation, a systematic procedure is used to generate an approximate solution that converges uniformly to the exact solution in the case of zero, first, and second order…

  8. INTEGRATING CASE-BASED REASONING, KNOWLEDGE-BASED APPROACH AND TSP ALGORITHM FOR MINIMUM TOUR FINDING

    Directory of Open Access Journals (Sweden)

    Hossein Erfani

    2009-07-01

    Full Text Available Imagine you have traveled to an unfamiliar city. Before you start your daily tour around the city, you need to know a good route. In Network Theory (NT, this is the traveling salesman problem (TSP. A dynamic programming algorithm is often used for solving this problem. However, when the road network of the city is very complicated and dense, which is usually the case, it will take too long for the algorithm to find the shortest path. Furthermore, in reality, things are not as simple as those stated in AT. For instance, the cost of travel for the same part of the city at different times may not be the same. In this project, we have integrated TSP algorithm with AI knowledge-based approach and case-based reasoning in solving the problem. With this integration, knowledge about the geographical information and past cases are used to help TSP algorithm in finding a solution. This approach dramatically reduces the computation time required for minimum tour finding.

  9. Mindful Self-Hypnosis for Self-Care: An Integrative Model and Illustrative Case Example.

    Science.gov (United States)

    Elkins, Gary R; Roberts, R Lynae; Simicich, Lauren

    2018-07-01

    The combination of mindfulness and self-hypnosis could provide a tool that is easily implemented by individuals who want to care for their well-being in times of high stress. Each discipline has been shown to be effective in relieving stress, and integration could further facilitate change while creating a tool that is highly accessible. There are many similarities between the two practices, such as focusing of attention and the emphasis on mind-body connection. However, important distinctions in psychological (e.g., self-monitoring) and neural (e.g., functional connectivity) elements are noted. A theory of how integrated mindful self-hypnosis may create change is presented. An illustrative case example of mindful self-hypnosis practice and a self-hypnosis transcript are provided.

  10. Integration in New Product Development: Case Study in a Large Brazilian

    Directory of Open Access Journals (Sweden)

    Daniel Jugend

    2012-02-01

    Full Text Available Proficiency in management activities undertaken in product development processes is regarded as a key competitive advantage for companies, particularly for high-tech industrial firms, which benefit from the important competitiveness factor of launching products with a differentiated technological content. This paper’s objective was to identify, through case study, practices for integration between the roles of R & D with others involved in product development in a large Brazilian company of industrial automation. The results suggest some management practices to improve the integration in new products development, such as the use of employees from marketing with knowledge and experience previously gained from R & D activities and uses the heavyweight product manager to solve synchronization problems between product and technology development.

  11. Evaluating program integration and the rise in collaboration: case study of a palliative care network.

    Science.gov (United States)

    Bainbridge, Daryl; Brazil, Kevin; Krueger, Paul; Ploeg, Jenny; Taniguchi, Alan; Darnay, Julie

    2011-01-01

    There is increasing global interest in using regional palliative care networks (PCNs) to integrate care and create systems that are more cost-effective and responsive. We examined a PCN that used a community development approach to build capacity for palliative care in each distinct community in a region of southern Ontario, Canada, with the goal of achieving a competent integrated system. Using a case study methodology, we examined a PCN at the structural level through a document review, a survey of 20 organizational administrators, and an interview with the network director. The PCN identified 14 distinct communities at different stages of development within the region. Despite the lack of some key features that would facilitate efficient palliative care delivery across these communities, administrators largely viewed the network partnership as beneficial and collaborative. The PCN has attempted to recognize specific needs in each local area. Change is gradual but participatory. There remain structural issues that may negatively affect the functioning of the PCN.

  12. Health Topic XML File Description

    Science.gov (United States)

    ... this page: https://medlineplus.gov/xmldescription.html Health Topic XML File Description: MedlinePlus To use the sharing ... information categories assigned. Example of a Full Health Topic Record A record for a MedlinePlus health topic ...

  13. Integrating information literacy in health sciences curricula: a case study from Québec.

    Science.gov (United States)

    Clairoux, Natalie; Desbiens, Sylvie; Clar, Monique; Dupont, Patrice; St-Jean, Monique

    2013-09-01

    To portray an information literacy programme demonstrating a high level of integration in health sciences curricula and a teaching orientation aiming towards the development of lifelong learning skills. The setting is a French-speaking North American university. The offering includes standard workshops such as MEDLINE searching and specialised sessions such as pharmaceutical patents searching. A contribution to an international teaching collaboration in Haiti where workshops had to be thoroughly adapted to the clientele is also presented. Online guides addressing information literacy topics complement the programme. A small team of librarians and technicians taught 276 hours of library instruction (LI) during the 2011-2012 academic year. Methods used for evaluating information skills include scoring features of literature searches and user satisfaction surveys. Privileged contacts between librarians and faculty resulting from embedded LI as well as from active participation in library committees result in a growing reputation of library services across academic departments and bring forth collaboration opportunities. Sustainability and evolution of the LI programme is warranted by frequent communication with partners in the clinical field, active involvement in academic networks and health library associations, and reflective professional strategies. © 2013 The authors. Health Information and Libraries Journal © 2013 Health Libraries Group.

  14. Topical Research: Africa.

    Science.gov (United States)

    Lynn, Karen

    This lesson plan can be used in social studies, language arts, or library research. The instructional objective is for students to select a topic of study relating to Africa, write a thesis statement, collect information from media sources, and develop a conclusion. The teacher may assign the lesson for written or oral evaluation. The teacher…

  15. Salicylic Acid Topical

    Science.gov (United States)

    ... the package label for more information.Apply a small amount of the salicylic acid product to one or two small areas you want to treat for 3 days ... know that children and teenagers who have chicken pox or the flu should not use topical salicylic ...

  16. Characters and Topical Diversity

    DEFF Research Database (Denmark)

    Eriksson, Rune

    2014-01-01

    The purpose of this article is to contribute to our understanding of the difference between the bestseller and the non-bestseller in nonfiction. It is noticed that many bestsellers in nonfiction belongs to the sub-genre of creative nonfiction, but also that the topics in this kind of literature i...

  17. Selected topics in magnetism

    CERN Document Server

    Gupta, L C

    1993-01-01

    Part of the ""Frontiers in Solid State Sciences"" series, this volume presents essays on such topics as spin fluctuations in Heisenberg magnets, quenching of spin fluctuations by high magnetic fields, and kondo effect and heavy fermions in rare earths amongst others.

  18. Nuclear safety - Topical issues

    International Nuclear Information System (INIS)

    1995-01-01

    The following topical issues related to nuclear safety are discussed: steam generators; maintenance strategies; control rod drive nozzle cracks; core shrouds cracks; sump strainer blockage; fire protection; computer software important for safety; safety during shutdown; operational safety experience; external hazards and other site related issues. 5 figs, 5 tabs

  19. Topical immunomodulators in dermatology

    Directory of Open Access Journals (Sweden)

    Khandpur Sujay

    2004-04-01

    Full Text Available Topical immunomodulators are agents that regulate the local immune response of the skin. They are now emerging as the therapy of choice for several immune-mediated dermatoses such as atopic dermatitis, contact allergic dermatitis, alopecia areata, psoriasis, vitiligo, connective tissue disorders such as morphea and lupus erythematosus, disorders of keratinization and several benign and malignant skin tumours, because of their comparable efficacy, ease of application and greater safety than their systemic counterparts. They can be used on a domiciliary basis for longer periods without aggressive monitoring. In this article, we have discussed the mechanism of action, common indications and side-effects of the commonly used topical immunomodulators, excluding topical steroids. Moreover, newer agents, which are still in the experimental stages, have also been described. A MEDLINE search was undertaken using the key words "topical immunomodulators, dermatology" and related articles were also searched. In addition, a manual search for many Indian articles, which are not indexed, was also carried out. Wherever possible, the full article was reviewed. If the full article could not be traced, the abstract was used.

  20. Differential Topic Models.

    Science.gov (United States)

    Chen, Changyou; Buntine, Wray; Ding, Nan; Xie, Lexing; Du, Lan

    2015-02-01

    In applications we may want to compare different document collections: they could have shared content but also different and unique aspects in particular collections. This task has been called comparative text mining or cross-collection modeling. We present a differential topic model for this application that models both topic differences and similarities. For this we use hierarchical Bayesian nonparametric models. Moreover, we found it was important to properly model power-law phenomena in topic-word distributions and thus we used the full Pitman-Yor process rather than just a Dirichlet process. Furthermore, we propose the transformed Pitman-Yor process (TPYP) to incorporate prior knowledge such as vocabulary variations in different collections into the model. To deal with the non-conjugate issue between model prior and likelihood in the TPYP, we thus propose an efficient sampling algorithm using a data augmentation technique based on the multinomial theorem. Experimental results show the model discovers interesting aspects of different collections. We also show the proposed MCMC based algorithm achieves a dramatically reduced test perplexity compared to some existing topic models. Finally, we show our model outperforms the state-of-the-art for document classification/ideology prediction on a number of text collections.

  1. Integration of Fuel Cell Micro-CHPs on Low. Voltage Grid: A Danish Case Study

    DEFF Research Database (Denmark)

    You, Shi; Marra, Francesco; Træholt, Chresten

    2012-01-01

    The future significance of fuel cell (FC) powered micro combined heat and power (micro-CHP) units in meeting the residential energy demands is set to increase, which may have a considerable impact on the low voltage (LV) grid. The objective of this paper is to investigate into the related technical...... issues using a Danish case study with different penetration levels of uncoordinated FC micro-CHPs. Based on the findings, it is recommended to design grid oriented integration strategies such as Virtual Power Plants (VPPs) for achieving future smart grids with a large roll out of distributed energy...

  2. The MICA Case Conference Program at Tewksbury Hospital, Mass.: an integrated treatment model.

    Science.gov (United States)

    Clodfelter, Reynolds C; Albanese, Mark J; Baker, Gregg; Domoto, Katherine; Gui, Amy L; Khantzian, Edward J

    2003-01-01

    This report describes the MICA (Mentally Ill Chemically Abusing) Program at the Tewksbury Hospital campus in Tewksbury, Massachusetts. Several campus facilities collaborate in the MICA Program. Through Expert Case Conferences, principles of integrated psychosocial treatment with dual diagnosis patients are demonstrated. An expert clinician focuses on the interplay between psychological pain, characterological traits, defenses, and the patient's drug of choice. Patients who have participated in the program have reported positive experiences. The staff reported that the program has resulted in facility improvement in assessment and treatment of complex dual diagnosis patients.

  3. Integrating Customer Intimacy Into Radiology to Improve the Patient Perspective: The Case of Breast Cancer Screening.

    Science.gov (United States)

    Chhor, Chloe M; Mercado, Cecilia L

    2016-02-01

    The customer intimacy business model has emerged as a key operational approach for health care organizations as they move toward patient-centered care. The question arises how the customer intimacy approach can be implemented in the clinical setting and whether it can help practitioners address problems and improve quality of care. Breast cancer screening and its emphasis on the patient perspective provides an interesting case study for understanding how the customer intimacy approach can be integrated into radiologic practice to improve the patient experience.

  4. Integrating the results of user research into medical device development: insights from a case study.

    Science.gov (United States)

    Martin, Jennifer L; Barnett, Julie

    2012-07-19

    It is well established that considering users is an important aspect of medical device development. However it is also well established that there are numerous barriers to successfully conducting user research and integrating the results into product development. It is not sufficient to simply conduct user research, it must also be effectively integrated into product development. A case study of the development of a new medical imaging device was conducted to examine in detail how users were involved in a medical device development project. Two user research studies were conducted: a requirements elicitation interview study and an early prototype evaluation using contextual inquiry. A descriptive in situ approach was taken to investigate how these studies contributed to the product development process and how the results of this work influenced the development of the technology. Data was collected qualitatively through interviews with the development team, participant observation at development meetings and document analysis. The focus was on investigating the barriers that exist to prevent user data from being integrated into product development. A number of individual, organisational and system barriers were identified that functioned to prevent the results of the user research being fully integrated into development. The user and technological aspects of development were seen as separate work streams during development. The expectations of the developers were that user research would collect requirements for the appearance of the device, rather than challenge its fundamental concept. The manner that the user data was communicated to the development team was not effective in conveying the significance or breadth of the findings. There are a range of informal and formal organisational processes that can affect the uptake of user data during medical device development. Adopting formal decision making processes may assist manufacturers to take a more integrated and

  5. Integrating the results of user research into medical device development: insights from a case study

    Directory of Open Access Journals (Sweden)

    Martin Jennifer L

    2012-07-01

    Full Text Available Abstract Background It is well established that considering users is an important aspect of medical device development. However it is also well established that there are numerous barriers to successfully conducting user research and integrating the results into product development. It is not sufficient to simply conduct user research, it must also be effectively integrated into product development. Methods A case study of the development of a new medical imaging device was conducted to examine in detail how users were involved in a medical device development project. Two user research studies were conducted: a requirements elicitation interview study and an early prototype evaluation using contextual inquiry. A descriptive in situ approach was taken to investigate how these studies contributed to the product development process and how the results of this work influenced the development of the technology. Data was collected qualitatively through interviews with the development team, participant observation at development meetings and document analysis. The focus was on investigating the barriers that exist to prevent user data from being integrated into product development. Results A number of individual, organisational and system barriers were identified that functioned to prevent the results of the user research being fully integrated into development. The user and technological aspects of development were seen as separate work streams during development. The expectations of the developers were that user research would collect requirements for the appearance of the device, rather than challenge its fundamental concept. The manner that the user data was communicated to the development team was not effective in conveying the significance or breadth of the findings. Conclusion There are a range of informal and formal organisational processes that can affect the uptake of user data during medical device development. Adopting formal decision

  6. Integration of health and environment through health impact assessment: cases from three continents.

    Science.gov (United States)

    Negev, Maya; Levine, Hagai; Davidovitch, Nadav; Bhatia, Rajiv; Mindell, Jennifer

    2012-04-01

    Despite the strong linkage between environment and health, institutions responsible for these fields operate in largely fragmented ways with limited interaction. As illustrated in the recent engagement between health and urban planning institutions, inter-institutional cooperation could support more effective and politically acceptable solutions for both local and global problems. Analysis of three case-studies, from three different continents, shows that HIA might serve to promote synergies among health and environmental disciplines in different local contexts, and could lead to institutional and procedural changes that promote health. Case examples provided supportive evidence for these effects, despite differences in approaches to HIA and governance levels. Obstacles to the use of HIA for inter-institutional integration also differed between countries. Lessons learned could support cooperation in other common interests of health and environment disciplines such as research, training and preparedness, and mitigation of public health emergencies related to the environment. Copyright © 2012 Elsevier Inc. All rights reserved.

  7. Risks to Drinking Water from Oil and Gas Wellbore Construction and Integrity: Case Studies and Lessons Learned

    Science.gov (United States)

    This presentation examines various published reports from two drinking water contamination cases, and discuss the potential roles of wellbore construction and integrity and hydraulic fracturing in the resultant drinking water contamination.

  8. Topics and topic prominence in two sign languages

    NARCIS (Netherlands)

    Kimmelman, V.

    2015-01-01

    In this paper we describe topic marking in Russian Sign Language (RSL) and Sign Language of the Netherlands (NGT) and discuss whether these languages should be considered topic prominent. The formal markers of topics in RSL are sentence-initial position, a prosodic break following the topic, and

  9. CASE technology and the Systems Development Life Cycle: a proposed integration of CASE tools with DoD STD-2167A

    OpenAIRE

    Batt, Gary Thomas

    1989-01-01

    Approved for public release; distribution unlimited The use of Computer Aided Software Engineering (CASE) t ools has been marketed as a remedy for the software development crisis by automating analysis, design, and coding. The Systems Development Life Cycle (SDLC) has been employed in an attempt to ease the development backlog by applying structured methods to the development of software systems. This study reviews CASE tool components and the future of CASE integrated toolkits, compares a...

  10. Planning for integrated solid waste management at the industrial Park level: A case of Tianjin, China

    International Nuclear Information System (INIS)

    Geng Yong; Zhu Qinghua; Haight, Murray

    2007-01-01

    Industrial parks play a significant role in the production and use of goods and services. The proper management of solid waste is a major challenge for industrial parks due to the large quantity of wastes and the variability of waste characteristics from these types of developments. Therefore, integrated solid waste management has become very crucial to the industrial park managers. Such an approach requires industrial park managers to assess the overall use of resources, and to seek waste reduction, reuse and recycling opportunities both at the individual company level and among different tenant companies. The adoption of this method can bring both economic and environmental benefits. This paper introduces the planning efforts of a real case in China. It first presents the basic information on Tianjin Economic Development Area (TEDA), and then introduces its current practices on solid waste management. The main focus of this paper is to describe how to plan an integrated solid waste management system at TEDA. Benefits and challenges are all identified and analyzed. The experiences and methods from this case study should be applied in other industrial parks so as to improve the overall eco-efficiency of the whole industrial park

  11. ICT & innovation: a case of integration in a regional construction firm

    Directory of Open Access Journals (Sweden)

    Graham Brewer

    2013-09-01

    Full Text Available Construction firms in regional areas face considerable challenges to their competitiveness. Logistics, availability of suitable personnel, unfamiliarity with trading partners, and the tyranny of distance conspire to obstruct profitable engagement beyond their local area. Electronic information and communication technology (ICT such as web-based project management applications and other forms of collaborative data sharing have the potential to mitigate many of these obstacles, but have yet to gain widespread acceptance, particularly by smaller regional firms who question their cost effectiveness. The attitudes of decision-makers and the impact of their decisions on intra- and inter-firm culture lie at the heart of ICT-mediated innovation. This paper presents a case study of a specialist subcontractor located in regional New South Wales and its involvement in a New Zealand project, whose competitiveness arose from using ICT to integrate its own supply chain. It also provided additional value by triggering collaboration and integration in the broader project team. The case reveals that these outcomes were symptomatic of the organisational culture of the subcontractor, and were achieved through a combination of leadership, collaboration, flexibility and pragmatism, redolent of dynamic capabilities.

  12. ICT & innovation: a case of integration in a regional construction firm

    Directory of Open Access Journals (Sweden)

    Graham Brewer

    2013-09-01

    Full Text Available Construction firms in regional areas face considerable challenges to their competitiveness. Logistics, availability of suitable personnel, unfamiliarity with trading partners, and the tyranny of distance conspire to obstruct profitable engagement beyond their local area. Electronic information and communication technology (ICT such as web-based project management applications and other forms of collaborative data sharing have the potential to mitigate many of these obstacles, but have yet to gain widespread acceptance, particularly by smaller regional firms who question their cost effectiveness. The attitudes of decision-makers and the impact of their decisions on intra- and inter-firm culture lie at the heart of ICT-mediated innovation. This paper presents a case study of a specialist subcontractor located in regional New South Wales and its involvement in a New Zealand project, whose competitiveness arose from using ICT to integrate its own supply chain. It also provided additional value by triggering collaboration and integration in the broader project team. The case reveals that these outcomes were symptomatic of the organisational culture of the subcontractor, and were achieved through a combination of leadership, collaboration, flexibility and pragmatism, redolent of dynamic capabilities. 

  13. INTEGRATED SURVEY FOR ARCHITECTURAL RESTORATION: A METHODOLOGICAL COMPARISON OF TWO CASE STUDIES

    Directory of Open Access Journals (Sweden)

    G. Bianchi

    2016-06-01

    Full Text Available A preliminary survey campaign is essential in projects of restoration, urban renewal, rebuilding or promotion of architectural heritage. Today several survey techniques allow full 3D object restitution and modelling that provides a richer description than simple 2D representations. However, the amount of data to collect increases dramatically and a trade-off between efficiency and productivity from one side and assuring accuracy and completeness of the results on the other must be found. Depending on the extent and the complexity of the task, a single technique or a combination of several ones might be employed. Especially when documentation at different scales and with different levels of detail are foreseen, the latter will likely be necessary. The paper describes two architectural surveys in Italy: the old village of Navelli (AQ, affected by the earthquake in 2009, and the two most relevant remains in Codiponte (MS, damaged by the earthquake in 2013, both in the context of a project of restoration and conservation. In both sites, a 3D survey was necessary to represent effectively the objects. An integrated survey campaign was performed in both cases, which consists of a GPS network as support for georeferencing, an aerial survey and a field survey made by laser scanner and close range photogrammetry. The two case studies, thanks to their peculiarities, can be taken as exemplar to wonder if the integration of different surveying techniques is today still mandatory or, considering the technical advances of each technology, it is in fact just optional.

  14. Integral Health Care As A Guiding Axis Of Medical Training: Case Studies

    Directory of Open Access Journals (Sweden)

    Alcides Viana de Lima Neto

    2017-04-01

    Full Text Available Objective: The aim is to report the experiences during the practical experiences in the territory assigned to a basic health unit provided by the module of Integral Health Care I. Methods: Case studies resulting from a process of critical reflections about practical experiences by medical students in a basic health unit from August to December 2015. Results: Through the module of Integral Health Care I, students were allowed to recognize the assigned area of a family health team, as well as to develop the territorialization process and to classify the demographic, epidemiological, socioeconomic and environmental profile in that place; in addition to perform other activities as a singular therapeutic project and intervention project. Conclusion: The activities developed motivated the students to be able to apply the concepts of family and community medicine in primary health care, in addition to bringing them closer to the reality of this work process. Descriptors: Integral Health Care; Family Health Strategy; Physician-Patient Relationship; Basic Health Unit.

  15. Integrating ergonomics into production system development--the Volvo Powertrain case.

    Science.gov (United States)

    Neumann, W Patrick; Ekman, Marianne; Winkel, Jørgen

    2009-05-01

    Understanding the barriers and assists to integrating ergonomics into production system design remains a research issue. An action research case study at Volvo Powertrain/Sweden was conducted. Researchers worked collaboratively with the firm in efforts to improve the company's ability to handle ergonomics in their daily work of improving and developing production systems. Researchers observed and reflected collectively on the change process using field notes and recordings to support their observations. Observed integration barriers included both individual level issues like life events, and organisational aspects such as communication barriers between groups or assignment of tasks to people not involved in decision-making. Observed assists included the 'political reflective navigation' (c.f. Broberg, O., Hermund, I., 2004. The OHS consultant as a 'political reflective navigator' in technological change processes. International Journal of Industrial Ergonomics 33 (4), 315-326) by the project owner to find new ways to overcome barriers and anchor ergonomics into the organisation. While special 'ergonomics' groups did not survive long, progress was observed in including ergonomics in regular design groups. A cross-functional workshop that fostered discussion across organisational boundaries helped shift focus from retrofitting systems to future production systems and improve engagement of engineering teams. Progress was marked by both success and setbacks and full integration appears to require more than 2 years time. It is concluded that support by senior managers should include succession planning for personnel that are key to the change effort.

  16. Integration of health technology assessment recommendations into organizational and clinical practice: A case study in Catalonia.

    Science.gov (United States)

    Gagnon, Marie-Pierre; Sánchez, Emília; Pons, Joan M V

    2006-01-01

    Evaluating the impact of recommendations based upon health technology assessment (HTA) represents a challenge for both HTA agencies and healthcare policy makers. This research sought to understand factors affecting the uptake of HTA recommendations to support decision making with respect to the introduction of three health technologies. Using a multidimensional framework, based upon a combination of theoretical models, a case study was conducted. A total of twenty-eight semistructured interviews were done with physicians from fifteen hospitals and other stakeholders in Catalonia. Interview content was analyzed iteratively and classified according to theoretical dimensions and contextual factors. At the sociopolitical level, factors related to the organization and financing of the health system were found to affect the utilization of HTA recommendations. At the healthcare organization level, existing collaborations between the hospital and the HTA agency favored the integration of recommendations into practices. Formalism in the organization also influenced the utilization of HTA recommendations. At the professional level, the high degree of autonomy of specialists, the importance of peers and collegial control, and the definition of professional roles and responsibilities influenced physicians' willingness to integrate HTA recommendations into their practice. This study offers a comprehensive framework to understand the complex dynamics that affect adoption of health technologies in organizational and professional practices. The findings suggest some avenues to promote the integration of HTA recommendations into practices and, thus, increase the utilization of scientific evidence to support decision making in health care.

  17. Organizing vocational rehabilitation through interorganizational integration--a case study in Sweden.

    Science.gov (United States)

    Wihlman, Ulla; Lundborg, Cecilia Stålsby; Holmström, Inger; Axelsson, Runo

    2011-01-01

    This study describes and analysis five years of experiences from organising an interorganisational project on vocational rehabilitation. A qualitative case study approach was used based on interviews, focus group discussions and documents. The aim was to analyse how and why the project was organised in the way it was in relation to theories of integration, organisational change and learning. The results show that the vocational rehabilitation project was initiated mainly for financial reasons. It was organised as a mechanistic system with the aim of producing different activities, where financial control and support from all the levels of the organisations involved was important. A new bureaucracy between the different authorities involved was built up, where the vertical (top-down) integration was more important than the horizontal. The result was scattered islands of interprofessional work in different teams, but without contacts between them. The project did not influence the processes or workflows of the organisations involved in the project, which would be important from a service-user perspective. It may therefore be questionnable to organise the development of interorganisational integration for vocational rehabilitation in a separate project organisation. Instead, interorganisational networks with focus on interconnections of processes and workflows may be more flexible and adaptable. Copyright © 2010 John Wiley & Sons, Ltd.

  18. Successful treatment of Fusarium keratitis with cornea transplantation and topical and systemic voriconazole.

    NARCIS (Netherlands)

    Klont, R.R.; Eggink, C.A.; Rijs, A.J.M.M.; Wesseling, P.; Verweij, P.E.

    2005-01-01

    A case of invasive Fusarium keratitis in a previously healthy male patient was treated successfully with cornea transplantation and systemic and topical voriconazole after treatment failure with topical amphotericin B and systemic itraconazole. Topical voriconazole was well tolerated, and, in

  19. Topics in industrial mathematics

    International Nuclear Information System (INIS)

    Vatsya, S.R.

    1992-01-01

    Mathematical methods are widely used to solve practical problems arising in modern industry. This article outlines some of the topics relevant to AECL programmes. This covers the applications of transmission and neutron transport tomography to determine density distributions in rocks and two phase flow situations. Another example covered is the use of variational methods to solve the problems of aerosol migration and control theory. (author). 7 refs

  20. Relativity theory - topical

    International Nuclear Information System (INIS)

    Schmutzer, E.

    1979-01-01

    Issued on the occasion of Albert Einstein's 100th birthday the book deals topically with the special and general relativity theory. The latest experiments to confirm the relativity theory are described and the historical development of the theory is presented in detail. Emphasis is given to the disclosure of deep insights into the nature of matter. Of interest to experts in physical and natural sciences and to mathematicians

  1. SOCIOCULTURAL INTEGRATION AS A TOOL FOR CONSTRUCTIVE CONFLICT RESOLUTION: THE CASE OF THE NORTH CAUCASUS

    Directory of Open Access Journals (Sweden)

    M. E. Popov

    2017-01-01

    Full Text Available The paper is devoted to research of sociocultural integration as a tool for resolving regional conflicts. The modern theory of conflict resolution focuses on the ability of the sociocultural integration in the transformation of destructive identity-based conflicts into conflicts of interest. The author considers the systemic factors of the identity-based conflicts and emphasizes destabilizing role of the politicization of ethnicity. Ethnic mobilization, social inequalities, economic polarization and civic identity crisis are structural factors that determine the acuity of ethnic tension and escalation of regional identity conflicts as a result. Contradictions between the modernization system and social disintegration are the primary source of identity conflicts in theNorth Caucasus. Regionalization takes conflictogenic form in this case, i.e. the specifics of regional conflicts is associated with a conflict of static (traditionalization and dynamic (modernization types of social propagation. Structurally, escalation of violence in regional conflicts is determined by the intensity and scope of ethnic mobilization and social dissatisfaction as necessary conditions of a collision. Regional conflicts affect existentially meaningful collective values and group identities, that is why the participants are involved emotionally into identification conflicts; due to their emotional charge and irrationality, identity conflicts are no longer a means of overcoming social frustrations, but a destructive goal in itself, i.e. ethnicity polarization and negative cultural stereotypes in perceiving “the others” play a key role in initiating such conflicts. The following must be considered for discussing anti-conflict mechanisms of sociocultural integration in theNorth Caucasus. First, sociocultural integration is a political project with its content determined to a wide extent by defense challenges of the polyethnic Russian society. Second, development of the

  2. INTEGRATED HSEQ MANAGEMENT SYSTEMS: DEVELOPMENTS AND TRENDS

    OpenAIRE

    Osmo Kauppila; Janne Härkönen; Seppo Väyrynen

    2015-01-01

    The integration of health and safety, environmental and quality (HSEQ) management systems has become a current topic in the 21st century, as the need for systems thinking has grown along with the number of management system standards. This study aims to map current developments and trends in integrated HSEQ management. Three viewpoints are taken: the current state of the main HSEQ management standards, research literature on integrated management systems (IMS), and a case study of an industry...

  3. Development of Integrative STEM Curriculum: A Multiple Case Study of Multi-Disciplinary Teams in Two Pennsylvania High Schools

    Science.gov (United States)

    Rider-Bertrand, Joey H.

    At the start of the 21st century, STEM education was a new priority in many schools as the focus shifted from separate disciplines to integrative STEM education. Unfortunately, there was limited research to offer guidance to practitioners (Brown, 2012; Honey, Pearson & Schweingruber, 2014). This qualitative, multiple case study explored the experiences of two multi-disciplinary teams of secondary teachers from Pennsylvania who developed and implemented integrative STEM curriculum. Four teachers from a rural high school and four teachers from a suburban high school participated in the study. A document review of integrative STEM curriculum and semi-structured interviews were conducted to learn about the curriculum development process and teachers' perceptions regarding conditions that support or hinder success. Individual and cross-case analyses were performed to establish findings and themes. Although the individual case themes varied slightly, the cross-case themes and assertions that emerged provided highly sought after guidance to practitioners and added to the limited body of research on integrative STEM education. This study found that current curriculum models do not fit integrative STEM curriculum, the development process is fluid, and substantial administrative support and resources are necessary to develop, implement, and sustain integrative STEM education programs. The results offered implications for all educators, as well as two examples of how teachers navigated the terrain of integrative STEM curriculum.

  4. Topic Visualization and Survival Analysis

    OpenAIRE

    Wang, Ping Jr

    2017-01-01

    Latent semantic structure in a text collection is called a topic. In this thesis, we aim to visualize topics in the scientific literature and detect active or inactive research areas based on their lifetime. Topics were extracted from over 1 million abstracts from the arXiv.org database using Latent Dirichlet Allocation (LDA). Hellinger distance measures similarity between two topics. Topics are determined to be relevant if their pairwise distances are smaller than the threshold of Hellinger ...

  5. Integrated management software files action in case of fire; Software de gestion integral de fichas de actuacion en caso de incendio

    Energy Technology Data Exchange (ETDEWEB)

    Moreno-Ventas Garcia, V.; Gimeno Serrano, F.

    2010-07-01

    The proper management of emergencies, is a challenge for which it is essential to be prepared. Integrated Software Performance Chips In case of fire and rapid access to information, make this application a must to effectively drive any emergency due to fire at any nuclear facility.

  6. Integrating Financial Aid and Financial Policies: Case Studies from Five States. Changing Direction: Integrating Higher Education Financial Aid and Financing Policies.

    Science.gov (United States)

    Western Interstate Commission for Higher Education, Boulder, CO.

    This report is a collection of five state case studies comprising a major component of the first phase of the project, "Changing Direction: Integrating Higher Education Financial Aid and Financing Policies." The project explored state-level strategies to better align financing and financial aid policies and support more informed decision…

  7. Body integrity identity disorder crosses culture: case reports in the Japanese and Chinese literature.

    Science.gov (United States)

    Blom, Rianne M; Vulink, Nienke C; van der Wal, Sija J; Nakamae, Takashi; Tan, Zhonglin; Derks, Eske M; Denys, Damiaan

    2016-01-01

    Body integrity identity disorder (BIID) is a condition in which people do not perceive a part of their body as their own, which results in a strong desire for amputation or paralyzation. The disorder is likely to be congenital due to its very early onset. The English literature describes only Western patients with BIID, suggesting that the disorder might be merely prevalent in the West. To scrutinize this assumption, and to extend our knowledge of the etiology of BIID, it is important to trace cases with BIID in non-Western populations. Our objective was to review Chinese and Japanese literature on BIID to learn about its presence in populations with a different genetic background. A systematic literature search was performed in databases containing Japanese and Chinese research, published in the respective languages. Five Japanese articles of BIID were identified which described two cases of BIID, whereas in the Chinese databases only BIID-related conditions were found. This article reports some preliminary evidence that BIID is also present in non-Western countries. However, making general statements about the biological background of the disorder is hampered by the extremely low number of cases found. This low number possibly resulted from the extreme secrecy associated with the disorder, perhaps even more so in Asian countries.

  8. Integrated ground-water monitoring strategy for NRC-licensed facilities and sites: Case study applications

    Science.gov (United States)

    Price, V.; Temples, T.; Hodges, R.; Dai, Z.; Watkins, D.; Imrich, J.

    2007-01-01

    This document discusses results of applying the Integrated Ground-Water Monitoring Strategy (the Strategy) to actual waste sites using existing field characterization and monitoring data. The Strategy is a systematic approach to dealing with complex sites. Application of such a systematic approach will reduce uncertainty associated with site analysis, and therefore uncertainty associated with management decisions about a site. The Strategy can be used to guide the development of a ground-water monitoring program or to review an existing one. The sites selected for study fall within a wide range of geologic and climatic settings, waste compositions, and site design characteristics and represent realistic cases that might be encountered by the NRC. No one case study illustrates a comprehensive application of the Strategy using all available site data. Rather, within each case study we focus on certain aspects of the Strategy, to illustrate concepts that can be applied generically to all sites. The test sites selected include:Charleston, South Carolina, Naval Weapons Station,Brookhaven National Laboratory on Long Island, New York,The USGS Amargosa Desert Research Site in Nevada,Rocky Flats in Colorado,C-Area at the Savannah River Site in South Carolina, andThe Hanford 300 Area.A Data Analysis section provides examples of detailed data analysis of monitoring data.

  9. Analyses of Research Topics in the Field of Informetrics Based on the Method of Topic Modeling

    Directory of Open Access Journals (Sweden)

    Sung-Chien Lin

    2014-07-01

    Full Text Available In this study, we used the approach of topic modeling to uncover the possible structure of research topics in the field of Informetrics, to explore the distribution of the topics over years, and to compare the core journals. In order to infer the structure of the topics in the field, the data of the papers published in the Journal of Informetricsand Scientometrics during 2007 to 2013 are retrieved from the database of the Web of Science as input of the approach of topic modeling. The results of this study show that when the number of topics was set to 10, the topic model has the smallest perplexity. Although data scopes and analysis methodsare different to previous studies, the generating topics of this study are consistent with those results produced by analyses of experts. Empirical case studies and measurements of bibliometric indicators were concerned important in every year during the whole analytic period, and the field was increasing stability. Both the two core journals broadly paid more attention to all of the topics in the field of Informetrics. The Journal of Informetricsput particular emphasis on construction and applications ofbibliometric indicators and Scientometrics focused on the evaluation and the factors of productivity of countries, institutions, domains, and journals.

  10. Topics in field theory

    CERN Document Server

    Karpilovsky, G

    1989-01-01

    This monograph gives a systematic account of certain important topics pertaining to field theory, including the central ideas, basic results and fundamental methods.Avoiding excessive technical detail, the book is intended for the student who has completed the equivalent of a standard first-year graduate algebra course. Thus it is assumed that the reader is familiar with basic ring-theoretic and group-theoretic concepts. A chapter on algebraic preliminaries is included, as well as a fairly large bibliography of works which are either directly relevant to the text or offer supplementary material of interest.

  11. Topics in CP violation

    International Nuclear Information System (INIS)

    Quinn, H.R.

    1993-02-01

    Given the varied backgrounds of the members of this audience this talk will be a grab bag of topics related to the general theme of CP Violation. I do not have time to dwell in detail on any of them. First, for the astronomers and astrophysicists among you, I want to begin by reviewing the experimental status of evidence for CP violation in particle processes. There is only one system where this has been observed, and that is in the decays of neutral K mesons

  12. Topics in Nonlinear Dynamics

    DEFF Research Database (Denmark)

    Mosekilde, Erik

    Through a significant number of detailed and realistic examples this book illustrates how the insights gained over the past couple of decades in the fields of nonlinear dynamics and chaos theory can be applied in practice. Aomng the topics considered are microbiological reaction systems, ecological...... food-web systems, nephron pressure and flow regulation, pulsatile secretion of hormones, thermostatically controlled radiator systems, post-stall maneuvering of aircrafts, transfer electron devices for microwave generation, economic long waves, human decision making behavior, and pattern formation...... in chemical reaction-diffusion systems....

  13. Topics in CP violation

    Science.gov (United States)

    Quinn, H. R.

    1993-02-01

    Given the varied backgrounds of the members of this audience this talk will be a grab bag of topics related to the general theme of CP Violation. I do not have time to dwell in detail on any of them. First, for the astronomers and astrophysicists among you, I want to begin by reviewing the experimental status of evidence for CP violation in particle processes. There is only one system where this has been observed, and that is in the decays of neutral K mesons.

  14. Topics in Operator Theory

    CERN Document Server

    Ball, Joseph A; Helton, JWilliam; Rodman, Leiba; Spitkovsky, Iiya

    2010-01-01

    This is the first volume of a collection of original and review articles on recent advances and new directions in a multifaceted and interconnected area of mathematics and its applications. It encompasses many topics in theoretical developments in operator theory and its diverse applications in applied mathematics, physics, engineering, and other disciplines. The purpose is to bring in one volume many important original results of cutting edge research as well as authoritative review of recent achievements, challenges, and future directions in the area of operator theory and its applications.

  15. Does Integration Help Adapt to Climate Change? Case of Increased US Corn Yield Volatility

    Science.gov (United States)

    Verma, M.; Diffenbaugh, N. S.; Hertel, T. W.

    2012-12-01

    and reduces its demand. In the presence of domestic integration, ethanol production rises to substitute oil in the gasoline blend and thereby increases the corn demand and prices. However if one takes into account increase in corn price due to increased production costs (increase in oil price increases fertilizer prices - a major input into corn production) and reduced corn prices due to reduced fuel demand and therefore reduced ethanol additive demand; the prices can go either way. Our initial simulations show that they do in fact go down with mandate driven integration. This raises some more general questions: Whether integration (intersectoral and international) can be an effective strategy for adapting to climate change? And which of the four adaptation options - RFS or oil price driven domestic integration, full corn tariff liberalization or restricting tariff manipulation by partners - would be more effective in comparison to other adaptation (including no adaptation) scenarios? We implement the alternative adaptation strategies, while sampling from the same corn yield and oil price distributions and compare the resulting corn price variations to the base case where no such adaptation has been undertaken. Our initial results suggest that intersectoral integration is more effective form of adaptation than international one, but only if driven by market forces and not mandates.

  16. Semantic Web Ontology and Data Integration: a Case Study in Aiding Psychiatric Drug Repurposing.

    Science.gov (United States)

    Liang, Chen; Sun, Jingchun; Tao, Cui

    2015-01-01

    There remain significant difficulties selecting probable candidate drugs from existing databases. We describe an ontology-oriented approach to represent the nexus between genes, drugs, phenotypes, symptoms, and diseases from multiple information sources. We also report a case study in which we attempted to explore candidate drugs effective for bipolar disorder and epilepsy. We constructed an ontology incorporating knowledge between the two diseases and performed semantic reasoning tasks with the ontology. The results suggested 48 candidate drugs that hold promise for further breakthrough. The evaluation demonstrated the validity our approach. Our approach prioritizes the candidate drugs that have potential associations among genes, phenotypes and symptoms, and thus facilitates the data integration and drug repurposing in psychiatric disorders.

  17. Integrating NRDA and CERCLA environmental evaluations at the Rocky Flats Plant: A case study

    International Nuclear Information System (INIS)

    Knudsen, T.L.

    1993-01-01

    The purpose of this paper is to briefly review cleanup regulations in reference to natural resource liability, protection, and restoration; to present a case study on the Rocky Flats Plant (RFP) showing how this DOE facility is approaching the task of integrating the ecological assessment/impact portion of three major regulatory mandates: Resource Conservation and Recovery Act (RCRA), Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), and the National Environmental Policy Act (NEPA) with the Natural Resource Damage Assessment (NRDA) regulations using a flow chart depicting RCRA/CERCLA interim and final actions; to present what has and has not worked at the RFP; and, finally to suggest some technical strategies when planning for remediation and restoration in the NRD process that should be considered

  18. Integrating Hypnosis with Other Therapies for Treating Specific Phobias: A Case Series.

    Science.gov (United States)

    Hirsch, Joseph A

    2018-04-01

    There is a high prevalence of anxiety disorders including specific phobias and panic disorder in the United States and Europe. A variety of therapeutic modalities including pharmacotherapy, cognitive behavioral therapy, systematic desensitization, hypnosis, in vivo exposure, and virtual reality exposure therapy have been applied. No one modality has been entirely successful. There has been only a limited attempt to combine psychological therapies in the treatment of specific phobias and panic disorder and what has been done has been primarily with systematic desensitization or cognitive behavioral therapy along with hypnotherapy. I present two cases of multiple specific phobias that were successfully treated with hypnotherapy combined with virtual reality exposure therapy or in vivo exposure therapy. The rationale for this integrative therapy and the neurobiological constructs are considered.

  19. [Thalamic Stroke and Associated Behavior Disorders. Possibilities for Integral Management: Case Report].

    Science.gov (United States)

    Camargo, Loida Camargo; Sánchez, Katherine Parra

    2012-06-01

    Since ancient Greece, cerebrovascular accidents have been described with no variation. Even today, they are still a catastrophic event in the lives of patients with a high risk of disabling sequelae. Case report of a 56-year male patient with thalamic ischemia. The intervention with integral strategies involving pharmacological management and cognitive interventions was decisive for the satisfactory evolution of the patient. The management of patients with cerebrovascular accidents cannot be limited to the emergency room. Pharmacological advances in programs and cognitive intervention methods provide intervention tools from the very beginning of the stroke thus reducing the impact of long-term sequelae, and consequently enabling a better reintegration of the patient to his family. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  20. Integrated economic model of waste management: Case study for South Moravia region

    Directory of Open Access Journals (Sweden)

    Jiří Hřebíček

    2013-01-01

    Full Text Available The paper introduces and discusses the developed integrated economic model of municipal waste management of the Czech Republic, which was developed by authors as a balanced network model for a set of sources (mostly municipalities of municipal solid waste connected with a set of chosen waste treatment facilities processing their waste. Model is implemented as a combination of several economic submodels including environmental and economic point of view. It enables to formulate the optimisation problem in a concise way and the resulting model is easily scalable. Model involves submodels of waste prevention, collection and transport optimization, submodels of waste energy utilization (incineration and biogas plants and material recycling (composting and submodel of landfilling. Its size (number of sources and facilities depends only upon available data. Its application is used in the case study of the South Moravia region with verification of using time series waste data. The results enable to improve decision making in waste management sector.

  1. Integrated Comprehensive Care - A Case Study in Nursing Leadership and System Transformation.

    Science.gov (United States)

    Wheatley, Laura; Doyle, Winnie; Evans, Cheryl; Gosse, Carolyn; Smith, Kevin

    2017-01-01

    Calls for transformational change of our healthcare system are increasingly clear, persuasive and insistent. They resonate at all levels, with those who fund, deliver, provide and receive care, and they are rooted in a deep understanding that the system, as currently rigidly structured, most often lacks the necessary flexibility to comprehensively meet the needs of patients across the continuum of care. The St. Joseph's Health System (SJHS) Integrated Comprehensive Care (ICC) Program, which bundles care and funding across the hospital to home continuum, has reduced fragmentation of care, and it has delivered improved outcomes for patients, providers and the system. This case study explores the essential contribution of nursing leadership to this successful transformation of healthcare service delivery.

  2. Maintaining Research Integrity While Balancing Cultural Sensitivity: A Case Study and Lessons From the Field.

    Science.gov (United States)

    Sibbald, Rebekah; Loiseau, Bethina; Darren, Benedict; Raman, Salem A; Dimaras, Helen; Loh, Lawrence C

    2016-04-01

    Contemporary emphasis on creating culturally relevant and context specific knowledge increasingly drives researchers to conduct their work in settings outside their home country. This often requires researchers to build relationships with various stakeholders who may have a vested interest in the research. This case study examines the tension between relationship development with stakeholders and maintaining study integrity, in the context of potential harms, data credibility and cultural sensitivity. We describe an ethical breach in the conduct of global health research by a arising from the ad-hoc participation of a community stakeholder external to the visiting research group. A framework for reflection is developed from a careful examination of underlying factors and presented with a discussion of consequences and mitigation measures. This framework aims to present lessons learned for researchers working abroad who might face similar situations in their work. © 2015 John Wiley & Sons Ltd.

  3. Methodology for Supply Chain Integration: A Case Study in the Artisan Industry of Footwear

    Directory of Open Access Journals (Sweden)

    Jorge Raúl Pérez-Gallardo

    2014-01-01

    Full Text Available The supply chain is a major issue in a global market. The efficient relationship between supplier-producer-retailer conforms the perfect combination to achieve a high level of competitiveness according to the needs of increasingly demanding and changing markets. The difficulty of synchronizing the members within the SC is related to the inherent uncertain factors. This paper proposes a methodology for integrating the supply chain that can be applied in any type of business. To demonstrate its relevance, a case study is performed at a handmade shoe company. An improved demand forecasting, an optimal balanced production line, a proper inventory management of raw materials, and an efficient calculation of the delivery time to the customer represent some of the main results.

  4. On Virtual Integrated Model of a 6DoF Manipulator Arm for Emergency Cases Interventions

    Directory of Open Access Journals (Sweden)

    Gigi Naidin

    2011-09-01

    Full Text Available This research deals with a virtual integrated model for a 6DoF manipulator arm dedicated to use for emergency situations intervention. The virtual model can simulates both the entire structural and mechanical configuration of the manipulator, and the driving system with automated command unit. The basic idea supposes to develop a complex simulator for kinematical and dynamic behavior analysis of 6DoF robot manipulator, and for facilely cross correlation and comparative evaluation between essential parameters and extremely bearing cases defining the manipulator working state. The analysis was developed in Matlab© - SimScape© software. The conclusions dignify the main functional capability of the manipulator supposing the capacity of driving system and mechanical structure.

  5. Integrated economics

    International Nuclear Information System (INIS)

    Bratton, T.J.

    1992-01-01

    This article offers ideas for evaluating integrated solid waste management systems through the use of a conceptual cost overview. The topics of the article include the integrated solid waste management system; making assumptions about community characteristics, waste generation rates, waste collection responsibility, integrated system components, sizing and economic life of system facilities, system implementation schedule, facility ownership, and system administration; integrated system costs; integrated system revenues; system financing; cost projections; and making decisions

  6. Unit and integration testing of Lustre programs: a case study from the nuclear industry

    International Nuclear Information System (INIS)

    Thevenod-Fosse, P.

    1998-01-01

    LUSTRE belongs to the class of synchronous data flow languages which have been designed for programming reactive and real-time systems having safety-critical requirements. It is implemented in the SCADE tool. SCADE is a software development environment for real-time systems which consists of a graphical and textual editor, and a C code generator. In previous work, a testing approach specific to LUSTRE programs has been defined, which may be applied at either the unit or integration testing levels of a gradual testing process. The paper reports on an industrial case study we have performed to exemplify the feasibility of the testing strategy. The software module, called SRIC (Source Range Instrumentation channel), was developed by SCHNEIDER ELECTRIC in the SCADE environment. SRIC is extracted from a monitoring software system of a nuclear reactor: it approximates 2600 lines of C code automatically generated by SCADE. Section 2 outlines the testing strategy. Then, Section 3 presents the results related to the program SRIC, for which four testing levels were defined (unit testing followed by three successive integration testing levels). First conclusions and direction for future work are proposed in Section 4. (author)

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

    Directory of Open Access Journals (Sweden)

    Verena Struckmann

    2017-03-01

    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.

  8. Spatial Preference Heterogeneity for Integrated River Basin Management: The Case of the Shiyang River Basin, China

    Directory of Open Access Journals (Sweden)

    Fanus Asefaw Aregay

    2016-09-01

    Full Text Available Integrated river basin management (IRBM programs have been launched in most parts of China to ease escalating environmental degradation. Meanwhile, little is known about the benefits from and the support for these programs. This paper presents a case study of the preference heterogeneity for IRBM in the Shiyang River Basin, China, as measured by the Willingness to Pay (WTP, for a set of major restoration attributes. A discrete choice analysis of relevant restoration attributes was conducted. The results based on a sample of 1012 households in the whole basin show that, on average, there is significant support for integrated ecological restoration as indicated by significant WTP for all ecological attributes. However, residential location induced preference heterogeneities are prevalent. Generally, compared to upper-basin residents, middle sub-basin residents have lower mean WTP while lower sub-basin residents express higher mean WTP. The disparity in utility is partially explained by the difference in ecological and socio-economic status of the residents. In conclusion, estimating welfare benefit of IRBM projects based on sample responses from a specific sub-section of the basin only may either understate or overstate the welfare estimate.

  9. Integrating Forensic Accounting Core Competency into the Study of Accounting. Case of Nigeria Tertiary Institutions

    Directory of Open Access Journals (Sweden)

    Samuel F. Johnson-Rokosu

    2015-09-01

    Full Text Available Fraud and forensic accounting education is a necessity in very corrupt corporate and government institutions across the globe. Accounting educators have been pressured to make changes to the accounting curriculum and to include courses in forensic accounting and fraud examination by professional organizations and legislators as fraud cases have mounted and academic were criticized for not preparing their students for this professional environment. Accounting graduate trained under the existing curriculum exhibit lesser knowledge, skills and abilities in fraud detection, prevention and deterrence. This study therefore examined the philosophical beliefs, behavioural science concepts and approaches that can be adopted in integrating a fraud/ forensic accounting (FFA into existing accounting curriculum. The study adopted mixed research methods, content analysis and quantitative method of data analysis was employed. This paper basically made use of the content analysis in analyzing the content of the existing accounting curriculum in Nigeria universities. This study involved selected universities in South West region of Nigeria using survey research method. Findings in this study revealed that most respondents would prefer integrating fraud/forensic accounting education into accounting curriculum by offering a separate fraud/forensic accounting courses. Also, the study revealed that fraud/ forensic accounting education has positive impact on student expertise, skepticism and fraud judgment. The study identified the following consideration that Accounting course developers need to consider before, during and after curriculum revision. Involvement of faculty; consider stakeholders opinion; accreditation agencies’ and governmental requirements; resources available; need for change; among others.

  10. Integrative dynamic therapy for bulimia nervosa: An evidence-based case study.

    Science.gov (United States)

    Richards, Lauren K; Shingleton, Rebecca M; Goldman, Rachel; Siegel, Deborah; Thompson-Brenner, Heather

    2016-06-01

    Both cognitive-behavioral therapy (CBT) and psychodynamic psychotherapy are commonly used to treat eating disorders. To further investigate the effectiveness of integrative dynamic therapy (IDT) for bulimia nervosa (BN), our research group undertook a randomized, controlled pilot study comparing IDT with CBT for BN. The case described here was selected from a sample of N = 38 female patients with the symptoms of BN who enrolled in the study. IDT incorporated aspects of the first 4-week stage of CBT, including psychoeducation, self-monitoring, and regular eating. Subsequently, the treatment focused on emotional expression, emotion regulation (defenses), intrapsychic conflict, and interpersonal relationships. The objectives of the report are to demonstrate the effectiveness of an integrative approach to the treatment of eating disorders to address the symptoms of BN and personality issues using pre-, mid-, and posttreatment data, and to illustrate the patient and clinician reactions to each approach to treatment using excerpts from session transcripts and alliance data. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  11. Topics on continua

    CERN Document Server

    Macias, Sergio

    2005-01-01

    Specialized as it might be, continuum theory is one of the most intriguing areas in mathematics. However, despite being popular journal fare, few books have thoroughly explored this interesting aspect of topology. In Topics on Continua, Sergio Macías, one of the field's leading scholars, presents four of his favorite continuum topics: inverse limits, Jones's set function T, homogenous continua, and n-fold hyperspaces, and in doing so, presents the most complete set of theorems and proofs ever contained in a single topology volume. Many of the results presented have previously appeared only in research papers, and some appear here for the first time. After building the requisite background and exploring the inverse limits of continua, the discussions focus on Professor Jones''s set function T and continua for which T is continuous. An introduction to topological groups and group actions lead to a proof of Effros''s Theorem, followed by a presentation of two decomposition theorems. The author then offers an...

  12. Topical thrombin-related corneal calcification.

    Science.gov (United States)

    Kiratli, Hayyam; Irkeç, Murat; Alaçal, Sibel; Söylemezoğlu, Figen

    2006-09-01

    To report a highly unusual case of corneal calcification after brief intraoperative use of topical thrombin. A 44-year-old man underwent sclerouvectomy for ciliochoroidal leiomyoma, during which 35 UNIH/mL lyophilized bovine thrombin mixed with 9 mL of diluent containing 1500 mmol/mL calcium chloride was used. From the first postoperative day, corneal and anterior lenticular capsule calcifications developed, and corneal involvement slightly enlarged thereafter. A year later, 2 corneal punch biopsies confirmed calcification mainly in the Bowman layer. Topical treatment with 1.5% ethylenediaminetetraacetic acid significantly restored corneal clarity. Six months later, a standard extracapsular cataract extraction with intraocular lens placement improved visual acuity to 20/60. This case suggests that topical thrombin drops with elevated calcium concentrations may cause acute corneal calcification in Bowman layer and on the anterior lens capsule.

  13. An adaptive case management system to support integrated care services: Lessons learned from the NEXES project.

    Science.gov (United States)

    Cano, Isaac; Alonso, Albert; Hernandez, Carme; Burgos, Felip; Barberan-Garcia, Anael; Roldan, Jim; Roca, Josep

    2015-06-01

    Extensive deployment and sustainability of integrated care services (ICS) constitute an unmet need to reduce the burden of chronic conditions. The European Union project NEXES (2008-2013) assessed the deployment of four ICS encompassing the spectrum of severity of chronic patients. The current study aims to (i) describe the open source Adaptive Case Management (ACM) system (Linkcare®) developed to support the deployment of ICS at the level of healthcare district; (ii) to evaluate its performance; and, (iii) to identify key challenges for regional deployment of ICS. We first defined a conceptual model for ICS management and execution composed of five main stages. We then specified an associated logical model considering the dynamic runtime of ACM. Finally, we implemented the four ICS as a physical model with an ICS editor to allow professionals (case managers) to play active roles in adapting the system to their needs. Instances of ICS were then run in Linkcare®. Four ICS provided a framework for evaluating the system: Wellness and Rehabilitation (W&R) (number of patients enrolled in the study (n)=173); Enhanced Care (EC) in frail chronic patients to prevent hospital admissions, (n=848); Home Hospitalization and Early Discharge (HH/ED) (n=2314); and, Support to remote diagnosis (Support) (n=7793). The method for assessment of telemedicine applications (MAST) was used for iterative evaluation. Linkcare® supports ACM with shared-care plans across healthcare tiers and offers integration with provider-specific electronic health records. Linkcare® successfully contributed to the deployment of the four ICS: W&R facilitated long-term sustainability of training effects (p<0.01) and active life style (p<0.03); EC showed significant positive outcomes (p<0.05); HH/ED reduced on average 5 in-hospital days per patient with a 30-d re-admission rate of 10%; and, Support, enhanced community-based quality forced spirometry testing (p<0.01). Key challenges for regional deployment

  14. Changing the Topic. Topic Position in Ancient Greek Word Order

    NARCIS (Netherlands)

    Allan, R.J.

    2014-01-01

    Ancient Greek, topics can be expressed as intra-clausal constituents but they can also precede or follow the main clause as extra-clausal constituents. Together, these various topic expressions constitute a coherent system of complementary pragmatic functions. For a comprehensive account of topic

  15. Health worker perceptions of integrating mobile phones into community case management of malaria in Saraya, Senegal.

    Science.gov (United States)

    Blanas, Demetri A; Ndiaye, Youssoupha; MacFarlane, Matthew; Manga, Isaac; Siddiqui, Ammar; Velez, Olivia; Kanter, Andrew S; Nichols, Kim; Hennig, Nils

    2015-05-01

    Although community case management of malaria increases access to life-saving care in isolated settings, it contends with many logistical challenges. Mobile phone health information technology may present an opportunity to address a number of these barriers. Using the wireless adaptation of the technology acceptance model, this study assessed availability, ease of use, usefulness, and job relevance of mobile phones by health workers in Saraya, Senegal. This study conducted seven key informant interviews with government health workers, and three focus groups and 76 surveys with lay health workers. Principal findings included that mobile phones are already widely available and used, and that participants valued using phones to address training, stock management, programme reporting, and transportation challenges. By documenting widespread use of mobile phones and health worker perceptions of their most useful applications, this paper provides a framework for their integration into the community case management of malaria programme in Saraya, Senegal. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. A hybrid simulation approach for integrating safety behavior into construction planning: An earthmoving case study.

    Science.gov (United States)

    Goh, Yang Miang; Askar Ali, Mohamed Jawad

    2016-08-01

    One of the key challenges in improving construction safety and health is the management of safety behavior. From a system point of view, workers work unsafely due to system level issues such as poor safety culture, excessive production pressure, inadequate allocation of resources and time and lack of training. These systemic issues should be eradicated or minimized during planning. However, there is a lack of detailed planning tools to help managers assess the impact of their upstream decisions on worker safety behavior. Even though simulation had been used in construction planning, the review conducted in this study showed that construction safety management research had not been exploiting the potential of simulation techniques. Thus, a hybrid simulation framework is proposed to facilitate integration of safety management considerations into construction activity simulation. The hybrid framework consists of discrete event simulation (DES) as the core, but heterogeneous, interactive and intelligent (able to make decisions) agents replace traditional entities and resources. In addition, some of the cognitive processes and physiological aspects of agents are captured using system dynamics (SD) approach. The combination of DES, agent-based simulation (ABS) and SD allows a more "natural" representation of the complex dynamics in construction activities. The proposed hybrid framework was demonstrated using a hypothetical case study. In addition, due to the lack of application of factorial experiment approach in safety management simulation, the case study demonstrated sensitivity analysis and factorial experiment to guide future research. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Bridging ImmunoGenomic Data Analysis Workflow Gaps (BIGDAWG): An integrated case-control analysis pipeline.

    Science.gov (United States)

    Pappas, Derek J; Marin, Wesley; Hollenbach, Jill A; Mack, Steven J

    2016-03-01

    Bridging ImmunoGenomic Data-Analysis Workflow Gaps (BIGDAWG) is an integrated data-analysis pipeline designed for the standardized analysis of highly-polymorphic genetic data, specifically for the HLA and KIR genetic systems. Most modern genetic analysis programs are designed for the analysis of single nucleotide polymorphisms, but the highly polymorphic nature of HLA and KIR data require specialized methods of data analysis. BIGDAWG performs case-control data analyses of highly polymorphic genotype data characteristic of the HLA and KIR loci. BIGDAWG performs tests for Hardy-Weinberg equilibrium, calculates allele frequencies and bins low-frequency alleles for k×2 and 2×2 chi-squared tests, and calculates odds ratios, confidence intervals and p-values for each allele. When multi-locus genotype data are available, BIGDAWG estimates user-specified haplotypes and performs the same binning and statistical calculations for each haplotype. For the HLA loci, BIGDAWG performs the same analyses at the individual amino-acid level. Finally, BIGDAWG generates figures and tables for each of these comparisons. BIGDAWG obviates the error-prone reformatting needed to traffic data between multiple programs, and streamlines and standardizes the data-analysis process for case-control studies of highly polymorphic data. BIGDAWG has been implemented as the bigdawg R package and as a free web application at bigdawg.immunogenomics.org. Copyright © 2015 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved.

  18. Integrating Neuropsychology and Brain Imaging for a Referral of Possible Pseudodementia: A Case Report.

    Science.gov (United States)

    Tanner, J J; Mellott, E; Dunne, E M; Price, C C

    2015-01-01

    The study aimed to highlight the importance of interdisciplinary collaboration and the value for combining normative neuropsychological and neuroradiological measures for clinical purposes. We present the case of "CL," a 65-year-old, right-handed, Caucasian female referred for a neuropsychological evaluation of memory difficulties and depression with the rule-out of pseudodementia. A brain magnetic resonance imaging (MRI) scan was conducted within 24 hours of the neuropsychology exam. Mood measures showed elevated depression and apathy symptoms. The neuropsychological profile showed variable effort, intact comprehension but compromised confrontation naming and verbal memory deficits. Using normative references from 20 female age- and education-matched healthy control peers, CL showed significantly reduced temporal cortex thickness with reduced bilateral hippocampal, right amygdala, and right caudate volumes. Combined data were supportive of a diagnosis of semantic dementia. Examining neuropsychological profiles in combination with neuroimaging standardized metrics relative to peers improved case conceptualization. Standard measures of effort and malingering examined alone and without MRI for the diagnosis of pseudodementia have questionable validity and rationale. We additionally discuss the advantages and limitations/challenges for integrating neuropsychological assessments with normative based MRI brain metrics.

  19. Simulation of worst-case operating conditions for integrated circuits operating in a total dose environment

    International Nuclear Information System (INIS)

    Bhuva, B.L.

    1987-01-01

    Degradations in the circuit performance created by the radiation exposure of integrated circuits are so unique and abnormal that thorough simulation and testing of VLSI circuits is almost impossible, and new ways to estimate the operating performance in a radiation environment must be developed. The principal goal of this work was the development of simulation techniques for radiation effects on semiconductor devices. The mixed-mode simulation approach proved to be the most promising. The switch-level approach is used to identify the failure mechanisms and critical subcircuits responsible for operational failure along with worst-case operating conditions during and after irradiation. For precise simulations of critical subcircuits, SPICE is used. The identification of failure mechanisms enables the circuit designer to improve the circuit's performance and failure-exposure level. Identification of worst-case operating conditions during and after irradiation reduces the complexity of testing VLSI circuits for radiation environments. The results of test circuits for failure simulations using a conventional simulator and the new simulator showed significant time savings using the new simulator. The savings in simulation time proved to be circuit topology-dependent. However, for large circuits, the simulation time proved to be orders of magnitude smaller than simulation time for conventional simulators

  20. Topics in quantum gravity

    Energy Technology Data Exchange (ETDEWEB)

    Lamon, Raphael

    2010-06-29

    Quantum gravity is an attempt to unify general relativity with quantum mechanics which are the two highly successful fundamental theories of theoretical physics. The main difficulty in this unification arises from the fact that, while general relativity describes gravity as a macroscopic geometrical theory, quantum mechanics explains microscopic phenomena. As a further complication, not only do both theories describe different scales but also their philosophical ramifications and the mathematics used to describe them differ in a dramatic way. Consequently, one possible starting point of an attempt at a unification is quantum mechanics, i.e. particle physics, and try to incorporate gravitation. This pathway has been chosen by particle physicists which led to string theory. On the other hand, loop quantum gravity (LQG) chooses the other possibility, i.e. it takes the geometrical aspects of gravity seriously and quantizes geometry. The first part of this thesis deals with a generalization of loop quantum cosmology (LQC) to toroidal topologies. LQC is a quantization of homogenous solutions of Einstein's field equations using tools from LQG. First the general concepts of closed topologies is introduced with special emphasis on Thurston's theorem and its consequences. It is shown that new degrees of freedom called Teichmueller parameters come into play and their dynamics can be described by a Hamiltonian. Several numerical solutions for a toroidal universe are presented and discussed. Following the guidelines of LQG this dynamics are rewritten using the Ashtekar variables and numerical solutions are shown. However, in order to find a suitable Hilbert space a canonical transformation must be performed. On the other hand this transformation makes the quantization of geometrical quantities less tractable such that two different ways are presented. It is shown that in both cases the spectrum of such geometrical operators depends on the initial value problem

  1. Topics in quantum gravity

    International Nuclear Information System (INIS)

    Lamon, Raphael

    2010-01-01

    Quantum gravity is an attempt to unify general relativity with quantum mechanics which are the two highly successful fundamental theories of theoretical physics. The main difficulty in this unification arises from the fact that, while general relativity describes gravity as a macroscopic geometrical theory, quantum mechanics explains microscopic phenomena. As a further complication, not only do both theories describe different scales but also their philosophical ramifications and the mathematics used to describe them differ in a dramatic way. Consequently, one possible starting point of an attempt at a unification is quantum mechanics, i.e. particle physics, and try to incorporate gravitation. This pathway has been chosen by particle physicists which led to string theory. On the other hand, loop quantum gravity (LQG) chooses the other possibility, i.e. it takes the geometrical aspects of gravity seriously and quantizes geometry. The first part of this thesis deals with a generalization of loop quantum cosmology (LQC) to toroidal topologies. LQC is a quantization of homogenous solutions of Einstein's field equations using tools from LQG. First the general concepts of closed topologies is introduced with special emphasis on Thurston's theorem and its consequences. It is shown that new degrees of freedom called Teichmueller parameters come into play and their dynamics can be described by a Hamiltonian. Several numerical solutions for a toroidal universe are presented and discussed. Following the guidelines of LQG this dynamics are rewritten using the Ashtekar variables and numerical solutions are shown. However, in order to find a suitable Hilbert space a canonical transformation must be performed. On the other hand this transformation makes the quantization of geometrical quantities less tractable such that two different ways are presented. It is shown that in both cases the spectrum of such geometrical operators depends on the initial value problem. Furthermore, we

  2. Identification of functionally related genes using data mining and data integration: a breast cancer case study

    Directory of Open Access Journals (Sweden)

    Zucchi Ileana

    2009-10-01

    Full Text Available Abstract Background The identification of the organisation and dynamics of molecular pathways is crucial for the understanding of cell function. In order to reconstruct the molecular pathways in which a gene of interest is involved in regulating a cell, it is important to identify the set of genes to which it interacts with to determine cell function. In this context, the mining and the integration of a large amount of publicly available data, regarding the transcriptome and the proteome states of a cell, are a useful resource to complement biological research. Results We describe an approach for the identification of genes that interact with each other to regulate cell function. The strategy relies on the analysis of gene expression profile similarity, considering large datasets of expression data. During the similarity evaluation, the methodology determines the most significant subset of samples in which the evaluated genes are highly correlated. Hence, the strategy enables the exclusion of samples that are not relevant for each gene pair analysed. This feature is important when considering a large set of samples characterised by heterogeneous experimental conditions where different pools of biological processes can be active across the samples. The putative partners of the studied gene are then further characterised, analysing the distribution of the Gene Ontology terms and integrating the protein-protein interaction (PPI data. The strategy was applied for the analysis of the functional relationships of a gene of known function, Pyruvate Kinase, and for the prediction of functional partners of the human transcription factor TBX3. In both cases the analysis was done on a dataset composed by breast primary tumour expression data derived from the literature. Integration and analysis of PPI data confirmed the prediction of the methodology, since the genes identified to be functionally related were associated to proteins close in the PPI network

  3. A retrospective likelihood approach for efficient integration of multiple omics factors in case-control association studies.

    Science.gov (United States)

    Balliu, Brunilda; Tsonaka, Roula; Boehringer, Stefan; Houwing-Duistermaat, Jeanine

    2015-03-01

    Integrative omics, the joint analysis of outcome and multiple types of omics data, such as genomics, epigenomics, and transcriptomics data, constitute a promising approach for powerful and biologically relevant association studies. These studies often employ a case-control design, and often include nonomics covariates, such as age and gender, that may modify the underlying omics risk factors. An open question is how to best integrate multiple omics and nonomics information to maximize statistical power in case-control studies that ascertain individuals based on the phenotype. Recent work on integrative omics have used prospective approaches, modeling case-control status conditional on omics, and nonomics risk factors. Compared to univariate approaches, jointly analyzing multiple risk factors with a prospective approach increases power in nonascertained cohorts. However, these prospective approaches often lose power in case-control studies. In this article, we propose a novel statistical method for integrating multiple omics and nonomics factors in case-control association studies. Our method is based on a retrospective likelihood function that models the joint distribution of omics and nonomics factors conditional on case-control status. The new method provides accurate control of Type I error rate and has increased efficiency over prospective approaches in both simulated and real data. © 2015 Wiley Periodicals, Inc.

  4. Nationwide implementation of integrated community case management of childhood illness in Rwanda

    Science.gov (United States)

    Mugeni, Catherine; Levine, Adam C; Munyaneza, Richard M; Mulindahabi, Epiphanie; Cockrell, Hannah C; Glavis-Bloom, Justin; Nutt, Cameron T; Wagner, Claire M; Gaju, Erick; Rukundo, Alphonse; Habimana, Jean Pierre; Karema, Corine; Ngabo, Fidele; Binagwaho, Agnes

    2014-01-01

    ABSTRACT Background: Between 2008 and 2011, Rwanda introduced integrated community case management (iCCM) of childhood illness nationwide. Community health workers in each of Rwanda's nearly 15,000 villages were trained in iCCM and equipped for empirical diagnosis and treatment of pneumonia, diarrhea, and malaria; for malnutrition surveillance; and for comprehensive reporting and referral services. Methods: We used data from the Rwanda health management information system (HMIS) to calculate monthly all-cause under-5 mortality rates, health facility use rates, and community-based treatment rates for childhood illness in each district. We then compared a 3-month baseline period prior to iCCM implementation with a seasonally matched comparison period 1 year after iCCM implementation. Finally, we compared the actual changes in all-cause child mortality and health facility use over this time period with the changes that would have been expected based on baseline trends in Rwanda. Results: The number of children receiving community-based treatment for diarrhea and pneumonia increased significantly in the 1-year period after iCCM implementation, from 0.83 cases/1,000 child-months to 3.80 cases/1,000 child-months (P = .01) and 0.25 cases/1,000 child-months to 5.28 cases/1,000 child-months (P<.001), respectively. On average, total under-5 mortality rates declined significantly by 38% (P<.001), and health facility use declined significantly by 15% (P = .006). These decreases were significantly greater than would have been expected based on baseline trends. Conclusions: This is the first study to demonstrate decreases in both child mortality and health facility use after implementing iCCM of childhood illness at a national level. While our study design does not allow for direct attribution of these changes to implementation of iCCM, these results are in line with those of prior studies conducted at the sub-national level in other low-income countries. PMID:25276592

  5. Topical Acne Treatments and Pregnancy

    Science.gov (United States)

    Topical Acne Treatments In every pregnancy, a woman starts out with a 3-5% chance of having a baby ... This sheet talks about whether exposure to topical acne treatments may increase the risk for birth defects ...

  6. Symbiosis: Rich, Exciting, Neglected Topic

    Science.gov (United States)

    Rowland, Jane Thomas

    1974-01-01

    Argues that the topic of symbiosis has been greatly neglected and underemphasized in general-biology textbooks. Discusses many types and examples of symbiosis, and provides an extensive bibliography of the literature related to this topic. (JR)

  7. Topical steroid addiction in atopic dermatitis

    Directory of Open Access Journals (Sweden)

    Fukaya M

    2014-10-01

    Full Text Available Mototsugu Fukaya,1 Kenji Sato,2 Mitsuko Sato,3 Hajime Kimata,4 Shigeki Fujisawa,5 Haruhiko Dozono,6 Jun Yoshizawa,7 Satoko Minaguchi8 1Tsurumai Kouen Clinic, Nagoya, 2Department of Dermatology, Hannan Chuo Hospital, Osaka, 3Sato Pediatric Clinic, Osaka, 4Kimata Hajime Clinic, Osaka, 5Fujisawa Dermatology Clinic, Tokyo, 6Dozono Medical House, Kagoshima, 7Yoshizawa Dermatology Clinic, Yokohama, 8Department of Dermatology, Kounosu Kyousei Hospital, Saitama, Japan Abstract: The American Academy of Dermatology published a new guideline regarding topical therapy in atopic dermatitis in May 2014. Although topical steroid addiction or red burning skin syndrome had been mentioned as possible side effects of topical steroids in a 2006 review article in the Journal of the American Academy of Dermatology, no statement was made regarding this illness in the new guidelines. This suggests that there are still controversies regarding this illness. Here, we describe the clinical features of topical steroid addiction or red burning skin syndrome, based on the treatment of many cases of the illness. Because there have been few articles in the medical literature regarding this illness, the description in this article will be of some benefit to better understand the illness and to spur discussion regarding topical steroid addiction or red burning skin syndrome. Keywords: topical steroid addiction, atopic dermatitis, red burning skin syndrome, rebound, corticosteroid, eczema

  8. Integrability of geodesics in near-horizon extremal geometries: Case of Myers-Perry black holes in arbitrary dimensions

    Science.gov (United States)

    Demirchian, Hovhannes; Nersessian, Armen; Sadeghian, Saeedeh; Sheikh-Jabbari, M. M.

    2018-05-01

    We investigate dynamics of probe particles moving in the near-horizon limit of extremal Myers-Perry black holes in arbitrary dimensions. Employing ellipsoidal coordinates we show that this problem is integrable and separable, extending the results of the odd dimensional case discussed by Hakobyan et al. [Phys. Lett. B 772, 586 (2017)., 10.1016/j.physletb.2017.07.028]. We find the general solution of the Hamilton-Jacobi equations for these systems and present explicit expressions for the Liouville integrals and discuss Killing tensors and the associated constants of motion. We analyze special cases of the background near-horizon geometry were the system possesses more constants of motion and is hence superintegrable. Finally, we consider a near-horizon extremal vanishing horizon case which happens for Myers-Perry black holes in odd dimensions and show that geodesic equations on this geometry are also separable and work out its integrals of motion.

  9. 'Integration'

    DEFF Research Database (Denmark)

    Olwig, Karen Fog

    2011-01-01

    , while the countries have adopted disparate policies and ideologies, differences in the actual treatment and attitudes towards immigrants and refugees in everyday life are less clear, due to parallel integration programmes based on strong similarities in the welfare systems and in cultural notions...... of equality in the three societies. Finally, it shows that family relations play a central role in immigrants’ and refugees’ establishment of a new life in the receiving societies, even though the welfare society takes on many of the social and economic functions of the family....

  10. On the case of Goryachev-Chaplygin and new examples of integrable conservative systems on S^2

    OpenAIRE

    Selivanova, E. N.

    1998-01-01

    The aim of this paper is to describe a class of conservative systems on $S^2$ possessing an integral cubic in momenta. We prove that this class of systems consists off the case of Goryachev-Chaplygin, the one-parameter family of systems which has been found by the author in the previous paper (dg-ga/9711005) and a new two-parameter family of conservative systems on $S^2$ possessing an integral cubic in momenta.

  11. Multicanister overpack topical report

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, B.D., Fluor Daniel Hanford

    1997-03-25

    The Spent Nuclear Fuel MCO is a single-use container that consists of a cylindrical shell, five to six fuel baskets, a shield plug, and features necessary for maintaining the structural integrity of the MCO while providing criticality control and fuel processing capability.

  12. Bare quantifier fronting as contrastive topicalization

    Directory of Open Access Journals (Sweden)

    Ion Giurgea

    2015-11-01

    Full Text Available I argue that indefinites (in particular bare quantifiers such as ‘something’, ‘somebody’, etc. which are neither existentially presupposed nor in the restriction of a quantifier over situations, can undergo topicalization in a number of Romance languages (Catalan, Italian, Romanian, Spanish, but only if the sentence contains “verum” focus, i.e. focus on a high degree of certainty of the sentence. I analyze these indefinites as contrastive topics, using Büring’s (1999 theory (where the term ‘S-topic’ is used for what I call ‘contrastive topic’. I propose that the topic is evaluated in relation to a scalar set including generalized quantifiers such as {lP $x P(x, lP MANYx P(x, lP MOSTx P(x, lP “xP(x} or {lP $xP(x, lP P(a, lP P(b …}, and that the contrastive topic is the weakest generalized quantifier in this set. The verum focus, which is part of the “comment” that co-occurs with the “Topic”, introduces a set of alternatives including degrees of certainty of the assertion. The speaker asserts that his claim is certainly true or highly probable, contrasting it with stronger claims for which the degree of probability is unknown. This explains the observation that in downward entailing contexts, the fronted quantified DPs are headed by ‘all’ or ‘many’, whereas ‘some’, small numbers or ‘at least n’ appear in upward entailing contexts. Unlike other cases of non-specific topics, which are property topics, these are quantifier topics: the topic part is a generalized quantifier, the comment is a property of generalized quantifiers. This explains the narrow scope of the fronted quantified DP.

  13. Evaluating topic model interpretability from a primary care physician perspective.

    Science.gov (United States)

    Arnold, Corey W; Oh, Andrea; Chen, Shawn; Speier, William

    2016-02-01

    Probabilistic topic models provide an unsupervised method for analyzing unstructured text. These models discover semantically coherent combinations of words (topics) that could be integrated in a clinical automatic summarization system for primary care physicians performing chart review. However, the human interpretability of topics discovered from clinical reports is unknown. Our objective is to assess the coherence of topics and their ability to represent the contents of clinical reports from a primary care physician's point of view. Three latent Dirichlet allocation models (50 topics, 100 topics, and 150 topics) were fit to a large collection of clinical reports. Topics were manually evaluated by primary care physicians and graduate students. Wilcoxon Signed-Rank Tests for Paired Samples were used to evaluate differences between different topic models, while differences in performance between students and primary care physicians (PCPs) were tested using Mann-Whitney U tests for each of the tasks. While the 150-topic model produced the best log likelihood, participants were most accurate at identifying words that did not belong in topics learned by the 100-topic model, suggesting that 100 topics provides better relative granularity of discovered semantic themes for the data set used in this study. Models were comparable in their ability to represent the contents of documents. Primary care physicians significantly outperformed students in both tasks. This work establishes a baseline of interpretability for topic models trained with clinical reports, and provides insights on the appropriateness of using topic models for informatics applications. Our results indicate that PCPs find discovered topics more coherent and representative of clinical reports relative to students, warranting further research into their use for automatic summarization. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  14. A Factor Analysis of Trade Integration: The Case of Asian and Oceanic Economies

    OpenAIRE

    Yin-Wong Cheung; Matthew S. Yiu; Kenneth K. Chow

    2009-01-01

    We study trade integration among 15 selected Asian and Oceanic economies using factor models. The principal component approach is employed to extract the common factor that drives trade integration from bilateral trade integration series. It is found that the estimated common trade integration factor has strong seasonal and deterministic components. In accordance with theory, the common trade integration factor is significantly associated with the economic growth and the trade barriers of the...

  15. Mathematics Teachers' Readiness to Integrate ICT in the Classroom: The Case of Elementary and Middle School Arab Teachers in Israel

    Directory of Open Access Journals (Sweden)

    Nimer F. Baya'a

    2013-03-01

    Full Text Available ICT integration in mathematics education provides mathematics teachers with integrative teaching methods that motivate students learning, support their independent learning and active participation in the discovery of mathematics concepts and topics, and, as a result, helps them have deeper understanding of the mathematical ideas. So, the integration of ICT in the teaching and learning of mathematics, as a result of ICT educational affordances, helps students have better achievement in mathematics. These potentialities of the ICT make its integration in the mathematics classroom a promising practice, but the success of this practice is dependent on various factors, among which are the following: teachers' perceptions of their ability in ICT, teachers' attitudes towards ICT contribution to the mathematics teaching, teachers' attitudes towards ICT contribution to students' mathematics learning, teachers' emotions towards the use of ICT in the mathematics classroom, teachers' feelings of self-esteem and control in the presence of ICT in the mathematics classroom, and teachers' intentions to actually integrate ICT in their teaching. The current research came to verify the readiness of Arab teachers in elementary and middle schools in Israel regarding the integration of ICT in the classroom, and hence its interest in the six above constructs. The research used a questionnaire that included statements related to each one of the above constructs. This questionnaire was administered to 475 Arab teachers in elementary and middle schools in the North, Center and Haifa regions in Israel. The research findings show that more than seventy percent of the participating teachers have positive perceptions of their competence in technology and technology integration in their teaching. Further, they have positive attitudes towards the integration of ICT in teaching and learning and of their self-esteem in the presence of technology, in addition to positive

  16. Integration process of theoretical courses with design studios in undergraduate education: Case studies of architecture and interior design studios

    Directory of Open Access Journals (Sweden)

    Ozmehmet Ecehan

    2016-01-01

    Full Text Available The formulations of studios are the most critical problem of design studies, because the foundation of further architectural education is based on these design studios. This paper focuses on discussions of studiobased design learning systems and curriculum developments on integral design studios that aims significant and innovative frameworks. In this context, integrated design studios are the newest approaches of architectural education. In this education system every studio has its own integral course. Integral courses give support to the design studios. This support can be either theoretical or practical. Knowledge that is related with the context of the design studio can be explained in this integrated course in some cases, in some cases as simulation program can be explained in some parts of the course. The support of the integral courses to the studios must be evaluated deeply. This paper presents the positive parts and negative parts of the new integral studio approach in this context. By this way, strong and weak parts of this education system is put forward.

  17. Integrated socio-environmental modelling: A test case in coastal Bangladesh

    Science.gov (United States)

    Lazar, Attila

    2013-04-01

    Delta regions are vulnerable with their populations and ecosystems facing multiple threats in the coming decades through extremes of poverty, environmental and ecological stress and land degradation. External and internal processes initiate these threats/changes and results in for example water quality and health risk issues, declining agricultural productivity and sediment starvation all of which directly affecting the local population. The ESPA funded "Assessing Health, Livelihoods, Ecosystem Services and Poverty Alleviation In Populous Deltas" project (2012-16) aims to provide policy makers with the knowledge and tools to enable them to evaluate the effects of policy decisions on people's livelihoods. It considers coastal Bangladesh in the Ganges-Brahmaputra-Meghna Delta: one of the world's most dynamic and significant deltas. This is being done by a multidisciplinary and multinational team of policy analysts, social and natural scientists and engineers using a participatory, holistic approach to formally evaluate ecosystem services and poverty in the context of the wide range of changes that are occurring. An integrated model with relevant feedbacks is being developed to explore options for management strategies and policy formulation for ecosystem services, livelihoods and health in coastal Bangladesh. This requires the continuous engagement with stakeholders through the following steps: (1) system characterisation, (2) research question definition, (3) data and model identification, (4) model validation and (5) model application. This presentation will focus on the first three steps. Field-based social science and governance related research are on the way. The bio-physical models have been selected and some are already set up for the study area. These allow preliminary conceptualisation of the elements and linkages of the deltaic socio-environmental system and thus the preliminary structure of the integrated model. This presentation describes these steps

  18. Integrating human health into environmental impact assessment: case studies of Canada's Northern mining resource sector

    International Nuclear Information System (INIS)

    Noble, B.F.; Bronson, J.E.

    2005-01-01

    This paper examines the integration of human health considerations into environmental impact assessment (EIA) in the Canadian North. Emphasis is placed on the northern mining sector, where more land has been staked in the past decade than in the previous 50 years combined. Using information from interviews with northern EIA and health practitioners and reviews of selected project documents, we examined three principal mining case studies, northern Saskatchewan uranium mining operations, the Ekati diamond project, and the Voisey's Bay mine/mill project, to determine whether and how health considerations in EIA have evolved and the current nature and scope of health integration. Results suggest that despite the recognized link between environment and health and the number of high-profile megaprojects in Canada's North, human health, particularly social health, has not been given adequate treatment in northern EIA. Health considerations in EIA have typically been limited to physical health impacts triggered directly by project-induced environmental change, while social and other health determinants have been either not considered at all, or limited to those aspects of health and well-being that the project proponent directly controlled, namely employment opportunities and worker health and safety. In recent years, we have been seeing improvements in the scope of health in EIA to reflect a broader range of health determinants, including traditional land use and culture. However, there is still a need to adopt impact mitigation and enhancement measures that are sensitive to northern society, to monitor and follow up actual health impacts after project approval, and to ensure that mitigation and enhancement measures are effective. (author)

  19. Integrating mobile technology with routine dietetic practice: the case of myPace for weight management.

    Science.gov (United States)

    Harricharan, Michelle; Gemen, Raymond; Celemín, Laura Fernández; Fletcher, David; de Looy, Anne E; Wills, Josephine; Barnett, Julie

    2015-05-01

    The field of Mobile health (mHealth), which includes mobile phone applications (apps), is growing rapidly and has the potential to transform healthcare by increasing its quality and efficiency. The present paper focuses particularly on mobile technology for body weight management, including mobile phone apps for weight loss and the available evidence on their effectiveness. Translation of behaviour change theory into weight management strategies, including integration in mobile technology is also discussed. Moreover, the paper presents and discusses the myPace platform as a case in point. There is little clinical evidence on the effectiveness of currently available mobile phone apps in enabling behaviour change and improving health-related outcomes, including sustained body weight loss. Moreover, it is unclear to what extent these apps have been developed in collaboration with health professionals, such as dietitians, and the extent to which apps draw on and operationalise behaviour change techniques has not been explored. Furthermore, presently weight management apps are not built for use as part of dietetic practice, or indeed healthcare more widely, where face-to-face engagement is fundamental for instituting the building blocks for sustained lifestyle change. myPace is an innovative mobile technology for weight management meant to be embedded into and to enhance dietetic practice. Developed out of systematic, iterative stages of engagement with dietitians and consumers, it is uniquely designed to complement and support the trusted health practitioner-patient relationship. Future mHealth technology would benefit if engagement with health professionals and/or targeted patient groups, and behaviour change theory stood as the basis for technology development. Particularly, integrating technology into routine health care practice, rather than replacing one with the other, could be the way forward.

  20. Risk assessment by integrating interpretive structural modeling and Bayesian network, case of offshore pipeline project

    International Nuclear Information System (INIS)

    Wu, Wei-Shing; Yang, Chen-Feng; Chang, Jung-Chuan; Château, Pierre-Alexandre; Chang, Yang-Chi

    2015-01-01

    The sound development of marine resource usage relies on a strong maritime engineering industry. The perilous marine environment poses the highest risk to all maritime work. It is therefore imperative to reduce the risk associated with maritime work by using some analytical methods other than engineering techniques. This study addresses this issue by using an integrated interpretive structure modeling (ISM) and Bayesian network (BN) approach in a risk assessment context. Mitigating or managing maritime risk relies primarily on domain expert experience and knowledge. ISM can be used to incorporate expert knowledge in a systematic manner and helps to impose order and direction on complex relationships that exist among system elements. Working with experts, this research used ISM to clearly specify an engineering risk factor relationship represented by a cause–effect diagram, which forms the structure of the BN. The expert subjective judgments were further transformed into a prior and conditional probability set to be embedded in the BN. We used the BN to evaluate the risks of two offshore pipeline projects in Taiwan. The results indicated that the BN can provide explicit risk information to support better project management. - Highlights: • We adopt an integrated method for risk assessment of offshore pipeline projects. • We conduct semi-structural interview with the experts for risk factor identification. • Interpretive structural modeling helps to form the digraph of Bayesian network (BN) • We perform the risk analysis with the experts by building a BN. • Risk evaluations of two case studies using the BN show effectiveness of the methods

  1. Carbon dioxide from integrated biomass energy systems - examples from case studies in USA

    International Nuclear Information System (INIS)

    Boman, U.

    1996-04-01

    This report is a result of a work by Vattenfall and Electric Power Research Institute (EPRI) to study a number of integrated biomass energy systems. The emphasis of this paper will be on the energy systems of the projects in Minnesota and New York. By introducing the dedicated feedstock supply system (DFSS), the amount of energy spent for production of crops can be reduced, the amount of fertilizers can be decreased, the soil can be improved, and a significant amount of energy will be produced, compared to an ordinary farm crop. Although the conversion of biomass to electricity in itself does not emit more CO 2 than is captured by the biomass through photosynthesis, there will be some CO 2 -emissions from the DFSS. External energy is required for the production of the biomass feedstock, and this energy is mainly based on fossil fuels. By using this input energy, CO 2 and other greenhouse gases are emitted. But, by utilizing fossil fuels as external input fuels for production of biomass, we would get about 10-15 times more electric energy per unit fossil fuel, than we would get if the fossil fuel was utilized in a power directly. Compared to traditional coal based electricity production, the CO 2 -emissions are in most cases reduced significantly. But the reduction rate is related to the process and the whole integrated system. The reduction could possibly be increased further, by introducing more efficient methods in farming, transportation, and handling, and by selecting the best methods or technologies for conversion of biomass fuel to electricity. 25 refs, 8 figs, 8 tabs

  2. Understanding the Language Demands on Science Students from an Integrated Science and Language Perspective

    Science.gov (United States)

    Seah, Lay Hoon; Clarke, David John; Hart, Christina Eugene

    2014-01-01

    This case study of a science lesson, on the topic thermal expansion, examines the language demands on students from an integrated science and language perspective. The data were generated during a sequence of 9 lessons on the topic of "States of Matter" in a Grade 7 classroom (12-13 years old students). We identify the language demands…

  3. Medieval Iceland, Greenland, and the New Human Condition: A case study in integrated environmental humanities

    Science.gov (United States)

    Hartman, Steven; Ogilvie, A. E. J.; Ingimundarson, Jón Haukur; Dugmore, A. J.; Hambrecht, George; McGovern, T. H.

    2017-09-01

    This paper contributes to recent studies exploring the longue durée of human impacts on island landscapes, the impacts of climate and other environmental changes on human communities, and the interaction of human societies and their environments at different spatial and temporal scales. In particular, the paper addresses Iceland during the medieval period (with a secondary, comparative focus on Norse Greenland) and discusses episodes where environmental and climatic changes have appeared to cross key thresholds for agricultural productivity. The paper draws upon international, interdisciplinary research in the North Atlantic region led by the North Atlantic Biocultural Organization (NABO) and the Nordic Network for Interdisciplinary Environmental Studies (NIES) in the Circumpolar Networks program of the Integrated History and Future of People on Earth (IHOPE). By interlinking analyses of historically grounded literature with archaeological studies and environmental science, valuable new perspectives can emerge on how these past societies may have understood and coped with such impacts. As climate and other environmental changes do not operate in isolation, vulnerabilities created by socioeconomic factors also beg consideration. The paper illustrates the benefits of an integrated environmental-studies approach that draws on data, methodologies and analytical tools of environmental humanities, social sciences, and geosciences to better understand long-term human ecodynamics and changing human-landscape-environment interactions through time. One key goal is to apply previously unused data and concerted expertise to illuminate human responses to past changes; a secondary aim is to consider how lessons derived from these cases may be applicable to environmental threats and socioecological risks in the future, especially as understood in light of the New Human Condition, the concept transposed from Hannah Arendt's influential framing of the human condition that is

  4. Integration between ground based and satellite SAR data in landslide mapping: The San Fratello case study

    Science.gov (United States)

    Bardi, Federica; Frodella, William; Ciampalini, Andrea; Bianchini, Silvia; Del Ventisette, Chiara; Gigli, Giovanni; Fanti, Riccardo; Moretti, Sandro; Basile, Giuseppe; Casagli, Nicola

    2014-10-01

    The potential use of the integration of PSI (Persistent Scatterer Interferometry) and GB-InSAR (Ground-based Synthetic Aperture Radar Interferometry) for landslide hazard mitigation was evaluated for mapping and monitoring activities of the San Fratello landslide (Sicily, Italy). Intense and exceptional rainfall events are the main factors that triggered several slope movements in the study area, which is susceptible to landslides, because of its steep slopes and silty-clayey sedimentary cover. In the last three centuries, the town of San Fratello was affected by three large landslides, developed in different periods: the oldest one occurred in 1754, damaging the northeastern sector of the town; in 1922 a large landslide completely destroyed a wide area in the western hillside of the town. In this paper, the attention is focussed on the most recent landslide that occurred on 14 February 2010: in this case, the phenomenon produced the failure of a large sector of the eastern hillside, causing severe damages to buildings and infrastructures. In particular, several slow-moving rotational and translational slides occurred in the area, making it suitable to monitor ground instability through different InSAR techniques. PS-InSAR™ (permanent scatterers SAR interferometry) techniques, using ERS-1/ERS-2, ENVISAT, RADARSAT-1, and COSMO-SkyMed SAR images, were applied to analyze ground displacements during pre- and post-event phases. Moreover, during the post-event phase in March 2010, a GB-InSAR system, able to acquire data continuously every 14 min, was installed collecting ground displacement maps for a period of about three years, until March 2013. Through the integration of space-borne and ground-based data sets, ground deformation velocity maps were obtained, providing a more accurate delimitation of the February 2010 landslide boundary, with respect to the carried out traditional geomorphological field survey. The integration of GB-InSAR and PSI techniques proved to

  5. Topics on electricity trade

    International Nuclear Information System (INIS)

    Skytte, K.

    2001-01-01

    The first chapter in this thesis is a survey of studies on electricity trade, which has been included in order to show how subjects in this thesis fit into this aspect of energy research. Transitions from centralised monopolies to liberalised electricity markets have been inaugurated in the northern European countries during the last decade. The backgrounds and speed of transitions differ within the countries. Where Norway liberalised its electricity market in order to stabilise the prices, EU urged a liberalisation in order to make the electricity supply industry more effective. Together with national liberalisation, the opening of the cross border trade between the countries is also urged. The first paper in this thesis describes those different liberalisation processes within northern Europe and discusses problems that may arise in a transition period for integrating the countries into a common electricity market with efficient cross-border competition. Before the liberalisation process started, the electricity generation was determined by a central load dispatch at known prices. The introduction of competition has necessitated the creation of new competitive markets, power exchanges and financial markets where generation and prices are determined by demand and supply on the markets. One implication of this is that investments in new plants shall be made under levels of uncertainty about future prices. The second paper in this thesis analyses the importance of introducing uncertainty in energy-economic modelling of the electricity supply sector. Another implication, which arises on introducing a new market structure and power exchanges, is that the design of the power exchanges influences the price setting on the markets. The third paper of this thesis analyses the price setting on the regulating power market on the Nordic power exchange Nord Pool. More precisely, the paper reveals the pattern of the prices on the regulating power market by analysing the cost of

  6. Topics on electricity trade

    Energy Technology Data Exchange (ETDEWEB)

    Skytte, K.

    2001-07-01

    The first chapter in this thesis is a survey of studies on electricity trade, which has been included in order to show how subjects in this thesis fit into this aspect of energy research. Transitions from centralised monopolies to liberalised electricity markets have been inaugurated in the northern European countries during the last decade. The backgrounds and speed of transitions differ within the countries. Where Norway liberalised its electricity market in order to stabilise the prices, EU urged a liberalisation in order to make the electricity supply industry more effective. Together with national liberalisation, the opening of the cross border trade between the countries is also urged. The first paper in this thesis describes those different liberalisation processes within northern Europe and discusses problems that may arise in a transition period for integrating the countries into a common electricity market with efficient cross-border competition. Before the liberalisation process started, the electricity generation was determined by a central load dispatch at known prices. The introduction of competition has necessitated the creation of new competitive markets, power exchanges and financial markets where generation and prices are determined by demand and supply on the markets. One implication of this is that investments in new plants shall be made under levels of uncertainty about future prices. The second paper in this thesis analyses the importance of introducing uncertainty in energy-economic modelling of the electricity supply sector. Another implication, which arises on introducing a new market structure and power exchanges, is that the design of the power exchanges influences the price setting on the markets. The third paper of this thesis analyses the price setting on the regulating power market on the Nordic power exchange Nord Pool. More precisely, the paper reveals the pattern of the prices on the regulating power market by analysing the cost of

  7. Evaluation of the Effectiveness of the Integration of a LITEE Case Study for a Freshman Level Mechanical Engineering Course at The University of Toledo

    Science.gov (United States)

    Franchetti, Matthew

    2011-01-01

    The purpose of this paper is to report the findings of the integration of a manufacturing case study to a freshman level mechanical engineering course at The University of Toledo. The approach to integrate this case study into the class was completed via weekly assignments analyzing the case, small group discussion, and weekly group discussion.…

  8. Pro-ACT II: integrating utilization management, discharge planning, and nursing case management into the outcomes manager role.

    Science.gov (United States)

    Brett, J L; Bueno, M; Royal, N; Kendall-Sengin, K

    1997-02-01

    Building on redesign efforts that created case management, clinical care technicians, support service hosts, and pharmacy technician roles, this redesign focused on integrating case management, utilization management, and discharge planning functions into a new outcomes manager role. The authors describe the process of developing and implementing the new role and outline specific actions that eliminated redundancy and inefficiency. Results of the evaluation of the project are reviewed, including full-time equivalent and salary savings and employee and physician satisfaction improvements.

  9. Integrating Art into Places in Transition - Rose Kennedy Greenway in Boston as a Case Study

    Science.gov (United States)

    Rembeza, Magdalena

    2017-10-01

    Among the many projects realized in public spaces, some are truly unique - and these are the ones that build the identity of a place. The aim of this paper is to examine how integrating art and cultural strategies into public space can enhance and reinforce the sense of a place. Particular attention is devoted to urban spaces that we call “places in transition”, where public art improves the city’s imaginative capacity, enlivens neighbourhoods, and sparks civic exchange. Research methods include multidisciplinary literature studies and a detailed case study of the Rose Kennedy Greenway (RKG) - a contemporary urban park in Boston, USA, intended to stitch together the various neighbourhoods surrounding downtown. The Greenway is also a place in transition, to which the Conservancy introduces innovative and contemporary art through temporary exhibitions, engaging people in experiences, interactions and dialogue with art. The five-year Public Art Strategy was supported by Fund for the Arts, a public art program of the New England Foundation for the Arts. The main vision of the project is to amplify the Greenway’s unique characteristic through art that is connective, innovative, and celebratory. There are the two main types of projects within the Public Art Strategy for the RKG: short-term projects called “Platforms” and long-term projects called “Magnets”. The particular conceptual framework is being developed to guide proposals: connection, interactivity, civic dialogue, ecology, and the environment. The article examines the case and analyses the important issues related to implementing art into a public space such as re-imagining places, short-term and long-term artistic interventions, arts and cultural programming.

  10. Policy challenges facing integrated community case management in Sub-Saharan Africa.

    Science.gov (United States)

    Bennett, Sara; George, Asha; Rodriguez, Daniela; Shearer, Jessica; Diallo, Brahima; Konate, Mamadou; Dalglish, Sarah; Juma, Pamela; Namakhoma, Ireen; Banda, Hastings; Chilundo, Baltazar; Mariano, Alda; Cliff, Julie

    2014-07-01

    To report an in-depth analysis of policy change for integrated community case management of childhood illness (iCCM) in six sub-Saharan African countries. We analysed how iCCM policies developed and the barriers and facilitators to policy change. Qualitative retrospective case studies drawing from document reviews, semi-structured interviews and in-country validation workshops were conducted in Burkina Faso, Kenya, Malawi, Mali, Mozambique and Niger. These countries were selected to maximise variation in iCCM policy status, community health worker (CHW) models and different African regions. Country iCCM policies evolved in an ad hoc fashion, but were substantially influenced by the history of primary health care and the nature of CHW programmes. Technical officers within Ministries of Health led iCCM policy change with support from international donors, but neither communities nor political leadership was mobilised. Concerns about achieving the Millennium Development Goals, together with recognition of the shortcomings of existing child health programmes, led to the adoption of iCCM policies. Availability of external financing played a critical role in facilitating policy change. iCCM policy change has been promoted by international agencies, but national governments have struggled to align iCCM with country health systems. Greater investment is needed in tailoring global policy initiatives to match country needs. High-level, political ownership of iCCM policies could facilitate policy change, as could clearer strategies for ensuring the long-term sustainability of such policies. © 2014 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  11. Topics in statistical mechanics

    International Nuclear Information System (INIS)

    Elser, V.

    1984-05-01

    This thesis deals with four independent topics in statistical mechanics: (1) the dimer problem is solved exactly for a hexagonal lattice with general boundary using a known generating function from the theory of partitions. It is shown that the leading term in the entropy depends on the shape of the boundary; (2) continuum models of percolation and self-avoiding walks are introduced with the property that their series expansions are sums over linear graphs with intrinsic combinatorial weights and explicit dimension dependence; (3) a constrained SOS model is used to describe the edge of a simple cubic crystal. Low and high temperature results are derived as well as the detailed behavior near the crystal facet; (4) the microscopic model of the lambda-transition involving atomic permutation cycles is reexamined. In particular, a new derivation of the two-component field theory model of the critical behavior is presented. Results for a lattice model originally proposed by Kikuchi are extended with a high temperature series expansion and Monte Carlo simulation. 30 references

  12. Superconcentration and related topics

    CERN Document Server

    Chatterjee, Sourav

    2014-01-01

    A certain curious feature of random objects, introduced by the author as “super concentration,” and two related topics, “chaos” and “multiple valleys,” are highlighted in this book. Although super concentration has established itself as a recognized feature in a number of areas of probability theory in the last twenty years (under a variety of names), the author was the first to discover and explore its connections with chaos and multiple valleys. He achieves a substantial degree of simplification and clarity in the presentation of these findings by using the spectral approach. Understanding the fluctuations of random objects is one of the major goals of probability theory and a whole subfield of probability and analysis, called concentration of measure, is devoted to understanding these fluctuations. This subfield offers a range of tools for computing upper bounds on the orders of fluctuations of very complicated random variables. Usually, concentration of measure is useful when more direct prob...

  13. Topics in broken supersymmetry

    International Nuclear Information System (INIS)

    Lee, I.H.

    1984-01-01

    Studies on two topics in the framework of broken supersymmetry are presented. Chapter I is a brief introduction in which the motivation and the background of this work are discussed. In Chapter II, the author studies the decay K + → π + γγ in models with spontaneous supersymmetry breaking and find that it is generally suppressed relative to the decay K + → π + anti nu nu of the conventional model, except possibly for a class of models where the scalar quark masses are generated by radiative corrections from a much larger supersymmetry breaking scale. For a small range of scalar quark and photino mass parameters, the cascade decay process K + → π + π 0 → π + γγ will become dominant over the anti nu nu mode. The author also comments on the possibility of probing the neutrino mass through the K + → π + π 0 → π + anti nu nu cascade decay. Chapter III is concerned with the implications of explicit lepton number violating soft operators in a general low energy effective theory with softly broken supersymmetry

  14. Topics in supersymmetric theories

    International Nuclear Information System (INIS)

    Nemeschansky, D.D.

    1984-01-01

    This thesis discusses four different topics in supersymmetric theories. In the first part models in which supersymmetry is broken by the Fayet-Iliopoulos mechanism are considered. The possibility that scalar quark and lepton masses might arise radiatively in such theories is explored. In the second part supersymmetric grand unified models with a sliding singlet are considered. The author reviews the argument that the sliding singlet does not work in models with large supersymmetry breaking. Then he considers the possibility of using a sliding singlet with low energy supersymmetry breaking. The third part of the thesis deals with the entropy problem of supersymmetric theories. Most supersymmetric models possess a decoupled particle with mass of order 100 GeV which is copiously produced in the early universe and whose decay produces huge amounts of entropy. The author shows how this problem can be avoided in theories in which the hidden sector contains several light fields. In the fourth part effective Lagrangians for supersymmetric theories are studied. The anomalous pion interaction for supersymmetric theories is written down. General properties of this term are studied both on compact and non-compact manifolds

  15. Topics in inflationary cosmology

    International Nuclear Information System (INIS)

    Kahn, R.N.

    1985-01-01

    This thesis examines several topics in the theory of inflationary cosmology. It first proves the existence of Hawking Radiation during the slow-rolling period of a new inflationary universe. It then derives and somewhat extends Bardeen's gauge invariant formalism for calculating the growth of linear gravitational perturbations in a Friedmann-Robertson-Walker cosmological background. This formalism is then applied, first to several new inflationary universe models all of which show a Zel'dovich spectrum of fluctuations, but with amplitude sigma(100 4 ) above observational limits. The general formalism is next applied to models that exhibit primordial inflation. Fluctuations in these models also exhibit a Zel'dovich spectrum here with an acceptable amplitude. Finally the thesis presents the results of new, numerical calculations. A classical, (2 + 1) dimensional computer model is developed that includes a Higgs field (which drives inflation) along with enough auxiliary fields to generate dynamically not only a thermal bath, but also the fluctuations that naturally accompany that bath. The thesis ends with a discussion of future prospects

  16. Foundation integrity assessment using integrated geophysical and geotechnical techniques: case study in crystalline basement complex, southwestern Nigeria

    Science.gov (United States)

    Olayanju, G. M.; Mogaji, K. A.; Lim, H. S.; Ojo, T. S.

    2017-06-01

    The determination of parameters comprising exact depth to bedrock and its lithological type, lateral changes in lithology, and detection of fractures, cracks, or faults are essential to designing formidable foundations and assessing the integrity of civil engineering structures. In this study, soil and site characterization in a typical hard rock geologic terrain in southwestern Nigeria were carried out employing integrated geophysical and geotechnical techniques to address tragedies in civil engineering infrastructural development. The deployed geophysical measurements involved running both very low frequency electromagnetic (VLF-EM) and electrical resistivity methods (dipole-dipole imaging and vertical electrical sounding (VES) techniques) along the established traverses, while the latter technique entailed conducting geological laboratory sieve analysis and Atterberg limit-index tests upon the collected soil samples in the area. The results of the geophysical measurement, based on the interpreted VLF-EM and dipole-dipole data, revealed conductive zones and linear features interpreted as fractures/faults which endanger the foundations of public infrastructures. The delineation of four distinct geoelectric layers in the area—comprised of topsoil, lateritic/clayey substratum, weathered layer, and bedrock—were based on the VES results. Strong evidence, including high degree of decomposition and fracturing of underlying bedrock revealed by the VES results, confirmed the VLF-EM and dipole-dipole results. Furthermore, values in the range of 74.2%-77.8%, 55%-62.5%, 23.4%-24.5%, 7.7%-8.2%, 19.5%-22.4%, and 31.65%-38.25% were obtained for these geotechnical parameters viz soil percentage passing 0.075 mm sieve size, liquid limit, plasticity index, linear shrinkage, natural moisture content, and plastic limit, respectively, resulting from the geotechnical analysis of the soil samples. The comparatively analyzed geophysical and geotechnical results revealed a high

  17. Albedo of low-energy light ions: case of anisotropic approximation of the collision integral

    International Nuclear Information System (INIS)

    Simovic, R.; Vukanic, J. . E-mail address of corresponding author: simovicr@vin.bg.ac.yu; Simovic, R.)

    2005-01-01

    For diffusion and slowing-down of low-energy light ions, the linear transport equation in the path length form was rederived taking into account a common anisotropic approximation of the collision integral. Assuming that the transport cross section depends only on the ion initial energy, the equation was Laplace-transformed over the relative path length and half-space albedo problem was considered by using the ordinary DPN technique. The Laplace-transformed reflection function was found in the lowest order of DPN flux approximation, and then was inverted analytically leading to the distribution of backscattered particles in the relative path-length. For the general power potential V(R)∞R -1/m the particle reflection coefficient was obtained as a series, while for the special case of the inverse square potential (m=1/2) this coefficient was determined in a compact form. The present approach was compared with the TRIM simulations of helium ion reflection, as well as with the Tilinin - Betz fitting formula and the MARLOWE simulations of proton reflection. (author)

  18. Electrolyzer Performance Analysis of an Integrated Hydrogen Power System for Greenhouse Heating. A Case Study

    Directory of Open Access Journals (Sweden)

    Simone Pascuzzi

    2016-07-01

    Full Text Available A greenhouse containing an integrated system of photovoltaic panels, a water electrolyzer, fuel cells and a geothermal heat pump was set up to investigate suitable solutions for a power system based on solar energy and hydrogen, feeding a self-sufficient, geothermal-heated greenhouse. The electricity produced by the photovoltaic source supplies the electrolyzer; the manufactured hydrogen gas is held in a pressure tank. In these systems, the electrolyzer is a crucial component; the technical challenge is to make it work regularly despite the irregularity of the solar source. The focus of this paper is to study the performance and the real energy efficiency of the electrolyzer, analyzing its operational data collected under different operating conditions affected by the changeable solar radiant energy characterizing the site where the experimental plant was located. The analysis of the measured values allowed evaluation of its suitability for the agricultural requirements such as greenhouse heating. On the strength of the obtained result, a new layout of the battery bank has been designed and exemplified to improve the performance of the electrolyzer. The evaluations resulting from this case study may have a genuine value, therefore assisting in further studies to better understand these devices and their associated technologies.

  19. Integrated marketing communication in tourism – an analysis. Case study: Muntenia and Oltenia

    Directory of Open Access Journals (Sweden)

    Aurelia-Felicia STĂNCIOIU

    2013-06-01

    Full Text Available The multitude of factors interfering in the process of image formation and the way in which they act in a unique combination, similar to a genetic code for a consumer, influences the image study of a tourism destination in the direction of becoming a complex process. In the marketing activity of each destination, the analysis of the importance of destination’s resources represents an essential step, however, as the multifaceted tourism product presents (in combination with, as well as through other policies – price, distribution etc. a strong diversification, the distinction between the real, objective situation of the destination’s resources and the lack of their communication, on the one hand, and the distinction between the real situation and the way in which the resources are “presented” (in the direction of maximising or minimising them, on the other hand, can constitute a barrier in the path of formulating and/or fulfilling the marketing objectives and, respectively, the communication ones. In this context, in the authors’ opinion, in aid of a positioning strategy as accurate as possible – starting point in the integrated marketing communication strategy, a radiography of the tourism resources, their place and their reflection, in relation to those communicated through the different promotional instruments (examples, books, guides, online tourism agencies, social media etc., is permanently imposed, all the more in the case of a macrodestination like Romania, and should be carefully monitorised.

  20. Integrated environmental risk assessment for petroleum-contaminated sites - a North American case study

    International Nuclear Information System (INIS)

    Chen, Z.; Huang, G.H.; Chakma, A.

    1998-01-01

    In this study, an integrated risk assessment approach is proposed for evaluating environmental risks derived from petroleum-contaminated sites. The proposed approach is composed of (i) a hydrocarbon spill screening model (HSSM) which is used for simulating immiscible flow of released hydrocarbons in vadose zone, formation of lens in capillary fringe, dissolution of pollutants at water table, and transport of the pollutants to receptors, and (ii) a fuzzy relation analysis (FRA) model which is developed for comprehensively evaluating risks caused by a number of pollutants with different impact characteristics, based on the HSSM results. This hybrid HSSM-FRA approach was applied to a case study for a petroleum-contaminated site in western Canada, where soil and groundwater was contaminated by industrial wastes containing benzene, toluene, ethylbenzene and xylenes (BTEXs). The results suggest that the HSSM-FRA can provide insight into the potential risk to the receptor of concern downward the aquifer and can serve as a basis for further remediation-related decision analysis. (author)

  1. Campus and community micro grids integration of building integrated photovoltaic renewable energy sources: Case study of Split 3 area, Croatia - part A

    Directory of Open Access Journals (Sweden)

    Gašparović Goran

    2016-01-01

    Full Text Available Micro grids interconnect loads and distributed energy resources as a single controllable entity. New installations of renewable energy sources (RES in urban areas, such as Building Integrated Photovoltaic (BIPV, provide opportunities to increase energy independence and diversify energy sources in the energy system. This paper explores the integration of RES into two case study communities in an urban agglomeration to provide optimal conditions to meet a share of the electrical loads. Energy planning case studies for decentralized generation of renewable energy are conducted in H2RES energy planning software for hourly energy balances. The results indicate that BIPV and PV in the case study communities can cover about 17% of the recorded electrical demand of both areas. On a yearly basis, there will be a 0.025 GWh surplus of PV production with a maximum value of 1.25 MWh in one hour of operation unless grid storage is used. This amounts to a total investment cost of 13.36 million EUR. The results are useful for proposing future directions for the various case study communities targeting sustainable development.

  2. Classification of integrable Volterra-type lattices on the sphere: isotropic case

    International Nuclear Information System (INIS)

    Adler, V E

    2008-01-01

    The symmetry approach is used for classification of integrable isotropic vector Volterra lattices on the sphere. The list of integrable lattices consists mainly of new equations. Their symplectic structure and associated PDE of vector NLS type are discussed

  3. Body integrity identity disorder crosses culture: case reports in the Japanese and Chinese literature

    Directory of Open Access Journals (Sweden)

    Blom RM

    2016-06-01

    Full Text Available Rianne M Blom,1 Nienke C Vulink,1 Sija J van der Wal,1 Takashi Nakamae,1–3 Zhonglin Tan,1,4 Eske M Derks,1 Damiaan Denys1,5 1Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands; 2Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 3Department of Neural Computation for Decision-Making, ATR Brain Information Communication Research Laboratory Group, Kyoto, Japan; 4Department of Psychiatry, Hangzhou Mental Health Center, Hangzhou, People’s Republic of China; 5Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts and Sciences, Amsterdam, the Netherlands Abstract: Body integrity identity disorder (BIID is a condition in which people do not perceive a part of their body as their own, which results in a strong desire for amputation or paralyzation. The disorder is likely to be congenital due to its very early onset. The English literature describes only Western patients with BIID, suggesting that the disorder might be merely prevalent in the West. To scrutinize this assumption, and to extend our knowledge of the etiology of BIID, it is important to trace cases with BIID in non-Western populations. Our objective was to review Chinese and Japanese literature on BIID to learn about its presence in populations with a different genetic background. A systematic literature search was performed in databases containing Japanese and Chinese research, published in the respective languages. Five Japanese articles of BIID were identified which described two cases of BIID, whereas in the Chinese databases only BIID-related conditions were found. This article reports some preliminary evidence that BIID is also present in non-Western countries. However, making general statements about the biological background of the disorder is hampered by the extremely low number of cases found. This low number possibly resulted from the extreme secrecy

  4. The ε-form of the differential equations for Feynman integrals in the elliptic case

    Science.gov (United States)

    Adams, Luise; Weinzierl, Stefan

    2018-06-01

    Feynman integrals are easily solved if their system of differential equations is in ε-form. In this letter we show by the explicit example of the kite integral family that an ε-form can even be achieved, if the Feynman integrals do not evaluate to multiple polylogarithms. The ε-form is obtained by a (non-algebraic) change of basis for the master integrals.

  5. Evaluation of health care delivery integration: the case of the Russian Federation.

    Science.gov (United States)

    Sheiman, Igor; Shevski, Vladimir

    2014-04-01

    Fragmentation in organization and discontinuities in the provision of medical care are problems in all health systems, whether it is the mixed public-private one in the USA, national health services in the UK, or insurance based one in Western Europe and Russia. In all of these countries a major challenge is to strengthen integration in order to enhance efficiency and health outcomes. This article assesses issues related to fragmentation and integration in conceptual terms and argues that key attributes of integration are teamwork, coordination and continuity of care. It then presents a summary of service integration problems in Russia and the results of a large survey of physicians concerning the attributes of integration. It is argued that characteristics of the national service delivery model don't ensure integration. The Semashko model is not an equivalent to the integrated model. Big organizational forms of service provision, like polyclinics and integrated hospital-polyclinics, don't have higher scores of integration indicators than smaller ones. Proposals to improve integration in Russia are presented with the focus on the regular evaluation of integration/fragmentation, regulation of integration activities, enhancing the role of PHC providers, economic incentives. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  6. The Complexity of Integrity Culture Change: A Case Study of a Liberal Arts College

    Science.gov (United States)

    Bertram Gallant, Tricia

    2007-01-01

    The concept of academic integrity has been resurrected in both literature and practice in response to a perceived problem of student academic dishonesty. Most specifically, academic integrity advocates suggest changing the student academic culture to normalize academic integrity and reduce occurrences of academic dishonesty. Theories of…

  7. Quadratic integrals of motion for identical particle systems in quantum case

    International Nuclear Information System (INIS)

    Brije, I.; Gonera, S.; Kosinski, P.; Maslanka, P.; Giller, S.

    2005-01-01

    One studied quantum dynamic systems of identical particles allowing for additional integral of motion being quadratic in pulses. It was found that there was an appropriate way to ensure order that enabled to convert the classical integrals of motion into their quantum analogues. One analyzed relation of the mentioned integrals with splitting of the variables in the Schroedinger equation [ru

  8. An Investigation of the Integrity of Cemented Casing Seals with Application to Salt Cavern Sealing and Abandonment

    Energy Technology Data Exchange (ETDEWEB)

    Pfeifle, T.W.; Mellegard, K.D.; Skaug, N.T.; Bruno, M.S.

    2001-04-19

    This research project was pursued in three key areas. (1) Salt permeability testing under complex stress states; (2) Hydraulic and mechanical integrity investigations of the well casing shoe through benchscale testing; and (3) Geomechanical modeling of the fluid/salt hydraulic and mechanical interaction of a sealed cavern.

  9. Climate change impact and adaptation research requires integrated assessment and farming systems analysis: a case study in the Netherlands

    NARCIS (Netherlands)

    Reidsma, P.; Wolf, J.; Kanellopoulos, A.; Schaap, B.F.; Mandryk, M.; Verhagen, J.; Ittersum, van M.K.

    2015-01-01

    Rather than on crop modelling only, climate change impact assessments in agriculture need to be based on integrated assessment and farming systems analysis, and account for adaptation at different levels. With a case study for Flevoland, the Netherlands, we illustrate that (1) crop models cannot

  10. Integrating Dialectical Behavior Therapy and Prolonged Exposure to Treat Co-Occurring Borderline Personality Disorder and PTSD: Two Case Studies

    Science.gov (United States)

    Harned, Melanie S.; Linehan, Marsha M.

    2008-01-01

    Despite the high rate of trauma and PTSD among individuals with borderline personality disorder (BPD), no studies have specifically evaluated the treatment of PTSD in a BPD population. These case studies illustrate the use of a protocol based on prolonged exposure therapy that can be integrated into standard dialectical behavior therapy to treat…

  11. Experiences of Leaders in One Texas School District Integrating Social Media as a Communication Medium: Bounded Phenomenological Case Study

    Science.gov (United States)

    Lewis, Bradley D.

    2017-01-01

    The purpose of this bounded phenomenological case study was to investigate the experiences of leaders in one Texas school district integrating social media into communication practices. The participants in this study were twelve campus leaders, four district level leaders, and the superintendent of schools. The focus groups consisted of three…

  12. ICT Integration in Mathematics Initial Teacher Training and Its Impact on Visualization: The Case of GeoGebra

    Science.gov (United States)

    Dockendorff, Monika; Solar, Horacio

    2018-01-01

    This case study investigates the impact of the integration of information and communications technology (ICT) in mathematics visualization skills and initial teacher education programmes. It reports on the influence GeoGebra dynamic software use has on promoting mathematical learning at secondary school and on its impact on teachers' conceptions…

  13. Case Studies of Integrated Pedagogy in Vocational Education: A Three-Tier Approach to Empowering Vulnerable Youth in Urban Cambodia

    Science.gov (United States)

    Cheng, I-Hsuan

    2010-01-01

    This paper starts with the real-life issues pertaining to the educational, economic and socio-cultural vulnerability of young Cambodians; and the latter in turn has called for greater integrated stance in vocational education. A multiple-case study of nine educational NGOs located in four cities was conducted, whereby what constitutes an…

  14. Assessing environmental quality status by integrating chemical and biological effect data : The Cartagena coastal zone as a case

    NARCIS (Netherlands)

    Martínez-Gómez, Concepción; Fernández, Beatriz; Robinson, Craig D.; Campillo, J. Antonio; León, Víctor M.; Benedicto, José; Hylland, Ketil; Vethaak, A. Dick

    Cartagena coastal zone (W Mediterranean) was chosen for a practical case study to investigate the suitability of an integrated indicator framework for marine monitoring and assessment of chemicals and their effects, which was developed by ICES and OSPAR. Red mullet (Mullus barbatus) and the

  15. Integrated procedures and monitoring methodologies for thermographic investigations of architectural heritage: two applicative cases in Sicily, Italy

    International Nuclear Information System (INIS)

    Bianco, A.

    2013-01-01

    The paper explains some opportunities and limitations of thermographic investigations in terms of their capability to define the conservative conditions of architectural heritage and in terms of the historical recollection for a technical diagnosis. Different approaches are demonstrated in two case studies: the first integrates thermography with other investigative methods; the second combines thermographic monitoring with hygrothermal monitoring. (author)

  16. Combining integrated river modelling and agent based social simulation for river management; The case study of the Grensmaas project

    NARCIS (Netherlands)

    Valkering, P.; Krywkow, Jorg; Rotmans, J.; van der Veen, A.; Douben, N.; van Os, A.G.

    2003-01-01

    In this paper we present a coupled Integrated River Model – Agent Based Social Simulation model (IRM-ABSS) for river management. The models represent the case of the ongoing river engineering project “Grensmaas”. In the ABSS model stakeholders are represented as computer agents negotiating a river

  17. Milestones in Implementation of an Integrated Management System in the Health Sector. Case Study Radiologische Netzwerk Rheinland

    Directory of Open Access Journals (Sweden)

    Claus Nagel-Picioruş

    2016-05-01

    Full Text Available Healthcare organizations in Germany exploit the benefits of the ISO 9000 family of international standards as it became compulsory to implement a quality management system in accordance with ISO 9001 requirements. Until the innovative ISO 9001:2015 proposal it was no direct connection to the other management systems like risk management, knowledge management or environmental management. So far, only few bodies ensured interconnections between different systems of management or associated the quality management system with the strategic planning process. However, healthcare encapsulates supplementary requirements which affect a number of different systems. Additionally, the financial crisis has encouraged the trend to operate integrated reporting beyond financial aspects. This paper aims at presenting the experience on the development of integrated management and reporting system integrated in an organization belonging to the health sector. The work clarifies the steps towards merging distinctly regulated management systems (quality, health or environmental management with strategic planning and controlling, via a Balanced Dashboard (Balanced Scorecard - BSC as well as integrated reporting according to the model International Integrated Reporting Initiative (IIRI in a German medical company - Radiologische Netzwerk Rheinland - RNR AG. Using the case study method, the paper's purpose is to highlight approaches and results of the company that could support practitioners from medical area and bezound. The literature review clarified theoretical concepts while the case study allowed converging comprehensive information and knowledge accumulated by RNR AG, thus helping to bridge the gap between literature on total integrated management reporting and reporting system in healthcare.

  18. Regulatory road maps for the integration of intermittent electricity generation: Methodology development and the case of The Netherlands

    International Nuclear Information System (INIS)

    Welle, Adriaan J. van der; Joode, Jeroen de

    2011-01-01

    The envisaged increase in the share of electricity generation from intermittent renewable energy sources (RES-E) like wind and photovoltaics will pose challenges to the existing electricity system. A successful integration of these sources requires a cost-efficient use of system flexibility. The literature on the options to improve system flexibility, and thus the costs of successfully integrating intermittent electricity generating units, is still growing but what is lacking is an overarching systematic view on when to adopt which option in particular energy systems. This paper aims to bridge this gap in literature. We use existing insights on market and network integration of intermittent electricity sources within a regulatory road map framework. The framework allows policy makers and other electricity system stakeholders to arrive at a consistent strategy in dealing with integration issues over a longer period of time. In this contribution we present and explain the framework and apply it for the case of The Netherlands. - Highlights: → Successful integration of intermittent electricity generation requires a cost-efficient use of system flexibility. → An overarching systematic view on when to adopt which flexibility option in particular energy systems was lacking. → We identify a consistent strategy in dealing with integration issues over a longer period of time. → We present this regulatory road map framework and apply it for the case of The Netherlands.

  19. FUNMIG Integrated Project results and conclusions from a safety case perspective

    International Nuclear Information System (INIS)

    Schwyn, B.; Wersin, P.; Rüedi, J.; Schneider, J.; Altmann, S.; Missana, T.; Noseck, U.

    2012-01-01

    The scope of the FUNMIG Integrated Project (IP) was to improve the knowledge base on biogeochemical processes in the geosphere which are relevant for the safety of radioactive waste repositories. An important part of this project involved the interaction between data producers (research) and data users (radioactive waste management organisations in Europe). The aim thereof was to foster the benefits of the research work for performance assessment (PA), and in a broader sense, for the safety case of radioactive waste repositories. For this purpose a specifically adapted procedure was elaborated. Thus, relevant features, events and processes (FEPs) for the three host rock types, clay, crystalline and salt, were taken from internationally accepted catalogues and mapped onto each of the 108 research tasks conducted during the FUNMIG project by a standardised procedure. The main outcome thereof was a host-rock specific tool (Task Evaluation Table) in which the relevance and benefits of the research results were evaluated both from the PA and research perspective. Virtually all generated data within FUNMIG are related to the safety-relevant FEP-groups “transport mechanisms” and “retardation”. Generally speaking, much of the work within FUNMIG helped to support and to increase confidence in the simplified PA transport and retardation models used for calculating radionuclide (RN) transport through the host rock. Some of the studies on retardation processes (e.g. coupled sorption-redox processes at the mineral–water interface) yielded valuable data for all three rock types dealt within the IP. However, most of the studies provided improved insight regarding host-rock specific features and processes, the majority of this work being dedicated to clay-rich and crystalline host rocks. For both of these host rock types, FUNMIG has significantly contributed to improving understanding on a conceptual level, both by providing new experimental data at different spatial

  20. Techno-economic feasibility study of the integration of a commercial small-scale ORC in a real case study

    International Nuclear Information System (INIS)

    Cavazzini, G.; Dal Toso, P.

    2015-01-01

    Highlights: • The integration of a small-scale commercial ORC in a real case study was analyzed. • The possibility of recovering the waste heat produced by an ICE was considered. • A semi-empirical steady-state model of the commercial small scale ORC was created. • Both direct and indirect costs was considered in the business model. • The ORC integration was not economically feasible due to increased indirect costs. - Abstract: The ORC certainly represents a promising solution for recovering low-grade waste heat in industries. However, the efficiency of commercial small-scale ORC solutions is still too low in comparison with the high initial costs of the machine and the lack of simulation models specifically developed for commercial ORC systems prevents industries from defining an accurate business model to correctly evaluate the ORC integration in real industrial processes. This paper presents a techno-economic feasibility analysis of the integration of a small-scale commercial ORC in a real case study, represented by a highly-efficient industrial distillery. The integration is aimed at maximizing the electricity auto-production by exploiting the heat produced by an internal combustion engine, already partially recovered in internal thermal processes. To analyze the influence of the ORC integration on the industrial processes, a semi-empirical steady-state model of the commercial small scale ORC was created. The model made it possible to simulate the performance of the commercial ORC within a hypothetical scenario involving the use of the heat from the cooling water and from the exhaust gases of the internal combustion engine. A detailed thermo-dynamic analysis has been carried out to study the effects of the ORC integration on the plant’s energy system with particular focus on the two processes directly affected by ORC integration, namely vapor production and the drying process of the grape marc. The analysis highlighted the great importance in the

  1. Topical tacrolimus for atopic dermatitis.

    Science.gov (United States)

    Cury Martins, Jade; Martins, Ciro; Aoki, Valeria; Gois, Aecio F T; Ishii, Henrique A; da Silva, Edina M K

    2015-07-01

    .98, 1 study, n = 139, low-quality evidence), but the effects were equivocal when evaluating BSA. In the comparison of tacrolimus 0.03% with moderate-to-potent corticosteroids, no difference was found in most of the outcomes measured (including physician's and participant's assessment and also for the secondary outcomes), but in two studies, a marginal benefit favouring the corticosteroid group was found for the EASI and BSA scores.Burning was more frequent in those using calcineurin inhibitors than those using corticosteroid tacrolimus 0.03% (RR 2.48, 95% CI 1.96 to 3.14, 5 studies, 1883 participants, high-quality evidence), but no difference was found for skin infections. Symptoms observed were mild and transient. The comparison between the two calcineurin inhibitors (pimecrolimus and tacrolimus) showed the same overall incidence of adverse events, but with a small difference in the frequency of local effects.Serious adverse events were rare; occurred in both the tacrolimus and corticosteroid groups; and in most cases, were considered to be unrelated to the treatment. No cases of lymphoma were noted in the included studies nor in the non-comparative studies. Cases were only noted in spontaneous reports, cohorts, and case-control studies. Systemic absorption was rarely detectable, only in low levels, and this decreased with time. Exception is made for diseases with severe barrier defects, such as Netherton's syndrome, lamellar ichthyosis, and a few others, with case reports of a higher absorption. We evaluated clinical trials; case reports; and in vivo, in vitro, and animal studies; and didn't find any evidence that topical tacrolimus could cause skin atrophy. Tacrolimus 0.1% was better than low-potency corticosteroids, pimecrolimus 1%, and tacrolimus 0.03%. Results were equivocal when comparing both dose formulations to moderate-to-potent corticosteroids. Tacrolimus 0.03% was superior to mild corticosteroids and pimecrolimus. Both tacrolimus formulations seemed to be

  2. A Model of Functional Integration and Conflict: The Case of Purchasing-Production in a Construction Company

    DEFF Research Database (Denmark)

    Ellegaard, Chris; Koch, Christian

    2014-01-01

    into cross-functional conflict. Facing a conflicting functional relationship, managers must resort to conflict resolution methods, instead of attempting to integrate, as several integrative devices are not appropriate in conflicting interfaces. Originality/value – The proposed model contributes by connecting......Purpose – The purpose of this article is to generate theory on how functional integration and conflict interrelate by studying the interface between production and purchasing. Design/methodology/approach – An interpretive single case research methodology is adopted. The authors rely on in......-depth interviewing of managers in the production and purchasing functions of a construction company, as well as by its suppliers. Findings – Given low functional integration, antagonistic reasoning within each function and resultant conflicting behaviors are allowed to develop in a negative cycle, escalating...

  3. Integrated community case management for childhood illnesses: explaining policy resistance in Kenya.

    Science.gov (United States)

    Juma, Pamela A; Owuor, Karen; Bennett, Sara

    2015-12-01

    There has been a re-emphasis recently on community health workers to provide child health care services including integrated community case management for childhood illness (iCCM). This research analysed iCCM policy development in Kenya and in particular the types of decision-making criteria used by Kenyan policy-makers in considering whether to advance iCCM policy. Data were collected through document reviews (n = 41) and semi-structured interviews (n = 19) with key stakeholders in iCCM policy including government officials, development partners, bilateral donors, and civil society organizations. Initial analysis was guided by the policy triangle with further analysis of factors affecting policy decision-making drawing upon a simple framework developed by Grindle and Thomas (Policy makers, policy choices and policy outcomes: the political economy of reform in developing countries. 1989; Policy Sci 22: :213-48.). Policy development for iCCM has been slow in Kenya, compared with other Sub-Saharan African countries. At the time of the study, the Government had just completed the Community Health Training Manual which incorporated iCCM as a module, but this was the only formal expression of iCCM in Kenya. We found technical considerations, notably concerns about community health workers dispensing antibiotics to be a key factor slowing iCCM policy development, but this also overlapped with bureaucratic considerations, such as how the development of community health worker cadres may affect clinicians, as well as initial concerns about how an integrated approach might affect vertically oriented programs. International actors through agreements such as the Millennium Development Goals helped to get child survival onto the national policy agenda and such actors were active promoters of iCCM policy change. However international funders had not committed funding to scale-up iCCM policy, and this probably constrained their influence over iCCM policy debate. Kenyan actors

  4. Policy entrepreneurs and structural influence in integrated community case management policymaking in Burkina Faso.

    Science.gov (United States)

    Shearer, Jessica C

    2015-12-01

    Policy entrepreneurs are individuals who attempt to influence the policy process and its outcomes through their opportunistic or incremental actions. Their success in the policy-making process has been associated with the convergence of four factors: behavioural traits; institutional factors; network position and political capital. Policy entrepreneurs have received little study in low- and middle-income country policy research despite observations of individualized decision-making, informal institutions and the unequal distribution and exercise of power in policymaking. This article aims to identify whether policy entrepreneurs were present in the policy process around integrated community case management (iCCM) in Burkina Faso, whether they were successful in achieving policy change, and whether success or failure can be explained using existing policy entrepreneur frameworks from high-income polities. This mixed methods policy study collected data from in-depth qualitative interviews and social network surveys of actors involved in iCCM policymaking [known locally as C-integrated management of childhood illness (IMCI)]; data were analysed based on the framework categories. Interview data pointed to one key individual who played a significant role in the inclusion of pneumonia treatment into the country's iCCM policy, an issue that had been a point of contention between government policy elites and development partners. Social network data confirmed that this actor was strategically located in the policy network to be able to reach the most other actors and to be able to control the flow of information. Although some development partner actors were as strategically located, none had the same level of authority or trust as was imbued by being a member of the government civil service. The entrepreneur's mid-level rank in the health ministry may have encouraged him/her to invest political capital and take risks that would not have been feasible or attractive to a

  5. Policy entrepreneurs and structural influence in integrated community case management policymaking in Burkina Faso

    Science.gov (United States)

    2015-01-01

    Policy entrepreneurs are individuals who attempt to influence the policy process and its outcomes through their opportunistic or incremental actions. Their success in the policy-making process has been associated with the convergence of four factors: behavioural traits; institutional factors; network position and political capital. Policy entrepreneurs have received little study in low- and middle-income country policy research despite observations of individualized decision-making, informal institutions and the unequal distribution and exercise of power in policymaking. This article aims to identify whether policy entrepreneurs were present in the policy process around integrated community case management (iCCM) in Burkina Faso, whether they were successful in achieving policy change, and whether success or failure can be explained using existing policy entrepreneur frameworks from high-income polities. This mixed methods policy study collected data from in-depth qualitative interviews and social network surveys of actors involved in iCCM policymaking [known locally as C-integrated management of childhood illness (IMCI)]; data were analysed based on the framework categories. Interview data pointed to one key individual who played a significant role in the inclusion of pneumonia treatment into the country’s iCCM policy, an issue that had been a point of contention between government policy elites and development partners. Social network data confirmed that this actor was strategically located in the policy network to be able to reach the most other actors and to be able to control the flow of information. Although some development partner actors were as strategically located, none had the same level of authority or trust as was imbued by being a member of the government civil service. The entrepreneur’s mid-level rank in the health ministry may have encouraged him/her to invest political capital and take risks that would not have been feasible or attractive to

  6. Summary record of the topical session of 16. Meeting of the IGSC

    International Nuclear Information System (INIS)

    Van Luik, Abe; Smith, Paul

    2014-01-01

    The sixteenth meeting of the Integration Group for the Safety case (IGSC) included a topical session titled: Handling extreme geological events in safety cases during the post-closure phase. The session included nine presentations on the handling of such events by various national programs, questions and answers on each presentation and ended with a general discussion period. The present document summarises the outcome of the meeting. The document is structured as follows: - Section 2 describes the types of extreme geological events discussed in the session and how these are identified, - Section 3 discusses the measures that can be taken to avoid such events and to mitigate their impact on repositories, - Section 4 describes how the likelihood and consequences of events are assessed, - Section 5 address experiences regarding interactions with regulators and other stakeholders, - Section 6 covers remaining issues and planned R and D to address these, and - Section 7 presents a recommendation for possible future collaborative work on this topic

  7. Topic Modeling of Hierarchical Corpora /

    OpenAIRE

    Kim, Do-kyum

    2014-01-01

    The sizes of modern digital libraries have grown beyond our capacity to comprehend manually. Thus we need new tools to help us in organizing and browsing large corpora of text that do not require manually examining each document. To this end, machine learning researchers have developed topic models, statistical learning algorithms for automatic comprehension of large collections of text. Topic models provide both global and local views of a corpus; they discover topics that run through the co...

  8. Women's health: selected topics.

    Science.gov (United States)

    Zoorob, Roger J; Sidani, Mohamad; Williams, Jamila; Grief, Samuel N

    2010-06-01

    Complementary and alternative medicine (CAM) therapies have become increasingly popular for the treatment of a variety of conditions. The World Health Organization has recognized the value of traditional healing techniques, which are classified as CAM, for 30 years. In the United States nearly 50% of women use CAM for common medical conditions, significantly more than men. This pattern is frequently seen in the treatment of women's health conditions such as infertility, premenstrual syndrome, and menopause. This article provides an integrative approach for conditions commonly encountered in the primary care setting among women, discusses alternative therapies used to treat these health conditions, and provides an evidence-based summary of recommendations based on a review of the literature. Copyright 2010 Elsevier Inc. All rights reserved.

  9. The path dependency theory: analytical framework to study institutional integration. The case of France.

    Science.gov (United States)

    Trouvé, Hélène; Couturier, Yves; Etheridge, Francis; Saint-Jean, Olivier; Somme, Dominique

    2010-06-30

    The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France.

  10. The Integration of Renewable Energy Sources into Electric Power Distribution Systems, Vol. II Utility Case Assessments

    Energy Technology Data Exchange (ETDEWEB)

    Zaininger, H.W.

    1994-01-01

    Electric utility distribution system impacts associated with the integration of renewable energy sources such as photovoltaics (PV) and wind turbines (WT) are considered in this project. The impacts are expected to vary from site to site according to the following characteristics: the local solar insolation and/or wind characteristics, renewable energy source penetration level, whether battery or other energy storage systems are applied, and local utility distribution design standards and planning practices. Small, distributed renewable energy sources are connected to the utility distribution system like other, similar kW- and MW-scale equipment and loads. Residential applications are expected to be connected to single-phase 120/240-V secondaries. Larger kW-scale applications may be connected to three+phase secondaries, and larger hundred-kW and y-scale applications, such as MW-scale windfarms, or PV plants, may be connected to electric utility primary systems via customer-owned primary and secondary collection systems. In any case, the installation of small, distributed renewable energy sources is expected to have a significant impact on local utility distribution primary and secondary system economics. Small, distributed renewable energy sources installed on utility distribution systems will also produce nonsite-specific utility generation system benefits such as energy and capacity displacement benefits, in addition to the local site-specific distribution system benefits. Although generation system benefits are not site-specific, they are utility-specific, and they vary significantly among utilities in different regions. In addition, transmission system benefits, environmental benefits and other benefits may apply. These benefits also vary significantly among utilities and regions. Seven utility case studies considering PV, WT, and battery storage were conducted to identify a range of potential renewable energy source distribution system applications. The

  11. The case and opportunity for public-supported financial incentives to implement integrated pest management.

    Science.gov (United States)

    Brewer, Michael J; Hoard, Robert J; Landis, Joy N; Elworth, Lawrence E

    2004-12-01

    Food, water, and worker protection regulations have driven availability, and loss, of pesticides for use in pest management programs. In response, public-supported research and extension projects have targeted investigation and demonstration of reduced-risk integrated pest management (IPM) techniques. But these new techniques often result in higher financial burden to the grower, which is counter to the IPM principle that economic competitiveness is critical to have IPM adopted. As authorized by the 2002 Farm Bill and administered by the U.S. Department of Agriculture (USDA) Natural Resources Conservation Service (NRCS), conservation programs exist for delivering public-supported financial incentives to growers to increase environmental stewardship on lands in production. NRCS conservation programs are described, and the case for providing financial incentives to growers for implementing IPM is presented. We also explored the opportunity and challenge to use one key program, the Environmental Quality Incentives Program (EQIP), to aid grower adoption of IPM. The EQIP fund distribution to growers from 1997 to 2002 during the last Farm Bill cycle totaled approximately 1.05 billion dollars with a portion of funds supporting an NRCS-designed pest management practice. The average percentage of allocation of EQIP funds to this pest management practice among states was 0.77 +/- 0.009% (mean +/- SD). Using Michigan as an example, vegetable and fruit grower recognition of the program's use to implement IPM was modest (25% of growers surveyed), and their recognition of its use in aiding implementation of IPM was improved after educational efforts (74%). Proposals designed to enhance program usefulness in implementing IPM were delivered through the NRCS advisory process in Michigan. Modifications for using the NRCS pest management practice to address resource concerns were adopted, incentive rates for pest management were adjusted, and an expanded incentive structure for IPM

  12. How integrating 3D LiDAR data in the dike surveillance protocol: The French case

    Science.gov (United States)

    Bretar, F.; Mériaux, P.; Fauchard, C.

    2012-04-01

    carried out. A LiDAR system is able to acquire data on a dike structure of up to 80 km per day, which makes the use of this technique also valuable in case of emergency situations. It provides additional valuable products like precious information on dike slopes and crest or their near environment (river banks, etc.). Moreover, in case of vegetation, LiDAR data makes possible to study hidden structures or defaults from images like the erosion of riverbanks under forestry vegetation. The possibility of studying the vegetation is also of high importance: the development of woody vegetation near or onto the dike is a major risk factor. Surface singularities are often signs of disorder or suspected disorder in the dike itself: for example a subsidence or a sinkhole on a ridge may result from internal erosion collapse. Finally, high resolution topographic data contribute to build specific geomechanical model of the dike that, after incorporating data provided by geophysical and geotechnical surveys, are integrated in the calculations of the structure stability. Integrating the regular use of LiDAR data in the dike surveillance protocol is not yet operational in France. However, the high number of French stakeholders at the national level (on average, there is one stakeholder for only 8-9km of dike !) and the real added value of LiDAR data makes a spatial data infrastructure valuable (webservices for processing the data, consulting and filling the database on the field when performing the local diagnosis)

  13. Topics in planetary plasmaspheres

    International Nuclear Information System (INIS)

    Chen, C.K.

    1977-01-01

    Contributions to the understanding of two distinct kinds of planetary plasmaspheres: namely the earth-type characterized by an ionospheric source and a convection limited radial extent, and the Jupiter-type characterized by a satellite source and a radial extent determined by flux tube interchange motions. In both cases the central question is the geometry of the plasma distribution in the magnetosphere as it is determined by the appropriate production and loss mechanisms. The contributions contained herein concern the explication and clarification of these production and loss mechanisms

  14. Numbers, systems, people: how interactions influence integration. Insights from case studies of HIV and reproductive health services delivery in Kenya.

    Science.gov (United States)

    Mayhew, Susannah H; Sweeney, Sedona; Warren, Charlotte E; Collumbien, Martine; Ndwiga, Charity; Mutemwa, Richard; Lut, Irina; Colombini, Manuela; Vassall, Anna

    2017-11-01

    Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) time-series client flow, tracking service uptake for 8841 clients; (ii) structured questionnaires with 24 providers; (iii) in-depth interviews with 17 providers; (iv) workload and facility data using a periodic activity review and cost-instruments; and (v) contextual data on external activities related to integration in study sites. Overall, our findings suggested that although structural factors like stock-outs, distribution of staffing and workload, rotation of staff can affect how integrated care is provided, all these factors can be influenced by staff themselves: both frontline and management. Facilities where staff displayed agency of decision making, worked as a team to share workload and had management that supported this, showed better integration delivery and staff were able to overcome some structural deficiencies to enable integrated care. Poor-performing facilities had good structural integration, but staff were unable to utilize this because they were poorly organized, unsupported or teams were dysfunctional. Conscientious objection and moralistic attitudes were also barriers.Integra has demonstrated that structural integration is not sufficient for integrated service delivery. Rather, our case studies show that in some cases excellent leadership and peer-teamwork enabled facilities to perform well despite resource shortages. The ability to provide support for staff to work flexibly to deliver integrated services and build resilient health systems to meet changing needs is particularly relevant as health

  15. The neglected zoonoses--the case for integrated control and advocacy.

    Science.gov (United States)

    Welburn, S C; Beange, I; Ducrotoy, M J; Okello, A L

    2015-05-01

    The neglected zoonotic diseases (NZDs) have been all but eradicated in wealthier countries, but remain major causes of ill-health and mortality across Africa, Asia, and Latin America. This neglect is, in part, a consequence of under-reporting, resulting in an underestimation of their global burden that downgrades their relevance to policy-makers and funding agencies. Increasing awareness about the causes of NZDs and how they can be prevented could reduce the incidence of many endemic zoonoses. Addressing NZDs by targeting the animal reservoir can deliver a double benefit, as enhanced animal health means a reduced risk of infection for humans, as well as improved livelihoods through increased animal productivity. Advocacy for NZD control is increasing, but with it comes a growing awareness that NZD control demands activities both in the short term and over a long period of time. Moreover, despite the promise of cheap, effective vaccines or other control tools, these endemic diseases will not be sustainably controlled in the near future without long-term financial commitment, particularly as disease incidence decreases and other health priorities take hold. NZD intervention costs can seem high when compared with the public health benefits alone, but these costs are easily outweighed when a full cross-sector analysis is carried out and monetary/non-monetary benefits--particularly regarding the livestock sector--are taken into account. Public-private partnerships have recently provided advocacy for human disease control, and could prove equally effective in addressing endemic zoonoses through harnessing social impact investments. Evidence of the disease burdens imposed on communities by the NZDs and demonstration of the cost-effectiveness of integrated control can strengthen the case for a One Health approach to endemic zoonotic disease control. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. Nonlinear integrated resource strategic planning model and case study in China's power sector planning

    International Nuclear Information System (INIS)

    Yuan, Jiahai; Xu, Yan; Kang, Junjie; Zhang, Xingping; Hu, Zheng

    2014-01-01

    In this paper we expand the IRSP (integrated resource strategic planning) model by including the external cost of TPPs (traditional power plants) and popularization cost of EPPs (efficiency power plants) with nonlinear functions. Case studies for power planning in China during 2011–2021 are conducted to show the efficacy of the model. Scenarios are compiled to compare the pathways of power planning under different policies. Results show that: 1) wind power will become competitive with technical learning, but its installation is undesirable when the external cost of coal power is not internalized; 2) the existence of popularization cost will hinder EPPs' (efficiency power plants) deployment and pure market mechanism is not enough to deliver EPPs at socially desirable scale; 3) imposition of progressive emission tax on coal power at an average of 0.15–0.20 RMB/KWh can remedy the market distortion and promote the development of wind power by a significant margin; 4) nuclear power will grow stably when its external cost is set no more than 0.187 RMB per KWh, or 87% of its internal cost. The proposed model can serve as a useful tool for decision support in the process of power planning and policy formulation for national government. - Highlights: • Improve IRSP model by adding nonlinear external and popularization cost. • The model is used to conduct China's power sector planning in 2011–2021. • Simulate the impacts of alternative energy policies on planning results. • The model can be used for joint power sector planning and policy design

  17. Integration and Typologies of Vulnerability to Climate Change: A Case Study from Australian Wheat Sheep Zones

    OpenAIRE

    Jianjun Huai

    2016-01-01

    Although the integrated indicator methods have become popular for assessing vulnerability to climate change, their proliferation has introduced a confusing array of scales and indicators that cause a science-policy gap. I argue for a clear adaptation pathway in an ?integrative typology? of regional vulnerability that matches appropriate scales, optimal measurements and adaptive strategies in a six-dimensional and multi-level analysis framework of integration and typology inspired by the ?5W1H...

  18. A Network for Integrated Science and Mathematics Teaching and Learning Conference Plenary Papers. NSF/SSMA Wingspread Conference (Racine, Wisconsin, April 1991). School Science and Mathematics Association Topics for Teachers Series Number 7.

    Science.gov (United States)

    Berlin, Donna F., Ed.

    The integration of mathematics and science is not a new concept. However, during recent years it has been a major focus in education reform. A Wingspread conference promoted discussion regarding the integration of mathematics and science and explored ways to improve science and mathematics education in grades K-12. Papers from the conference…

  19. Web-Enabled Mechanistic Case Diagramming: A Novel Tool for Assessing Students' Ability to Integrate Foundational and Clinical Sciences.

    Science.gov (United States)

    Ferguson, Kristi J; Kreiter, Clarence D; Haugen, Thomas H; Dee, Fred R

    2018-02-20

    As medical schools move from discipline-based courses to more integrated approaches, identifying assessment tools that parallel this change is an important goal. The authors describe the use of test item statistics to assess the reliability and validity of web-enabled mechanistic case diagrams (MCDs) as a potential tool to assess students' ability to integrate basic science and clinical information. Students review a narrative clinical case and construct an MCD using items provided by the case author. Students identify the relationships among underlying risk factors, etiology, pathogenesis and pathophysiology, and the patients' signs and symptoms. They receive one point for each correctly-identified link. In 2014-15 and 2015-16, case diagrams were implemented in consecutive classes of 150 medical students. The alpha reliability coefficient for the overall score, constructed using each student's mean proportion correct across all cases, was 0.82. Discrimination indices for each of the case scores with the overall score ranged from 0.23 to 0.51. In a G study using those students with complete data (n = 251) on all 16 cases, 10% of the variance was true score variance, and systematic case variance was large. Using 16 cases generated a G coefficient (relative score reliability) equal to .72 and a Phi equal to .65. The next phase of the project will involve deploying MCDs in higher-stakes settings to determine whether similar results can be achieved. Further analyses will determine whether these assessments correlate with other measures of higher-order thinking skills.

  20. Topics in quantum field theory

    NARCIS (Netherlands)

    Dams, C.J.F.

    2006-01-01

    In this PhD-thesis some topics in quantum field theory are considered. The first chapter gives a background to these topics. The second chapter discusses renormalization. In particular it is shown how loop calculations can be performed when using the axial gauge fixing. Fermion creation and

  1. Web directories as topical context

    NARCIS (Netherlands)

    Kaptein, R.; Kamps, J.; Aly, R.; Hauff, C.; den Hamer, I.; Hiemstra, D.; Huibers, T.; de Jong, F.

    2009-01-01

    In this paper we explore whether the Open Directory (or DMOZ) can be used to classify queries into topical categories on different levels and whether we can use this topical context to improve retrieval performance. We have set up a user study to let test persons explicitly classify queries into

  2. Resources for Topics in Architecture.

    Science.gov (United States)

    Van Noate, Judith, Comp.

    This guide for conducting library research on topics in architecture or on the work of a particular architect presents suggestions for utilizing four categories of resources: books, dictionaries and encyclopedias, indexes, and a periodicals and series list (PASL). Two topics are researched as examples: the contemporary architect Richard Meier, and…

  3. Selected topics of fluid mechanics

    Science.gov (United States)

    Kindsvater, Carl E.

    1958-01-01

    The fundamental equations of fluid mechanics are specific expressions of the principles of motion which are ascribed to Isaac Newton. Thus, the equations which form the framework of applied fluid mechanics or hydraulics are, in addition to the equation of continuity, the Newtonian equations of energy and momentum. These basic relationships are also the foundations of river hydraulics. The fundamental equations are developed in this report with sufficient rigor to support critical examinations of their applicability to most problems met by hydraulic engineers of the Water Resources Division of the United States Geological Survey. Physical concepts are emphasized, and mathematical procedures are the simplest consistent with the specific requirements of the derivations. In lieu of numerical examples, analogies, and alternative procedures, this treatment stresses a brief methodical exposition of the essential principles. An important objective of this report is to prepare the user to read the literature of the science. Thus, it begins With a basic vocabulary of technical symbols, terms, and concepts. Throughout, emphasis is placed on the language of modern fluid mechanics as it pertains to hydraulic engineering. The basic differential and integral equations of simple fluid motion are derived, and these equations are, in turn, used to describe the essential characteristics of hydrostatics and piezometry. The one-dimensional equations of continuity and motion are defined and are used to derive the general discharge equation. The flow net is described as a means of demonstrating significant characteristics of two-dimensional irrotational flow patterns. A typical flow net is examined in detail. The influence of fluid viscosity is described as an obstacle to the derivation of general, integral equations of motion. It is observed that the part played by viscosity is one which is usually dependent on experimental evaluation. It follows that the dimensionless ratios known as

  4. Integrating Surface Water Management in Urban and Regional Planning, Case Study of Wuhan in China

    NARCIS (Netherlands)

    Du, N.

    2010-01-01

    The main goal of the study is to examine and develop a spatial planning methodology that would enhance the sustainability of urban development by integrating the surface water system in the urban and regional planning process. Theoretically, this study proposes that proactive-integrated policy and

  5. A semantic web approach applied to integrative bioinformatics experimentation: a biological use case with genomics data.

    NARCIS (Netherlands)

    Post, L.J.G.; Roos, M.; Marshall, M.S.; van Driel, R.; Breit, T.M.

    2007-01-01

    The numerous public data resources make integrative bioinformatics experimentation increasingly important in life sciences research. However, it is severely hampered by the way the data and information are made available. The semantic web approach enhances data exchange and integration by providing

  6. Self, Others and Society: A Case Study of University Integrative Learning

    Science.gov (United States)

    Booth, Alan; McLean, Monica; Walker, Melanie

    2009-01-01

    There is currently an over-emphasis on the economic aims of higher education at the expense of the aims of personal and social transformation. This article proposes a specific approach to integrating educational aims. It draws on the works of Jurgen Habermas and Martha Nussbaum to conceptualise integrative learning as a simultaneous focus on self,…

  7. Integrated production planning and water management in the food industry: A cheese production case study

    NARCIS (Netherlands)

    Pulluru, Sai Jishna; Akkerman, Renzo; Hottenrott, Andreas

    2017-01-01

    Efficient water management is increasingly relevant in the food industry. Exploiting water reuse opportunities in planning production activities is a key part of this. We study integrated water management and production planning in cheese production. For this, we develop a water-integrated lot

  8. Governance in support of integrated flood risk management? The case of Romania

    NARCIS (Netherlands)

    Vinke-de Kruijf, Joanne; Kuks, Stefanus M.M.; Augustijn, Dionysius C.M.

    2015-01-01

    Building on an existing model of governance, this paper aims to assess the supportiveness of Romania׳s structural flood risk governance context towards integrated flood risk management. We assert that a governance structure supports the development and implementation of integrated flood risk

  9. Integrating ergonomics in design processes: a case study within an engineering consultancy firm

    DEFF Research Database (Denmark)

    Sørensen, Lene Bjerg; Broberg, Ole

    2012-01-01

    ergonomics into engineering design processes and how different factors either promote or limit the integration. Based on a grounded theory approach a model illustrating these factors is developed and different hypotheses about how these factors either promote and/or limit the integration of ergonomics...

  10. Evaluating Consumer Product Life Cycle Sustainability with Integrated Metrics: A Paper Towel Case Study

    Science.gov (United States)

    Integrated sustainability metrics provide an enriched set of information to inform decision-making. However, such approaches are rarely used to assess product supply chains. In this work, four integrated metrics—presented in terms of land, resources, value added, and stability—ar...

  11. Rethinking Dabrowski's Theory: I. the Case against Primary Integration

    Science.gov (United States)

    Piechowski, Michael M.

    2014-01-01

    Some terms of Dabrowski's theory are misleading. The construct of level and the concepts of integration and disintegration mean different things. The concept of primary integration as a starting point for personality development is untenable in light of research on child development. In its place, Level I as a type of development that is…

  12. Integrated torrefaction vs. external torrefaction – A thermodynamic analysis for the case of a thermochemical biorefinery

    International Nuclear Information System (INIS)

    Clausen, Lasse R.

    2014-01-01

    Integrated and external torrefaction is analyzed and compared via thermodynamic modeling. In this paper, integrated torrefaction is defined as torrefaction integrated with entrained flow gasification. External torrefaction is defined as the decentralized production of torrefied wood pellets and centralized conversion of the pellets by entrained flow gasification. First, the syngas production of the two methods was compared. Second, the two methods were compared by considering complete biorefineries with either integrated torrefaction or external torrefaction. The first part of the analysis showed that the biomass to syngas efficiency can be increased from 63% to 86% (LHV-dry) when switching from external torrefaction to integrated torrefaction. The second part of the analysis showed that the total energy efficiency (biomass to methanol + net electricity) could be increased from 53% to 63% when switching from external torrefaction to integrated torrefaction. The costs of this increase in energy efficiency are as follows: 1) more difficult transport, storage and handling of the biomass feedstock (wood chips vs. torrefied wood pellets); 2) reduced plant size; 3) no net electricity production; and 4) a more complex plant design. - Highlights: • Integrated torrefaction is compared with external torrefaction. • Biomass to syngas energy efficiencies of 63–86% are achieved. • Two thermochemical biorefinery are designed and analysed by thermodynamic modeling. • Biomass to fuel + electricity energy efficiencies of 53–63% are achieved. • The pros and cons of integrated torrefaction are described

  13. Recent advances in topical anesthesia

    Science.gov (United States)

    2016-01-01

    Topical anesthetics act on the peripheral nerves and reduce the sensation of pain at the site of application. In dentistry, they are used to control local pain caused by needling, placement of orthodontic bands, the vomiting reflex, oral mucositis, and rubber-dam clamp placement. Traditional topical anesthetics contain lidocaine or benzocaine as active ingredients and are used in the form of solutions, creams, gels, and sprays. Eutectic mixtures of local anesthesia cream, a mixture of various topical anesthetics, has been reported to be more potent than other anesthetics. Recently, new products with modified ingredients and application methods have been introduced into the market. These products may be used for mild pain during periodontal treatment, such as scaling. Dentists should be aware that topical anesthetics, although rare, might induce allergic reactions or side effects as a result of an overdose. Topical anesthetics are useful aids during dental treatment, as they reduce dental phobia, especially in children, by mitigating discomfort and pain. PMID:28879311

  14. Integrated torrefaction vs. external torrefaction - A thermodynamic analysis for the case of a thermochemical biorefinery

    DEFF Research Database (Denmark)

    Clausen, Lasse Røngaard

    2014-01-01

    Integrated and external torrefaction is analyzed and compared via thermodynamic modeling. In this paper, integrated torrefaction is defined as torrefaction integrated with entrained flow gasification. External torrefaction is defined as the decentralized production of torrefied wood pellets...... and centralized conversion of the pellets by entrained flow gasification. First, the syngas production of the two methods was compared. Second, the two methods were compared by considering complete biorefineries with either integrated torrefaction or external torrefaction. The first part of the analysis showed...... from external torrefaction to integrated torrefaction. The costs of this increase in energy efficiency are as follows: 1) more difficult transport, storage and handling of the biomass feedstock (wood chips vs. torrefied wood pellets); 2) reduced plant size; 3) no net electricity production; and 4...

  15. Integrated Heat Pump HVAC Systems for Near-Zero-Energy Homes - Business Case Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Baxter, Van D [ORNL

    2007-05-01

    development. Eleven system concepts with central air distribution ducting and nine multi-zone systems were selected and their annual and peak demand performance estimated for five locations: Atlanta (mixed-humid), Houston (hot-humid), Phoenix (hot-dry), San Francisco (marine), and Chicago (cold). Performance was estimated by simulating the systems using the TRNSYS simulation engine (Solar Energy Laboratory et al. 2006) in two 1800-ft{sup 2} houses--a Building America (BA) benchmark house and a prototype NZEH taken from BEopt results at the take-off (or crossover) point (i.e., a house incorporating those design features such that further progress towards ZEH is through the addition of photovoltaic power sources, as determined by current BEopt analyses conducted by NREL). Results were summarized in a project report, 'HVAC Equipment Design options for Near-Zero-Energy Homes--A Stage 2 Scoping Assessment', ORNL/TM-2005/194 (Baxter 2005). The 2005 study report describes the HVAC options considered, the ranking criteria used, and the system rankings by priority. Table 1 summarizes the energy savings potential of the highest scoring options from the 2005 study for all five locations. All system options were scored by the ORNL building equipment research team and by William Goetzler of Navigant Consulting. These scores were reviewed by DOE/BT's Residential Integration program leaders and Building America team members. Based on these results, the two centrally ducted integrated heat pump (IHP) systems (air source and ground source versions) were selected for advancement to Stage 2 (Exploratory Development) business case assessments in FY06. This report describes results of these business case assessments. It is a compilation of three separate reports describing the initial business case study (Baxter 2006a), an update to evaluate the impact of an economizer cooling option (Baxter 2006b), and a second update to evaluate the impact of a winter humidification option

  16. The Report of Suicide by Ingestion of Lidocaine Topical Spray

    Directory of Open Access Journals (Sweden)

    Hossein Hassanian-Moghaddam

    2014-09-01

    Full Text Available Background: Lidocaine is a local anesthetic and antiarrhythmic agent. There are reports on accidental and intentional cases of poisoning following injection of lidocaine while rare are the fatal cases realized after oral ingestion of lidocaine. Suicidal poisoning with lidocaine pharmaceutical formulations is rare since no pharmaceutical dosage forms for oral use are available except gels and sprays used as local anesthetics in dentistry. Cases: Three cases of suicidal poisoning by ingestion of the content of lidocaine topical spray are reported in the present study. The cases developed episodes of seizure requiring diazepam and other therapeutic modalities upon admission. Eventually, one of the cases expired. Conclusion: To the best of our knowledge, this study is the first reported case of suicidal poisoning after ingestion of this formulation which highlights the fact that lidocaine topical spray formulation may be used for committing suicide. Ingestion of lidocaine present in topical spray can induce varying levels of toxicity that can even be fatal.

  17. Development of Integrated Assessment System for Underground Power Cable Performance: A Case Study

    Science.gov (United States)

    Turan, Faiz Mohd; Johan, Kartina; Soliha Sahimi, Nur; Nor, Nik Hisyamudin Muhd

    2017-08-01

    The basic operation of any electrical machines that is catered to serve needs of civilization involves electrical power which is the main source to trigger the internal mechanism in the machines then transfer the power to other form of energy such as mechanical, light, sound and etc. The supplies of electrical does not happen just by providing the source itself, it has load carrying agent which in many cases, user would refer to it as cable. Specifically, it is the power cable which its ampacity depends significantly on the operation temperature and load stress on it. Apart from having to focus on providing improvement on improving efficiency on the source itself, power cable plays and important role because without it, current ranging from low to high could not be transmitted and hence a failure of the power system generally. Studies have conducted to discuss whether which factor contributes relatively more to the causes of power cable failure or breakdown. Such factors can be narrowed down to the three major causes which are over temperature, over voltage and stress caused by over current. Over current is one of the factor which is depends on the usage of the power system itself. The higher the usage of the power system, higher the chances of over current to take place. This will then produce load stress on the cable which eventually destroy the insulator of the cable and slowly reach the core of the cable. It is believed that an assessment method should be implemented in order to predict the performance and failure rate of the power cable and use this prediction as reference rather than just letting power failure to happen anytime unpredictable which cause huge inconvenience to users and industries. Not only do a method should be implemented, it should be as easy to be used and understood by large range of users and integrated by a graphical user interface to be used. Therefore, this research will further narrow down on the approaches to do so and the location

  18. IAEA'S International Working Group on Integrated Transport and Storage Safety case for Dual Purpose Casks

    International Nuclear Information System (INIS)

    Kumano, Yumiko; Varley, Kasturi; ); Droste, Bernhard; Wolff, Dietmar; Hirose, Makoto; Harvey, John; Reiche, Ingo; McConnell, Paul

    2014-01-01

    Spent nuclear fuel is generated from the operation of nuclear reactors and it is imperative that it is safely managed following its removal from reactor cores. Reactor pools are usually designed based on the assumption that the fuel will be removed after a short period of time either for reprocessing, disposal, or further storage. As a result of storing higher burn-up fuel, significantly increased time-frame till disposal solutions are prepared, and delays in decisions on strategies for spent fuel management, the volume of spent fuel discharged from reactors which needs to be managed and stored is on the increase. Consequently, additional storage capacity is needed following the initial storage in reactor pools. Options for additional storage include wet storage or dry storage in a dedicated facility or in storage casks. One of these options is the use of a Dual Purpose Cask (DPC), which is a specially designed cask for both storage and transport. The management of spent fuel using a DPC generally involves on-site and off-site transportation before and after storage. Most countries require package design approval for the DPC to be transported. In addition, it is required in many countries to have a licence for storage of the spent fuel in the DPC or a licence for a storage facility that contains DPCs. Therefore, demonstration of compliance of the DPC with national and international transport regulations as well as with the storage requirements is necessary. In order to address this increasing need among Member States, the IAEA established an international working group in 2010 to develop a guidance for integrating safety cases for both storage and transport in a holistic manner. The working group consists of experts from regulatory bodies, Technical Support Organizations, operators for both transportation and storage, and research institutes. This activity is planned to be completed by 2013. Currently, a technical report has been drafted and is expected to be

  19. Quality of care in integrated community case management services in Bugoye, Uganda: a retrospective observational study.

    Science.gov (United States)

    Miller, James S; English, Lacey; Matte, Michael; Mbusa, Rapheal; Ntaro, Moses; Bwambale, Shem; Kenney, Jessica; Siedner, Mark J; Reyes, Raquel; Lee, Patrick T; Mulogo, Edgar; Stone, Geren S

    2018-02-27

    Village health workers (VHWs) in five villages in Bugoye subcounty (Kasese District, Uganda) provide integrated community case management (iCCM) services, in which VHWs evaluate and treat malaria, pneumonia, and diarrhoea in children under 5 years of age. VHWs use a "Sick Child Job Aid" that guides them through the evaluation and treatment of these illnesses. A retrospective observational study was conducted to measure the quality of iCCM care provided by 23 VHWs in 5 villages in Bugoye subcounty over a 2-year period. Patient characteristics and clinical services were summarized using existing aggregate programme data. Lot quality assurance sampling of individual patient records was used to estimate adherence to the iCCM algorithm, VHW-level quality (based on adherence to the iCCM protocol), and change over time in quality of care (using generalized estimating equations regression modelling). For each of 23 VHWs, 25 patient visits were randomly selected from a 2-year period after iCCM care initiation. In these visits, 97% (150) of patients with diarrhoea were treated with oral rehydration and zinc, 95% (216) of patients with pneumonia were treated with amoxicillin, and 94% (240) of patients with malaria were treated with artemisinin-based combination therapy or rectal artesunate. However, only 44% (44) of patients with a negative rapid test for malaria were appropriately referred to a health facility. Overall, 75% (434) of patients received all the correct evaluation and management steps. Only 9 (39%) of the 23 VHWs met the pre-determined LQAS threshold for high-quality care over the 2-year observation period. Quality of care increased significantly in the first 6 months after initiation of iCCM services (p = 0.003), and then plateaued during months 7-24. Quality of care was high for uncomplicated malaria, pneumonia and diarrhoea. Overall quality of care was lower, in part because VHWs often did not follow the guidelines to refer patients with fever who tested

  20. Integration of Composite Structures in Modern Day Architecture: Case Study of City Business Centre, Timisoara, Romania

    Science.gov (United States)

    Vataman, Adina; Gaivoronschi, Vlad; Mosoarca, Marius

    2017-10-01

    In current day structural design the use of composite steel-concrete structures has become the norm; because of the advantages that each of these materials has to offer. Composite structures also have the benefit of a faster execution at a lower cost, compared to traditional structures. While the arguments in favour of designing composite structures are well-known and appreciated by civil engineers; there remains a question of integrating these structures in modern-day urban landscapes. Eastern European countries are welcoming a blossoming of culture, arts, economy and industry, which unavoidably and necessarily will lead to a change in urban landscapes. With an increasing amount of foreign companies opening offices in these areas, the need for modern office solutions has arisen. The current paper presents a case study of an office building complex situated in the western part of Romania, in the city of Timişoara. The complex consists of 5 office buildings; all designed in composite steel-concrete structure, an underground parking lot, multiple terraces and adjacent promenade areas. Within the context of rapid growth and development of the city, the City Business Centre has offered high quality office spaces in the heart of the city, while considering the needs of the community. A very important aspect in the successful completion of the project was the efficient and professional collaboration between the separate project teams, between the owner, represented by the project management team, the architect, the structural designer and the building company. The successful joining of seismic structural solutions with modern architectural aesthetics has led to a dynamic, vibrant environment, making the City Business Centre the core of the region’s business life, at the same time redefining Timisoara’s architectural landscape. A testimony to the success of the project was the Civil Engineering Structural Designers Associations’ (AICPS) 3rd Prize awarded for great

  1. Vehicular Integration of Wireless Power Transfer Systems and Hardware Interoperability Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Onar, Omer C [ORNL; Campbell, Steven L [ORNL; Seiber, Larry Eugene [ORNL; White, Cliff P [ORNL; Chinthavali, Madhu Sudhan [ORNL

    2016-01-01

    Several wireless charging methods are under development or available as an aftermarket option in the light-duty automotive market. However, there are not a sufficient number of studies detailing the vehicle integration methods, particularly a complete vehicle integration with higher power levels. This paper presents the design, development, implementation, and vehicle integration of wireless power transfer (WPT)-based electric vehicle (EV) charging systems for various test vehicles. Before having the standards effective, it is expected that WPT technology first will be integrated as an aftermarket retrofitting approach. Inclusion of this technology on production vehicles is contingent upon the release of the international standards. The power stages of the system are introduced with the design specifications and control systems including the active front-end rectifier with power factor correction, high frequency power inverter, high frequency isolation transformer, coupling coils, vehicle side full-bridge rectifier and filter, and the vehicle battery. The operating principles of the control, and communications, systems are presented. Aftermarket conversion approaches including the WPT on-board charger (OBC) integration, WPT CHAdeMO integration, and WPT direct battery connection scenarios are described. The experiments are carried out using the integrated vehicles and the results obtained to demonstrate the system performance including the stage-by-stage efficiencies.

  2. Lack of integration governance in ERP development: a case study on causes and effects

    Science.gov (United States)

    Kähkönen, Tommi; Smolander, Kari; Maglyas, Andrey

    2017-09-01

    The development of an enterprise resource planning (ERP) system starts actually after it has been implemented and taken into use. It is necessary to integrate ERP with other business information systems inside and outside the company. With the grounded theory, we aim to understand how integration challenges emerged in a large manufacturing enterprise when the long-term ERP system reached the beginning of its retirement. Structural changes, an information technology governance model, lack of organisational vision, having no architectural descriptions, lack of collaboration, cost cutting, and organisational culture made integration governance troublesome. As a consequence, the enterprise suffered from several undesired effects, such as complex integration scenarios between internal systems, and failing to provide its customers the needed information. The reduction of costs strengthened the organisational silos further and led to unrealised business process improvements. We provide practitioners with four recommendations. First, the organisational goals for integration should be exposed. Second, when evaluating the needs and impacts of integration, a documented architectural description about the system landscape needs to be utilised. Third, the role of IT should be emphasised in development decision-making, and fourth, collaboration is the core ingredient for successful integration governance.

  3. Integrating strategic environmental assessment with industry planning: a case study of the Pasquai-Porcupine forest management plan, Saskatchewan, Canada.

    Science.gov (United States)

    Noble, Bram F

    2004-03-01

    Strategic environmental assessment (SEA) is gaining widespread recognition as a tool for integrating environmental considerations in policy, plan, and program development and decision-making. Notwithstanding the potential of SEA to improve higher-order decision processes, there has been very little attention given to integrating SEA with industry planning practices. As a result, the benefits of SEA have yet to be fully realized among industrial proponents. That said, SEA practice is ongoing, albeit informally and often under a different label, and is proving to be a valuable tool for industry planning and decision-making. Based on a case study of the Pasquai-Porcupine forest management plan in Saskatchewan, Canada, this paper illustrates how an integrated approach to SEA can contribute to industry environmental decision-making and can enhance the quality and deliverability of industry plans.

  4. Mental Mechanisms for Topics Identification

    Directory of Open Access Journals (Sweden)

    Louis Massey

    2014-01-01

    Full Text Available Topics identification (TI is the process that consists in determining the main themes present in natural language documents. The current TI modeling paradigm aims at acquiring semantic information from statistic properties of large text datasets. We investigate the mental mechanisms responsible for the identification of topics in a single document given existing knowledge. Our main hypothesis is that topics are the result of accumulated neural activation of loosely organized information stored in long-term memory (LTM. We experimentally tested our hypothesis with a computational model that simulates LTM activation. The model assumes activation decay as an unavoidable phenomenon originating from the bioelectric nature of neural systems. Since decay should negatively affect the quality of topics, the model predicts the presence of short-term memory (STM to keep the focus of attention on a few words, with the expected outcome of restoring quality to a baseline level. Our experiments measured topics quality of over 300 documents with various decay rates and STM capacity. Our results showed that accumulated activation of loosely organized information was an effective mental computational commodity to identify topics. It was furthermore confirmed that rapid decay is detrimental to topics quality but that limited capacity STM restores quality to a baseline level, even exceeding it slightly.

  5. Topic Model for Graph Mining.

    Science.gov (United States)

    Xuan, Junyu; Lu, Jie; Zhang, Guangquan; Luo, Xiangfeng

    2015-12-01

    Graph mining has been a popular research area because of its numerous application scenarios. Many unstructured and structured data can be represented as graphs, such as, documents, chemical molecular structures, and images. However, an issue in relation to current research on graphs is that they cannot adequately discover the topics hidden in graph-structured data which can be beneficial for both the unsupervised learning and supervised learning of the graphs. Although topic models have proved to be very successful in discovering latent topics, the standard topic models cannot be directly applied to graph-structured data due to the "bag-of-word" assumption. In this paper, an innovative graph topic model (GTM) is proposed to address this issue, which uses Bernoulli distributions to model the edges between nodes in a graph. It can, therefore, make the edges in a graph contribute to latent topic discovery and further improve the accuracy of the supervised and unsupervised learning of graphs. The experimental results on two different types of graph datasets show that the proposed GTM outperforms the latent Dirichlet allocation on classification by using the unveiled topics of these two models to represent graphs.

  6. The challenges to gender integration in the career fire services: a comparative case study of men in nursing

    Science.gov (United States)

    2017-03-01

    pdf. 191 David F. Burrelli, Women in the Armed Forces (CRS Report No. 92008) ( Washington , DC: Congressional Research Service, 1998), 1, https...IB92008) Washington , DC: Congressional Research Service, 1998. https://www.hsdl.org/?view&did=718051. Carreiras, Helena. Gender and the Military: Women ...GENDER INTEGRATION IN THE CAREER FIRE SERVICES: A COMPARATIVE CASE STUDY OF MEN IN NURSING by Anna L. Schermerhorn-Collins March 2017

  7. How Are Service Dogs for Adults with Post Traumatic Stress Disorder Integrated with Rehabilitation in Denmark? A Case Study

    OpenAIRE

    Glintborg, Chalotte; Hansen, Tia G. B.

    2017-01-01

    Simple Summary The use of service dogs for adults with mental illnesses has become generally accepted. With reference to a single case study of a client with Post Traumatic Stress (PTSD), this study illustrates some of the potential advantages, but also note an important concern that appears to have gone unnoticed. The provision of service animals/therapy animals for adults with mental illnesses must be sufficiently informed by relevant knowledge and integrated with concurrent rehabilitation ...

  8. A Case Study - On Patient Empowerment and Integration of Telemedicine to National Healthcare Services

    DEFF Research Database (Denmark)

    Urazimbetova, Surayya

    Patient empowerment in the digitalized healthcare can be supported by means of telemedicine. As opposed to Electronic Patient Records developed by a few large business suppliers for healthcare professionals, telemedical applications include innovative solutions of small-medium size suppliers...... and are targeted at specific groups of patients (e.g., hip operated or dermatology patients) and their care network. Based on an integration experiment we argue that in order to support the national visions for patient empowerment and connectedness of healthcare at the same time, it is necessary to achieve...... the integration of telemedicine to the national healthcare services on a business logic (functional) integration level. In this paper, (1) we identify the lack of business logic (functional) level integration opportunities for patient oriented telemedical applications with national healthcare services; (2) we...

  9. Deep Kalman Filter: Simultaneous Multi-Sensor Integration and Modelling; A GNSS/IMU Case Study

    Directory of Open Access Journals (Sweden)

    Siavash Hosseinyalamdary

    2018-04-01

    Full Text Available Bayes filters, such as the Kalman and particle filters, have been used in sensor fusion to integrate two sources of information and obtain the best estimate of unknowns. The efficient integration of multiple sensors requires deep knowledge of their error sources. Some sensors, such as Inertial Measurement Unit (IMU, have complicated error sources. Therefore, IMU error modelling and the efficient integration of IMU and Global Navigation Satellite System (GNSS observations has remained a challenge. In this paper, we developed deep Kalman filter to model and remove IMU errors and, consequently, improve the accuracy of IMU positioning. To achieve this, we added a modelling step to the prediction and update steps of the Kalman filter, so that the IMU error model is learned during integration. The results showed our deep Kalman filter outperformed the conventional Kalman filter and reached a higher level of accuracy.

  10. Deep Kalman Filter: Simultaneous Multi-Sensor Integration and Modelling; A GNSS/IMU Case Study.

    Science.gov (United States)

    Hosseinyalamdary, Siavash

    2018-04-24

    Bayes filters, such as the Kalman and particle filters, have been used in sensor fusion to integrate two sources of information and obtain the best estimate of unknowns. The efficient integration of multiple sensors requires deep knowledge of their error sources. Some sensors, such as Inertial Measurement Unit (IMU), have complicated error sources. Therefore, IMU error modelling and the efficient integration of IMU and Global Navigation Satellite System (GNSS) observations has remained a challenge. In this paper, we developed deep Kalman filter to model and remove IMU errors and, consequently, improve the accuracy of IMU positioning. To achieve this, we added a modelling step to the prediction and update steps of the Kalman filter, so that the IMU error model is learned during integration. The results showed our deep Kalman filter outperformed the conventional Kalman filter and reached a higher level of accuracy.

  11. Integrated flood disaster management and spatial information : Case studies of Netherlands and India

    NARCIS (Netherlands)

    Zlatanova, S.; Ghawana, T.; Kaur, A.; Neuvel, J.M.M.

    2014-01-01

    Spatial Information is an integral part of flood management practices which include risk management & emergency response processes. Although risk & emergency management activities have their own characteristics, for example, related to the time scales, time pressure, activities & actors involved, it

  12. Implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: a case study.

    Science.gov (United States)

    Busetto, Loraine; Luijkx, Katrien; Huizing, Anna; Vrijhoef, Bert

    2015-08-21

    Even though previous research has demonstrated improved outcomes of integrated care initiatives, it is not clear why and when integrated care works. This study aims to contribute to filling this knowledge gap by examining the implementation of integrated care for type 2 diabetes by two Dutch care groups. An embedded single case study was conducted including 26 interviews with management staff, care purchasers and health professionals. The Context + Mechanism = Outcome Model was used to study the relationship between context factors, mechanisms and outcomes. Dutch integrated care involves care groups, bundled payments, patient involvement, health professional cooperation and task substitution, evidence-based care protocols and a shared clinical information system. Community involvement is not (yet) part of Dutch integrated care. Barriers to the implementation of integrated care included insufficient integration between the patient databases, decreased earnings for some health professionals, patients' insufficient medical and policy-making expertise, resistance by general practitioner assistants due to perceived competition, too much care provided by practice nurses instead of general practitioners and the funding system incentivising the provision of care exactly as described in the care protocols. Facilitators included performance monitoring via the care chain information system, increased earnings for some health professionals, increased focus on self-management, innovators in primary and secondary care, diabetes nurses acting as integrators and financial incentives for guideline adherence. Economic and political context and health IT-related barriers were discussed as the most problematic areas of integrated care implementation. The implementation of integrated care led to improved communication and cooperation but also to insufficient and unnecessary care provision and deteriorated preconditions for person-centred care. Dutch integrated diabetes care is still a

  13. Topical steroid-damaged skin

    Directory of Open Access Journals (Sweden)

    Anil Abraham

    2014-01-01

    Full Text Available Topical steroids, commonly used for a wide range of skin disorders, are associated with side effects both systemic and cutaneous. This article aims at bringing awareness among practitioners, about the cutaneous side effects of easily available, over the counter, topical steroids. This makes it important for us as dermatologists to weigh the usefulness of topical steroids versus their side effects, and to make an informed decision regarding their use in each individual based on other factors such as age, site involved and type of skin disorder.

  14. Topics in lightwave transmission systems

    CERN Document Server

    Li, Tingye

    1991-01-01

    Topics in Lightwave Transmission Systems is a second volume of a treatise on optical fiber communications that is devoted to the science, engineering, and application of information transmission via optical fibers. The first volume, published in 1985, dealt exclusively with fiber fabrication. The present volume contains topics that pertain to subsystems and systems. The book contains five chapters and begins with discussions of transmitters and receivers, which are basic to systems now operating in the field. Subsequent chapters cover topics relating to coherent systems: frequency and phase m

  15. Integrated probabilistic risk assessment for nanoparticles: the case of nanosilica in food

    OpenAIRE

    Jacobs, R.; Voet, van der, H.; Braak, ter, C.J.F.

    2015-01-01

    Insight into risks of nanotechnology and the use of nanoparticles is an essential condition for the social acceptance and safe use of nanotechnology. One of the problems with which the risk assessment of nanoparticles is faced is the lack of data, resulting in uncertainty in the risk assessment. We attempt to quantify some of this uncertainty by expanding a previous deterministic study on nanosilica (5?200?nm) in food into a fully integrated probabilistic risk assessment. We use the integrate...

  16. Savannah River Site RCRA/CERCLA/NEPA integrated investigation case study

    International Nuclear Information System (INIS)

    Clark, D.R.; Thomas, R.; Wilson, M.P.

    1992-01-01

    The Savannah River Site (SRS) is a US Department of Energy facility placed on the Superfund National Priority List in 1989. Numerous past disposal facilities and contaminated areas are undergoing the integrated regulatory remediation process detailed in the draft SRS Federal Facility Agreement. This paper will discuss the integration of these requirements by highlighting the investigation of the D-Area Burning/Rubble Pits, a typical waste unit at SRS

  17. Effectiveness of integrating case studies in online and face-to-face instruction of pathophysiology: a comparative study.

    Science.gov (United States)

    Saleh, Suha M; Asi, Yara M; Hamed, Kastro M

    2013-06-01

    Due to growing demand from students and facilitated by innovations in educational technology, institutions of higher learning are increasingly offering online courses. Subjects in the hard sciences, such as pathophysiology, have traditionally been taught in the face-to-face format, but growing demand for preclinical science courses has compelled educators to incorporate online components into their classes to promote comprehension. Learning tools such as case studies are being integrated into such courses to aid in student interaction, engagement, and critical thinking skills. Careful assessment of pedagogical techniques is essential; hence, this study aimed to evaluate and compare student perceptions of the use of case studies in face-to-face and fully online pathophysiology classes. A series of case studies was incorporated into the curriculum of a pathophysiology class for both class modes (online and face to face). At the end of the semester, students filled out a survey assessing the effectiveness of the case studies. Both groups offered positive responses about the incorporation of case studies in the curriculum of the pathophysiology class. This study supports the argument that with proper use of innovative teaching tools, such as case studies, online pathophysiology classes can foster a sense of community and interaction that is typically only seen with face-to-face classes, based on student responses. Students also indicated that regardless of class teaching modality, use of case studies facilitates student learning and comprehension as well as prepares them for their future careers in health fields.

  18. A cloud-based production system for information and service integration: an internet of things case study on waste electronics

    Science.gov (United States)

    Wang, Xi Vincent; Wang, Lihui

    2017-08-01

    Cloud computing is the new enabling technology that offers centralised computing, flexible data storage and scalable services. In the manufacturing context, it is possible to utilise the Cloud technology to integrate and provide industrial resources and capabilities in terms of Cloud services. In this paper, a function block-based integration mechanism is developed to connect various types of production resources. A Cloud-based architecture is also deployed to offer a service pool which maintains these resources as production services. The proposed system provides a flexible and integrated information environment for the Cloud-based production system. As a specific type of manufacturing, Waste Electrical and Electronic Equipment (WEEE) remanufacturing experiences difficulties in system integration, information exchange and resource management. In this research, WEEE is selected as the example of Internet of Things to demonstrate how the obstacles and bottlenecks are overcome with the help of Cloud-based informatics approach. In the case studies, the WEEE recycle/recovery capabilities are also integrated and deployed as flexible Cloud services. Supporting mechanisms and technologies are presented and evaluated towards the end of the paper.

  19. Case management services for work related upper extremity disorders. Integrating workplace accommodation and problem solving.

    Science.gov (United States)

    Shaw, W S; Feuerstein, M; Lincoln, A E; Miller, V I; Wood, P M

    2001-08-01

    A case manager's ability to obtain worksite accommodations and engage workers in active problem solving may improve health and return to work outcomes for clients with work related upper extremity disorders (WRUEDs). This study examines the feasibility of a 2 day training seminar to help nurse case managers identify ergonomic risk factors, provide accommodation, and conduct problem solving skills training with workers' compensation claimants recovering from WRUEDs. Eight procedural steps to this case management approach were identified, translated into a training workshop format, and conveyed to 65 randomly selected case managers. Results indicate moderate to high self ratings of confidence to perform ergonomic assessments (mean = 7.5 of 10) and to provide problem solving skills training (mean = 7.2 of 10) after the seminar. This training format was suitable to experienced case managers and generated a moderate to high level of confidence to use this case management approach.

  20. Phenotypic integration and the evolution of signal repertoires: A case study of treefrog acoustic communication.

    Science.gov (United States)

    Reichert, Michael S; Höbel, Gerlinde

    2018-03-01

    Animal signals are inherently complex phenotypes with many interacting parts combining to elicit responses from receivers. The pattern of interrelationships between signal components reflects the extent to which each component is expressed, and responds to selection, either in concert with or independently of others. Furthermore, many species have complex repertoires consisting of multiple signal types used in different contexts, and common morphological and physiological constraints may result in interrelationships extending across the multiple signals in species' repertoires. The evolutionary significance of interrelationships between signal traits can be explored within the framework of phenotypic integration, which offers a suite of quantitative techniques to characterize complex phenotypes. In particular, these techniques allow for the assessment of modularity and integration, which describe, respectively, the extent to which sets of traits covary either independently or jointly. Although signal and repertoire complexity are thought to be major drivers of diversification and social evolution, few studies have explicitly measured the phenotypic integration of signals to investigate the evolution of diverse communication systems. We applied methods from phenotypic integration studies to quantify integration in the two primary vocalization types (advertisement and aggressive calls) in the treefrogs Hyla versicolor , Hyla cinerea, and Dendropsophus ebraccatus . We recorded male calls and calculated standardized phenotypic variance-covariance ( P ) matrices for characteristics within and across call types. We found significant integration across call types, but the strength of integration varied by species and corresponded with the acoustic similarity of the call types within each species. H. versicolor had the most modular advertisement and aggressive calls and the least acoustically similar call types. Additionally, P was robust to changing social competition

  1. Topic structure for information retrieval

    NARCIS (Netherlands)

    He, J.; Sanderson, M.; Zhai, C.; Zobel, J.; Allan, J.; Aslam, J.A.

    2009-01-01

    In my research, I propose a coherence measure, with the goal of discovering and using topic structures within and between documents, of which I explore its extensions and applications in information retrieval.

  2. Selected topics in nuclear structure

    International Nuclear Information System (INIS)

    1994-01-01

    The collection of abstracts on selected topics in nuclear structure are given. Special attention pays to collective excitations and high-spin states of nuclei, giant resonance structure, nuclear reaction mechanisms and so on

  3. Case Study: Converting Paper-based Case Report Forms to an Electronic Format (e-CRF) with ACASI Self-Report Integration.

    Science.gov (United States)

    Mierzwa, Stan; Souidi, Samir; Akello, Carolyne; Etima, Juliane; Ssebagala, Richard; Nolan, Monica; Kabwigu, Samuel; Nakablito, Clemensia

    2017-01-01

    This paper will discuss the integration of electronic Case Report Forms (e-CRFs) into an already existing Android-based Audio Computer-Assisted Self-Interview (ACASI) software solution that was developed for a public health project in Kampala, Uganda, the technical outcome results, and lessons learned that may be useful to other projects requiring or considering such a technology solution. The developed product can function without a connection to the Internet and allows for synchronizing collected data once connectivity is possible. Previously, only paper-based CRFs were utilized at the Uganda project site. A subset or select group of CRFs were targeted for integration with ACASI in order to test feasibility and success. Survey volume, error rate, and acceptance of the system, as well as the operational and technical design of the solution, will be discussed.

  4. Topics in Theoretical Physics

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, Andrew [Boston Univ., MA (United States); Schmaltz, Martin [Boston Univ., MA (United States); Katz, Emmanuel [Boston Univ., MA (United States); Rebbi, Claudio [Boston Univ., MA (United States); Glashow, Sheldon [Boston Univ., MA (United States); Brower, Richard [Boston Univ., MA (United States); Pi, So-Young [Boston Univ., MA (United States)

    2016-09-30

    these below. Relativity is founded on a symmetry property of nature called "Lorentz Invariance". Like all symmetry properties, it is essential to determine precisely how symmetric nature actually is; that is, do the laws of nature fully respect the symmetry or is there room for tiny symmetry violating effects? An important consequence of Lorentz invariance is the existence of a universal limiting velocity for all physical particles. Light travels at this limiting velocity so it is frequently referred to as simply "the speed of light", but relativity requires that ALL particles travel more slowly than this speed. Once the Higgs particle was discovered in 2012 a natural question was whether or not this particle's speed was consistent with relativity. Although the speed of the Higgs particle is not measurable directly, Cohen has shown that, if the maximal speed of the Higgs particle was not precisely the same as the speed of light, then the Higgs would have some unusual properties. In some cases the Higgs would be unstable to some unusual decay modes; in other cases the interactions of the Higgs with other particles would change the properties of these other particles in ways that could be observed in so-called cosmic rays, very energetic particles (such as photons, protons and other atomic nuclei) coming from space. Once these particles hit the upper atmosphere they produce a "shower" of particles that can be seen by ground-based instruments. If the Higgs has a maximal speed that differs even a tiny bit from the speed of light these showers would look quite different from what is observed. In this way Cohen was able to establish that the Higgs travels with a maximal speed that cannot differ from the speed of light by more than one part in a thousand-trillion. This is by far the most precisely determined property of the Higgs particle. Cohen and Schmaltz reviewed evidence from the Large Hadron Collider (LHC), a particle physics experiment operating at the CERN

  5. Topics in Theoretical Physics

    International Nuclear Information System (INIS)

    Cohen, Andrew; Schmaltz, Martin; Katz, Emmanuel; Rebbi, Claudio; Glashow, Sheldon; Brower, Richard; Pi, So-Young

    2016-01-01

    these below. Relativity is founded on a symmetry property of nature called 'Lorentz Invariance'. Like all symmetry properties, it is essential to determine precisely how symmetric nature actually is; that is, do the laws of nature fully respect the symmetry or is there room for tiny symmetry violating effects? An important consequence of Lorentz invariance is the existence of a universal limiting velocity for all physical particles. Light travels at this limiting velocity so it is frequently referred to as simply 'the speed of light', but relativity requires that ALL particles travel more slowly than this speed. Once the Higgs particle was discovered in 2012 a natural question was whether or not this particle's speed was consistent with relativity. Although the speed of the Higgs particle is not measurable directly, Cohen has shown that, if the maximal speed of the Higgs particle was not precisely the same as the speed of light, then the Higgs would have some unusual properties. In some cases the Higgs would be unstable to some unusual decay modes; in other cases the interactions of the Higgs with other particles would change the properties of these other particles in ways that could be observed in so-called cosmic rays, very energetic particles (such as photons, protons and other atomic nuclei) coming from space. Once these particles hit the upper atmosphere they produce a 'shower' of particles that can be seen by ground-based instruments. If the Higgs has a maximal speed that differs even a tiny bit from the speed of light these showers would look quite different from what is observed. In this way Cohen was able to establish that the Higgs travels with a maximal speed that cannot differ from the speed of light by more than one part in a thousand-trillion. This is by far the most precisely determined property of the Higgs particle. Cohen and Schmaltz reviewed evidence from the Large Hadron Collider (LHC), a particle physics experiment operating at the CERN laboratory

  6. Key Topics in Sports Medicine

    OpenAIRE

    2006-01-01

    Key Topics in Sports Medicine is a single quick reference source for sports and exercise medicine. It presents the essential information from across relevant topic areas, and includes both the core and emerging issues in this rapidly developing field. It covers: 1) Sports injuries, rehabilitation and injury prevention, 2) Exercise physiology, fitness testing and training, 3) Drugs in sport, 4) Exercise and health promotion, 5) Sport and exercise for special and clinical populations, 6) The ps...

  7. Topics of Bioengineering in Wikipedia

    Directory of Open Access Journals (Sweden)

    Vassia Atanassova

    2009-10-01

    Full Text Available The present report aims to give a snapshot of how topics from the field of bioengineering (bioinformatics, bioprocess systems, biomedical engineering, biotechnology, etc. are currently covered in the free electronic encyclopedia Wikipedia. It also offers insights and information about what Wikipedia is, how it functions, how and when to cite Wikipedian articles, if necessary. Several external wikis, devoted to topics of bioengineering, are also listed and reviewed.

  8. Topics in modern differential geometry

    CERN Document Server

    Verstraelen, Leopold

    2017-01-01

    A variety of introductory articles is provided on a wide range of topics, including variational problems on curves and surfaces with anisotropic curvature. Experts in the fields of Riemannian, Lorentzian and contact geometry present state-of-the-art reviews of their topics. The contributions are written on a graduate level and contain extended bibliographies. The ten chapters are the result of various doctoral courses which were held in 2009 and 2010 at universities in Leuven, Serbia, Romania and Spain.

  9. [Amusia and its topic specification].

    Science.gov (United States)

    Buklina, S B; Skvortsova, V B

    2007-01-01

    A historical development of views on amusia and its clinical phenomenology is reviewed. The authors present a case of atypical amusia in a patient aged 32 years with glioma of the right temporal lobe including the upper temporal gyrus. Amusia was combined with euphoria and disturbances of evaluation of speech intonation. It has been assumed that different mechanisms implicated with different regions of both brain hemispheres may underlie amusia. Sometimes these mechanisms appear to be universal, e.g. disorders of symbolic gnosis in posterior hemisphere lesions, being comorbid with amusia as disturbances in reading music and letter agnosia. In our case, the right temporal lobe lesion, especially with involvement of the upper temporal gyrus, caused specific music agnosia with disturbances of perception of some notes and duration of their phonation or a musical contour of the whole melody. Motor amusia is developed due to additional disturbances of motor and premotor brain functions, with significant contribution of the Broca's speech area. Music may be a model for investigation into processes of multimodal integration and hemisphere interaction.

  10. Remifentanil: A help in topical strabismus surgery.

    Science.gov (United States)

    Sánchez-Guillén, I; López, R; Calle, M A; Diez-Lobo, A B

    2017-12-01

    To analyze the analgesic effect of remifentanil, side effects and complications in topical strabismus surgery. To study the results of strabismus surgery with this type of anesthesia. Retrospective descriptive study. We included 39 patients undergoing strabismus surgery with topical anesthesia and analgesia-based sedation with remifentanil. The data of the anesthetic and surgical technique, surgical results and stability of the deviation angle were analyzed. Thirty nine patients (54% women) were included, the average age was 37,4years old. The mean follow-up was 24,5months. The preoperative diagnoses were exotropia (21 patients), esotropia (12), paresis strabismus (4) and Duane's Syndrome (2). 15% patients had preoperative diplopia and 13 had received previous treatments. The dose range of remifentanil used was 0.05 to 0.2μg/kg/min. The side effects presented were 2 cases of vomit and one of bad collaboration during the intraoperative adjustment, one of the patient reported pain and one case of thoracic rigidity was reported. 79% of the patients obtained a good surgical result and 82% reported being satisfied with the results. The reintervention rate was 5%. Analgesia-based sedation with remifentanil is an useful complement to topical strabismus surgery because it reduces pain during surgery and allows the patient to collaborate during intraoperative adjustment due to its pharmacokinetic characteristics. Copyright © 2017 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. From use cases of the Joint European Torus towards integrated commissioning requirements of the ITER tokamak

    Energy Technology Data Exchange (ETDEWEB)

    Neto, A.C. [Fusion for Energy, 08019 Barcelona (Spain); Stephen, A. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Sartori, F.; Cavinato, M. [Fusion for Energy, 08019 Barcelona (Spain); Farthing, J.W. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Ranz, R.; Saibene, G. [Fusion for Energy, 08019 Barcelona (Spain); Winter, A. [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Arnoux, G. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Alves, D. [Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa (Portugal); Blackman, T.; Boboc, A.; Card, P.J.; Dalley, S.; Day, I.E. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); De Tommasi, G. [Consorzio CREATE/Dipartimento di Ingegneria Elettrica e delle Tecnologie dell’Informazione, Università degli Studi di Napoli Federico II, Via Claudio 21, 80125 Napoli (Italy); Drewelow, P.; Elsmore, C.; Ivings, E.; Felton, R. [CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); and others

    2015-10-15

    The Joint European Torus (JET) is the largest tokamak currently in operation in the world. One of the greatest challenges of JET is the integrated commissioning of all its major plant systems. This is driven, partially, by the size and complexity of its operational infrastructure and also by the fact that, being an international environment, it has to address the issues of integrating, commissioning and maintaining plant systems developed by third parties. The ITER tokamak, now in construction, is a fusion device twice the size of JET and, being a joint effort between the European Union, China, India, Japan, South Korea, the Russian Federation and the USA, it will share on a wider scale all of the JET challenges regarding integration and integrated commissioning of very large and complex plant systems. With the scope of taking advantage from the history and experience of JET, Fusion for Energy (F4E) has worked together with the Culham Centre for Fusion Energy (CCFE), the host and operator of JET, for the provision of ITER relevant user experiences related to the integrated commissioning of the tokamak. This work presents and discusses the main results and the methods that were used to extract and translate the commissioning experience information into ITER requirements.

  12. Challenges of the Banking Integration Process in the Case of the New EU Member States

    Directory of Open Access Journals (Sweden)

    Dan Chirlean

    2011-04-01

    Full Text Available The creation of the single European market represents a 50 years long process which aimsat developing the most advanced economy in the world. In order to achieve this, political actions mustbe accompanied by economical and juridical changes in order to stimulate and foster the creation ofthe single European market. A key component of this process is represented by the integration of thefinancial sector. While several component of it have registered major transformations andachievements in the integration process, one of the least integrated parts is represented by theEuropean banking sector. Most of the European economies are funded directly through the bankingsector, thus the integration of this sector represents a major benchmarks in the European integrationprocess. This problem becomes more complex in the context of the European Union enlargement to27 member states. Thus, the aim of this paper is to underline the progresses achieved by the bankingsectors of the European Union new member states from Central and Eastern Europe in theirintegration process. In order to achieve this we will use an empirical analysis based on the Law of OnePrice, which will underline the progress made by the banking sectors of the panel countries: Poland,Czech Republic, Slovenia, Slovakia, Romania and Bulgaria. The results of the research will providean overview of the main achievements registered by these countries, while also underling hownational particularities of these sectors affect their integration.

  13. Integrated Study of Lithofacies Identification—A Case Study in X Field, Sabah, Malaysia

    Directory of Open Access Journals (Sweden)

    Jia Qi Ngui

    2018-02-01

    Full Text Available Understanding subsurface geology is essential for oil and gas exploration. Seismic facies interpretation is very useful in investigating this concept. The interpretation of the depositional setting of the X Field is achieved by integrating the seismic facies characteristics on 3D seismic data and well log data. Both the seismic and well log data are widely used in hydrocarbon exploration to map the subsurface, as they complement each other. Well logs yield the vertical resolution of the subsurface geology at the drilled well, whereas seismic data reveal the lateral continuity. The objective of this paper is to demonstrate the integration of 3D seismic data and well log data for lithofacies identification. Interpretation and analysis of lithofacies is carried out through the integration of the characteristics of seismic reflections with well information (logs. Horizons are interpreted based on the variation in seismic reflections on the seismic section, which is caused by the change in geology within seismic sequences. Well logs give detailed information at the points where the wells were drilled. Interpolating between these points and extrapolating away from the points into undrilled areas can be helpful in providing a better geological knowledge of an area. The result of this integrated study depicts the lithofacies in the area. This integrated study will provide a better insight with higher degree of reliability to the facies distribution and depositional setting of the X Field. The geological and geophysical aspects of the field will be documented.

  14. Ontology Design Patterns: Bridging the Gap Between Local Semantic Use Cases and Large-Scale, Long-Term Data Integration

    Science.gov (United States)

    Shepherd, Adam; Arko, Robert; Krisnadhi, Adila; Hitzler, Pascal; Janowicz, Krzysztof; Chandler, Cyndy; Narock, Tom; Cheatham, Michelle; Schildhauer, Mark; Jones, Matt; Raymond, Lisa; Mickle, Audrey; Finin, Tim; Fils, Doug; Carbotte, Suzanne; Lehnert, Kerstin

    2015-04-01

    Integrating datasets for new use cases is one of the common drivers for adopting semantic web technologies. Even though linked data principles enables this type of activity over time, the task of reconciling new ontological commitments for newer use cases can be daunting. This situation was faced by the Biological and Chemical Oceanography Data Management Office (BCO-DMO) as it sought to integrate its existing linked data with other data repositories to address newer scientific use cases as a partner in the GeoLink Project. To achieve a successful integration with other GeoLink partners, BCO-DMO's metadata would need to be described using the new ontologies developed by the GeoLink partners - a situation that could impact semantic inferencing, pre-existing software and external users of BCO-DMO's linked data. This presentation describes the process of how GeoLink is bridging the gap between local, pre-existing ontologies to achieve scientific metadata integration for all its partners through the use of ontology design patterns. GeoLink, an NSF EarthCube Building Block, brings together experts from the geosciences, computer science, and library science in an effort to improve discovery and reuse of data and knowledge. Its participating repositories include content from field expeditions, laboratory analyses, journal publications, conference presentations, theses/reports, and funding awards that span scientific studies from marine geology to marine ecology and biogeochemistry to paleoclimatology. GeoLink's outcomes include a set of reusable ontology design patterns (ODPs) that describe core geoscience concepts, a network of Linked Data published by participating repositories using those ODPs, and tools to facilitate discovery of related content in multiple repositories.

  15. General practitioners: Between integration and co-location. The case of primary care centers in Tuscany, Italy.

    Science.gov (United States)

    Barsanti, Sara; Bonciani, Manila

    2018-01-01

    Healthcare systems have followed several strategies aimed at integrating primary care services and professionals. Medical homes in the USA and Canada, and primary care centres across Europe have collocated general practitioners and other health and social professionals in the same building in order to boost coordination among services and the continuity of care for patients. However, in the literature, the impact of co-location on primary care has led to controversial results. This article analyses the possible benefits of the co-location of services in primary care focusing on the Italian model of primary care centres (Case della Salute) in terms of general practitioners' perception. We used the results of a web survey of general practitioners in Tuscany to compare the experiences and satisfaction of those general practitioners involved and not involved in a primary care centre, performed a MONAVA and ANOVA analysis. Our case study highlights the positive impact of co-location on the integration of professionals, especially with nurses and social workers, and on organizational integration, in terms of frequency of meeting to discuss about quality of care. Conversely, no significant differences were found in terms of either clinical or system integration. Furthermore, the collaboration with specialists is still weak. Considering the general practitioners' perspective in terms of experience and satisfaction towards primary care, co-location strategies is a necessary step in order to facilitate the collaboration among professionals and to prevent unintended consequences in terms of an even possible isolation of primary care as an involuntary 'disintegration of the integration'.

  16. Environmental Sustainability Assessment of Integrated Food and Bioenergy Production with Case Studies from Ghana

    DEFF Research Database (Denmark)

    Kamp, Andreas

    technologies appear relatively more attractive. Fruit and cocoa residue‐based biogas production in a fruit processing facility, with return of compost to pineapple farmers also proved to be a viable technology. It is recommended that relevant stakeholders explore the implementation of biogas and nutrient......The use of agricultural residues for the production of bioenergy offers tantalising prospects of reduced pollution and greater food sovereignty. Integrated food and bioenergy systems seek to optimise the joint production of food and energy. Integrated food and bioenergy systems may be evaluated...... and compared with other food and energy systems using Environmental Sustainability Assessment (ESA). This thesis investigates a range of integrated food and residuebased bioenergy production systems and provide methodological developments that are relevant for the assessment of such systems. The methodological...

  17. Integration of multiple national markets for electricity: The case of Norway and Sweden

    International Nuclear Information System (INIS)

    Amundsen, Eirik S.

    2007-01-01

    During the second part of the 1990s the Nordic (Denmark, Finland, Norway and Sweden) countries have created a unique multinational market for electricity. This paper aims to analyse the degree of integration of the different national markets that constitute the Nordic electricity market. In particular the Norwegian and Swedish wholesale and retail electricity markets are analysed. The results suggest that the wholesale markets are well integrated. Thus prices differ significantly only during periods with unusually high or low supply of hydropower. However, the retail markets are not integrated to the same degree. Thus retail prices and trade margins differ significantly. Differences in the national electricity market legislation seem to be a key factor behind these differences. (author)

  18. Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature.

    Science.gov (United States)

    Figliuzzi, M M; Giudice, A; Fortunato, L

    2017-01-01

    Aim . This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma. Material and Methods . A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A "Le Fort" type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch. Conclusion . With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration.

  19. Critical chain project management and drum-buffer-rope tools integration in construction industry - case study

    Directory of Open Access Journals (Sweden)

    Piotr Cyplik

    2012-03-01

    Full Text Available Background: The concept of integrating the theory of constraints tools in reorganizing management system in a mechanical engineering company was presented in this article. The main aim of the concept is to enable the enterprise to satisfy the customers' expectations at reasonable costs, which allows for making a profit and creating an agile enterprise in the long run. Methods: Due to the individual character of the production process and service process in analyzed company, the described concept using theory of constraints project management (CCPM and manufacturing (DBR tools. The authors use performance levels conception to build an integration tool focused on the interaction and collaboration between different departments. The integration tool has been developed and verified in Polish manufacturing company. Results: In described model a tool compatible with CCPM operates on the level of the customer service process. Shop floor is controlled based on the DBR method. The authors hold that the integration of between TOC tools is of key importance. The integration of TOC tools dedicated to managing customer service and shop floor scheduling and controlling requires developing a mechanism for repeated transmitting the information between them. This mechanism has been developed. Conclusions: The conducted research showed that the developed tool integrating CCPM and DBR had a positive impact on the enterprise performance. It enables improving the company performance in meeting target group requirements by focusing on enhancing the efficiency of processes running in the company and tasks processed at particular work stations. The described model has been successfully implemented in one of the Polish mechanical engineering companies.

  20. Business Case for Integrated Reporting in the Nigerian Oil and Gas Sector

    Directory of Open Access Journals (Sweden)

    Tajudeen J. AYOOLA

    2013-03-01

    were sourced from the annual reports and stand-alone sustainability reports of the six multinational companies operating in the Nigerian oil and gas sector. The results found that efforts to address environmental, social and governance reporting (ESG were adhoc, short term and unrelated to the core activities of the corporations and as such were not integrated into their business strategies and model. Information on ESG was also duplicated over many medium in a haphazard and distorted form. The study therefore concluded that the introduction of integrated reporting will streamline performance reporting that is in line with international best practice in the sector.